Evaluation of Halitosis Using Different Malodor Measurement Methods and Subjective Patients’ Opinion Related Own Malodor

Büşra Yılmaz^1, , Özlem İşman¹, Ali M. Aktan¹ and Mehmet E. Çiftçi²

¹Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey

²Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey

Cite this paper:
Büşra Yılmaz, Özlem İşman, Ali M. Aktan and Mehmet E. Çiftçi. Evaluation of Halitosis Using Different Malodor Measurement Methods and Subjective Patients’ Opinion Related Own Malodor. International Journal of Dental Sciences and Research. 2016; 4(4):72-75. doi: 10.12691/ijdsr-4-4-3

Abstract

Objectives: The goal of this investigation was to evaluate halitosis using the different malodor measurement methods and to determine alignment between the measurements and subjective patients’ opinion. Materials and Methods: Totally 198 patients (122 females 61.6% and 76 males 38.4%, aged 13-65 years ,average 29.78 years) were completed a questionnaire. Each individual was recorded for both organoleptic score and measure odor scores (volatile sulfur compounds) using breath checker (Tanita Corporation, Tokyo, Japan). For the determination of halitosis, ordinal scales were used for breath checker and organoleptic evaluation ranging from0 to 5 respectively. If the mean grade of measurements were ≥ 2 described as halitosis. Chi-square test, descriptive statistics and Spearman correlation test was performed by using SPSS statistical software for analysis. Results: There was a moderate agreement (r: 0.404) between organoleptic scores and breath checker scores .There was a significant correlation between years of smoking habit (r: 0.356), frequency of the relative’s complaints about malodor (r: 0.329), tongue coating (r: 0.350). No significant correlation between organoleptic scores and patients own feelings about bad breath were found. Age and gender had no significant effect on malodor. Conclusions: Breath checker tool may be used for determination of halitosis. Since there was a moderate agreement between organoleptic scores which is accepted as gold standard and breath checker scores. It was surprisingly found that patients own feelings didn’t correlate with both measurements.

Keywords:
halitosis malodor breath checker

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References:

