• Journal of Oral Medicine and Pain
• /
• 제23권3호
• /
• pp.263-270
• /
• 1998

Considering various factors contributing oral malodor, the accurate prediction of prognosis is very important to both clinician and patients. The present study has been performed to invetigate the relationship between treatment effeicacy and pre-treatment volatile sulfur compounds (VSC) level. Ninety patients were divided into three groups, A(<150ppb), B(150< <200ppb), and C(>200ppb) groups, according to pre-treatment VSC level detected by Halimeter, and each group included 30 patients. Routine therapeutic measures for oral were provided to each patient which consisted of oral prophylaxis, tooth brushing and flossing instruction, tongue scraping by proper device, and gargling of 0.25% ZnCl2 Solution. The group with high pre-treatment VSC level (>150ppb) showed significant reduction of VSC level at 1 and 3 weeks after. However, the group with low pre-treatment VSC level (<150ppb) did not show any significant reduction during the experimental periods. Collectively, the results suggested that patients with high pre-treatment VSC level show better prognosis.

• Journal of Periodontal and Implant Science
• /
• 제30권1호
• /
• pp.203-212
• /
• 2000

Putrefactive activity within the oral cavity is the principal cause of halitosis. The most common intraoral sites of oral malodor production are tongue, interdental and subgingival areas. The other foci may include faulty restorations, sites of food impaction and abscesses. Periodontal disease frequently involves pathological oral malodor, which is caused mainly by volatile sulfur compounds(VSC), such as hydrogen sulfide, methyl mercaptan, and dimethyl sulfide. The purpose of this study is to evaluate the association between oral malodor and periodontal status. Volatile sulfur compounds in mouth air were estimated by portable sulfide monitor($Halimeter^{TM}$). The results were as follows : 1. The levels of volatile sulfur compounds were significantly greater in a periodontitis group than in a control group(P<0.01). The amounts of VSC in mouth air from patients with periodontal involvement were four times greater than those of the control group. 2. The significant positive correlation was found between VSC concentrations and the number of pocket depth above 4mm(P<0.01), but correlation between VSC concentrations and plaque score was not statistically significant(P>0.05). 3. In the periodontitis group, VSC concentrations of pre-treatment significantly decreased after scaling and root planing(P<0.01). 4. No statistically significant correlation was found between VSC concentrations and sex / age in the periodontitis group. The above results indicate that periodontal disease may play a role as an important factor of oral malodor and deep periodontal pockets are a source of volatile sulfur compounds.

• 대한소아치과학회지
• /
• 제30권1호
• /
• pp.33-40
• /
• 2003

구취를 일으키는 구강 내 혐기성 세균 일종인 Fusobacterium nucleatum은 유황 성분이 함유된 배지에서 $H_2S$와 같은 휘발성 유황화합물을 생성하고 철 성분과 결합하면 FeS를 형성한다. 구강내 여러 인자에 의하여 Fusobacterium nucleatum에 의하여 생성되는 유황화합물 농도가 달라진다. 본 연구에서는 Fusobacterium nucleatum의 유황화합물 생성시 영양 물질과 pH의 영향을 연구하여 다음과 같은 결과를 얻었다. 1. 배지에 sodium thiosulfate가 1.0% 되도록 첨가하면 배지의 흡광도는 $0.817{\pm}0.032$로, L-cysteine hydrochloride를 0.05% 되도록 첨가하면 $1.297{\pm}0.024$가 되었다. 2. 배지에 자일리톨을 첨가하면 배지의 흡광도는 $0.799{\pm}0.032$인데 반하여 포도당과 병합으로 첨가하면 $1.775{\pm}0.003$으로, 과당과 병합으로 첨가하면 $1.648{\pm}0.022$로 증가하였다. 3. 배지의 pH가 5.5 이상이면 휘발성 유황화합물 농도는 20,000 ppb이상이었다. 배지의 흡광도는 배지 내 L-cysteine hydrochloride 농도가 높을수록 높았으며, 배지의 pH가 산성으로 갈수록 낮았다. 4. 배지 위에 증류수나 식염수가 있을 때, 그리고 그 양이 적을수록 휘발성 유황화합물 농도는 높았다. 이상의 결과를 종합하면 Fusobacterium nucleatum에 의한 유황화합물 생성 이 자일리톨과 산에 의하여 억제되었다.

