Reliability of Clinical Parameters for Predicting the Outcome of Oral Malodor Treatment
Reliability of Clinical Parameters for Predicting the Outcome of Oral Malodor Treatment
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DOI：
10.1177/154405910308200706
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发表时间：
2003-07
影响因子：
7.6
通讯作者：
M. Tanaka;H. Anguri;N. Nishida;M. Ojima;H. Nagata;S. Shizukuishi
中科院分区：
文献类型：
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作者：
M. Tanaka;H. Anguri;N. Nishida;M. Ojima;H. Nagata;S. Shizukuishi
我们进行了本研究，以确定诊断口臭的临床参数在口腔异味治疗的准确预后发展中最可靠。临床评估包括问卷调查、口腔检查和挥发性硫化合物（VSC）测量，以及基线时的感官测试（OLT）。92例口腔病理性口臭患者采用相同的治疗方法。改善的治疗结果定义为总VSC < 0.25 ppm， OLT评分≤2，基线后6个月口腔异味主观应激水平“悲伤感觉”量表< 30。34例患者表现出治疗后的改善。在一个多重逻辑模型中，口袋深度、OLT评分、口腔内不适和口腔异味的自我感知在基线时显示出与“未改善的结果”显著相关。这些结果表明，恶臭和牙周病相关参数和基线恶臭的自我估计对预测结果是有效的。
We conducted the present study to determine which clinical parameters for diagnosing halitosis are most reliable in the development of an accurate prognosis for oral malodor treatment. Clinical evaluation included a questionnaire, oral examination and volatile sulfur compounds (VSC) measurement, and organoleptic test (OLT) at baseline. Ninety-two patients classified with oral pathologic halitosis were treated in a similar manner. Improved treatment outcome was defined as < 0.25 ppm of total VSC, ≤ 2 OLT score, and < 30 on the "sad feeling" scale as subjective stress level by oral malodor 6 months after baseline. Thirty-four patients demonstrated improvement due to the treatment. In a multiple logistic model, pocket depth, OLT score, intra-oral discomfort, and self-perception of oral malodor at baseline displayed significant association with "not improved outcome". These results suggest that malodor- and periodontal-disease-related parameters and self-estimation of malodor at baseline are effective for prediction of outcome.