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O4 An inventory study on a randomized group of 1000 patients visiting a multidisciplinary breath odor clinic at a university hospital

Identifieur interne : 007441 ( Main/Exploration ); précédent : 007440; suivant : 007442

O4 An inventory study on a randomized group of 1000 patients visiting a multidisciplinary breath odor clinic at a university hospital

Auteurs : B. Vandekerckhove [Belgique] ; M. Quirynen [Belgique] ; D. Van Steenberghe [Belgique]

Source :

RBID : ISTEX:D0936D454E241045F4BD1A7481BE85F804A84D31

Descripteurs français

English descriptors

Abstract

In 1994 the first European multidisciplinary (periodontology, ENT, psychiatry and occasionally gastro‐enterology) outpatient clinic was initiated at the University Hospital in Leuven, Belgium. The first 1000 patient files on the alphabetical list were analysed. It surprisingly consisted of 499 men and 501 women (2–90 years old, mean 38). The majority consulted spontaneously (69%), others were referred by their house doctor (14%), general dentist (6%) or medical/oral specialists (11%). One‐third had complaints since more than 5 years. Two‐thirds were informed by confidents or colleagues about their breath odor while they were unaware of it, 15% of the patients noticed it themselves and 18% were informed by others besides noticing it themselves. Not a single patient was alcoholic but 14% were tobacco addicts. In 83.4% of the patients there was an oral problem. Mostly tongue coating or/and periodontitis, was evident. In 3.6% it was a combination of ENT/intra‐oral causes. An ENT or gastro‐enterologic cause was detected in 3.1 and 1.3% respectively. ENT causes involved postnasal drip, tonsillitis, sinusitis, rhinitis. Only 1% had a metabolic or hormonal problem. The latter regularly also had tongue coating or periodontitis, but the elimination of these causes did not solve the entire problem. On the other hand in 7.6% of the patients no physical cause could be detected, while psychological/psychiatric problems were clearly identified. After the first multidisciplinary examination and treatment initiation/instructions, a control visit was proposed 2–6 months later. All patients were meanwhile referred for follow‐up to their general dentist or periodontologist or house doctor/medical specialist. Nearly 60% of the patients did not show up at the second appointment. When a sample was contacted by telephone (n = 40) all declared they were cured. 10% of the patients needed 3 appointments or more. From the 31% of the patients who came back for their control visit, 68.5% had experienced a (clear‐cut) improvement, and 22.7% noticed a slight to strong improvement. The patients who did not report any improvement (8.8%) were nearly all identified as having psychological or psychiatric traits.

Url:
DOI: 10.1111/j.1601-0825.2005.01105_4.x


Affiliations:


