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

BMC Oral Health

Nidal M. Daamseh¹  Jumana A. Karasneh³  Firas Q. Alzoubi² 

[1] Private practice, Amman, Jordan;Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan;Department of Oral Medicine and Oral Surgery, Dental School, Jordan University of Science and Technology, Irbid, Jordan

关键词: Psychopathology;    BANA test;    Organoleptic test;    Self-perception;    Halitosis;   

Others  :  1222071
DOI  :  10.1186/s12903-015-0078-7

 received in 2015-02-12, accepted in 2015-07-24,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Alzoubi et al.

【 参考文献 】

• [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.
• [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.
• [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.
• [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.
• [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.
• [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.
• [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.
• [8]Yaegaki K, Coil JM. Genuine halitosis, pseudo-halitosis, and halitophobia: classification, diagnosis, and treatment. Compend Contin Educ Dent. 2000; 21:880-9.
• [9]Scully C, El-Maaytah M, Porter S, Greenman J. Breath odor: etiopathogenesis, assessment and management. Eur J Oral Sci. 1997; 105:287-93.
• [10]Bollen CM, Beikler T. Halitosis: the multidisciplinary approach. Int J Oral Sci. 2012; 4:55-63.
• [11]Calil CM, Marcondes FK. Influence of anxiety on the production of oral volatile sulfur compounds. Life Sci. 2006; 79:660-4.
• [12]Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967; 38 Suppl:610-6.
• [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.
• [14]Abdallah T. Reliability and validity of Palestinian Student Alienation Scale. Adolescence. 1997; 32:367-71.
• [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.
• [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.
• [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.
• [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.
• [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.
• [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.
• [21]McCrae RR, Bartone PT, Costa PT. Age, anxiety, and self-reported health. Int J Aging Hum Dev. 1976; 7:49-58.
• [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.
• [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.
• [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.
• [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.
• [27]Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Psychological condition of patients complaining of halitosis. J Dent. 2001; 29:31-3.
• [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.