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Halitosis: an interdisciplinary approach

H Ben-Aryeh1, G Horowitz, D Nir

  • 1Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.

American Journal of Otolaryngology
|February 21, 1998
PubMed
Summary
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Many patients seeking halitosis treatment have no detectable cause. This study highlights the need for thorough interdisciplinary evaluation to diagnose bad breath effectively.

Area of Science:

  • Otorhinolaryngology
  • Dentistry
  • Gastroenterology

Background:

  • Halitosis, or persistent bad breath, affects a significant portion of the population.
  • Diagnosis can be challenging, often requiring a multidisciplinary approach.
  • Understanding the underlying causes is crucial for effective treatment.

Purpose of the Study:

  • To review the clinical experience of a specialized halitosis clinic.
  • To emphasize the importance of an interdisciplinary approach in diagnosing halitosis.
  • To identify the prevalence of various underlying conditions in patients presenting with halitosis.

Main Methods:

  • Evaluation of 39 patients with a chief complaint of halitosis.
  • Comprehensive health assessment including questionnaires, clinical examinations, and laboratory analyses.

Related Experiment Videos

  • Organoleptic evaluation by a dentist and otolaryngologist, and measurement of volatile sulfide levels using a Halimeter.

    • Main Results:

    • Identified causes included otolaryngological disorders (26%), dental issues (23%), oral discomfort (18%), and gastrointestinal pathology (10%).
    • A significant percentage (31%) of patients had no detectable clinical involvement.
    • Objective halitosis was confirmed in 57% by organoleptic assessment and 61% by Halimeter readings.

    Conclusions:

    • A substantial proportion of patients presenting with halitosis complaints may not have an identifiable underlying medical or dental problem.
    • Interdisciplinary assessment is vital for accurate halitosis diagnosis.
    • Further research may be needed to understand cases of halitosis without clear clinical findings.