1
|
Kato T, Tanaka T, Uchida K. Detection of PPB-Level H 2S Concentrations in Exhaled Breath Using Au Nanosheet Sensors with Small Variability, High Selectivity, and Long-Term Stability. ACS Sens 2024; 9:708-716. [PMID: 38336360 PMCID: PMC10898455 DOI: 10.1021/acssensors.3c01944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 12/13/2023] [Accepted: 12/18/2023] [Indexed: 02/12/2024]
Abstract
The continuous monitoring of hydrogen sulfide (H2S) in exhaled breath enables the detection of health issues such as halitosis and gastrointestinal problems. However, H2S sensors with high selectivity and parts per billion-level detection capability, which are essential for breath analysis, and facile fabrication processes for their integration with other devices are lacking. In this study, we demonstrated Au nanosheet H2S sensors with high selectivity, ppb-level detection capability, and high uniformity by optimizing their fabrication processes: (1) insertion of titanium nitride (TiN) as an adhesion layer to prevent Au agglomeration on the oxide substrate and (2) N2 annealing to improve nanosheet crystallinity. The fabricated Au nanosheets successfully detected H2S at concentrations as low as 5.6 ppb, and the estimated limit of detection was 0.5 ppb, which is superior to that of the human nose (8-13 ppb). In addition, the sensors detected H2S in the exhaled breath of simulated patients at concentrations as low as 175 ppb while showing high selectivity against interfering molecules, such as H2, alcohols, and humidity. Since Au nanosheets with uniform sensor characteristics enable easy device integration, the proposed sensor will be useful for facile health checkups based on breath analysis upon its integration into mobile devices.
Collapse
Affiliation(s)
- Taro Kato
- Department of Materials Engineering, The University of Tokyo, Tokyo 113-8656, Japan
| | - Takahisa Tanaka
- Department of Materials Engineering, The University of Tokyo, Tokyo 113-8656, Japan
| | - Ken Uchida
- Department of Materials Engineering, The University of Tokyo, Tokyo 113-8656, Japan
| |
Collapse
|
2
|
Szalai E, Tajti P, Szabó B, Kói T, Hegyi P, Czumbel LM, Varga G, Kerémi B. ORGANOLEPTIC AND HALITOMETRIC ASSESSMENTS DO NOT CORRELATE WELL IN INTRA-ORAL HALITOSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Evid Based Dent Pract 2023; 23:101862. [PMID: 37689445 DOI: 10.1016/j.jebdp.2023.101862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 03/12/2023] [Accepted: 03/25/2023] [Indexed: 09/11/2023]
Abstract
BACKGROUND The gold standard method for diagnosing oral halitosis is the subjective organoleptic measurement. Device-supported methods are also widespread worldwide. The challenges and safety concerns around performing organoleptic measurements during pandemics and the diversity of measuring device alternatives raised our clinical question: which halitometer is the most suitable for diagnosing halitosis? METHODS This systematic review was registered in PROSPERO (ID CRD42022320024). The search was performed on March 23, 2022 in the following electronic databases: MEDLINE, Embase, Scopus, Web of Science, and CENTRAL. Adult populations with or without halitosis were included, and patients with systemic diseases were excluded. Organoleptic (subjective) measurement and the device-supported (objective) methods were compared; the primary outcome was the correlation coefficient, and the secondary was the specificity and sensitivity of the devices. QUADAS-2 and QUADAS-C were used to evaluate the risk of bias in the studies. Random-effects meta analyses were performed on the outcomes, and the secondary outcomes were plotted on a common ROC plot. RESULTS A total of 1231 records were found in the 5 databases. After the selection process, 76 articles were eligible for the systematic review, and 14,635 patients were involved in the qualitative analysis. The pooled Spearman's correlation coefficient (c.c.) for sulfide monitors was 0.65; 95% CIs: [0.53-0.74]; I2 = 95%, P < .01. The pooled Spearman's c.c. for portable gas chromatographs was 0.69; 95% CIs: [0.63-0.74]; I2 = 12%, P < .01. The pooled Spearman's c.c. for gas chromatographs was 0.76; 95% CIs: [0.67-0.83]; I2 = 0%, P < .01. DISCUSSION None of the most commonly used halitometers proved to be significantly superior to the others. Halimeter and OralChroma measurements did not correlate well with the organoleptic level of oral halitosis in adults. Therefore, better halitometers need to be developed as an alternative to organoleptic measurements.
Collapse
Affiliation(s)
- Eszter Szalai
- Department of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Péter Tajti
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Department of Prosthodontics, Semmelweis University, Budapest, Hungary
| | - Bence Szabó
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Tamás Kói
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Department of Stochastics, Institute of Mathematics, Budapest University of Technology and Economics, Budapest, Hungary
| | - Péter Hegyi
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary; Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary
| | - László Márk Czumbel
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Department of Periodontology, Semmelweis University, Budapest, Hungary
| | - Gábor Varga
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Department of Oral Biology, Semmelweis University, Budapest, Hungary
| | - Beáta Kerémi
- Department of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary; Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.
| |
Collapse
|
3
|
Izidoro C, Botelho J, Machado V, Reis AM, Proença L, Barroso H, Alves R, Mendes JJ. Non-Surgical Periodontal Treatment Impact on Subgingival Microbiome and Intra-Oral Halitosis. Int J Mol Sci 2023; 24:ijms24032518. [PMID: 36768839 PMCID: PMC9916745 DOI: 10.3390/ijms24032518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 01/25/2023] [Accepted: 01/26/2023] [Indexed: 02/03/2023] Open
Abstract
The purpose of this study was to characterize and compare subgingival microbiome before and after periodontal treatment to learn if any changes of the subgingival microbiome were reflected in intra-oral halitosis. We tested the hypothesis that intra-oral halitosis (Volatile sulfur compounds levels) correlates with corresponding subgingival bacterial levels before and after periodontal treatment. Twenty patients with generalized periodontitis completed the study. Subgingival plaque samples were collected at baseline and 6-8 weeks after nonsurgical periodontal therapy. Full-mouth periodontal status assessed probing depth (PD), clinical attachment loss (CAL), gingival recession (REC), bleeding on probing (BoP), PISA and PESA. Halitosis assessment was made using a volatile sulfur compounds (VSC) detector device. Periodontal measures were regressed across VSC values using adjusted multivariate linear analysis. The subgingival microbiome was characterized by sequencing on an Illumina platform. From a sample of 20 patients referred to periodontal treatment, 70% were females (n = 14), with a mean age of 56.6 (±10.3) years; full-mouth records of PD, CAL, BOP (%) allowed to classify the stage and grade of periodontitis, with 45% (n = 9) of the sample having Periodontitis Stage IV grade C and 95% (n = 19) had generalized periodontitis. The correlation of bacterial variation with VSCs measured in the periodontal diagnosis and in the reassessment after treatment were evaluated. Fusobacterium nucleatum, Capnocytophaga gingivalis and Campylobacter showaei showed correlation with the reduction of VSC after periodontal treatment (p-value = 0.044; 0.047 and 0.004, respectively). Capnocytophaga sputigena had a significant reverse correlation between VSCs variation from diagnosis (baseline) and after treatment. Microbial diversity was high in the subgingival plaque on periodontitis and intra-oral halitosis participants of the study. Furthermore, there were correlations between subgingival plaque composition and VSC counting after periodontal treatment. The subgingival microbiome can offer important clues in the investigation of the pathogenesis and treatment of halitosis.
