Oral health is essential to all medical care for patients with HIV. However, fear of disclosure was a significant barrier to access to care. The preparation of future healthcare providers by mouth to maintain all aspects of confidentiality and understand the role stigma plays in the lives of people with HIV are critical issues that must be addressed by dental education. To provide important perspectives regarding HIV-related stigma and confidentiality, the data of HAART (highly active antiretroviral therapy) the project is presented. This study is a period of five years the National Institute of Allergy and Infectious Diseases (NIAID)-funded longitudinal qualitative study of HIV-positive African American ‘adherence to antiretroviral therapy (N = 137). The current literature regarding HIV and the confidentiality of the patient regarding the attitudes of students HIV / AIDS is also reviewed. The results suggest that dental student attitudes may be improved by providing the broadest experience and information and that the procedures in place in dental clinics should be continually monitored to ensure that they maintain the confidentiality of the patient. Strategies to address these important issues in dental education are presented. Ensuring that dental school graduates are well prepared to maintain confidentiality with sensitivity to the role stigma plays in the disease has the potential to improve access to health care.