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口臭:关于病因、诊断和治疗的当前概念

Halitosis: Current concepts on etiology, diagnosis and management.

作者信息

Kapoor Uditi, Sharma Gaurav, Juneja Manish, Nagpal Archna

机构信息

General Dentist, Ontario, Canada.

Department of Oral Medicine and Radiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

出版信息

Eur J Dent. 2016 Apr-Jun;10(2):292-300. doi: 10.4103/1305-7456.178294.

DOI:10.4103/1305-7456.178294
PMID:27095913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4813452/
Abstract

Halitosis or oral malodor is an offensive odor originating from the oral cavity, leading to anxiety and psychosocial embarrassment. A patient with halitosis is most likely to contact primary care practitioner for the diagnosis and management. With proper diagnosis, identification of the etiology and timely referrals certain steps are taken to create a successful individualized therapeutic approach for each patient seeking assistance. It is significant to highlight the necessity of an interdisciplinary method for the treatment of halitosis to prevent misdiagnosis or unnecessary treatment. The literature on halitosis, especially with randomized clinical trials, is scarce and additional studies are required. This article succinctly focuses on the development of a systematic flow of events to come to the best management of the halitosis from the primary care practitioner's point of view.

摘要

口臭或口腔异味是一种源自口腔的令人不快的气味,会导致焦虑和社交尴尬。患有口臭的患者最有可能联系初级保健医生进行诊断和治疗。通过正确的诊断、确定病因并及时转诊,采取某些措施为每个寻求帮助的患者制定成功的个性化治疗方案。强调采用跨学科方法治疗口臭以防止误诊或不必要治疗的必要性非常重要。关于口臭的文献,尤其是随机临床试验方面的文献很少,还需要更多研究。本文从初级保健医生的角度简要关注如何制定一套系统的流程以实现对口臭的最佳管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857e/4813452/17ab596d6ac2/EJD-10-292-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857e/4813452/0bf6fba914bd/EJD-10-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857e/4813452/17ab596d6ac2/EJD-10-292-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857e/4813452/0bf6fba914bd/EJD-10-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857e/4813452/17ab596d6ac2/EJD-10-292-g005.jpg

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本文引用的文献

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Salivary hypofunction: an update on aetiology, diagnosis and therapeutics.唾液腺功能减退:病因、诊断与治疗的最新进展
Arch Oral Biol. 2015 Feb;60(2):242-55. doi: 10.1016/j.archoralbio.2014.10.004. Epub 2014 Nov 4.
2
Photodynamic therapy as a novel treatment for halitosis in adolescents: study protocol for a randomized controlled trial.光动力疗法作为青少年口臭的一种新治疗方法:一项随机对照试验的研究方案
Trials. 2014 Nov 14;15:443. doi: 10.1186/1745-6215-15-443.
3
Halitosis.口臭
使用透明矫治器的儿童和年轻人、使用舌侧正畸的人群以及非正畸对照组的口臭与口腔健康相关生活质量的比较评估:一项包含饮食亚组分析的横断面研究
J Clin Med. 2025 Jun 5;14(11):3995. doi: 10.3390/jcm14113995.
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Knowledge, attitudes, and practices toward halitosis among dental patients at Zewditu memorial hospital, Addis Ababa, Ethiopia.埃塞俄比亚亚的斯亚贝巴泽韦迪图纪念医院牙科患者对口臭的认知、态度和行为
Front Oral Health. 2025 Feb 24;6:1522682. doi: 10.3389/froh.2025.1522682. eCollection 2025.
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Relationship Between the Salivary Microbiome and Oral Malodor Metabolites in Older Thai Individuals with Periodontitis and the Cytotoxic Effects of Malodor Compounds on Human Oral Squamous Carcinoma (HSC-4) Cells.泰国老年牙周炎患者唾液微生物群与口腔异味代谢物之间的关系以及异味化合物对人口腔鳞状细胞癌(HSC-4)细胞的细胞毒性作用。
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Oral Microbiome: A Review of Its Impact on Oral and Systemic Health.口腔微生物群:对口腔和全身健康影响的综述
Microorganisms. 2024 Aug 29;12(9):1797. doi: 10.3390/microorganisms12091797.
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