Kara C, Tezel A, Orbak R
Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.
Int J Paediatr Dent. 2006 Nov;16(6):399-404. doi: 10.1111/j.1365-263X.2006.00769.x.
Oral malodour affects a large proportion of the population, and may cause a significant social or psychological handicap to those suffering from it. The condition has a positive correlation with the accumulation of bacterial plaque in the oral cavity. The aim of the present study was twofold: first, to determine whether oral malodour and periodontal disease parameters are associated with one another in 150 Turkish subjects (mean age +/- SD = 9.1 +/- 2.7 years; age range = 7-12 years); and secondly, to investigate the impact of oral hygiene instruction and scaling on oral malodour.
The parameters measured included whole-mouth odour judge scoring, halimeter measurements, saliva pH scores, gingival index, plaque index, and probing depth before and after the treatment procedures.
Odour judge scores were significantly associated with halimeter findings. However, gingival index, plaque index and probing depth were significantly associated with odour judge scores and halimeter scores. The statistical analysis revealed that periodontal treatments caused a significant reduction (P < 0.001) in volatile sulphur compound formation.
These results suggest that, in the population studied, periodontal health and oral malodour are associated with one another. Oral malodour levels were significantly reduced after treating gingival inflammation. Thus, in order to avoid oral malodour in children, oral care should not be neglected.
口腔异味影响着很大一部分人群，可能给患者带来严重的社会或心理障碍。这种情况与口腔内细菌菌斑的积累呈正相关。本研究的目的有两个：第一，确定在150名土耳其受试者（平均年龄±标准差=9.1±2.7岁；年龄范围=7 - 12岁）中，口腔异味与牙周疾病参数是否相互关联；第二，研究口腔卫生指导和洁治对口腔异味的影响。
测量的参数包括治疗程序前后的全口气味评判评分、口气测量仪测量值、唾液pH值评分、牙龈指数、菌斑指数和探诊深度。
气味评判评分与口气测量仪的结果显著相关。然而，牙龈指数、菌斑指数和探诊深度与气味评判评分和口气测量仪评分显著相关。统计分析表明，牙周治疗使挥发性硫化物的形成显著减少（P < 0.001）。
这些结果表明，在所研究的人群中，牙周健康与口腔异味相互关联。治疗牙龈炎症后，口腔异味水平显著降低。因此，为避免儿童出现口腔异味，不应忽视口腔护理。
