Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Self-Perception, Knowledge and Attitude of Halitosis among patients attending a Dental Hospital in South India-A Questionnaire based Study


Affiliations
1 Saveetha Dental College, SIMATS, Chennai, India
2 Department of Oral Medicine and Radiology, Saveetha Dental College, SIMATS, Chennai, India
     

   Subscribe/Renew Journal


Background: Halitosis or oral malodour is defined as an unpleasant breath odour. It can become a serious problem affecting individual’s social communication and self-confidence. The main substance responsible for this malodour is the volatile sulphur compounds (VSCs) produced from protein degradation by gram-negative anaerobic bacteria. Common aetiologies of bad breath include periodontal diseases, tongue coating, caries and decreased salivary flow. Extra oral causes comprise medication use, psychological factors, and pathologies related to the nose, tonsils, lungs and stomach. Halitosis has been shown to be a very uncommon reason for patients to visit a dental clinic. Hence a study was conducted to assess self-perception, knowledge and attitude of halitosis among patients attending a dental hospital in Chennai. Materials and methods: A cross sectional was conducted among 300 patients who visited dental hospital in South India. A self-structured questionnaire was implemented. The purpose of the study was explained, and any questions raised were addressed. Data was entered and statistically analysed in SPSS. Results: Most of the participants (132) did not have self-perceived halitosis. Majority of the participants were brushing twice a day and were using mouthwash regularly and they had a knowledge of halitosis. Conclusion: The study reviewed the knowledge, attitude and self perception of halitosis among the patients. However, further research is needed to examine oral malodour and correlate self‑perceived oral malodour with clinical or laboratory based evaluation and by the standard procedures available.