Collapse
Affiliation(s)
- Catarina Izidoro
- Periodontology Department, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
- Correspondence: ; Tel.: +351-212-946-737
| | - João Botelho
- Periodontology Department, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| | - Vanessa Machado
- Periodontology Department, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| | - Ana Mafalda Reis
- Instituto de Ciências Biomédicas Abel Salazar, School of Health and Life Sciences, University of Porto, 4099-002 Porto, Portugal
- Neuroradiology Department, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal
| | - Luís Proença
- Quantitative Methods for Health Research Unit (MQIS), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| | - Helena Barroso
- Microbiology and Public Health Unit, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| | - Ricardo Alves
- Periodontology Department, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| | - José João Mendes
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal
| |
Collapse
|
4
|
Periodontitis, Halitosis and Oral-Health-Related Quality of Life-A Cross-Sectional Study. J Clin Med 2021; 10:jcm10194415. [PMID: 34640433 PMCID: PMC8509422 DOI: 10.3390/jcm10194415] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/17/2021] [Accepted: 09/20/2021] [Indexed: 12/24/2022] Open
Abstract
We aimed to explore the association between volatile sulfurous compounds (VSCs) and periodontal epithelial surface area (PESA) and periodontal inflamed surface area (PISA) on a cohort of periodontitis patients. Consecutive patients were assessed for periodontitis and halitosis. A full-mouth periodontal status assessment tested probing depth (PD), clinical attachment loss (CAL), gingival recession (REC), bleeding on probing (BoP), PISA and PESA. A halitosis assessment was made using a VSC detector device. Periodontal measures were regressed across VSC values using adjusted multivariate linear analysis. From a total of seventy-two patients (37 females/35 males), the PESA of posterior-lower regions was found to be significantly higher in halitosis cases than their non-halitosis counterparts (p = 0.031). Considering all patients, the PESA of the posterior-lower region (B = 1.3, 95% CI: 0.2–2.3, p = 0.026) and age (B = −1.6, 95% CI: −3.1–0.2, p = 0.026) showed significant association with VSCs. In halitosis patients, the PESA of the posterior-lower region (B = 0.1, 95% CI: 0.0–0.1, p = 0.001), PISA Total (B = −0.1, 95% CI: −0.1–0.0, p = 0.008) and the OHIP-14 domain of physical disability (B = −2.1, 95% CI:−4.1–0.1, p = 0.040) were the most significant variables in this model. The PESA from the posterior-lower region may be associated with VSCs when other causes of extra-oral halitosis are excluded. Further intervention studies are needed to confirm this association.
Collapse
|
5
|
Romano F, Pigella E, Guzzi N, Manavella V, Campanelli L, Aimetti M. Etiology and characteristics of halitosis in patients of a halitosis center in Northern Italy. ACTA ACUST UNITED AC 2020; 69:174-182. [PMID: 32610725 DOI: 10.23736/s0026-4970.19.04186-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND As there are few studies in Europe describing characteristics of breath malodor for large groups of patients, this retrospective study was designed to analyse the etiology of halitosis among patients attending a breath malodor center in Northern Italy. METHODS Clinical records of 547 consecutive patients were reviewed and data on self-perceived halitosis, organoleptic scores, volatile sulphur compound (VSC) levels, and oral health condition were extracted and analysed. RESULTS The prevalence of intra-oral halitosis was 90.7%. In 21 patients no objective signs of breath malodor could be found. Periodontitis and gingivitis were the main cause of bad breath in 33.9% of subjects and in combination with tongue coating in 55.2%. Only eight subjects have tongue coating as the only cause of halitosis. Ear, nose and throat (ENT)/extra-oral causes were found in 5.2% of the patients. VSC concentrations were lower in the psychogenic halitosis group, whereas no statistically significant differences were detected when comparing intra-oral and extra-oral halitosis except for (CH3)2S. CONCLUSIONS Psychogenic halitosis is a rare condition among subjects complaining of suffering from bad breath. The most prevalent cause of halitosis is intra-oral, in particular a combination of tongue coating and periodontal disease. Tongue coating is rarely the primary cause of oral malodor.
Collapse
Affiliation(s)
- Federica Romano
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy -
| | - Enrico Pigella
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy
| | - Nicoletta Guzzi
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy
| | - Valeria Manavella
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy
| | - Lorena Campanelli
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy
| | - Mario Aimetti
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy
| |
Collapse
|
6
|
Adedapo AH, Kolude B, Dada-Adegbola HO, Lawoyin JO, Adeola HA. Targeted polymerase chain reaction-based expression of putative halitogenic bacteria and volatile sulphur compound analysis among halitosis patients at a tertiary hospital in Nigeria. Odontology 2019; 108:450-461. [PMID: 31641894 DOI: 10.1007/s10266-019-00467-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 09/26/2019] [Indexed: 11/29/2022]
Abstract
Halitosis (bad breath) can be a cause of anxiety, depression and psychosocial stress, with pathological changes in the oral microbiota playing an important role in its development. Despite its prevalence, studies on the microbiology of halitosis are rare in Nigeria. This study determines the presence of five putative periodontal pathogens viz: Actinobacillus actinomycetemcomitans, Fusobacterium nucleatum, Porphyromonas gingivalis, Prevotella intermedia and Treponema denticola on the tongue dorsa of halitosis and non-halitosis patients using a 16S rDNA-directed polymerase chain reaction assay. Furthermore, an association of these bacteria with oral malodour [as assessed by volatile sulphur compounds (VSC) measurements] with a portable sulphide monitor, the Halimeter (Interscan Corp, Chatsworth, California), was performed. The results showed that the prevalence of halitosis in this environment as defined by VSC level above 160 ppb is 14.9%. Halitosis is affected by gender with males having it more than the females. Males also tend to present more with self-reported complaints of halitosis than females. Age does not appear to contribute to the incidence of halitosis. Fusobacterium nucleatum, P. gingivalis, P. intermedia are responsible for increased production of VSCs in halitosis patients while A. actinomycetemcomitans and T. denticola appear to play no part in the production of VSCs. Evaluation of halitogenic bacteria and VSCs may potentially become a surrogate biomarker for monitoring halitosis. Targeted assessment of putative halitogenic bacteria may provide a rapid point-of-care diagnostic tool for halitosis.
Collapse
Affiliation(s)
- Adeyinka Happy Adedapo
- Department of Oral Pathology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Bamidele Kolude
- Department of Oral Pathology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | | | | | - Henry Ademola Adeola
- Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, University of the Western Cape and Tygerberg Hospital, Cape Town, South Africa. .,Division of Dermatology, Department of Medicine, Faculty of Health Sciences and Groote Schuur Hospital, University of Cape Town, Observatory 7925, Cape Town, South Africa.
