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Halitosis Augost 20 2015
Halitosis Augost 20 2015
DR ALEX ELIUS
DDS {MUHAS}
- INTRODUCTION
- EPIDERMIOLOGY
- CLASSIFICATION
- ETIOLOGY
CONT..
- DIAGNOSIS
- PREVENTION
- TREATMENT
- CONCLUSION
- REFFERENCES
INTRODUCTION
- Halitosis is a general term used to describe unpleasant or offensive odor from the
breath regardless wheather the odor originate from oral or non oral sources
- Originates from latin words
- Halitus…. Breath
- Osis……… diseases
- It was described as a clinical entity by HOWE (1874)
CONT….
SYNONYMS
- Bad or foul smell
- Breath malodor
- Oral malodor
- Foetal ex ore
- Foetal oris
- Stomato dysodia
DEFINITION
- Halitosis is a general term used to describe a foul odor in which proteolysis,
metabolic products of the desquamiting cells and bacteria putrefication are involved
( Marita et al, 2001)
- Is a general term used to describe any disagreeable odor in expired air
regardless wheather the odorous substance originates from oral or non oral sources
(Tangerman 2001)
- Unpleasant odor of the expired air whatever the origion may be. Oral malodor
specifically refer to such odor originating from the oral cavity itself ( Jan lindhe
2003)
EPIDEMIOLOGY
Physiological halitosis
The malodor is attributable to putrefaction process taking place in their oral cavity,
frequently in the white colored coat found on the posterior aspect of the tongue.
CONT….
2. Pseudo halitosis
Refer to a condition where an odor condition is not present ( can not be detected by
smell or scientific testing) but patients still feel that they have bad breath.
Since no real problem exist, treatment consist of councelling the patients about their
misconception
CONT…
3 Halitophobia
-A situation where patient perception about halitosis continues despite successful
treatment of their genuine halitosis condition.
-Exagrated fear of having halitosis
-Also refered to delusional halitosis
-Considered variant of monosymptomatic hypochondrical psychosis
ETIOLOGY
- Halitosis arise as a result of bacterial decomposition of food particles, cells , blood
and some of chemical compounds of the saliva
- Release Sulphur containing compounds
- hydrogen sulphide… rotten egg smell
- dimethyl sulphide…. Rotten cabbage smell
- methyl mercaptan…. Feccal smell
AND
CONT….
- Non Sulphur containing compounds ( Polyamines) like
-Cadaverines…. Cadaver smell
-Putrescines…… rotting meat smell
-Acetones
-Acetaldehyde
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COMMON CAUSES
1. Local causes
- Food impaction
- Periodontis
- ANUG
- ANUP
- Pericoronitis
- Dry socket
- Xerostomia
- caries
CONT..
- Oral ulceration
- Oral malignancies
- Oral infections
- Tonsilitis
- Sinusitis
CONT..
Volatile food stuffs
- Garlic
- Onions
- Spiced foods
CONT..
2. Systemicauses
- Renal failure (end stage)
- Gastro esophageal reflux disease
- Hepatic failure ( fetor hepaticus)
- Ect
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DIAGNOSIS
Self assessment
Whole mouth malodor ( cupped breath)
-cupping the hand over the mouth and breath through the nose
-The presence or absence of malodor is evaluated by the patient him/herself
Halitosis is a common complaint that may affect most of the adult population.
Oral malodor which is commonly noticed by patients is an important clinical sign
and symptom that has many etiologies which include local and systemic factors
Although consultation and treatment may result in dramatic reduction in bad breath ,
patients may find it difficult to sense the improvement themselves
REFERENCES
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THANKS FOR
LISTENING