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<term>Abnormal halitometry</term>
<term>Absolute value</term>
<term>Amine</term>
<term>Anaerobe</term>
<term>Anaerobic</term>
<term>Average level</term>
<term>Aviv</term>
<term>Aviv university</term>
<term>Avour</term>
<term>Avours</term>
<term>Baseline</term>
<term>Behavioral factors</term>
<term>Breath freshening</term>
<term>Breath freshening dentifrice</term>
<term>Breath group</term>
<term>Breath odor</term>
<term>Catholic university leuven</term>
<term>Ch3sh</term>
<term>Ch3sh concentration ratio</term>
<term>Clinical attachment level</term>
<term>Clinical study</term>
<term>Clo2</term>
<term>Control group</term>
<term>Control groups</term>
<term>Dental medicine</term>
<term>Dental plaque</term>
<term>Dental practitioners</term>
<term>Dental sciences</term>
<term>Dental students</term>
<term>Dentifrice</term>
<term>Dentistry</term>
<term>Dentulous subjects</term>
<term>Denture</term>
<term>Denture brush</term>
<term>Denture wearers</term>
<term>Elderly patients</term>
<term>Elderly people</term>
<term>Elderly population</term>
<term>Electronic nose</term>
<term>Essential oils</term>
<term>Examiner variation</term>
<term>Ezaki glico</term>
<term>Freshening</term>
<term>Gabriela goldschleger school</term>
<term>General health</term>
<term>Gingival</term>
<term>Gingival index</term>
<term>Gingivalis</term>
<term>Graduate school</term>
<term>Guideline</term>
<term>Halimeter</term>
<term>Halitometry</term>
<term>Halitosis</term>
<term>Halitosis samples</term>
<term>Halitosis therapy</term>
<term>Halitosis unit</term>
<term>Headspace</term>
<term>Health status</term>
<term>Hedonic</term>
<term>High intensity</term>
<term>Human nose</term>
<term>Hygiene</term>
<term>Intraoral oxygen release device</term>
<term>Japan objective</term>
<term>Laser</term>
<term>Laser treatment</term>
<term>Lethal photosensitization</term>
<term>Light energy</term>
<term>Main cause</term>
<term>Malodor</term>
<term>Malodour</term>
<term>Medical university</term>
<term>Mercaptan</term>
<term>Methods patients</term>
<term>Methyl</term>
<term>Methyl mercaptan</term>
<term>Microbial</term>
<term>Microbiota</term>
<term>Microorganism</term>
<term>Molecular weight amines</term>
<term>Morning breath</term>
<term>Mouthrinse</term>
<term>Odor</term>
<term>Odor judge scores</term>
<term>Odor judges</term>
<term>Odorant</term>
<term>Odorants</term>
<term>Odour</term>
<term>Odour judges</term>
<term>Oral</term>
<term>Oral care</term>
<term>Oral care products</term>
<term>Oral cavity</term>
<term>Oral diseases</term>
<term>Oral diseases abstracts</term>
<term>Oral examination</term>
<term>Oral halitosis</term>
<term>Oral health</term>
<term>Oral health care</term>
<term>Oral hygiene</term>
<term>Oral malodor</term>
<term>Oral malodor intensity</term>
<term>Oral malodor research</term>
<term>Oral malodour</term>
<term>Oral microbiota</term>
<term>Organoleptic</term>
<term>Organoleptic assessment</term>
<term>Organoleptic measurement</term>
<term>Organoleptic measurements</term>
<term>Organoleptic scale</term>
<term>Organoleptic score</term>
<term>Organoleptic scores</term>
<term>Organoleptic test</term>
<term>Other body odors</term>
<term>Other hand</term>
<term>Oxidative</term>
<term>Oxidative damage</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal therapy</term>
<term>Periodontitis</term>
<term>Periodontology</term>
<term>Periodontopathic bacteria</term>
<term>Placebo</term>
<term>Plaque</term>
<term>Plaque index</term>
<term>Polyester bags</term>
<term>Porphyromonas gingivalis</term>
<term>Present study</term>
<term>Preventive dentistry</term>
<term>Quest breath freshness panel</term>
<term>Randomized</term>
<term>Real system</term>
<term>Relative amount</term>
<term>Research center</term>
<term>Saliva</term>
<term>Saliva samples</term>
<term>Salivarius</term>
<term>Sampling bags</term>
<term>Sensor array</term>
<term>Sensor responses</term>
<term>Social function</term>
<term>Square test</term>
<term>Statistical analysis</term>
