THE RELEVANCE OF SITUATIONAL STRATEGIC PLANNING AND COMBAT HUMAN T-CELL LYMPHOTROPIC VIRUS ASSOCIATED WITH PERIODONTAL DISORDERS (Atena Editora)

Abstract

This literature review evaluates the relationship between periodontal disease (PD) and human T-cell lymphotropic virus type 1 (HTLV-1) and whether this interaction occurs in symptomatic and asymptomatic patients. We investigated whether periodontal problems are triggered by the exacerbated immune response caused by HTLV-1 infection or by complex treatments related to the clinical manifestations of this deltaretrovirus. Currently, worldwide, HTLV-1 affects 20 million people, a number that may be underreported. Brazil occupies 1st place in the world ranking, apparently, with 2.5 million patients. Late diagnosis and the lack of effective treatment generate systemic changes, but also oral changes that contribute to the development and/or worsening of periodontal disease, which is why dentists must be prepared to face a probable hyperendemia. Recent studies have shown that many professionals are unaware of the existence of the virus. Addressing the issue must adopt a situational strategic planning proposal instead of deterministic planning models, which are more concerned with the economic aspect than with identifying and attacking the problems and threats of social reality, a mistaken trend in public management that, however, is still adopted and has generated social setbacks for Public Health.