Comparison between self-estimated and clinical oral malodor.
Comparison between self-estimated and clinical oral malodor.
复制标题
自我评估与临床口腔恶臭的比较。
DOI：
10.3109/00016357.2012.671363
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发表时间：
2013
影响因子：
2
通讯作者：
T. Pham
中科院分区：
文献类型：
--
作者：
T. Pham
目标
本研究旨在评估患者对口腔异味的自我评估和临床诊断的有效性，并探讨口腔异味与口腔健康状况的关系。
方法
受试者为252名抱怨口腔恶臭的患者（平均年龄43.7 ± 10.7岁）。通过患者自我评价、口腔感觉测试和口腔色度来评估口腔恶臭。检查口腔健康状况，包括牙齿和牙周状况、口腔卫生状况和唾液流速。用BANA试验检测舌苔中BANA阳性菌。采用斯皮尔曼相关系数法对口腔恶臭的自我感觉与临床表现进行相关性检验。采用逐步多元回归分析方法，对患者自评和临床口臭的预测因素进行分析。
结果
诊断为假性口臭的患者占38.5%。患者自评口臭与感官检查（r = 0.61）、H（2）S（r = 0.50）和CH（3）SH（r = 0.46）呈显著相关。有47.1%的患者对自己的口腔异味评分与检查者的判断一致。无口腔异味患者的对应率最高（52.6%），其次是中度或重度口腔异味患者（46.7%）和轻度口腔异味患者（33.3%）。患者自评和临床恶臭的显著预测因素为探诊出血、舌苔、BANA试验和唾液流速。
结论
患者自评口臭与临床口臭有显著的对应关系，并与口腔健康状况相关。目前的研究结果表明，自我估计可以用来判断自己的口腔恶臭。
OBJECTIVES
The aims were to evaluate the validity of patients' self-estimation and clinical diagnosis of oral malodor and to examine the relationship of oral malodor with oral health status.
METHODS
The subjects were 252 patients (mean age 43.7 ± 10.7 years) who complained of oral malodor. Oral malodor was assessed by patients' self-estimation, organoleptic test and Oral Chroma. Oral health status, including dental and periodontal conditions, oral hygiene status and flow rate of saliva, was examined. The N-benzoyl-DL-arginine-2-napthilamide (BANA) positive bacteria in tongue coating were evaluated by BANA test. A Spearman's correlation coefficient was used to test correlation between self-perceived and clinical oral malodor. The stepwise multiple regression analysis was used to assess predictors of patients' self-estimated and clinical oral malodor.
RESULTS
The percentage of patients who were diagnosed with pseudo-halitosis was 38.5%. Patients' self-estimated oral malodor was significantly correlated with organoleptic test (r = 0.61), H(2)S (r = 0.50) and CH(3)SH (r = 0.46). There were 47.1% of patients who estimated correctly their oral malodor's scores with those by examiner. The highest correspondence was found in patients without oral malodor (52.6%), followed by in those with moderate or strong oral malodor (46.7%) and in those with slight oral malodor (33.3%). The significant predictors of patients' self-estimated and clinical oral malodor were bleeding on probing, tongue coating, BANA test and flow rate of saliva.
CONCLUSION
Patients' self-estimated oral malodor was found to correspond significantly with clinical oral malodor and be associated with oral health status. Current findings suggest that self-estimation can be used to judge one's own oral malodor.