The association of periodontal disease with oral malodour in a Japanese population

The association of periodontal disease with oral malodour in a Japanese population
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DOI:
10.1111/j.1601-0825.2010.01685.x
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发表时间:
2010-10-01
期刊:
影响因子:
3.8
通讯作者:
Noguchi, K.
Noguchi, K.
中科院分区:
医学3区
文献类型:
--
作者:
Takeuchi, H.;Machigashira, M.;Noguchi, K.

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目的:本研究的目的是评估口腔异味和牙周病之间的关联,并确定牙周治疗对口腔异味的影响。材料和方法:口腔异味参数,包括挥发性硫化合物(VOC)的测量,甲基硫/硫化氢比气相色谱法,感官测试,舌苔评分,牙周参数进行了评估,在823例患者抱怨口腔异味。其中89例口腔致病性口臭患者接受了舌头清洁和牙周治疗。结果:在823例患者中,102例被诊断为牙龈炎,721例被诊断为牙周炎。口腔异味的严重程度增加,牙周参数和牙周水平。感官测试与牙周探诊深度和牙周袋深度>= 4 mm的百分比显著相关(r分别为0.40和0.39)。牙周组织中甲基硫/硫化氢比值与牙周组织参数之间存在显著相关性。89例口腔致病性口臭患者经牙周治疗后,口腔异味和牙周参数均显著降低。结论:口腔异味与牙周疾病有关,牙周治疗结合舌清洁对口腔致病性口臭有一定的治疗作用。
Aim:The purpose of this study was to evaluate the association between oral malodour and periodontal disease, and to determine the effect of periodontal therapy on oral malodour.Materials and Methods:Oral malodour parameters, including volatile sulphur compound (VCS) measurement, methyl mercaptan/hydrogen sulphide ratio by gas chromatography, organoleptic testing, tongue coating score, and periodontal parameters were evaluated in 823 patients complaining of oral malodour. Amongst these patients, 89 with oral pathogenic halitosis received tongue cleaning and periodontal therapy. Oral malodour and periodontal parameters were measured at baseline and after treatment.Results:Amongst 823 patients, 102 were diagnosed with gingivitis and 721 with periodontitis. VCS levels and periodontal parameters increased according to the severity of oral malodour. Organoleptic testing significantly correlated with periodontal probing depth and a percentage of periodontal pocket depth >= 4 mm (r = 0.40 and 0.39 respectively). There were significant correlations between methyl mercaptan/hydrogen sulphide ratio and periodontal parameters. Significant decrease in oral malodour and periodontal parameters in 89 patients with oral pathogenic halitosis was also observed after periodontal treatment.Conclusions:Oral malodour is associated with periodontal disease, and periodontal therapy combined with tongue cleaning is beneficial for oral pathogenic halitosis.