| |
Collapse
|
7
|
Ciarcia ACCDM, Gonçalves MLL, Horliana ACRT, Suguimoto ESA, Araujo L, Laselva A, Mayer MPA, Motta LJ, Deana AM, Mesquita-Ferrari RA, Fernandes KPS, Bussadori SK. Action of antimicrobial photodynamic therapy with red leds in microorganisms related to halitose: Controlled and randomized clinical trial. Medicine (Baltimore) 2019; 98:e13939. [PMID: 30608426 PMCID: PMC6344152 DOI: 10.1097/md.0000000000013939] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Halitosis is the term used to describe any unpleasant odor relative to expired air regardless of its source. The prevalence of halitosis in the population is approximately 30%, of which 80 to 90% of the cases originate in the oral cavity resulting from proteolytic degradation by gram negative anaerobic bacteria. Antimicrobial photodynamic therapy (aPDT) has been widely used with very satisfactory results in the health sciences. It involves the use of a non-toxic dye, called photosensitizer (FS), and a light source of a specific wavelength in the presence of the environmental oxygen. This interaction is capable of creating toxic species that generate cell death. The objective of this controlled clinical study is to verify the effect of aPDT in the treatment of halitosis by evaluating the formation of volatile sulphur compounds with gas chromatography and microbiological analysis before and after treatment. MATERIALS AND METHODS Young adults in the age group between 18 and 25 years with diagnosis of halitosis will be included in this research. The selected subjects will be divided into 3 groups: G1: aPDT; G2: scraper, and G3: aPDT and scraper. All subjects will be submitted to microbiological analysis and evaluation with Oral ChromaTM before, immediately after treatment, 7, 14, and 30 days after treatment. For the evaluation of the association of the categorical variables the Chi-square test and Fisher's Exact Test will be used. To compare the means the student t test and analysis of variance (ANOVA) will be used and to analyse the correlation between the continuous variables the correlation test by Pearson will be applied. In the analyses of the experimental differences in each group the Wilcoxon test will be used. For all analyses a level of significance of 95% (P < .05) will be considered. DISCUSSION Halitosis treatment is a topic that still needs attention. The results of this trial could support decision-making by clinicians regarding aPDT using aPDT for treating halitosis.
Collapse
Affiliation(s)
| | | | - Anna Carolina Ratto Tempestine Horliana
- Professor of the Postgraduate Program in Rehabilitation Sciences and of the Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University
| | | | - Lysianne Araujo
- Student of Scientific Initiation of Program in Biophotonics Applied to Health Sciences
| | - Andreia Laselva
- Student of Scientific Initiation of Program in Biophotonics Applied to Health Sciences
| | | | - Lara Jansinsk Motta
- Professor of the Postgraduate Program in Rehabilitation Sciences and of the Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University
| | - Alessandro Melo Deana
- Professor of the Postgraduate Program in Rehabilitation Sciences and of the Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University
| | - Raquel Agnelli Mesquita-Ferrari
- Professor of the Postgraduate Program in Rehabilitation Sciences and of the Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University
| | | | - Sandra Kalil Bussadori
- Professor of the Postgraduate Program on Biophotonics Applied to Health Sciences of the Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University, São Paulo, SP, Brazil
| |
Collapse
|
8
|
Sombié R, Tiendrébéogo AJF, Guiguimdé WPL, Guingané A, Tiendrébéogo S, Ouoba K, Bougouma A. [Halitosis: multidisciplinary diagnostic and therapeutic approaches]. Pan Afr Med J 2018; 30:201. [PMID: 30574220 PMCID: PMC6294969 DOI: 10.11604/pamj.2018.30.201.10951] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 06/16/2018] [Indexed: 11/22/2022] Open
Abstract
Introduction L’halitose, état morbide caractérisé par une mauvaise haleine, présente à la fois un aspect pathologique et social. Dans notre contexte, l’halitose pose de nombreux problèmes de prise en charge aux plans diagnostique et thérapeutique en pratique clinique. Le but de notre travail était d’étudier les aspects diagnostiques et thérapeutiques de l’halitose. Méthodes Il s’agit d’une étude transversale sur une année. Ont été inclus, les patients âgés de plus de 15 ans qui ont consulté pour halitose au centre hospitalier universitaire Yalgado Ouédraogo. Ont été exclus les patients avec mauvaise haleine mais consultant pour un autre motif. L’haleine a été évaluée par un praticien selon le test organoleptique de Rosenberg. Résultats Au total 35 patients ont été inclus pour un sex-ratio de 1,2. L’âge moyen était de 31,9 ans. Dans 57,1% des cas, la plainte venait du patient lui-même. La durée moyenne de l’halitose était de 4,3 ans. Dix-neuf patients avaient un score de Mel Rosenberg ≥ 2. La carie dentaire (07 cas), la sinusite (07 cas), l’infection à Helicobacter pylori (09 cas) et l’ulcère gastro-intestinal (10 cas) étaient associés à l’halitose. Le traitement a été étiologique dans 82.9% des cas avec une amélioration satisfaisante à deux semaines de l’ordre de 71,8%. Conclusion L’halitose reste une pathologie peu étudiée et pose un problème de diagnostic positif, mais aussi étiologique dans notre contexte. Le rôle de l’odontologiste est crucial dans la recherche de la cause de l’halitose. Cependant, une prise en soins pluridisciplinaire de l’halitose permettra d’y apporter une réponse plus efficace.
Collapse
Affiliation(s)
- Roger Sombié
- Service d'Hépato-gastroentérologie, Centre Hospitalo-Universitaire Yalgado Ouédraogo, Burkina Faso
| | | | | | - Alice Guingané
- Service d'Hépato-gastroentérologie, Centre Hospitalo-Universitaire Yalgado Ouédraogo, Burkina Faso
| | - Souhouto Tiendrébéogo
- Service d'Hépato-gastroentérologie, Centre Hospitalo-Universitaire Yalgado Ouédraogo, Burkina Faso
| | - Kampadilemba Ouoba
- Service d'Oto-rhino-laryngologie et de Chirurgie Cervico-faciale, Centre Hospitalo-Universitaire Yalgado Ouédraogo, Burkina Faso
| | - Alain Bougouma
- Service d'Hépato-gastroentérologie, Centre Hospitalo-Universitaire Yalgado Ouédraogo, Burkina Faso
| |
Collapse
|
9
|
A Miniaturized Amperometric Hydrogen Sulfide Sensor Applicable for Bad Breath Monitoring. MICROMACHINES 2018; 9:mi9120612. [PMID: 30469481 PMCID: PMC6316272 DOI: 10.3390/mi9120612] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 10/24/2018] [Accepted: 11/14/2018] [Indexed: 11/20/2022]
Abstract
Bad breath or halitosis affects a majority of the population from time to time, causing personal discomfort and social embarrassment. Here, we report on a miniaturized, microelectromechanical systems (MEMS)-based, amperometric hydrogen sulfide (H2S) sensor that potentially allows bad breath quantification through a small handheld device. The sensor is designed to detect H2S gas in the order of parts-per-billion (ppb) and has a measured sensitivity of 0.65 nA/ppb with a response time of 21 s. The sensor was found to be selective to NO and NH3 gases, which are normally present in the oral breath of adults. The ppb-level detection capability of the integrated sensor, combined with its relatively fast response and high sensitivity to H2S, makes the sensor potentially applicable for oral breath monitoring.
Collapse
|
10
|
Matos FZ, Aranha AMF, Borges ÁH, Pedro FLM, Raslan SA, Hamida F, Veiga K, Porto AN. Can different stages of leprosy treatment influence the profile of oral health? Oral status in leprosy. Med Oral Patol Oral Cir Bucal 2018; 23:e376-e383. [PMID: 29924752 PMCID: PMC6051674 DOI: 10.4317/medoral.22220] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Accepted: 04/11/2018] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND The aim of study was to evaluate the oral health status, salivary flow and halitosis among individuals diagnosed with leprosy as compared with healthy subjects. MATERIAL AND METHODS A sample of 160 individuals was allocated into four groups, as follows: (G1) individuals with complete leprosy treatment; (G2) individuals diagnosed with leprosy and under multi-drug therapy; (G3) individuals diagnosed with leprosy not yet under treatment; and (G4) healthy individuals. Then individuals were submitted to periodontal clinical examination (visible plaque index, bleeding index, depth of probing and clinical attachment level); DMFT index (decayed-missing-filled teeth index); evaluation of salivary flow and halitosis using a halimeter equipment (Interscan Corp, Chatsworth, CA, USA). RESULTS The data were analyzed using Kruskal-Wallis and chi-square tests. The mean DMFT was found to be higher than 6.6, which is considered very high, with no significant difference between groups (P>0.05). As for salivary flow, 76.2% of the subjects presented normal flow rates, while 10% and 13.7% showed low and very low salivary flow rates, respectively, with hyposalivation being mostly observed in Groups 1 and 2. The highest prevalence of noticeable odor was found in healthy individuals (G4), and the most prevalent periodontal diagnosis was gingivitis (63.1%) in Group 3 (individuals with leprosy not yet under multi-drug therapy) followed by periodontitis (25%) in Group 1 (individuals who had completed leprosy treatment). CONCLUSIONS It was observed that individuals with a history of leprosy present poor oral health similar to that of systemically healthy individuals.
