Ben-Aryeh H, Horowitz G, Nir D, Laufer D
Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.
Am J Otolaryngol. 1998 Jan-Feb;19(1):8-11. doi: 10.1016/s0196-0709(98)90058-8.
To summarize the experience in our halitosis clinic, emphasizing an interdisciplinary approach.
Thirty-nine patients with a primary complaint of halitosis were evaluated. Their health was established by a questionnaire, by clinical examination, and by laboratory analysis. Halitosis was evaluated organoleptically by a dentist and an otolaryngologist (odds ratio [OR] = 5.7). The volatile sulfide levels were measured with a portable sulfide monitor (Halimeter; RH-17 series, Interscan, Chatsworth, CA).
The patients were found to suffer from otolaryngological disorders (26%), dental problems (23%), oral discomfort (18%), and gastrointestinal pathology (10%), or several of the above. In 31% of the patients, however, no clinical involvement was detected. The salivary flow rates in the patients were similar to those in healthy controls, whereas their oral Candida carrier rate was low (28%). Fifty-seven percent of the patients had objective halitosis by organoleptic evaluation and 61% by Halimeter measurement.
A high percentage of the patients who came to the clinic with a primary complaint of halitosis did not have a detectable problem.
总结我们口臭诊所的经验，强调采用多学科方法。
对39例以口臭为主诉的患者进行了评估。通过问卷调查、临床检查和实验室分析来确定他们的健康状况。由一名牙医和一名耳鼻喉科医生通过感官评估口臭情况（优势比[OR]=5.7）。使用便携式硫化物监测仪（Halimeter；RH-17系列，Interscan，加利福尼亚州查茨沃思）测量挥发性硫化物水平。
发现患者患有耳鼻喉科疾病（26%）、牙齿问题（23%）、口腔不适（18%）和胃肠道病变（10%），或上述几种情况。然而，31%的患者未检测到临床病变。患者的唾液流速与健康对照组相似，而他们的口腔念珠菌携带率较低（28%）。通过感官评估，57%的患者存在客观口臭，通过Halimeter测量则为61%。
以口臭为主诉前来诊所就诊的患者中，很大一部分没有可检测到的问题。