<term>Study population</term>
<term>Subjective symptoms</term>
<term>Sulfur</term>
<term>Sulfur compounds</term>
<term>Sulphide</term>
<term>Time point</term>
<term>Tongue brush</term>
<term>Tongue cleaning</term>
<term>Tongue coat</term>
<term>Tongue coating</term>
<term>Tongue coating score</term>
<term>Tongue coating status</term>
<term>Tongue dorsum</term>
<term>Tongue microbiota</term>
<term>Toothpaste</term>
<term>Triclosan</term>
<term>Trimethylamine</term>
<term>University school</term>
<term>Unpleasant breath</term>
<term>Uoride</term>
<term>Uoride dentifrice</term>
<term>Vocs</term>
<term>Volatile</term>
<term>Volatile sulfur compounds</term>
<term>Volatile sulphur compounds</term>
<term>Vscs</term>
<term>Wearer</term>
<term>Wide range</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>Abnormal halitometry</term>
<term>Absolute value</term>
<term>Amine</term>
<term>Anaerobe</term>
<term>Anaerobic</term>
<term>Average level</term>
<term>Aviv</term>
<term>Aviv university</term>
<term>Avour</term>
<term>Avours</term>
<term>Baseline</term>
<term>Behavioral factors</term>
<term>Breath freshening</term>
<term>Breath freshening dentifrice</term>
<term>Breath group</term>
<term>Breath odor</term>
<term>Catholic university leuven</term>
<term>Ch3sh</term>
<term>Ch3sh concentration ratio</term>
<term>Clinical attachment level</term>
<term>Clinical study</term>
<term>Clo2</term>
<term>Control group</term>
<term>Control groups</term>
<term>Dental medicine</term>
<term>Dental plaque</term>
<term>Dental practitioners</term>
<term>Dental sciences</term>
<term>Dental students</term>
<term>Dentifrice</term>
<term>Dentistry</term>
<term>Dentulous subjects</term>
<term>Denture</term>
<term>Denture brush</term>
<term>Denture wearers</term>
<term>Elderly patients</term>
<term>Elderly people</term>
<term>Elderly population</term>
<term>Electronic nose</term>
<term>Essential oils</term>
<term>Examiner variation</term>
<term>Ezaki glico</term>
<term>Freshening</term>
<term>Gabriela goldschleger school</term>
<term>General health</term>
<term>Gingival</term>
<term>Gingival index</term>
<term>Gingivalis</term>
<term>Graduate school</term>
<term>Guideline</term>
<term>Halimeter</term>
<term>Halitometry</term>
<term>Halitosis</term>
<term>Halitosis samples</term>
<term>Halitosis therapy</term>
<term>Halitosis unit</term>
<term>Headspace</term>
<term>Health status</term>
<term>Hedonic</term>
<term>High intensity</term>
<term>Human nose</term>
<term>Hygiene</term>
<term>Intraoral oxygen release device</term>
<term>Japan objective</term>
<term>Laser</term>
<term>Laser treatment</term>
<term>Lethal photosensitization</term>
<term>Light energy</term>
<term>Main cause</term>
<term>Malodor</term>
<term>Malodour</term>
<term>Medical university</term>
<term>Mercaptan</term>
<term>Methods patients</term>
<term>Methyl</term>
<term>Methyl mercaptan</term>
<term>Microbial</term>
<term>Microbiota</term>
<term>Microorganism</term>
<term>Molecular weight amines</term>
<term>Morning breath</term>
<term>Mouthrinse</term>
<term>Odor</term>
<term>Odor judge scores</term>
<term>Odor judges</term>
<term>Odorant</term>
<term>Odorants</term>
<term>Odour</term>
<term>Odour judges</term>
<term>Oral</term>
<term>Oral care</term>
<term>Oral care products</term>
<term>Oral cavity</term>
<term>Oral diseases</term>
<term>Oral diseases abstracts</term>
<term>Oral examination</term>
<term>Oral halitosis</term>
<term>Oral health</term>
<term>Oral health care</term>
<term>Oral hygiene</term>
<term>Oral malodor</term>
<term>Oral malodor intensity</term>
<term>Oral malodor research</term>
<term>Oral malodour</term>
<term>Oral microbiota</term>
<term>Organoleptic</term>
<term>Organoleptic assessment</term>
<term>Organoleptic measurement</term>
<term>Organoleptic measurements</term>
<term>Organoleptic scale</term>
<term>Organoleptic score</term>
<term>Organoleptic scores</term>
<term>Organoleptic test</term>
<term>Other body odors</term>
<term>Other hand</term>
<term>Oxidative</term>
