Breath malodor

Breath odor research has recently received increasing attention from periodontologists. Because a large portion of the adult population suffers from gingivitis and eventually periodontitis, the etiologic factor in all cases at risk must be considered. The first patient visit should, therefore, systematically include examination of the paranasal cavities and throat to avoid unnecessary time loss and frustration. Metabolic diseases and imaginary malodor should also be considered. Not only the mere presence of a chairside volatile sulfide monitor but also of that of an ear, nose, and throat specialist and eventually a psychiatrist or psychologist who determines whether a breath odor clinic merits its denomination. Volatile sulfur components are an important cause of breath malodor but they are not the sole cause. This explains why organoleptic and gas chromatographic diagnosis scores better than a portable sulfide monitor. Other than etiologic therapy, masking can be achieved for a number of hours by toothpastes containing a combination of triclosan and zinc chloride.