Suzuki Nao, Yoneda Masahiro, Naito Toru, Iwamoto Tomoyuki, Hirofuji Takao
Section of General Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Oct;106(4):542-7. doi: 10.1016/j.tripleo.2008.03.009. Epub 2008 Jul 7.
To examine the psychosomatic aspects of patients complaining of halitosis.
Breath malodor in 165 patients was measured using an organoleptic test (OLT), sulfide monitoring, and gas chromatography. Clinical evaluation included oral examination, OLT, and volatile sulfur compound measurement. The psychologic condition of patients was assessed using the Cornell Medical Index (CMI).
Every item in the CMI questionnaire was negatively correlated with the OLT scores. Nine of 21 subjects (42.9%) diagnosed with pseudohalitosis and approximately 20% of subjects diagnosed with genuine halitosis were considered to be provisionally neurotic. Subjects with pseudohalitosis reported significantly higher physical scores, but not mental scores, than those with genuine halitosis. Subjects with physiologic halitosis showed significantly higher symptoms of depression than those with oral pathologic halitosis.
The psychologic condition of patients complaining of halitosis was associated with the actual degree of malodor and the clinical characteristics.
研究主诉口臭患者的心身方面问题。
采用感官测试（OLT）、硫化物监测和气相色谱法对165例患者的口臭情况进行测量。临床评估包括口腔检查、OLT和挥发性硫化物测量。使用康奈尔医学指数（CMI）评估患者的心理状况。
CMI问卷中的各项与OLT评分均呈负相关。在21例被诊断为假性口臭的受试者中，有9例（42.9%）以及约20%被诊断为真性口臭的受试者被认为初步存在神经症。假性口臭受试者的身体评分显著高于真性口臭受试者，但心理评分无差异。生理性口臭受试者的抑郁症状显著高于口腔病理性口臭受试者。
主诉口臭患者的心理状况与实际口臭程度及临床特征相关。
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