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[Halitosis--foetor ex ore].

G Delanghe1, C Bollen, C Desloovere

  • 1Abteilung für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie des Universitätsklinikums, Leuven, Belgien.

Laryngo- Rhino- Otologie
|October 27, 1999
PubMed
Summary
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Most bad breath (halitosis) originates from oral causes like tongue coating and gum disease. Improving oral hygiene is often the most effective treatment for halitosis.

Area of Science:

  • Oral Medicine
  • Dentistry
  • Otolaryngology

Context:

  • Halitosis, commonly known as bad breath, affects a significant portion of the population.
  • Multidisciplinary approaches are increasingly recognized for managing complex conditions like halitosis.
  • A dedicated halitosis outpatient department was established in 1994 to address the diagnostic and therapeutic challenges of this condition.

Purpose:

  • To investigate the etiology and contributing factors of halitosis.
  • To evaluate the effectiveness of a multidisciplinary approach in diagnosing and treating halitosis patients.
  • To identify the prevalence of oral versus non-oral causes of halitosis.

Summary:

  • A multidisciplinary halitosis clinic evaluated 491 patients, confirming oral odor using a halimeter.

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  • Oral causes accounted for 87% of halitosis cases, primarily tongue coating (51%) and periodontal issues (gingivitis 17%, periodontitis 15%).
  • Non-oral causes included ENT (4%), digestive (1%), and psychiatric (5%) factors, with some overlap.

    • Impact:

    • Highlights the predominant role of oral factors in halitosis, emphasizing the importance of oral hygiene.
    • Demonstrates the efficacy of a specialized, multidisciplinary clinic in diagnosing and managing halitosis.
    • Suggests that many patients receive ineffective treatments prior to seeking specialized care, underscoring the need for accurate diagnosis.