Collapse
Affiliation(s)
- F-Z Matos
- University of Cuiaba-UNIC-Mato Grosso,
| | | | | | | | | | | | | | | |
Collapse
|
11
|
HATİPOĞLU M, AYTEKİN Z, DALTABAN Ö, FELEK R, FIRAT MZ, ÜSTÜN K. THE EFFECT OF DIODE LASER AS AN ADJUNCT TO PERIODONTAL TREATMENT ON CLINICAL PERIODONTAL PARAMETERS AND HALITOSIS: A RANDOMIZED CONTROLLED CLINICAL TRIAL. CUMHURIYET DENTAL JOURNAL 2017. [DOI: 10.7126/cumudj.369035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
12
|
Falcão DP, Miranda PC, Almeida TFG, Scalco MGDS, Fregni F, Amorim RFBD. Assessment of the accuracy of portable monitors for halitosis evaluation in subjects without malodor complaint. Are they reliable for clinical practice? J Appl Oral Sci 2017; 25:559-565. [PMID: 29069154 PMCID: PMC5804393 DOI: 10.1590/1678-7757-2016-0305] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Accepted: 10/12/2016] [Indexed: 12/04/2022] Open
Abstract
Halitosis is defined as a foul odor emanated from the oral cavity, with great impact in quality of life and social restraints. Recently, the use of Breath Alert™ in research increased significantly. Halimeter™, another portable device, is often used in clinical practice. Nevertheless, not many studies have verified the accuracy and compared the results of both devices simultaneously. Objective: To verify the accuracy of Breath Alert™ and Halimeter™ in patients without chief complaint of halitosis, using the organoleptic test (OT) as "gold standard." The second aim was to verify whether their concomitant use could enhance the diagnostic accuracy of halitosis. Material and Methods: A cross-sectional analytical study was performed. The quality of expired air of 34 subjects without chief complaint of halitosis was assessed. Two experienced examiners carried out the OT. Afterward, a third blinded examiner performed Halimeter™ (HT) and Breath Alert™ (BA) tests. Results: The OT identified halitosis in 21 subjects (62%). The area under the ROC curve (95% confidence interval) was 0.67 (0.48-0.85) and 0.54 (0.34-0.75) for HT and BA, respectively. The accuracy for HT and BA was 59% and 47%, respectively. The combined usage of HT and BA provided 11 positive results, being 9 subjects (43%) out of the total of 21 positive cases. Conclusions: Halimeter™ and Breath Alert™ were not able to diagnose halitosis in non-complainer subjects at the same level as the organoleptic examination, since their accuracy were low. Our results suggest that such portable devices are not reliable tools to assess halitosis and may neglect or misdiagnose a considerable number of patients in clinical practice.
Collapse
Affiliation(s)
- Denise Pinheiro Falcão
- Universidade de Brasília, Faculdade de Medicina, Programa de Pós-Graduação em Ciências Médicas, Brasília, DF, Brasil
| | - Priscila Carvalho Miranda
- Universidade de Brasília, Faculdade de Medicina, Programa de Pós-Graduação em Ciências Médicas, Brasília, DF, Brasil
| | | | - Monique Gomes da Silva Scalco
- Universidade de Brasília, Faculdade de Medicina, Programa de Pós-Graduação em Ciências Médicas, Brasília, DF, Brasil
| | - Felipe Fregni
- Harvard Medical School, Laboratory of Neuromodulation & Center for Clinical Research Learning, Charlestown, Massachusetts, United States
| | | |
Collapse
|
13
|
Silva MF, Cademartori MG, Leite FRM, López R, Demarco FF, Nascimento GG. Is periodontitis associated with halitosis? A systematic review and meta-regression analysis. J Clin Periodontol 2017; 44:1003-1009. [DOI: 10.1111/jcpe.12786] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2017] [Indexed: 01/03/2023]
Affiliation(s)
- Manuela F. Silva
- Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Brazil
| | | | - Fábio R. M. Leite
- Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Brazil
- Section of Periodontology; Department of Dentistry and Oral Health; Aarhus University; Aarhus Denmark
| | - Rodrigo López
- Section of Periodontology; Department of Dentistry and Oral Health; Aarhus University; Aarhus Denmark
| | - Flávio F. Demarco
- Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Brazil
- Graduate Program in Epidemiology; Federal University of Pelotas; Pelotas Brazil
| | - Gustavo G. Nascimento
- Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Brazil
- Section of Periodontology; Department of Dentistry and Oral Health; Aarhus University; Aarhus Denmark
| |
Collapse
|
14
|
Estimated prevalence of halitosis: a systematic review and meta-regression analysis. Clin Oral Investig 2017; 22:47-55. [DOI: 10.1007/s00784-017-2164-5] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Accepted: 06/23/2017] [Indexed: 10/19/2022]
|
15
|
Kapoor U, Sharma G, Juneja M, Nagpal A. Halitosis: Current concepts on etiology, diagnosis and management. Eur J Dent 2016; 10:292-300. [PMID: 27095913 PMCID: PMC4813452 DOI: 10.4103/1305-7456.178294] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Halitosis or oral malodor is an offensive odor originating from the oral cavity, leading to anxiety and psychosocial embarrassment. A patient with halitosis is most likely to contact primary care practitioner for the diagnosis and management. With proper diagnosis, identification of the etiology and timely referrals certain steps are taken to create a successful individualized therapeutic approach for each patient seeking assistance. It is significant to highlight the necessity of an interdisciplinary method for the treatment of halitosis to prevent misdiagnosis or unnecessary treatment. The literature on halitosis, especially with randomized clinical trials, is scarce and additional studies are required. This article succinctly focuses on the development of a systematic flow of events to come to the best management of the halitosis from the primary care practitioner's point of view.
