鹿児島大学医学部・歯学部附属病院口臭専門外来における口臭治療の実際

概要

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Recently, the persons concerning about halitosis are increasing. For special diagnosis and treatment for halitosis, Kagoshima University Medical and Dental Hospital established Oral Malodor Clinic in 1997. Over 800 patients visited the clinic in 8 years. In this review, the diagnosis and treatment system of halitosis in our clinic is discribed. The oral malodor was estimated by the analysis of the volatile sulfur compounds (VSC) level by gas chromatograph and the organoleptic analysis. The interview using the questionnaire and oral examination was also used for diagnosis. The 801 patients (278 male and 523 female) were classified into physiologic halitosis (n=147: 18.4%) and oral pathologic halitosis (n=332: 41.5%), extraoral pathologic halitosis (n=41: 5.1%), pseudo-halitosis (n=254: 31.7%), and halitophobia (n=22: 2.8%). The treatment was done according to the treatment needs for breath malodor. In the treatment of halitosis, oral hygiene including tongue cleaning is the most important. For the patients with periodontal disease, periodontal therapy is also needed. In patients with no or less halitosis, some patients disagree with the results. For such patients, repeated examinations are needed. Extraoral pathologic halitosis or halitophobic pateients need to be referred to a specialist. For the treatment of halitosis, accurate diagnosis is important.
鹿児島大学の論文
2006-03-25