Iwakura M, Yasuno Y, Shimura M, Sakamoto S
Department of Preventive Dentistry, Tohoku University School of Dentistry, Sendai, Japan.
J Dent Res. 1994 Sep;73(9):1568-74. doi: 10.1177/00220345940730091301.
Halitosis, defined as an unpleasant oral odor, has become a health concern among the general public. The objective of this study was to evaluate the diversity of clinical characteristics of halitosis of the patients who visited dental clinics. Sixty-eight patients with primary complaints of halitosis and 19 patients with primary complaints of periodontal diseases but secondary complaints of halitosis were studied by organoleptic examination. The patients with primary complaints were diagnosed as having halitosis in fewer cases than the patients with secondary complaints-25% and 53%, respectively. Patient complaints for halitosis were further categorized, by questionnaire, into three types: Type 1, self-conscious; Type 2, conscious by the indication of others; and Type 3, conscious by presumptions from the attitude of others. Although 80% of the patients of both groups were of Type 1, only 24.1% of the Type 1 patients with primary complaint, in comparison with 50% of the Type 1 patients with secondary complaint, were actually found to have halitosis. The results suggest that the majority of patients with primary complaints of halitosis at the dental clinic did not actually have halitosis, but suffered from an imaginary halitosis due to presumptions based upon others' attitudes. After treatment, these patients were more likely to be dissatisfied than patients who had visited the clinic with halitosis as their secondary complaint.
口臭，被定义为一种令人不悦的口腔气味，已成为普通大众关注的健康问题。本研究的目的是评估到牙科诊所就诊的口臭患者临床特征的多样性。通过感官检查对68例以口臭为主诉的患者和19例以牙周疾病为主诉但伴有口臭为次要主诉的患者进行了研究。以口臭为主诉的患者被诊断为有口臭的病例数少于以口臭为次要主诉的患者，分别为25%和53%。通过问卷调查，将患者的口臭主诉进一步分为三种类型：类型1，自觉口臭；类型2，由他人指出而意识到口臭；类型3，根据他人态度推测而意识到口臭。尽管两组中80%的患者属于类型1，但实际上，以口臭为主诉的类型1患者中只有24.1%有口臭，相比之下，以口臭为次要主诉的类型1患者中有50%有口臭。结果表明，在牙科诊所中，以口臭为主诉的大多数患者实际上并没有口臭，而是由于基于他人态度的推测而患有想象性口臭。治疗后，这些患者比以口臭为次要主诉前来就诊的患者更容易感到不满。
