She had very bad teeth!!! HELP!

[stupidarrs]

I got a little drunk, met a woman who had very, very, very bad teeth, one thing led to another, she gave me oral sex, I know the risks of HIV for the insertive partner are just about none but what if the parnter giving the oral sex had really bad teeth and had blood in her mouth?? Would that make the risk possible for the insertive partner? Im a bit freaking out here because I've not done such a dumb thing in a long while and was proud, now I need to put this behind me. So what in the case of really bad teeth does that increase the risk of about nothing to something more???  HELP!

[H. Hunter Handsfield, M.D.]

Welcome back to the forum.

As we have discussed before, receiving oral sex is low risk.  I suppose it is logical to assume the risk might be a bit higher if the oral partner has bad teeth (not from bad teeth per se, but because poor dental hygiene can also mean inflamed or bleeding gums).  But there are no data on this, and my guess is that any increase in risk would be very small.  And of course the oral partner has to have HIV -- and certainly having bad teeth says nothing about the likelihood your partner was infected.  If we make a guess that having gum inflammation or bleeding doubles the risk (to one transmission per 10,000 exposures instead of 20,000) and assume 1 chance in 1,000 your partner had HIV, that puts your HIV risk at somewhere around 1 in 10 million.  In other words, forget it.  There is no need for testing.

Let's make this your last question about risks of HIV transmission associated with oral sex, OK?

Regards--  HHH, MD

[stupidarrs]

Yes agreed Dr. HHH. But for this once Id like to assume she wasnt 1 in 1000 and lets just say she was infected, then the risk stands at 1 in 10,000 -20,000 which basically means non-existent for the most part. because this girl did not come from the right side of the street. No more Oral sex risk questions, you got it.