• Journal of Periodontal and Implant Science
• /
• 제36권3호
• /
• pp.653-659
• /
• 2006

Oral malodor may cause a significant social or psychological handicap to those suffering from it. Oral malodor has been correlated with the concentration of volatile sulfur compounds (VSC) produced in the oral cavity. Specific bacteria identified in the production of VSC have been reported and many of these bacteria are commonly suspected periodontal pathogens. The aim of this study was to estimate the change of the VSC concentration after periodontal treatment, Twenty subjects with probing depth $(PD)\;{\geq}5mm$ (experimental group) and 20 subjects with PD<5mm (control group) participated. VSC concentration measurement was made with gas chromatography. VSC concentration was measured at pre-treatment, 2 weeks after scaling and 1 month after periodontal treatment(root planning and flap operation). Maximum probing depth and bleeding on probing(BOP) were also examed at pretreatment and 1 month after periodontal treatment, The conclusions were as follow: 1. In the experimental group VSC concentration and CH3SH/H2S ratio were higher than control group. (p<0.05) 2. Both VSC concentration and CH3SH/H2S ratio showed decrease after periodontal treatment, But only CH3SH/H2S ratio after 1 month periodontal treatment was statistically significantly different from pre-treatment. (p<0.05) 3. CH3SH/H2S ratio tended to be on increase according to maximum probing depth and bleeding on probing. Periodontal disease could be a factor that caused oral malodor and oral malodor could be decreased after periodontal treatment.

• 대한한방내과학회지
• /
• 제29권1호
• /
• pp.258-264
• /
• 2008

Objectives : The aim of this study was to confirm the characteristics of oral malodor patients by evaluating the differences of salivary flow rate, secretory immunoglobulin A (sIgA) level in saliva between the patient and control groups, and the correlation with the tongue coating, volatile sulfur compound (VSC), salivary flow rate and sIgA level in saliva in the patients group. Methods : Forty-seven patients with oral malodor and twenty healthy volunteers were included in this study. Their tongue coating was assessed with the Winkel tongue coating index, and salivary flow rate, sIgA concentrations in saliva and the level of VSC in oral cavity were measured. Results : There were no significant differences of the salivary flow rate and the sIgA level in saliva between the patient and control groups, but there was a significant relationship between the accumulation of tongue coating and the level of VSC in oral cavity. Conclusions : Our results suggest that tongue coating is closely related to oral malodor, but further studies are needed to confirm the relationship between tongue coating and sIgA level in saliva.

• Journal of Oral Medicine and Pain
• /
• 제49권1호
• /
• pp.5-11
• /
• 2024

Halitosis is defined as a nasty odor emanating through the mouth and is primarily related to the enhanced concentration of volatile sulfur compounds (VSCs). VSC measurements have been commonly used for experimental comparison and clinical diagnosis. As quantitative methods for comparative analyses of oral malodor, gas chromatography devices have been most commonly used to quickly and easily determine the concentration of several gas components of VSCs, which are agents primarily responsible for halitosis. The concentrations of VSCs fluctuate dynamically depending on contributing factors, including various oral/systemic conditions, intake of medicine and food/drink, oral hygiene, and even routine daily activities. Therefore, the exact analysis of VSCs requires the appropriate standardization of not only exact measurement techniques but also participant conditioning with scientific considerations. Thus, this paper describes the experimental standardizations commonly recommended in previous literature and their scientific background.

