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Comparison of different treatment modalities for oral halitosis.
Department of Oral Health Science, Section for Health and Society, Kristianstad University, Kristianstad, Sweden.ORCID iD: 0000-0002-5755-3998
Department of Oral Health Science, Section for Health and Society, Kristianstad University, Kristianstad, Sweden; Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Academic Centre for Oral Health, Department of Periodontology, University Medical Centre Groningen, Groningen, The Netherlands.
Academic Centre for Oral Health, Department of Periodontology, University Medical Centre Groningen, Groningen, The Netherlands; Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
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2012 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, no 3, p. 224-33Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To assess the effects on intra-oral halitosis by a mouth rinse containing zinc acetate (0.3%) and chlorhexidine diacetate (0.025%) with and without adjunct tongue scraping.

MATERIALS AND METHODS: Twenty-one subjects without a diagnosis of periodontitis were randomized in a cross-over clinical trial. Organoleptic scores (OLS) were assessed to define intra-oral halitosis by total volatile sulfur compound (T-VSC) measurements and by gas chromatography.

RESULTS: Twenty-one subjects with a mean age of 45.7 years (SD: ±13.3, range: 21-66). The OLS were significantly lower following active rinse combined with tongue scraping (p < 0.001) at all time points. Immediately after, at 30 min, and at day 14, the T-VSC values were lower in the active rinse sequence than in the negative rinse sequence (p < 0.001, p < 0.001 and p < 0.05, respectively). At 30 min and at day 14, the hydrogen sulfide (H(2)S) and methyl mercaptan (MM) values were lower in the active rinse sequence compared to the inactive rinse sequence (p < 0.001). The inactive rinse sequence with tongue scraping reduced T-VSC at 30 min (p < 0.001) but not at 14 days. Similar reductions in T-VSC, H(2)S and MM were found in the active rinse sequence with or without tongue scraping.

CONCLUSION: The use of a tongue scraper did not provide additional benefits to the active mouth rinse, but reduced OLS and tongue coating index.

Place, publisher, year, edition, pages
Informa Healthcare, 2012. Vol. 70, no 3, p. 224-33
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-17808DOI: 10.3109/00016357.2011.635601ISI: 000302916000008PubMedID: 22149929Scopus ID: 2-s2.0-84859882691OAI: oai:DiVA.org:mau-17808DiVA, id: diva2:1454437
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)
Note

Note: The papers are not included in the fulltext online.

Paper IV in dissertation as manuscript.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-16Bibliographically approved

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Erovic Ademovski, Seida

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