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BMC Oral Health
Published in: BMC Oral Health 1/2015

Open Access 01-12-2015 | Research article

Relationship of psychological and oral health statuses with self-perceived halitosis in a Jordanian population: a cross-sectional study

Authors: Firas Q. Alzoubi, Jumana A. Karasneh, Nidal M. Daamseh

Published in: BMC Oral Health | Issue 1/2015

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Abstract

Background

Self-perceived halitosis could be a symptom of a psychosomatic or psychogenic disorder. The aim of this cross-sectional study was to clarify the relationship of self-perceived halitosis with psychological and oral health statuses.

Methods

One hundred participants with a history of halitosis were enrolled from a teaching hospital. They were divided into the self-perceived and suggested groups if they sensed and did not sense the malodor, respectively. Demographic and socioeconomic information, smoking status, and oral hygiene practices were noted. Complete nasal, oral, and periodontal examinations with organoleptic tests (OLTs) and N-benzoyl-DL-arginine-2-naphthylamide (BANA) tests were conducted. The participants also completed the validated Arabic version of the 90-item revised symptom checklist (SCL-90R). Data were compared by analysis of variance, chi-square test, Student’s t-test, and multivariate logistic regression.

Results

The self-perceived group had higher OLT scores (p = 0.005) and were significantly younger (p = 0.001) than the suggested group. A significantly higher number of its participants were smokers (p = 0.004). No significant differences were observed in socioeconomic information, oral hygiene practices, oral conditions, and BANA test results. Further, no significant association was noted between self-perceived halitosis and the nine psychological dimensions of SCL-90R.

Conclusions

Halitosis is a multifactorial symptom that requires multidisciplinary management. Self-reporting of the condition is unique entity and trust worthy symptom. It tends to be related to nonoral pathologies and extrinsic causes such as smoking.
Literature
1.
van den Broek AM, Feenstra L, de Baat C. A review of the current literature on aetiology and measurement methods of halitosis. J Dent. 2007;35:627–35.CrossRefPubMed
2.
van den Broek AM, Feenstra L, de Baat C. A review of the current literature on management of halitosis. Oral Dis. 2008;14:30–9.PubMed
3.
Tangerman A, Winkel EG. Intra- and extra-oral halitosis: finding of a new form of extra-oral blood-borne halitosis caused by dimethyl sulphide. J Clin Periodontol. 2007;34:748–55.CrossRefPubMed
4.
Persson S, Edlund MB, Claesson R, Carlsson J. The formation of hydrogen sulfide and methyl mercaptan by oral bacteria. Oral Microbiol Immunol. 1990;5:195–201.CrossRefPubMed
5.
Tanner AC, Strzempko MN, Belsky CA, McKinley GA. API ZYM and API An-Ident reactions of fastidious gram-negative species. J Clin Microbiol. 1985;22:333–5.PubMedPubMedCentral
6.
Romano F, Pigella E, Guzzi N, Aimetti M. Patients’ self-assessment of oral malodour and its relationship with organoleptic scores and oral conditions. Int J Dent Hyg. 2010;8:41–6.CrossRefPubMed
7.
Rosenberg M, Kulkarni GV, Bosy A, McCulloch CA. Reproducibility and sensitivity of oral malodor measurements with a portable sulphide monitor. J Dent Res. 1991;70:1436–40.CrossRefPubMed
8.
Yaegaki K, Coil JM. Genuine halitosis, pseudo-halitosis, and halitophobia: classification, diagnosis, and treatment. Compend Contin Educ Dent. 2000;21:880–9.PubMed
9.
Scully C, El-Maaytah M, Porter S, Greenman J. Breath odor: etiopathogenesis, assessment and management. Eur J Oral Sci. 1997;105:287–93.CrossRefPubMed
10.
11.
Calil CM, Marcondes FK. Influence of anxiety on the production of oral volatile sulfur compounds. Life Sci. 2006;79:660–4.CrossRefPubMed
12.
Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967;38(Suppl):610–6.CrossRefPubMed
13.
Derogatis LR, Cleary PA. Factorial invariance across gender for the primary symptom dimensions of the SCL-90. Br J Soc Clin Psychol. 1977;16:347–56.CrossRefPubMed
14.
Abdallah T. Reliability and validity of Palestinian Student Alienation Scale. Adolescence. 1997;32:367–71.PubMed
15.
Söder B, Johansson B, Söder PO. The relation between foetor ex ore, oral hygiene and periodontal disease. Swed Dent J. 2000;24:73–82.PubMed
16.
Frexinos J, Denis P, Allemand H, Allouche S, Los F, Bonnelye G. Descriptive study of digestive functional symptoms in the French general population [article in French]. Gastroenterol Clin Biol. 1998;22:785–91.PubMed
17.
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;66:679–84.CrossRefPubMed
18.
Nadanovsky P, Carvalho LB, Ponce De Leon A. Oral malodour and its association with age and sex in a general population in Brazil. Oral Dis. 2007;13:105–9.CrossRefPubMed
19.
Meningaud JP, Bado F, Favre E, Bertrand JC, Guilbert F. Halitosis in 1999 [article in French]. Rev Stomatol Chir Maxillofac. 1999;100:240–4.PubMed
20.
Hammad MM, Darwazeh AM, Al-Waeli H, Tarakji B, Alhadithy TT. Prevalence and awareness of halitosis in a sample of Jordanian population. J Int Soc Prev Community Dent. 2014;4 Suppl 3:S178–86.PubMedPubMedCentral
21.
McCrae RR, Bartone PT, Costa PT. Age, anxiety, and self-reported health. Int J Aging Hum Dev. 1976;7:49–58.CrossRefPubMed
22.
Solis-Gaffar MC, Niles HP, Rainieri WC, Kestenbaum RC. Instrumental evaluation of mouth odour in a human clinical study. J Dent Res. 1975;54:351–7.PubMed
23.
Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodont Res. 1992;27:233–8.CrossRefPubMed
24.
Quirynen M, Dadamio J, van den Velde S, De Smit M, Dekeyser C, Van Tornout M, et al. Characteristics of 2000 patients who visited a halitosis clinic. J Clin Periodontol. 2009;36:970–5.CrossRefPubMed
25.
Al-Atrooshi BA, Al-Rawi AS. Oral halitosis and oral hygiene practices among dental students. J Bagh Coll Dent. 2007;19:72–6.
26.
Eli I, Baht R, Koriat H, Rosenberg M. Self-perception of breath odor. J Am Dent Assoc. 2001;132:621–6.CrossRefPubMed
27.
Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Psychological condition of patients complaining of halitosis. J Dent. 2001;29:31–3.CrossRefPubMed
28.
Suzuki N, Yoneda M, Naito T, Iwamoto T, Hirofuji T. Relationship between halitosis and psychologic status. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:542–7.CrossRefPubMed
Metadata
Title
Relationship of psychological and oral health statuses with self-perceived halitosis in a Jordanian population: a cross-sectional study
Authors
Firas Q. Alzoubi
Jumana A. Karasneh
Nidal M. Daamseh
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2015
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-015-0078-7

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