Keywords

Self-Perception, Halitosis, Periodontal Diseases, Dental Caries, Oral Malodour.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Agarwal V, Kumar P, Gupta G, Khatri M, Kumar A. Diagnosis Of Oral Malodour: A Review Of The Literature. Indian Journal of Dental Sciences. 2013 Sep 1;5(3).
  • Van den Broek AM, Feenstra L, de Baat C. A review of the current literature on aetiology and measurement methods of halitosis. Journal of dentistry. 2007 Aug 1;35(8):627-35.
  • Cortelli JR, Barbosa MD, Westphal MA. Halitosis: a review of associated factors and therapeutic approach. Brazilian oral research. 2008 Aug;22:44-54.
  • Kapoor A, Grover V, Malhotra R, Kaur S, Singh K. HalitosisRevisited. Indian Journal of Dental Sciences. 2011 Dec 1;3(5).
  • Gnanasekhar JD. Aetiology, diagnosis and management of halitosis: a review. Periodontal Practice Today. 2007 Jun 1;4(3).
  • Rayman S, Almas K. Halitosis among racially diverse populations: an update. International journal of dental hygiene. 2008 Feb 1;6(1):2-7.
  • Rosenberg M. Bad breath and periodontal disease: how related are they?. Journal of clinical periodontology. 2006 Jan 1;33(1):29-30.
  • Riggio MP, Lennon A, Rolph HJ, Hodge PJ, Donaldson A, Maxwell AJ, Bagg J. Molecular identification of bacteria on the tongue dorsum of subjects with and without halitosis. Oral diseases. 2008 Apr 1;14(3):251-8.
  • Tsai CC, Chou HH, Wu TL, Yang YH, Ho KY, Wu YM, Ho YP. The levels of volatile sulphur compounds in mouth air from patients with chronic periodontitis. Journal of periodontal research. 2008 Apr 1;43(2):186-93.
  • Van Den Broek AM, Feenstra L, De Baat C. A review of the current literature on management of halitosis. Oral diseases. 2008 Jan 1;14(1):30-9.
  • Eldarrat A, Alkhabuli J, Malik A. The prevalence of self-reported halitosis and oral hygiene practices among Libyan students and office workers. Libyan Journal of Medicine. 2008;3(4):1-9.
  • Scully C, Greenman J. Halitosis (breath odour). Periodontology 2000. 2008 Oct 1;48(1):66-75.
  • Preti G, Clark L, Cowart BJ, Feldman RS, Lowry LD, Weber E, Young IM. Non-oral etiologies of oral malodor and altered chemosensation. Journal of periodontology. 1992 Sep;63(9):7906.14. Sanz M, Roldan S, Herrera D. Fundamentals of breath malodour. J Contemp Dent Pract. 2001 Nov 15;2(4):1-7.
  • Panicker K, Devi R, Honibald E, Prasad A. Oral malodour: a review. Journal of Indian Academy of Dental Specialist Researchers. 2015 Jul 1;2(2):49-.
  • Donaldson AC, McKenzie D, Riggio MP, Hodge PJ, Rolph H, Flanagan A, Bagg J. Microbiological culture analysis of the tongue anaerobic microflora in subjects with and without halitosis. Oral diseases. 2005 Mar 1;11(s1):61-3.
  • Sterer N, Rosenberg M. Streptococcus salivarius promotes mucin putrefaction and malodor production by Porphyromonas gingivalis. Journal of dental research. 2006 Oct;85(10):910-4.
  • Tanwir F,Momin IA.Halitosis.Pak oral Dental J 2011;31:304-8 18. Porter SR, Scully C. Oral malodour (halitosis). Bmj. 2006 Sep 21;333(7569):632-5.
  • Yaegaki K, Coil JM. Examination, classification, and treatment of halitosis; clinical perspectives. Journal-Canadian Dental Association. 2000 May;66(5):257-61.
  • Erovic Ademovski S, Lingström P, Winkel E, Tangerman A, Persson GR, Renvert S. Comparison of different treatment modalities for oral halitosis. Acta odontologica scandinavica. 2012 May 1;70(3):224-33.
  • Sedky NA. Perceived impact of halitosis on individual’s social life and marital relationship in Qassim Province, KSA. The Journal of American Science. 2015;11(3):187-96.
  • Mineoka T, Awano S, Yoshida A, Soh I, Hamasaki T, Ansai T. Survey regarding knowledge and awareness of halitosis in community-dwelling young Japanese women. J Dent Health. 2011 Jul 30;61:282-7.
  • Eli I, Baht R, Koriat H, Rosenberg M. Self-perception of breath odor. The Journal of the American Dental Association. 2001 May 1;132(5):621-6.
  • Rösing CK, Loesche W. Halitosis: an overview of epidemiology, etiology and clinical management. Brazilian oral research. 2011 Oct;25(5):466-71.
  • Roberta Ratcliff. Current Concepts in the Cause and Treatment of Halitosis.Practicle Hygiene 1997:47-53
  • Lenton P, Majerus G, Bakdash B. Counseling and treating bad breath patients: A step-by-step approach. Journal of Contemporary Dental Practice. 2001 Mar;2(2):37-50.
  • Zalewska A, Zatoński M, Jabłonka-Strom A, Paradowska A, Kawala B, Litwin A. Halitosis--a common medical and social problem. A review on pathology, diagnosis and treatment. Acta gastro-enterologica Belgica. 2012 Sep;75(3):300-9.
  • Al-Ansari JM, Boodai H, Al-Sumait N, Al-Khabbaz AK, Al-Shammari KF, Salako N. Factors associated with self-reported halitosis in Kuwaiti patients. Journal of dentistry. 2006 Aug 1;34(7):444-9.
  • Bornstein MM, Stocker BL, Seemann R, Bürgin WB, Lussi A. Prevalence of halitosis in young male adults: a study in Swiss army recruits comparing self-reported and clinical data. Journal of periodontology. 2009 Jan;80(1):24-31.
  • Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between volatile sulphur compounds and certain oral health measurements in the general population. Journal of periodontology. 1995 Aug;66(8):679-84.
  • Sadhan SA, Darwish A (2016) Assessment of Subjective Oral Factors Associated with Self-Reported Halitosis among Adults. J Dent Health Oral Disord Ther 5(6): 00172.
  • Nalcaci R, Baran I. Factors associated with self-reported halitosis (SRH) and perceived taste disturbance (PTD) in elderly. Archives of gerontology and geriatrics. 2008 May 1;46(3):307-16.
  • Subashri A,Jothi Priya.Self perceived halitosis and oral hygiene habits among school children. Asian J Pharm clin res. 2016;9(4):208-209
  • Alshehri FA. Knowledge and attitude of Saudi individuals toward self-perceived halitosis. The Saudi Journal for Dental Research. 2016 Jul 1;7(2):91-5.
  • Madan C, Arora K, Chadha VS, Manjunath BC, Chandrashekar BR, Moorthy VR. A knowledge, attitude, and practices study regarding dental floss among dentists in India. Journal of Indian Society of Periodontology. 2014 May;18(3):361.
  • Singh A, S.Raja, Mandaloy A, Pitale U. Self perceived malodour and oral hygiene practice among undergraduate students. Nat J Dent Scie Res. 2016; 1 (4): 63-67
  • Mc Crae RR, Bartone PT, Costa PT. Age, anxiety, and self-reported health. The International Journal of Aging and Human Development. 1976 Feb;7(1):49-58.
  • Alzoubi FQ, Karasneh JA, Daamseh NM. Relationship of psychological and oral health statuses with self-perceived halitosis in a Jordanian population: a cross-sectional study. BMC oral health. 2015 Dec;15(1):89.
  • Ashwath B, Vijayalakshmi R, Malini S. Self-perceived halitosis and oral hygiene habits among undergraduate dental students. Journal of Indian Society of Periodontology. 2014 May;18(3):357.41. Jyothi S. Halitosis-A Growing Psychosocial Problem. Research Journal of Pharmacy and Technology. 2017;10(11):4024-9.
  • Yuvaraj S, Gheena S. Efficacy of Different Substances in the Control of Halitosis. Research Journal of Pharmacy and Technology. 2015;8(8):1132-4.
  • Kinberg S, Stein M, Zion N, Shaoul R. The gastrointestinal aspects of halitosis. Canadian Journal of Gastroenterology and Hepatology. 2010;24(9):552-6.