Collapse
Affiliation(s)
| | - Gaurav Sharma
- Department of Oral Medicine and Radiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| | - Manish Juneja
- Advanced Standing DMD Candidate, Henry M. Goldman School of Dental Medicine, Boston University, MA, USA
| | - Archna Nagpal
- Department of Oral Medicine and Radiology, P.D.M. Dental College and Research Institute, Bahadurgarh, Haryana, India
| |
Collapse
|
16
|
Lopes RG, da Mota ACC, Soares C, Tarzia O, Deana AM, Prates RA, França CM, Fernandes KPS, Ferrari RAM, Bussadori SK. Immediate results of photodynamic therapy for the treatment of halitosis in adolescents: a randomized, controlled, clinical trial. Lasers Med Sci 2015; 31:41-7. [PMID: 26510574 DOI: 10.1007/s10103-015-1822-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 10/13/2015] [Indexed: 12/12/2022]
Abstract
UNLABELLED Light with or without chemical agents has been used to induce therapeutic and antimicrobial effects. With photodynamic therapy, the antimicrobial effect is confined to areas covered by a photosensitive dye and irradiated with light. The aim of the present study was to evaluate the effect of photodynamic therapy for the treatment of halitosis in adolescents through the analysis of volatile sulfur compounds, especially sulfide. A controlled, clinical trial was conducted with 45 adolescents randomly allocated to three groups: group 1, photodynamic therapy administered to the dorsum of the tongue; group 2, treatment with a tongue scraper; and group 3, treatment with a tongue scraper combined with photodynamic therapy. The diagnosis of halitosis was performed using gas chromatography before and after treatment. Comparisons were made using the Kruskal-Wallis test followed by the Student-Newman-Keuls test, with the level of significance set at 5 % (p < 0.05). After treatment, a statistically significant reduction in halitosis was found in all groups (p < 0.001). The greatest reduction in total sulfides (median = 0) occurred with the combination of tongue scraper and photodynamic therapy. The present study describes a novel option for the treatment of halitosis in adolescents with an immediate effect that does not involve the mechanical aggression of the lingual papillae that occurs with conventional treatment. TRIAL REGISTRATION Photodynamic Therapy in Adolescents Halitosis ( https://clinicaltrials.gov/ct2/show/NCT02007993?term=NCT02007993&rank=1 )Number: NCT02007993FUNDING:FAPESPNumber: 2013/13032-8.
Collapse
Affiliation(s)
- Rubia Garcia Lopes
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil
| | - Ana Carolina Costa da Mota
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil
| | - Carolina Soares
- Center of Excellence in the Treatment of Halitosis, São Paulo, Brazil
| | - Olinda Tarzia
- Center of Excellence in the Treatment of Halitosis, São Paulo, Brazil
| | - Alessandro Melo Deana
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil
| | - Renato Araújo Prates
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil
| | - Cristiane Miranda França
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil
| | | | | | - Sandra Kalil Bussadori
- Biophotonics Applied to Science Health Post Graduation Program, Nove de Julho University, São Paulo, Brazil.
| |
Collapse
|
17
|
Aung EE, Ueno M, Zaitsu T, Furukawa S, Kawaguchi Y. Effectiveness of three oral hygiene regimens on oral malodor reduction: a randomized clinical trial. Trials 2015; 16:31. [PMID: 25622725 PMCID: PMC4324034 DOI: 10.1186/s13063-015-0549-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2014] [Accepted: 01/05/2015] [Indexed: 11/10/2022] Open
Abstract
Background Breath odor is a nuisance problem for many people around the world. Bad breath affects social interactions of people in daily life by causing personal discomfort and emotional stress. There are chemical and mechanical methods for controlling oral malodor. Many studies of various mouth rinse applications and tongue cleaning procedures have been conducted. However, few studies have compared the effect of simultaneous chemical and mechanical procedures on the reduction of volatile sulfur compounds (VSCs) in subjects with oral malodor. The purpose of this study was to assess the effects of different oral hygiene procedures on reduction of VSCs in subjects with oral malodor. Methods Thirty male volunteers who matched with study criteria were divided randomly into two groups. Both groups performed tooth brushing, mouth washing with chlorine dioxide, tongue cleaning and combination of those in different sequence for five weeks. Total VSCs of subjects were measured with a Breathtron®, and oral health status was also examined. Quantitative analyses were performed using the Statistical Package for Social Science (SPSS 16.0). Results There were no significant differences in oral health status between the two groups at the baseline. No significant decrease in oral malodor was detected after one week of tooth brushing. Significant reductions in VSCs were shown by adding mouthwash or tongue cleaning to tooth brushing from the second week to fourth week (P <0.01). The greatest reduction in VSCs was found at the fifth week after the practice of all three oral hygiene regimens. Conclusions Tooth brushing alone does not significantly reduce oral malodor. Mouth washing and tongue cleaning significantly reduce oral malodor, but combining tooth brushing, mouth washing and tongue cleaning regimens is most effective for oral malodor reduction. The results of this study could contribute to the formulation of appropriate preventive strategies against oral malodor not only for the general public but also for dental professionals serving as oral malodor-related service providers. Trial registration Registration number - ClinicalTrials.gov NCT02113137. Registration date – April 7th, 2014. Electronic supplementary material The online version of this article (doi:10.1186/s13063-015-0549-9) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Ei Ei Aung
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Masayuki Ueno
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Sayaka Furukawa
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Yoko Kawaguchi
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| |
Collapse
|
18
|
Hammad MM, Darwazeh AM, Al-Waeli H, Tarakji B, Alhadithy TT. Prevalence and awareness of halitosis in a sample of Jordanian population. J Int Soc Prev Community Dent 2015; 4:S178-86. [PMID: 25625076 PMCID: PMC4304056 DOI: 10.4103/2231-0762.149033] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objectives: This study was conducted to estimate the prevalence and awareness of halitosis among the subjects of a population, and also to compare the results of Halimeter® readings to self-estimation of halitosis and to assess the relationship between halitosis and oral health. Materials and Methods: A sample of 205 employees from the Jordan University for Science and Technology (JUST) were selected as study subjects. A standardized questionnaire focusing on dental hygiene, self-reported halitosis, and smoking was filled by all participants. In the clinical examination, the objective values for assessment of oral health and the presence of halitosis were gathered through an organoleptic test (OLT) and the measurement of volatile sulfur compound (VSC) level by Halimeter for each participant. Results: The prevalence of halitosis was 78%, with low rate of awareness (20.5%). The amount of TC played the most important role in increasing the concentration of VSCs in mouth air (P < 0.001). Conclusion: A statistically significant correlation was found between OLT and Halimeter values (P < 0.001). Subjective patients’ opinion did not correlate with the objective evaluation of halitosis. TC scores and smoking were the factors significantly associated to halitosis. The Halimeter showed promising characteristics regarding diagnosis of halitosis for clinical setting and field surveys.
Collapse
Affiliation(s)
- Mohammad M Hammad
- Department of Preventive Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Azmi Mg Darwazeh
- Department of Oral Medicine and Surgery, Jordan University of Science and Technology, Irbid, Jordan
| | - Haider Al-Waeli
- Department of Restorative, School of Dentistry, International Medical University, Malaysia
| | - Bassel Tarakji
- Department of Oral and Maxillofacial Sciences, Al-Farabi College of Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
| | - Teeb T Alhadithy
- Department of Oral and Maxillofacial Sciences, Al-Farabi College of Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
| |
Collapse
|
19
|
Lopes RG, de Godoy CHL, Deana AM, de Santi MESO, Prates RA, França CM, Fernandes KPS, Mesquita-Ferrari RA, Bussadori SK. Photodynamic therapy as a novel treatment for halitosis in adolescents: study protocol for a randomized controlled trial. Trials 2014; 15:443. [PMID: 25394474 PMCID: PMC4236439 DOI: 10.1186/1745-6215-15-443] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 10/07/2014] [Indexed: 12/25/2022] Open
Abstract
Background Halitosis is a common problem that affects a large portion of the population worldwide. The origin of this condition is oral in 90% and systemic in 10% of cases. The unpleasant odor is mainly the result of volatile sulfur compounds produced by Gram-negative bacteria. However, it has recently been found that anaerobic Gram-positive bacteria also produce hydrogen sulfide (H2S) in the presence of amino acids, such as cysteine. Light, both with and without the use of chemical agents, has been used to induce therapeutic and antimicrobial effects. In photodynamic therapy, the antimicrobial effect is confined to areas covered by photosensitizing dye. The aim of the present study is to evaluate the antimicrobial effect of photodynamic therapy on halitosis in adolescents through the analysis of volatile sulfur compounds measured using gas chromatography and microbiological analysis of coated tongue. Methods/Design A quantitative clinical trial will be carried out involving 60 adolescents randomly divided into the following groups: group 1 will receive treatment with a tongue scraper, group 2 will receive photodynamic therapy applied to the posterior two-thirds of the dorsum of the tongue, and group 3 will receive combined treatment (tongue scraper and photodynamic therapy). Gas chromatography (OralChromaTM) and microbiological analysis will be used for the diagnosis of halitosis at the beginning of the study. Post-treatment evaluations will be conducted at one hour and 24 hours after treatment. The statistical analysis will include the Shapiro-Wilk test for the determination of the distribution of the data. If normal distribution is demonstrated, analysis of variance followed by Tukey’s test will be used to compare groups. The Kruskal-Wallis test followed by the Student-Newman-Keuls test will be used for data with non-normal distribution. Either the paired t-test or the Wilcoxon test will be used to compare data before and after treatment, depending on the distribution of the data. Discussion The results of this trial will determine the efficacy of using photodynamic therapy alone or in combination with a tongue scraper to treat bad breath in adolescents. Trial registration The protocol for this study was registered with Clinical Trials (registration number NCT02007993) on 10 December 2013.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Sandra Kalil Bussadori
- University Nove de Julho, Rua Vergueiro, 235, Liberdade, São Paulo, SP 01504-000, Brazil.
