Simone A J, Logan E I, Livgren R, Suelzer M
Colgate-Palmolive Technology Center, Piscataway, New Jersey, USA.
J Clin Dent. 1997;8(6):163-8.
The study of oral malodor continues to receive attention. Most bad breath is of oral origin and can be corrected with proper oral hygiene. Studies performed with saliva from people with periodontal disease and from healthy individuals showed that saliva from diseased patients produced a more objectionable odor faster than that of healthy people, and that the volatile sulfur components (VSC) produced may actually play a role in the etiology of periodontal disease. However, not all people or animals with bad breath have periodontal disease. The objectives of this study were to determine if a trained panel could discriminate between 10 dogs with clinically defined periodontal disease and those with relatively healthy periodontium. Second, this study attempted to establish a correlation between odor intensity and six clinical parameters of oral health. The judges were able to differentiate between the two groups of dogs based only on oral malodor (p < 0.02). There were strong associations of the intensity of oral malodor with oral health index scores. The correlations established between odor and gingivitis (r = 0.81) and between odor and furcation exposure (r = 0.88) were very high and statistically significant. Similarly, probing depth (r = 0.73), plaque (r = 0.07) and tooth mobility (r = 0.66) showed clear, positive relationships with oral malodor.
口臭的研究一直备受关注。大多数口臭源自口腔,通过适当的口腔卫生措施可以得到改善。对牙周病患者和健康个体的唾液进行的研究表明,患病患者的唾液比健康人的唾液更快产生更令人反感的气味,并且所产生的挥发性硫成分(VSC)可能实际上在牙周病的病因中起作用。然而,并非所有有口臭的人或动物都患有牙周病。本研究的目的是确定一个经过训练的小组是否能够区分10只患有临床定义的牙周病的狗和那些牙周相对健康的狗。其次,本研究试图建立气味强度与口腔健康的六个临床参数之间的相关性。评判员仅根据口臭就能区分两组狗(p < 0.02)。口臭强度与口腔健康指数评分之间存在很强的关联。气味与牙龈炎之间的相关性(r = 0.81)以及气味与根分叉暴露之间的相关性(r = 0.88)非常高且具有统计学意义。同样,探诊深度(r = 0.73)、菌斑(r = 0.07)和牙齿松动度(r = 0.66)与口臭呈现出明显的正相关关系。