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Published on: July 6, 2015
Prevalence of halitosis in children considering oral hygiene, gender and age
A Villa1, A Zollanvari, G Alterovitz
1Department of General Dentistry, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA.
Insights
Halitosis (bad breath) affects over a third of children, often linked to poor oral hygiene. A predictive model identifies risk factors like age and sex for targeted interventions.
Area of Science:
- Paediatric Dentistry
- Oral Health
- Halitosis Research
Background:
- Limited research exists on halitosis in children.
- Understanding paediatric halitosis is crucial for early intervention.
Purpose of the Study:
- Investigate symptoms, signs, and risk factors of halitosis in healthy children.
- Develop a predictive model for childhood halitosis.
Main Methods:
- Included 101 children, assessed via questionnaires and intra-oral examinations.
- Measured volatile sulphur compounds (VSC) using a portable sulphide monitor.
- Constructed a Bayesian network model to predict halitosis.
Main Results:
- 37.6% of children had objectively measured halitosis (VSC > 100 ppb).
- A predictive model using sex, age, oral hygiene, and self-reported halitosis achieved 76.4% AUROC.
- Increased risk observed in females, those with >25% dental plaque, and individuals >13 years old.
Conclusions:
- Childhood halitosis is associated with poor oral hygiene, and is more prevalent in females and older children.
- The developed predictive model can help identify children needing intervention for oral halitosis.
Background:
To date, few studies have addressed halitosis in the paediatric population. As such, the aim of the present study was to investigate symptoms, signs and risk factors associated with halitosis in healthy children and to present a model based on the clinical data that predicts the presence of halitosis.
Methods:
A total of 101 individuals were included. All patients received a questionnaire that queried on sociodemographic characteristics, self-reported halitosis and dental treatment history. Individuals received a thorough intra-oral examination, and the volatile sulphur compounds (VSC) were measured to test the presence of halitosis with a portable sulphide monitor (Halimeter(®); Interscan Co., Chatsworth, CA, USA). The distribution of the sociodemographic characteristics, self-reported halitosis, dental treatment history and other oral features was evaluated. Finally, a statistical model was constructed with the best set of features to predict halitosis in children.
Results:
The median age was 12.0 years (mean: 11.7 ± SD 2.7) with 54.5% males. Halitosis (VSC > 100 parts per billion, or ppb) was objectively measured in 37.6% of patients. For comparison purposes, Bayesian network was obtained using clinical and demographic data. The model consisted of four variables (sex, age, oral hygiene status and self-reported halitosis) directly related to the presence of halitosis (VSC > 100 ppb). This model achieved 76.4% area under receiver operating characteristics curve (AUROC). Overall, female patients or individuals with dental plaque on more than 25% of the dental surfaces or patients older than 13 year old were more prone to present with halitosis.
Conclusions:
The results suggest that halitosis in the paediatric population is related to poor oral hygiene and may be more common in females and older individuals. This specific predictive model may be useful to identify subgroups to target for intervention to treat oral halitosis.
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