Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

The effect of a full mouth disinfection on oral malodor in chronic periodontitis patients

Full mouth disinfection이 치주질환자에서의 구취에 미치는 영향

  • Bae, Soo-Min (Department of Periodontology, College of Dentistry, Pusan National University) ;
  • Lee, Ju-Youn (Department of Periodontology, College of Dentistry, Pusan National University) ;
  • Choi, Jeom-II (Department of Periodontology, College of Dentistry, Pusan National University) ;
  • Kim, Sung-Jo (Department of Periodontology, College of Dentistry, Pusan National University)
  • 배수민 (부산대학교 치과대학 치주과학교실) ;
  • 이주연 (부산대학교 치과대학 치주과학교실) ;
  • 최점일 (부산대학교 치과대학 치주과학교실) ;
  • 김성조 (부산대학교 치과대학 치주과학교실)
  • Published : 2006.12.31
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Abstract

Halitosis, defined as an unpleasant oral odor, is a commonly experienced condition with a variety of etiological factors and may cause a significant social or psychological handicap to those suffering from it, In most cases, halitosis originates within the oral cavity itself and patients with periodontal disease often suffer from oral malodor, The most common cause of this disease is related to microbiota which reside on the tongue and in the periodontal pocket, This study was undertaken to examine the effect of full mouth disinfection including tongue scraping on oral malodor in a group of patients with chronic periodontitis, The relationship between halitosis and oral health status was also investigated, The volatile sulfur compounds (VSC) scores were significantly correlated with Plaque Index, Bleeding Index, pocket depth, and tongue coating score, The organoleptic ratings were significantly associated with Plaque Index, Bleeding Index. and tongue coating score, The VSC scores and organoleptic ratings correlated strongly with each other. Full mouth disinfection resulted in a significant reduction in the VSC scores. organoleptic ratings, and self-perception of malodor up to 12 weeks, This study indicates that in patients with chronic periodontitis. a full mouth disinfection including tongue scraping has a significant effect in the treatment of oral malodor.

