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Published on: July 6, 2015
Relationship between halitosis and psychologic status
Nao Suzuki1, Masahiro Yoneda, Toru Naito
1Section of General Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan.
Summary
Psychological factors significantly impact halitosis (bad breath) perception. Patients with genuine or pseudo halitosis often exhibit neurotic tendencies and depression, correlating with malodor severity.
Area of Science:
- Psychosomatic Medicine
- Oral Health
- Psychology
Background:
- Halitosis, or bad breath, affects a significant portion of the population.
- Understanding the psychological underpinnings of halitosis is crucial for effective management.
- Previous research suggests a link between halitosis and psychological distress.
Purpose of the Study:
- To investigate the psychosomatic aspects of patients presenting with halitosis complaints.
- To correlate psychological assessments with objective measures of halitosis.
Main Methods:
- 165 patients underwent breath malodor assessment using organoleptic testing (OLT), sulfide monitoring, and gas chromatography.
- Clinical oral examinations and volatile sulfur compound measurements were performed.
- Psychological status was evaluated using the Cornell Medical Index (CMI).
Main Results:
- A negative correlation was observed between CMI questionnaire items and OLT scores.
- 42.9% of pseudohalitosis subjects and 20% of genuine halitosis subjects showed neurotic tendencies.
- Pseudohalitosis patients reported higher physical symptom scores; physiologic halitosis patients exhibited more depression symptoms.
Conclusions:
- Psychological status is intrinsically linked to the perceived severity of halitosis.
- Clinical characteristics and the degree of malodor are associated with patients' psychological condition.
- These findings highlight the importance of a holistic approach in managing halitosis.
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