Youngnak-Piboonratanakit P, Vachirarojpisan T
Assistant Professor, Department of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
J Dent (Tehran). 2010 Fall;7(4):196-204. Epub 2010 Sep 30.
To determine the prevalence and correlated factors of self-reported oral malodor in Thai dental patients from Chulalongkorn Dental Hospital.
A self-administered questionnaire was developed to assess the self-reported perception of oral malodor in 839 patients. Significant associations between self-perceived oral malodor and sociodemographics, oral problems and oral hygiene practice variables were determined by Chi-square test.
The prevalence of currently self-perceived oral malodor was 61.1%. A higher prevalence of self-perceived oral malodor was significantly correlated with a number of factors including being 30 years of age or older, having a high school or lower educational level, tongue coating, xerostomia, bleeding when brushing teeth, never receiving professional tooth cleaning and a lower toothbrushing frequency. However, multivariable analysis showed that tongue coating was the factor most strongly associated with self-perceived oral malodor (OR=3.53; CI=2.05-6.08), followed by bleeding when brushing teeth (OR= 2.96) and being 30 years of age or older (OR=2.46). Subjects with oral malodor perceived by themselves and others had a higher level of self-perceived oral malodor, a higher prevalence of bad odor when talking, in the morning and throughout the whole day, and a higher prevalence of consulting with other people in comparison with those with perception by themselves alone.
Tongue coating, bleeding when brushing teeth and being 30 years of age or older were significantly associated with self-perceived oral malodor. The level of self-perceived oral malodor and consulting with other people was more prevalent in subjects with oral malodor perceived by themselves and others.
确定朱拉隆功大学牙医院泰国牙科患者中自我报告的口腔异味的患病率及其相关因素。
设计一份自填式问卷,以评估839名患者自我报告的口腔异味感受。通过卡方检验确定自我感知的口腔异味与社会人口统计学、口腔问题及口腔卫生习惯变量之间的显著关联。
目前自我感知有口腔异味的患病率为61.1%。自我感知有较高口腔异味患病率与多个因素显著相关,包括30岁及以上、高中及以下教育水平、舌苔、口干、刷牙时出血、从未接受过专业牙齿清洁以及较低的刷牙频率。然而,多变量分析表明,舌苔是与自我感知口腔异味关联最密切的因素(OR=3.53;CI=2.05-6.08),其次是刷牙时出血(OR=2.96)和30岁及以上(OR=2.46)。与仅自我感知有口腔异味的受试者相比,自我和他人均感知有口腔异味的受试者自我感知的口腔异味程度更高,说话时、早晨及一整天有异味的患病率更高,向他人咨询的患病率也更高。
舌苔、刷牙时出血和30岁及以上与自我感知的口腔异味显著相关。自我和他人均感知有口腔异味的受试者中,自我感知的口腔异味程度及向他人咨询的情况更为普遍。