[1]	Quirynen M, Dadamio J, Van den Velde S, De Smit M, Dekeyser C, Van Tornout M, et al. Characteristics of 2000 patients who visited a halitosis clinic. J Clin Periodontol. 2009; 36(11):970-5.
[2]	Nadanovsky P, Carvalho LB, Ponce de Leon A. Oral malodour and its association with age and sex in a general population in Brazil. Oral Dis. 2007;13(1):105-9.
[3]	Rosenberg M. The science of bad breath. Scientific American. 2002;286(4):72-9.
[4]	Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between volatile sulphur compounds and certain oral health measurements in the general population. J Periodontol. 1995;66(8):679-84.
[5]	Wilhelm D, Himmelmann A, Axmann EM, Wilhelm KP. Clinical efficacy of a new tooth and tongue gel applied with a tongue cleaner in reducing oral halitosis. Quintessence international. 2012;43(8):709-18.
[6]	Hightower C. http://www.innerbody.com/diseases-conditions/halitosis January 27, 2015 [updated January 27, 2015 cited 2016 JUNE 15, 2016].
[7]	Rosenberg M, Kozlovsky A, Gelernter I, Cherniak O, Gabbay J, Baht R, et al. Self-estimation of oral malodor. Journal of dental research. 1995;74(9):1577-82.
[8]	Lu HX, Tang C, Chen X, Wong MC, Ye W. Characteristics of patients complaining of halitosis and factors associated with halitosis. Oral Dis. 2014;20(8):787-95.
[9]	Settineri S, Mento C, Gugliotta SC, Saitta A, Terranova A, Trimarchi G, et al. Self-reported halitosis and emotional state: impact on oral conditions and treatments. Health Qual Life Outcomes. 2010;8:34.
[10]	Bornstein MM, Kislig K, Hoti BB, Seemann R, Lussi A. Prevalence of halitosis in the population of the city of Bern, Switzerland: a study comparing self-reported and clinical data. Eur J Oral Sci. 2009;117(3):261-7.
[11]	Scully C, Greenman J. Halitosis (breath odor). Periodontol 2000. 2008;48:66-75.
[12]	Murata T, Fujiyama Y, Yamaga T, Miyazaki H. Breath malodor in an asthmatic patient caused by side-effects of medication: a case report and review of the literature. Oral diseases. 2003;9(5):273-6.
[13]	Conventz A, Musiol A, Brodowsky C, Muller-Lux A, Dewes P, Kraus T, et al. Simultaneous determination of 3-nitrotyrosine, tyrosine, hydroxyproline and proline in exhaled breath condensate by hydrophilic interaction liquid chromatography/electrospray ionization tandem mass spectrometry. Journal of chromatography B, Analytical technologies in the biomedical and life sciences. 2007; 860(1):78-85.
[14]	Porter SR, Scully C. Oral malodour (halitosis). BMJ. 2006; 333(7569):632-5.
[15]	Rosenberg M. Clinical assessment of bad breath: current concepts. J Am Dent Assoc. 1996;127(4):475-82.
[16]	Yaegaki K, Coil JM. Examination, classification, and treatment of halitosis; clinical perspectives. J Can Dent Assoc. 2000; 66(5): 257-61.
[17]	Eli I, Baht R, Koriat H, Rosenberg M. Self-perception of breath odor. J Am Dent Assoc. 2001;132(5):621-6.
[18]	Tonzetich J. Direct gas chromatographic analysis of sulphur compounds in mouth air in man. Arch Oral Biol. 1971; 16(6): 587-97.
[19]	Rosenberg M, McCulloch CA. Measurement of oral malodor: current methods and future prospects. Journal of periodontology. 1992;63(9):776-82.
[20]	Greenman J, Rosenberg M. Proceedings of the Sixth International Conference on Breath Odor. Oral Dis. 2005;11 Suppl 1:5-6.
[21]	Liu XN, Shinada K, Chen XC, Zhang BX, Yaegaki K, Kawaguchi Y. Oral malodor-related parameters in the Chinese general population. J Clin Periodontol. 2006;33(1):31-6.
[22]	Miyazaki H, Ohtani I, Abe N, Ansai T, Katoh Y, Sakao S, et al. Periodontal conditions in older age cohorts aged 65 years and older in Japan, measured by CPITN and loss of attachment. Community dental health. 1995;12(4):216-20.
[23]	Iwanicka-Grzegorek E, Michalik J, Kepa J, Wierzbicka M, Aleksinski M, Pierzynowska E. Subjective patients' opinion and evaluation of halitosis using halimeter and organoleptic scores. Oral diseases. 2005;11 Suppl 1:86-8.
[24]	Peker I, Alkurt MT. Oral Health Attitudes and Behavior among a Group of Turkish Dental Students. Eur J Dent. 2009;3(1):24-31.
[25]	Bigler T, Filippi A. [Importance of halitosis. A survey of adolescents and young adults]. Swiss dental journal. 2016; 126(4): 347-59.
[26]	Nalcaci R, Sonmez IS. Evaluation of oral malodor in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(3): 384-8.
[27]	Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between Volatile Sulfur-Compounds and Certain Oral Health Measurements in the General-Population. Journal of periodontology. 1995; 66(8): 679-84.
[28]	Dessirier JM, O'Mahony M, Carstens E. Oral irritant effects of nicotine. Psychophysical evidence for decreased sensation following repeated application of and lack of cross-desensitization to capsaicin. Ann N Y Acad Sci. 1998; 855: 828-30.
[29]	Neeraja R, Kayalvizhi G, Sangeetha P. Oral Health Attitudes and Behavior among a Group of Dental Students in Bangalore, India. European journal of dentistry. 2011; 5(2): 163-7.