| |
Collapse
|
20
|
Prevalence of oral malodour and its relationship with oral parameters in Indian children aged 7–15 years. Eur Arch Paediatr Dent 2014; 15:251-8. [DOI: 10.1007/s40368-014-0109-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Accepted: 01/08/2014] [Indexed: 02/01/2023]
|
21
|
Ileri Keceli T, Gulmez D, Dolgun A, Tekcicek M. The relationship between tongue brushing and halitosis in children: a randomized controlled trial. Oral Dis 2013; 21:66-73. [DOI: 10.1111/odi.12210] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 11/02/2013] [Accepted: 11/06/2013] [Indexed: 11/28/2022]
Affiliation(s)
- T Ileri Keceli
- Department of Paediatric Dentistry Faculty of Dentistry Hacettepe University Ankara Turkey
| | - D Gulmez
- Department of Medical Microbiology Faculty of Medicine Hacettepe University Ankara Turkey
| | - A Dolgun
- Department of Biostatistics Faculty of Medicine Hacettepe University Ankara Turkey
| | - M Tekcicek
- Department of Paediatric Dentistry Faculty of Dentistry Hacettepe University Ankara Turkey
| |
Collapse
|
22
|
Lu HX, Tang C, Chen X, Wong MCM, Ye W. Characteristics of patients complaining of halitosis and factors associated with halitosis. Oral Dis 2013; 20:787-95. [PMID: 24134214 DOI: 10.1111/odi.12198] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Revised: 10/03/2013] [Accepted: 10/11/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To describe the characteristics of patients who visited halitosis clinic and to investigate the factors that may associate with halitosis. MATERIALS AND METHODS Nine hundred and eleven patients, who visited halitosis clinic for consultations, underwent organoleptic tests and volatile sulfur compound (VSC) measurements with a portable sulfide monitor. The oral health of patients, including dental caries, oral hygiene, and gingival inflammation status, was assessed. Questionnaires were used to obtain information on demographics, oral hygiene practices, and dietary habits. RESULTS Of the 911 patients, more females than males visited the clinic. Patients' age ranged from 18 to 82 years (mean ± s.d.: 40.8 ± 14.1). Almost 30% of patients had complained of halitosis for over 5 years before looking into treatments. Approximately half of the patients self-perceived that they were unable to get close to others. Around 77% of patients had halitosis. Results of multiple logistic regressions for organoleptic scores and VSC values showed that tongue coating and tongue scraping were significantly associated with halitosis (P < 0.05). CONCLUSIONS Among these Chinese patients, over three-quarters of patients had halitosis, and negative impacts on social communications were observed. Tongue coating was the most important factor responsible for halitosis.
Collapse
Affiliation(s)
- H X Lu
- Department of Preventive Dentistry, Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China
| | | | | | | | | |
Collapse
|
23
|
Dupim Souza AC, Franco CF, Pataro AL, Guerra T, de Oliveira Costa F, da Costa JE. Halitosis in obese patients and those undergoing bariatric surgery. Surg Obes Relat Dis 2013; 9:315-21. [DOI: 10.1016/j.soard.2011.10.020] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2011] [Revised: 09/27/2011] [Accepted: 10/19/2011] [Indexed: 12/24/2022]
|
24
|
Apatzidou AD, Bakirtzoglou E, Vouros I, Karagiannis V, Papa A, Konstantinidis A. Association between oral malodour and periodontal disease-related parameters in the general population. Acta Odontol Scand 2013; 71:189-95. [PMID: 22339235 DOI: 10.3109/00016357.2011.654259] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIM To determine the association between halitosis detection and periodontal status in systemically healthy non-smokers and to assess whether halitosis was related to quantities of Fusobacterium nucleatum and Porphyromonas gingivalis on the tongue dorsum. METHODS Periodontal examinations, tongue coating determination, Halimeter® readings and organoleptic assessments of mouth odour were performed in 28 chronic periodontitis patients, 23 chronic gingivitis patients and 27 healthy individuals. The quantities of P. gingivalis and F. nucleatum were determined in tongue specimens by real-time PCR. RESULTS Halitosis was more likely to be detected in patients with periodontitis (OR = 9.2) and gingivitis (OR = 4.6) than in healthy subjects. The posterior tongue odour was similar for all groups; had the highest score of all organoleptic assessments and was significantly correlated with Halimeter® scores and the odour of the whole mouth air. Periodontitis patients harboured significantly greater amounts of P. gingivalis on their tongue, yet similar quantities of F. nucleatum compared to gingivitis patients and healthy subjects. The amount of P. gingivalis residing on the tongue dorsum of periodontitis patients was significantly associated with halitosis recordings, while the amount of F. nucleatum was related to tongue coating in healthy controls, which corroborates its role in biofilm formation. CONCLUSIONS Patients with periodontal disease were at higher risk for halitosis detection than healthy individuals. The posterior portion of the tongue dorsum seems to be an important source of odourous compounds, regardless of periodontal condition. P. gingivalis residing on the tongue of periodontitis patients may play a key role in oral malodour production.
Collapse
Affiliation(s)
- A D Apatzidou
- Department of Preventive Dentistry, Medical School, Aristotle University of Thessaloniki,Thessaloniki, Greece.
| | | | | | | | | | | |
Collapse
|
25
|
Abstract
OBJECTIVES The aims were to evaluate the validity of patients' self-estimation and clinical diagnosis of oral malodor and to examine the relationship of oral malodor with oral health status. METHODS The subjects were 252 patients (mean age 43.7 ± 10.7 years) who complained of oral malodor. Oral malodor was assessed by patients' self-estimation, organoleptic test and Oral Chroma. Oral health status, including dental and periodontal conditions, oral hygiene status and flow rate of saliva, was examined. The N-benzoyl-DL-arginine-2-napthilamide (BANA) positive bacteria in tongue coating were evaluated by BANA test. A Spearman's correlation coefficient was used to test correlation between self-perceived and clinical oral malodor. The stepwise multiple regression analysis was used to assess predictors of patients' self-estimated and clinical oral malodor. RESULTS The percentage of patients who were diagnosed with pseudo-halitosis was 38.5%. Patients' self-estimated oral malodor was significantly correlated with organoleptic test (r = 0.61), H(2)S (r = 0.50) and CH(3)SH (r = 0.46). There were 47.1% of patients who estimated correctly their oral malodor's scores with those by examiner. The highest correspondence was found in patients without oral malodor (52.6%), followed by in those with moderate or strong oral malodor (46.7%) and in those with slight oral malodor (33.3%). The significant predictors of patients' self-estimated and clinical oral malodor were bleeding on probing, tongue coating, BANA test and flow rate of saliva. CONCLUSION Patients' self-estimated oral malodor was found to correspond significantly with clinical oral malodor and be associated with oral health status. Current findings suggest that self-estimation can be used to judge one's own oral malodor.
