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The effect of periodontal therapy on intra-oral halitosis: a case series
School for Health and Society, Kristianstad University, Kristianstad, Sweden.ORCID iD: 0000-0002-5755-3998
School for Health and Society, Kristianstad University, Kristianstad, Sweden.
School for Health and Society, Kristianstad University, Kristianstad, Sweden; Department of Periodontics, School of Dentistry, University of Washington, Seattle, WA, USA.
School for Health and Society, Kristianstad University, Kristianstad, Sweden; School of Dental Science, Trinity College, Dublin, Ireland; Blekinge Institute of Technology, Karlskrona, Sweden.
2016 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 43, no 5, p. 445-452Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to evaluate the effects of non-surgical periodontal therapy on intra-oral halitosis 3 months after therapy.

MATERIAL AND METHODS: Sixty-eight adults with intra-oral halitosis were included in a case series. Intra-oral halitosis was evaluated at baseline, and at 3 months after treatment using the organoleptic scores (OLS), Halimeter® , and a gas chromatograph.

RESULTS: Significant reductions for OLS (p < 0.01), total sum of volatile sulphur compounds (T-VSC) (p < 0.01) and methyl mercaptan (MM) (p < 0.05) values were found after treatment. Hydrogen sulphide (H2 S) levels were not significantly reduced. The numbers of probing pockets 4 mm, 5 mm and 6 mm were significantly reduced as a result of therapy (p < 0.001). Bleeding on probing (BOP) and plaque indices were also significantly reduced (p < 0.001). For the 34 individuals with successful periodontal treatment (BOP<20% and a ≥50% reduction of total pocket depth) reductions in OLS (p < 0.01) and T-VSC scores (p < 0.01) were found. Eleven individuals were considered effectively treated for intra-oral halitosis presenting with a T-VSC value <160 ppb, a H2 S value <112 ppb and a MM value <26 ppb.

CONCLUSION: Non-surgical periodontal therapy resulted in reduction of OLS, MM and T-VSC values 3 months after therapy. Few individuals were considered as effectively treated for intra-oral halitosis.

Place, publisher, year, edition, pages
John Wiley & Sons, 2016. Vol. 43, no 5, p. 445-452
Keywords [en]
bad breath, hydrogen sulphide, oral halitosis, oral malodour, periodontitis, volatile sulphur compounds
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-17810DOI: 10.1111/jcpe.12525ISI: 000374990100007PubMedID: 26847598Scopus ID: 2-s2.0-84963543320OAI: oai:DiVA.org:mau-17810DiVA, id: diva2:1454432
Available from: 2020-07-16 Created: 2020-07-16 Last updated: 2023-07-05Bibliographically approved
In thesis
1. Treatment of intra-oral halitosis
Open this publication in new window or tab >>Treatment of intra-oral halitosis
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Intra -oral halitosis (bad breath) is reported to affect 15 -83 % of the adult population. Having intra- oral halitosis is a social and psycho- logical handicap, and may cause people in the person’s social circle to increase the physical distance or to turn their faces in another di- rection to avoid the unpleasant smell from the exhaled air. Such be- haviours may affect the individual’s self -confidence resulting in ins e- curity in social and inti mate relations. The oral health -related quality of life status has also been reported to be lower in individuals with halitosis. Approximately 90% of what is considered as bad breath is the result of the degradation of organic substrates (proteins) by an- aerobic bacteria of the oral cavity. Intra -oral halitosis can be as- sessed using both subjective and objective methods to evaluate the subject’s exhaled air. The most common one and the one often r e- ferred to as the ” gold standard”, is the organoleptic scoring system (OLS). OLS is a subjective method evaluating the strength of halit o- sis in exhaled air using a scale from 0- 5. One objective method to assess the presence of volatile sulphur compounds in exhaled air is to use a sulphide monitor measuring the total sum of the volatile sul- phur compounds (T -VSC) in exhaled air. The three gases (hydrogen sulphide (H 2 S), methyl mercaptan (MM) and dimethyl sulphide (DMS)) in exhaled air related to intra- oral halitosis can be assessed separately using a simplified gas chromatograph. Different treatment models such as periodontal treatment, tongue scraping and rinsing with Zn ion containing products have been used to reduce intra -oral halitosis. The present thesis has evaluated the efficacy of different treatment models in t he treatment of intra -oral halitosis.

Place, publisher, year, edition, pages
Malmö university. Faculty of Odontology, 2017
Series
Doctoral Dissertation in Odontology
Keywords
Halitosis, Dålig andedräkt, Oral hygiene
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-7700 (URN)22073 (Local ID)978-91-7104-718-2 (ISBN)978-91-7104-719-9 (ISBN)22073 (Archive number)22073 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2022-06-27Bibliographically approved

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