Yaegaki K, Coil J M
Department of Oral Biological and Medical Sciences, University of British Columbia.
J Can Dent Assoc. 2000 May;66(5):257-61.
Patients with halitosis may seek treatment from dental clinicians for their perceived oral malodour. In this article, an examination protocol, classification system and treatment needs for such patients are outlined. Physiologic halitosis, oral pathologic halitosis and pseudo-halitosis would be in the treatment realm of dental practitioners. Management may include periodontal or restorative treatment or both, as well as simple treatment measures such as instruction in oral hygiene, tongue cleaning and mouth rinsing. Psychosomatic halitosis is more difficult to diagnose and manage, and patients with this condition are often mismanaged in that they receive only treatments for genuine halitosis, even though they do not have oral malodour. A classification system can be used to identify patients with halitophobia. Additionally, a questionnaire can be used to assess the psychological condition of patients claiming to have halitosis, which enables the clinician to identify patients with psychosomatic halitosis. In understanding the different types of halitosis and the corresponding treatment needs, the dental clinician can better manage patients with this condition.
患有口臭的患者可能会因其察觉到的口腔异味而寻求牙科临床医生的治疗。本文概述了针对此类患者的检查方案、分类系统和治疗需求。生理性口臭、口腔病理性口臭和假性口臭都属于牙科从业者的治疗范畴。治疗方法可能包括牙周治疗或修复治疗,或两者兼施,以及一些简单的治疗措施,如口腔卫生指导、舌部清洁和漱口。心身性口臭更难诊断和处理,患有这种病症的患者常常得不到正确治疗,因为即使他们没有口腔异味,却只接受了针对真正口臭的治疗。可以使用一种分类系统来识别患有恐臭症的患者。此外,可以使用一份问卷来评估声称有口臭的患者的心理状况,这能使临床医生识别出患有心身性口臭的患者。了解不同类型的口臭及其相应的治疗需求后,牙科临床医生就能更好地治疗患有这种病症的患者。