Collapse
Affiliation(s)
- Thuy A V Pham
- National Hospital of Odonto-Stomatology, District 5, Ho Chi Minh City, Vietnam.
| |
Collapse
|
26
|
He SL, Wang JH, Wang MH, Deng YM. Validation of the Chinese version of the Halitosis Associated Life-quality Test (HALT) questionnaire. Oral Dis 2012; 18:707-12. [DOI: 10.1111/j.1601-0825.2012.01929.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
27
|
Abstract
This article reviews the aetiopathogenesis of halitosis (oral malodour) and management. Halitosis is any disagreeable breath odour. In most patients, the odour originates from the oral cavity. In some patients, it has an extra-oral aetiology and, in a few, metabolic anomalies are responsible. In other patients complaining of malodour, this is imagined rather than real. Volatile sulphur compounds (VSCs) and other elements appear largely responsible for the malodour. Predisposing factors include poor oral hygiene, hyposalivation, dental appliances, gingival and periodontal disease and mucosal disease. The first step in assessment is objective measurement to determine whether malodour is present. If present, the oral or extra-oral origin should be determined, because the latter requires medical investigation and support in therapy, as is also the case where the malodour is imagined rather than real. Oral malodour is managed largely by oral health improvement, plus use of one or more of the wide range of antimalodour therapies, and sometimes also with use of a malodour counteractive. Emergent treatments include probiotics and vaccines targeted against causal micro-organisms or their products.
Collapse
Affiliation(s)
- C Scully
- Department of Oral Medicine, University of Bristol, Bristol, UK. Crispian.scully@ ucl.ac.uk
| | | |
Collapse
|
28
|
Pham TA, Ueno M, Shinada K, Kawaguchi Y. Comparison between self-perceived and clinical oral malodor. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113:70-80. [DOI: 10.1016/j.tripleo.2011.08.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2011] [Revised: 07/26/2011] [Accepted: 08/06/2011] [Indexed: 10/14/2022]
|
29
|
Romano F, Pigella E, Guzzi N, Aimetti M. Patients' self-assessment of oral malodour and its relationship with organoleptic scores and oral conditions. Int J Dent Hyg 2010; 8:41-6. [PMID: 20096081 DOI: 10.1111/j.1601-5037.2009.00368.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The aim of this study was to compare patients' self-rating of oral malodour with organoleptic evaluation and to relate them to oral conditions. METHODS One hundred and eighty systemically healthy patients with a primary complaint of oral malodour participated in this cross-sectional study. They were asked to complete a questionnaire regarding family and social discomfort and type of halitosis complaint, and to score the degree of their own oral malodour. The quality of the mouth air was assessed organoleptically by a calibrated odour judge. Odour-judge scores and self-assessments of bad breath were compared with one another as well as with clinical parameters (plaque index, bleeding index, probing depth and tongue coating score). RESULTS The organoleptic test revealed that 93.9% of the subjects were found actually to have halitosis. The self-rating of oral malodour varied widely among patients. In 37.8% of patients, there was a correspondence between subjective and organoleptic measurements. The better correspondence was evident at 2-3 scores. The organoleptic ratings were significantly related to clinical parameters, whereas patients' self-measurements did not. The bleeding index had the highest correlation coefficient among the periodontal parameters examined (r = 0.665, P < 0.001). CONCLUSIONS Self-estimation of bad breath correlated well with the presence of oral malodour as determined by organoleptic examination. Patients with slight or moderate oral halitosis presented the highest correlation rate between self- and odour-judge assessment.
Collapse
Affiliation(s)
- F Romano
- Section of Periodontology, Department of Biomedical Sciences and Human Oncology, University of Torino, Torino, Italy
| | | | | | | |
Collapse
|
30
|
de Oliveira VMB, de Lucena SC, Garcia RCMR, Del Bel Cury AA. Effect of a denture cleanser on the concentration of volatile sulphur compounds and denture biofilm in institutionalised elderly. Gerodontology 2009; 28:134-9. [PMID: 19780843 DOI: 10.1111/j.1741-2358.2009.00341.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To determine the effectiveness of a denture cleanser in reducing the concentration of volatile sulphur compounds (VSC) and its antimicrobial action. BACKGROUND Micro-organisms from the denture biofilm can cause local and systemic disease and halitosis. Denture cleansers are important adjuncts in oral care, but there is limited investigation on their effect in malodour compounds. MATERIAL AND METHODS Nineteen institutionalised elderly who wore at least an upper denture were selected; their VSC concentrations were measured and the denture biofilm was collected. In phase 1, the subjects wore their old denture and data were collected before (B0) and after 7(A1), 14(A2), 28(A3) days of continuous daily use of the denture cleanser. In phase 2, new dentures were inserted and measurements were made at 30(A1.1), 60(A2.2), 90(A3.3) days of treatment. RESULTS The VSC concentration increased from B0 to A1 (p<0.05), but no differences were found for the others intervals of times. Total micro-organism data did not show a statistical difference between times in Phase I, but in Phase II, there was a statistical difference (p<0.05) and a progressive re-colonisation was observed. CONCLUSION Within the limits of this study, it was concluded that the denture cleanser had no antimicrobial effect and VSC levels were not reduced.
Collapse
|
31
|
Martins AMEDBL, Barreto SM, Pordeus IA. Auto-avaliação de saúde bucal em idosos: análise com base em modelo multidimensional. CAD SAUDE PUBLICA 2009; 25:421-35. [DOI: 10.1590/s0102-311x2009000200021] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2008] [Accepted: 08/05/2008] [Indexed: 11/21/2022] Open
Abstract
Propôs-se investigar fatores associados à auto-avaliação negativa da saúde bucal. Idosos, participantes do inquérito de saúde bucal do Ministério da Saúde, 2002-2003, que auto-avaliaram sua saúde bucal como ruim/péssima foram comparados aos que a auto-avaliaram como ótima/boa/regular usando-se razões de prevalências (RP) com base na regressão de Poisson. A minoria (870 - 17%) auto-avaliou sua saúde bucal negativamente. A auto-avaliação negativa foi menor entre aqueles com 1-9 dentes e edentados, maior entre pardos/negros/índios, que nunca usaram serviços, que apresentavam alterações de tecidos moles, que relataram pouca e média/muita dor, que auto-avaliaram sua aparência e mastigação como regular ou ruim/péssima, entre os que relataram seus relacionamentos sociais pouco ou muito afetados pelas condições bucais e entre os que avaliavam necessitar de tratamento bucal. Apesar das precárias condições bucais, a maioria auto-avaliou positivamente sua saúde bucal. Condições subjetivas estiveram mais fortemente associadas do que as objetivas. Os resultados sugerem iniqüidade e permitem orientar políticas públicas que objetivem saúde bucal e qualidade de vida.