Keywords

References

  1. Hine MK. Halitosis. J Am Dent Assoc 1957; 55:37-46 https://doi.org/10.14219/jada.archive.1957.0147
  2. Tessier JF, Kulkarni GV. Bad breath: etiology, diagnosis and treatment. Oral Health 1991;81:19-22
  3. Bosy A. Oral malodor: philosophical and practical aspects. J Can Dent Assoc 1997; 63:196-201
  4. Miyazaki H Sakao S, Katoh Y, Takehara T. Oral malodor in the general population of Japan. In: Bad breath: research perspectives, Rosenberg M, eds, 1995;119-136. Tel Aviv: Ramot Publishing
  5. Delanghe G, Ghyselen J, van Steenberghe D, Feenstra L. Multidisciplinary breathodour clinic. Lancet 1997;350:187
  6. Delanghe G, Ghyselen J, Bollen C et al. An inventory of patient's response to treatment at a multidisciplinary breath odor clinic. Quint Int 1999;30:307-310
  7. Tonzetich J, Richter VJ. Evaluation of volatile odoriferous components of saliva. Arch Oral BioI 1964;9:39-45 https://doi.org/10.1016/0003-9969(64)90042-1
  8. Tonzetich J. Direct gas chromatographic analysis of sulphur compounds in mouth air in man. Arch Oral Biol 1971:16:587-597 https://doi.org/10.1016/0003-9969(71)90062-8
  9. Rosenberg M, Kulkarni GV, Bosy A, McCulloch CAG. Reproducibility and sensitivity of oral malodor measurements with a portable sulfide monitor. J Dent Res 1991; 70:1436-1440 https://doi.org/10.1177/00220345910700110801
  10. Rosenberg M, Septon I, Eli I, et al, Halitosis measurement by an industrial sulfide monitor. J Periodontal 1991;62:487-489 https://doi.org/10.1902/jop.1991.62.8.487
  11. Persson S, Edlund ME, Claesson R, Carlsson J. The formation of hydrogen sulfide and methyl mercaptan by oral bacteria. Oral Microbial Imrrnmol 1990;5:195-201 https://doi.org/10.1111/j.1399-302X.1990.tb00645.x
  12. Goldberg S, Kozlovsky A, Rosenberg M. Caderine as a putative component of oral malodor. J Dent Res 1994;73:1168-1172 https://doi.org/10.1177/00220345940730060701
  13. Goldberg S, Kozlovsky A, Rosenberg M. Association of diamines with malodor. In: Bad breath: research perspectives, Rosenberg M, eds, 1995;71-85, Tel Aviv: Ramot Publishing
  14. Ratcliff PA, Johnson PW. The relationship between oral malodor, gingivitis, and periodontitis. A review. J Periodontol 1999;70:485-489 https://doi.org/10.1902/jop.1999.70.5.485
  15. Tonzetich J. Oral malodour: an indicator of health status and oral cleanliness. Int Dent J 1978;28:309-319
  16. Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodont Res 1992;27:233-238 https://doi.org/10.1111/j.1600-0765.1992.tb01673.x
  17. Rizzo AA. The possible role of hydrogen sulfide in human periodontal disease. I. Hydrogen sulfide production in periodontal pockets. Periodontics 1967;5:233-236
  18. Solis-Gaffar MC, Rustogi KN, Gaffar A. Hydrogen sulfide production from gingival crevicular fluid. J Periodontal 1980;51: 603-606 https://doi.org/10.1902/jop.1980.51.10.603
  19. Coil JM, Tonzetich J. Characterization of volatile sulphur compounds production at individual gingival crevicular sites in humans. J Clin Dent 1992;3:97-103
  20. Morita M, Wang HL. Relationship of sulcular sulfide level to severity of periodontal disease and BANA test. J Periodontol 2001;72:74-78 https://doi.org/10.1902/jop.2001.72.1.74
  21. Morita M, Wang HL. Relationship of sulcular sulfide level and oral malodor in subjects with periodontal disease. J Periodontol 2001;72:79-84 https://doi.org/10.1902/jop.2001.72.1.79
  22. Van Steenberghe D. Breath malodor. Curr Opin Periodontol 1997;4:13'7-143
  23. Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of vitamine C. J Periodontol 41:41-43, 1970 https://doi.org/10.1902/jop.1970.41.41.41
  24. Claus D, Geypens B, Rutgeerts P, et 811. Where gastroentrology and periodontology meet: Determination of oral volatile organic compounds using closed-loop trapping and ho.!I.-resolution gas chromatography-ion trap detection. In: van Steenberghe D, Rosenberg M, eds. Bad Breath: A multidisciplinary approach. Leuven: Leuven University Press; 1996:15-28
  25. Rosenberg M, McCulloch CA. Measurement of oral malodor: current methods and future prospects. J Periodontol 1992;63:776-782 https://doi.org/10.1902/jop.1992.63.9.776
  26. Greenman J, Duffield J, Spencer P et al. Study on the organoleptic intensity scale for measuring oral malodor. J Dent Res 2004;83:81-85 https://doi.org/10.1177/154405910408300116
  27. Liu XN., Shinada K., Chen CH et al. Oral malodor-related parameters in the chinese general population. J Clin Periodontol 2006;33:31-36 https://doi.org/10.1111/j.1600-051X.2005.00862.x
  28. Bosy A, Kulkarni GV, Rosenberg M, McCulloch CA. Relationship of oral malodor to periodontitis: evidence of independence in discrete subpopulations. J Periodontol 1994;65:37-46 https://doi.org/10.1902/jop.1994.65.1.37
  29. Khaira N, Palmer RM, Wilson RF, Scott DA, Wade WG. Production of volatile sulphur compounds in diseased periodontal pockets is significantly increased in smokers. Oral Dis 2000;6:371-375 https://doi.org/10.1111/j.1601-0825.2000.tb00129.x
  30. Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between volatile sulphur compounds and certain oral health measurements in the general population. J Periodontol 1995;66:679-684 https://doi.org/10.1902/jop.1995.66.8.679
  31. Soder B, Johansson B, Soder PO. The relation between foetor ex ore, oral hygiene and periodontal disease. Swed Dent J 2000;24:73-82
  32. Quirynen M, Mongardini C, Van Steenberghe D. The effect of a i-stage full-mouth disinfection on oral malodor and microbial colonization of the tongue in periodontitis patient. A pilot study. J periodontol 1998; 69:374-382 https://doi.org/10.1902/jop.1998.69.3.374