<term>Oxidative damage</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal therapy</term>
<term>Periodontitis</term>
<term>Periodontology</term>
<term>Periodontopathic bacteria</term>
<term>Placebo</term>
<term>Plaque</term>
<term>Plaque index</term>
<term>Polyester bags</term>
<term>Porphyromonas gingivalis</term>
<term>Present study</term>
<term>Preventive dentistry</term>
<term>Quest breath freshness panel</term>
<term>Randomized</term>
<term>Real system</term>
<term>Relative amount</term>
<term>Research center</term>
<term>Saliva</term>
<term>Saliva samples</term>
<term>Salivarius</term>
<term>Sampling bags</term>
<term>Sensor array</term>
<term>Sensor responses</term>
<term>Social function</term>
<term>Square test</term>
<term>Statistical analysis</term>
<term>Study population</term>
<term>Subjective symptoms</term>
<term>Sulfur</term>
<term>Sulfur compounds</term>
<term>Sulphide</term>
<term>Time point</term>
<term>Tongue brush</term>
<term>Tongue cleaning</term>
<term>Tongue coat</term>
<term>Tongue coating</term>
<term>Tongue coating score</term>
<term>Tongue coating status</term>
<term>Tongue dorsum</term>
<term>Tongue microbiota</term>
<term>Toothpaste</term>
<term>Triclosan</term>
<term>Trimethylamine</term>
<term>University school</term>
<term>Unpleasant breath</term>
<term>Uoride</term>
<term>Uoride dentifrice</term>
<term>Vocs</term>
<term>Volatile</term>
<term>Volatile sulfur compounds</term>
<term>Volatile sulphur compounds</term>
<term>Vscs</term>
<term>Wearer</term>
<term>Wide range</term>
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<term>Médecine dentaire</term>
<term>Micro-organisme</term>
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<front>
<div type="abstract" xml:lang="en">In 1994 the first European multidisciplinary (periodontology, ENT, psychiatry and occasionally gastro‐enterology) outpatient clinic was initiated at the University Hospital in Leuven, Belgium. The first 1000 patient files on the alphabetical list were analysed. It surprisingly consisted of 499 men and 501 women (2–90 years old, mean 38). The majority consulted spontaneously (69%), others were referred by their house doctor (14%), general dentist (6%) or medical/oral specialists (11%). One‐third had complaints since more than 5 years. Two‐thirds were informed by confidents or colleagues about their breath odor while they were unaware of it, 15% of the patients noticed it themselves and 18% were informed by others besides noticing it themselves. Not a single patient was alcoholic but 14% were tobacco addicts. In 83.4% of the patients there was an oral problem. Mostly tongue coating or/and periodontitis, was evident. In 3.6% it was a combination of ENT/intra‐oral causes. An ENT or gastro‐enterologic cause was detected in 3.1 and 1.3% respectively. ENT causes involved postnasal drip, tonsillitis, sinusitis, rhinitis. Only 1% had a metabolic or hormonal problem. The latter regularly also had tongue coating or periodontitis, but the elimination of these causes did not solve the entire problem. On the other hand in 7.6% of the patients no physical cause could be detected, while psychological/psychiatric problems were clearly identified. After the first multidisciplinary examination and treatment initiation/instructions, a control visit was proposed 2–6 months later. All patients were meanwhile referred for follow‐up to their general dentist or periodontologist or house doctor/medical specialist. Nearly 60% of the patients did not show up at the second appointment. When a sample was contacted by telephone (n = 40) all declared they were cured. 10% of the patients needed 3 appointments or more. From the 31% of the patients who came back for their control visit, 68.5% had experienced a (clear‐cut) improvement, and 22.7% noticed a slight to strong improvement. The patients who did not report any improvement (8.8%) were nearly all identified as having psychological or psychiatric traits.</div>
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