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Avatar universal

Oral sex after dental treatment

I had an HIV test in March which came back negative. I moved to Chile in April, and had one episode of oral sex, briefly. Then in July I had another episode of giving oral sex. In each case it was very brief as I do not enjoy doing it - it was almost a cursory 'suck' and there was no ejaculation. I have attempted anal sex here, but that was with a condom.

The thing is two days before I gave oral sex to the second man, I had had the second of four episodes of dental treatment for a lost filling. This stage involved filing the tooth down so rather than having a three dimensional tooth, it is now triangular shaped, thus removing the central hole where the filling was. It wasn't a bloody treatment, as I remember it it was literally filing it down, but my naked gum will have been exposed at the time (it is now covered with plaster of Paris). The guy said he never had unprotected anal sex, but I haven't been able to get hold of him to talk to him again. Its just that people say you should avoid contact after dental treatment. Also, my STD nurse in the UK uttered dire warnings about unprotected sex in South America.

Since then I have had one sore throat, the result I think of a sleepless night at an airport, and have had a rash on my chest, I think from an insect bite, and now have a rash on my thighs, which seems like blocked hair follicles. Its not itchy, and came up after I had been in a sauna (heat rash?).

I am cursing myself and making myself unhappy with worry.
3 Responses
239123 tn?1267651214
MEDICAL PROFESSIONAL
I can't say whether the risk of acquiring HIV, if exposed, is elevated after the sort of dental procedure you describe.  If this has been studied or any data are available, I am unaware of it.  I don't know what you mean by "naked gum"; if there was an open sore, the risk might be elevated, but if the gum had healed over, there shouldn't be a problem.  Even with open lesions on th bums, if there is any increased risk at all, it is a good bet to be small.  Obviously I cannot diagnose the rash you describe, but it does not sound suspicious for HIV infection or any other STD.  Anyway, if you are concerned, have another HIV test.  Enough time has gone by so that you can rely on a negative result.

Good luck--  HHH, MD
Avatar universal
Hello,

You should focus instead on the fact that neither man ejaculated into your mouth; this bodes well for you. Even if both were HIV+, most research indicatest that the HIV contained in precum (if there was any precum involved), is in such small amounts that it is difficult for it to survive the hostile environment of the mouth (your saliva would block some of the HIV's power to infiltrate your gums.) Three researchers I read about online -- Susan Buchbinder, Kimberly Page-Schafer, and Jeff Klausner -- did a lot of research into HIV and oral sex. They said that transmission via oral sex without ejaculation is exceedingly rare, even to the one giving a blowjob. The dental work increases the risk a little in theory, and there would be increased risk if either of the two Chilean men had another STD that could have been producing pus or other ulcering, canchrous effects. But these are small increases added to an extremely low risk in the first place.

Jeff Klausner, who has a column on gay.com, said that his advice was for men "to enjoy oral sex and get tested once a year." That's how low the risk of oral sex is, regarding HIV. You could choose to get tested once for these episodes, and then keep on doing oral sex and get tested again in a year for everything.

J
Avatar universal
Thank you doctor for your comment, and thank you also to the second poster. I am sorry for being unclear about 'naked gum'. By that I meant that because the tooth had been filed away the gum 'socket' was exposed - eg the area of the gum where the tooth had previously been. However, it was two days later so I would expect it to have healed by this time, and certainly not to be like a fresh sore. I don't recall any blood when I touched it for example, or even any pain. Also neither man had ejaculated in my mouth so hopefully that helps my case, so to speak.
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