Seemann Rainer, Bizhang Mozhgan, Djamchidi Cyrus, Kage Andreas, Nachnani Sushma
Department of Operative and Preventive Dentistry, Charité-University Medical School of Berlin, Dental School, Germany.
Int Dent J. 2006 Apr;56(2):77-81. doi: 10.1111/j.1875-595x.2006.tb00077.x.
To report the data from a multidisciplinary bad breath consultation in Germany.
In this cross sectional study, 407 patients attending a bad breath consultation were examined by a specially trained dentist, with an ENT-specialist, an internist, and a psychologist on call.
All patients reported suffering from bad breath but only 72.1% showed detectable signs of breath malodour. Within this group, 92.7% revealed an oral cause, 7.3% revealed an extra-oral cause. Within the group without malodour, 76.3% had received prior diagnostics and treatments from other doctors, whereby 36% had received one or more gastroscopies and 14% had undergone an ENT operation. In only ten cases had an organoleptic evaluation of the putative malodour been performed.
Our data reveal that breath malodour is mainly of oral origin and that patients with pseudo-halitosis are frequently not diagnosed correctly by doctors, resulting in a considerable amount of over-treatment.
报告德国多学科口臭咨询的数据。
在这项横断面研究中，407名前来进行口臭咨询的患者由一名经过专门培训的牙医进行检查，耳鼻喉科专家、内科医生和心理学家随时待命。
所有患者均自述有口臭，但只有72.1%的患者有可检测到的口臭迹象。在这一组中，92.7%的患者有口腔病因，7.3%的患者有口腔外病因。在无口臭的患者组中，76.3%的患者曾接受过其他医生的先前诊断和治疗，其中36%的患者接受过一次或多次胃镜检查，14%的患者接受过耳鼻喉科手术。仅在10例病例中对假定的口臭进行了感官评估。
我们的数据显示，口臭主要源于口腔，患有假性口臭的患者经常未被医生正确诊断，导致大量过度治疗。