Collapse
|
32
|
|
33
|
Yoo SH, Jung HS, Sohn WS, Kim BH, Ku BH, Kim YS, Park SW, Hahm KB. Volatile sulfur compounds as a predictor for esophagogastroduodenal mucosal injury. Gut Liver 2008; 2:113-8. [PMID: 20485620 DOI: 10.5009/gnl.2008.2.2.113] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2008] [Accepted: 06/29/2008] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND/AIMS Halitosis is a symptom that bothers patients more socially than medically and its pathogenic mechanisms are unclear and treatment armamenterium is limited. Clinicians generally ignored active interventions. Since halitosis is closely associated with volatile sulfur compounds (VSCs), we used a Halimeter and gas chromatography to measure VSCs in patients with Helicobacter-pylori (H. pylori)-associated gastric diseases. METHODS We categorized 72 patients with H. pylori infection into two groups based on their endoscopic findings: a non-erosive mucosal group (NE, n=24) and an erosive mucosal group (E, n=48). Halitosis was objectively assessed by applying either a Halimeter to breath air or gas chromatography to gastric juice. Simultaneously, the expression of VSC-generating enzyme was measured with reverse-transcriptase PCR using mRNA isolated from biopsy tissues. RESULTS The levels of VSCs in exhaled breaths or aspirated gastric juices differed significantly between the NE and E groups (p<0.00001), suggesting that VSCs might reflect eroded epithelial damage induced by H. pylori infection. The expressions of cystathionine beta-synthase (CBS) and cystathionine gamma-lyase (CSE) were broadly consistent with the degree of mucosal injury. CONCLUSIONS Erosive changes in esophagogastroduodenal mucosa were strongly correlated with increased VSC levels, suggesting that halitosis might result from H. pylori-associated erosive lesions.
Collapse
Affiliation(s)
- Seung Hee Yoo
- Digestive Disease Center, Daejin Medical Center Jesaeng Hospital at Bundang, Seongnam, Korea
| | | | | | | | | | | | | | | |
Collapse
|
34
|
Evaluation of oral malodor in children. ACTA ACUST UNITED AC 2008; 106:384-8. [PMID: 18602293 DOI: 10.1016/j.tripleo.2008.03.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2007] [Revised: 02/26/2008] [Accepted: 03/05/2008] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The aim of this study was to assess oral malodor in highly caries-active children aged 7-15 years, analyze its association with oral malodor parameters, and investigate whether oral hygiene practices and orodental treatments can decrease the effect of oral malodor. STUDY DESIGN The study included a total of 30 subjects with high caries activity (11 boys and 19 girls), mean age 10.5 +/- 2.4 years, who were living in Kirikkale, Middle Anatolia, Turkey. Oral malodor assessment was carried out by portable sulfide monitor and organoleptic method. A self-administered structured questionnaire was given to the participants. The baseline and final measurements were taken for both malodor-related parameters (volatile sulfur compounds [VSCs] and organoleptic ratings) and dental parameters (tongue coating scores [TCS], plaque index [PI], dental index [DFS+DMFS], community periodontal index of treatment needs [CPITN]). Analysis included frequency, cross-tabulations, analysis of variance, independent-samples t test,and paired t test. Odds ratios of VSC-related factors were also calculated. Significance was set at the 5% level. RESULTS Gender, DFS+DMFS, and frequency of toothbrushing were not found to be significantly correlated with either VSC levels in mouth air or organoleptic ratings (P > .05). However, tongue coating (P = .003), CPITN (P = .014), PI (P = .017), and age (P = .053) were significantly correlated with VSC levels in mouth air. Regarding the final recordings, significant correlation (P < .001) was found between VSC levels and TCS. Also, significant differences were found between baseline and final measurements in both oral malodor parameters and dental parameters (TCS, CPITN, and PI; P < .001). CONCLUSIONS These results revealed that oral malodor in children is related to periodontal parameters and especially tongue coating. Moreover, malodor parameters were improved by increased awareness of the importance of oral hygiene.
Collapse
|
35
|
Ohira SI, Toda K. Micro gas analyzers for environmental and medical applications. Anal Chim Acta 2008; 619:143-56. [DOI: 10.1016/j.aca.2008.05.010] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2008] [Revised: 05/04/2008] [Accepted: 05/06/2008] [Indexed: 10/22/2022]
|
36
|
Nalcaci R, Baran I. Oral malodor and removable complete dentures in the elderly. ACTA ACUST UNITED AC 2008; 105:e5-9. [PMID: 18417390 DOI: 10.1016/j.tripleo.2008.02.016] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2007] [Revised: 02/01/2008] [Accepted: 02/13/2008] [Indexed: 11/28/2022]
|
37
|
Riggio MP, Lennon A, Rolph HJ, Hodge PJ, Donaldson A, Maxwell AJ, Bagg J. Molecular identification of bacteria on the tongue dorsum of subjects with and without halitosis. Oral Dis 2008; 14:251-8. [DOI: 10.1111/j.1601-0825.2007.01371.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
38
|
Jayaratne YSN. Comment on “Halitosis associated volatiles in breath of healthy subjects” by S. van den Velde et al. [J. Chromatogr. B 853 (2007) 54–61]. J Chromatogr B Analyt Technol Biomed Life Sci 2008; 862:263; author reply 264. [PMID: 17804305 DOI: 10.1016/j.jchromb.2007.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2007] [Accepted: 08/13/2007] [Indexed: 10/22/2022]
|
39
|
van den Broek AMWT, Feenstra L, de Baat C. A review of the current literature on aetiology and measurement methods of halitosis. J Dent 2007; 35:627-35. [PMID: 17555859 DOI: 10.1016/j.jdent.2007.04.009] [Citation(s) in RCA: 107] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2007] [Revised: 04/05/2007] [Accepted: 04/27/2007] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES This work reviews the current knowledge of aetiology and measurement methods of halitosis. DATA Halitosis is an unpleasant or offensive odour emanating from the breath. The condition is multifactorial and may involve both oral and non-oral conditions. SOURCES A private, monthly with keywords halitosis, malodo(u)r, (a)etiology, measurement, and management from Medline and Pubmed updated database of literature was reviewed. CONCLUSIONS In approximately 80-90% of all cases, halitosis is caused by oral conditions, defined as oral malodour. Oral malodour results from tongue coating, periodontal disease, peri-implant disease, deep carious lesions, exposed necrotic tooth pulps, pericoronitis, mucosal ulcerations, healing (mucosal) wounds, impacted food or debris, imperfect dental restorations, unclean dentures, and factors causing decreased salivary flow rate. The basic process is microbial degradation of organic substrates. Non-oral aetiologies of halitosis include disturbances of the upper and lower respiratory tract, disorders of the gastrointestinal tract, some systemic diseases, metabolic disorders, medications, and carcinomas. Stressful situations are predisposing factors. There are three primary measurement methods of halitosis. Organoleptic measurement and gas chromatography are very reliable, but not very easily clinically implemented methods. The use of organoleptic measurement is suggested as the 'gold standard'. Gas chromatography is the preferable method if precise measurements of specific gases are required. Sulphide monitoring is an easily used method, but has the limitation that important odours are not detected. The scientific and practical value of additional or alternative measurement methods, such as BANA test, chemical sensors, salivary incubation test, quantifying beta-galactosidase activity, ammonia monitoring, ninhydrin method, and polymerase chain reaction, has to be established.
Collapse
Affiliation(s)
- Annemiek M W T van den Broek
- Department of Oral and Maxillofacial Surgery and Special Dental Care, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | | | | |
Collapse
|