• Journal of Periodontal and Implant Science
• /
• 제34권2호
• /
• pp.449-459
• /
• 2004

Bacterial byproducts and volatile sulfur compounds(VSC) have been found to be the leading intra-oral agents, specifically, the byproducts of gram negative anaerobic bacteria have been implicated as primary factors of halitosis in patients presenting with periodontal disease. The objective of this study was to determine the correlation between periodontal treatment and the subsequent reduction in the level of halitosis. Forty-three subjects presenting with periodontal disease were examined before periodontal treatment, one week after treatment, one month after treatment, and finally, two months after treatment, using a portable sulfide monitoring $Halimeter^{(R)}$ to measure the VSC concentrations at the prescribed intervals. The results of the study were as follows: 1. Significant decreases in the mean VSC concentration were observed at the one week, one month, and two month post-op intervals relative to the pre-op measurement. (p<0.05) 2. Significant decreases in the mean VSC concentration were observed in subjects after completion of flap operations. Significant decreases in the mean VSC concentration were observed at the one and two month post-flap operation measurement relative to the VSC concentration at one week (p<0.05), but no significant differences between the one month and two month VSC concentrations were found. (p<0.05) 3. Significant decreases in the mean VSC concentration were observed in subjects after completion of subgingival curettage (p<0,05). Significant decreases were found between the one week and one month measurements and between the one month and two month measurements, but significant differences were not observed between the one week and two month measurements. (p<0.05) The results of this study show significant decreases in VSC concentration in test subjects after periodontal treatment. It can be inferred from the results above, that periodontal disease is a significant contributing factor of halitosis, and that treatment of periodontal disease can been an effective means of reducing VSC concentration in patients presenting with halitosis concurrent with periodontal disease.

• 센서학회지
• /
• 제33권3호
• /
• pp.125-133
• /
• 2024

Gas chromatography (GC) separation technology and metal oxide semiconductor (MOS) gas sensors have been integrated for the effective analysis of volatile sulfur compounds (VSCs) such as H₂S, CH₃SH, (CH₃)₂S, and (CH₃)₂S₂. The separation and detection characteristics of the GC/MOS system using diluted standard gases were investigated for the qualitative and quantitative analysis of VSCs. The typical concentrations of the standard gases were 0.1, 0.5, 1.0, 5.0, and 10.0 ppm. The GC/MOS system successfully separated H₂S, CH₃SH, (CH₃)₂S, and (CH₃)₂S₂ using a celite-filled column. The reproducibility of the retention time measurements was at a 3% relative standard deviation level, and the correlation coefficient (R²) for the VSC concentration was greater than 0.99. In addition, the chromatograms of single and mixed gases were almost identical.

• Journal of Oral Medicine and Pain
• /
• 제32권3호
• /
• pp.273-281
• /
• 2007

아연 화합물은 의학적 효용이 뛰어나서 예전부터 화장품, 의약품 및 치과용 제제 등으로 널리 사용되어 왔다. 특히, 아연의 구강내 생물학적 작용에 대해서는 널리 알려져 있는데, 아연은 구강내 미생물에 다양한 기전으로 영향을 가해서 항균 작용, 항치태 작용, 항우식 작용을 갖게 된다. 또한, 아연은 구취를 유발하는 구강내 혐기성 세균과 구강내 휘발성 황화합물에 영향을 주어서 구취 치료제로서도 널리 애용되고 있다. 이에 저자는 아연의 개괄적인 물성과 독성 및 상용되고 있는 아연 제제들을 요약하여 제시한 후, 구강내 세균과 휘발성 황화합물에 대한 아연의 생물학적 영향에 대하여 항균 효과, 항치태 효과, 항우식 효과 및 구취감소 효과 등으로 나누어 고찰해보았다. 아연은 다른 금속에 비하여 독성이 적고 치아 착색을 거의 유발하지 않으며, 가격 또한 저렴하여 구강내 감염, 치아우식증, 치주질환 및 구취 등의 예방 및 치료제로서 많은 장점을 지니고 있다. 향후 이러한 장점을 바탕으로, 치과 임상에서의 아연제제의 적용은 증가할 것으로 사료되며, 이에 대한 전망은 밝다고 할 수 있다.

• Journal of Periodontal and Implant Science
• /
• 제36권4호
• /
• pp.829-837
• /
• 2006

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.