Treatment of intra-oral halitosis

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Treatment of intra-oral halitosis


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Publication Doctoral Thesis
Doctoral Thesis, comprehensive summary
Title Treatment of intra-oral halitosis
Author Erovic Ademovski, Seida
Date 2017
English abstract
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.
Publisher Malmö university. Faculty of Odontology
Series/Issue Doctoral Dissertation in Odontology;
ISBN 978-91-7104-718-2
Language eng (iso)
Subject Halitosis
Dålig andedräkt
Oral hygiene
Research Subject Categories::ODONTOLOGY
Included papers
  1. I. Erovic Ademovski, S., Lingström, P., Winkel, E., Tangerman, A., Persson, G. R. & Renvert, S. (2012) Comparison of different treatment modalities for oral halitosis. Acta Odontologica Scandinavica 70, 224-233.

  2. II. Ademovski, S. E., Persson, G. R., Winkel, E., Tangerman, A., Lingström, P. & Renvert, S. (2013) The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients-a randomized clinical trial. Clinical Oral Investigations 17, 463-473.

  3. III. Erovic Ademovski, S., Mårtensson, C., Persson, G. R. & Renvert, S. (2016) The effect of periodontal therapy on intra-oral halitosis: a case series. Journal of Clinical Periodontology 43, 445-452. 10.1111/jcpe.12525

  4. IV. Erovic Ademovski, S., Mårtensson, C., Persson, G. R. & Renvert, S. (2016) The long-term effect of a zinc acetate and chlorhexidine diacetate containing mouth rinse on intra-oral halitosis- a randomized clinical trial. Submitted in Journal of Clinical Periodontology 2016-12-16.

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