Abstract Views: 255

PDF Views: 0




  • Self-Perception, Knowledge and Attitude of Halitosis among patients attending a Dental Hospital in South India-A Questionnaire based Study

Abstract Views: 255  |  PDF Views: 0

Authors

P. Kuzhalvaimozhi
Saveetha Dental College, SIMATS, Chennai, India
Meenakshi Krishnan
Department of Oral Medicine and Radiology, Saveetha Dental College, SIMATS, Chennai, India

Abstract


Background: Halitosis or oral malodour is defined as an unpleasant breath odour. It can become a serious problem affecting individual’s social communication and self-confidence. The main substance responsible for this malodour is the volatile sulphur compounds (VSCs) produced from protein degradation by gram-negative anaerobic bacteria. Common aetiologies of bad breath include periodontal diseases, tongue coating, caries and decreased salivary flow. Extra oral causes comprise medication use, psychological factors, and pathologies related to the nose, tonsils, lungs and stomach. Halitosis has been shown to be a very uncommon reason for patients to visit a dental clinic. Hence a study was conducted to assess self-perception, knowledge and attitude of halitosis among patients attending a dental hospital in Chennai. Materials and methods: A cross sectional was conducted among 300 patients who visited dental hospital in South India. A self-structured questionnaire was implemented. The purpose of the study was explained, and any questions raised were addressed. Data was entered and statistically analysed in SPSS. Results: Most of the participants (132) did not have self-perceived halitosis. Majority of the participants were brushing twice a day and were using mouthwash regularly and they had a knowledge of halitosis. Conclusion: The study reviewed the knowledge, attitude and self perception of halitosis among the patients. However, further research is needed to examine oral malodour and correlate self‑perceived oral malodour with clinical or laboratory based evaluation and by the standard procedures available.

Keywords


Self-Perception, Halitosis, Periodontal Diseases, Dental Caries, Oral Malodour.

References