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Halitosis--an assessment protocol proposal
Ana Cristina Coelho Dal Rio1, Ester Maria Danielli Nicola2, Antônio Roberto Franchi Teixeira3
1Specialist, Dentist - CECOM-UNICAMP.
Unlabelled:
Halitosis is an embarrassing symptom with a significant social impact. Halitosis affects millions of people worldwide and many resources are spent annually in products to improve halitus, unsuccessfully. The study of halitosis in a scientific basis is justified once halitosis causes social restriction, decreases life quality and may be an indication of serious diseases.
Aim:
To elaborate a protocol for halitosis assessment in order to minimize costs, avoid unnecessary tests and provide a guideline for diagnosis.
Methods:
The protocol was created based on the literature and on the authors personal experiences, adopting an evidence-based anamnesis.
Results:
There are many causes of halitosis and most of them are related to the oral cavity; others are related to otolaryngologic and respiratory diseases. Gastrointestinal diseases, liver/renal impairment and other metabolic syndromes are less frequent, but also important causes of halitosis.
Conclusion:
There are important costs involved in halitosis assessment and treatment, including medical appointments, specialist assessment, and complementary tests. Such costs would be minimized by adopting a protocol of evidence-based anamnesis and a flowchart for a rational clinical investigation.
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