The levels of volatile sulfur compounds in mouth air from patients with chronic periodontitis
The levels of volatile sulfur compounds in mouth air from patients with chronic periodontitis
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DOI：
10.1111/j.1600-0765.2007.01011.x
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发表时间：
2008-04-01
影响因子：
3.5
通讯作者：
Ho, Y-P.
中科院分区：
文献类型：
--
作者：
Tsai, C-C.;Chou, H-H.;Ho, Y-P.
背景与目的：挥发性硫化物可能是口腔恶臭的主要来源。本研究的目的是阐明牙周参数和挥发性硫化物之间的关系，并评估通过刮舌、非手术牙周治疗对几种口臭相关结果的改善。（包括口腔卫生指导）和口腔卫生指导/洗必泰+十六烷基吡啶漱口。对72例舌苔较厚的慢性牙周炎患者进行口腔异味和牙周状况的评估。通过使用OralChroma（TM）和感官测试评分测量挥发性硫化合物的水平来评估口腔恶臭。选择30名参与者进行后续实验：刮舌;非手术牙周治疗;口腔卫生指导/洗必泰+十六烷基吡啶漱口。结果：硫化氢（H2S）、甲硫醇（CH 3SH）、舌苔评分、挥发性硫化物与舌苔感官评分呈显著正相关，与探诊出血率、舌苔评分呈显著正相关。刮舌显著降低了挥发性硫化合物的水平。进一步减少挥发性含硫化合物的非手术牙周治疗和口腔卫生指导/洗必泰+十六烷基吡啶漱口后，注意到与baseline.Conclusion：挥发性含硫化合物，与H2S和CH 3SH为主要成分，在口腔空气中的恶臭的突出元素。刮舌后挥发性含硫化合物减少50%以上。非手术牙周治疗和口腔卫生指导/洗必泰+十六烷基吡啶漱口保持了显着较低的恶臭水平与基线相比。
Background and Objective: Volatile sulfur compounds may be the main source of oral malodor. The aim of this study was to clarify the relationship between periodontal parameters and volatile sulfur compounds and to evaluate the improvement of several halitosis-related outcomes by tongue scraping, nonsurgical periodontal treatment (including oral hygiene instruction) and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling.Material and Methods: Seventy-two chronic periodontitis patients with heavy tongue coating were assessed for oral malodor and periodontal status. Oral malodor was evaluated by measuring the levels of volatile sulfur compounds using OralChroma (TM) and the organoleptic test score. Thirty participants were selected for the subsequent experiments: tongue scraping; nonsurgical periodontal treatment; and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling. Twenty-five participants completed all experimental stages.Results: Significant correlations were observed between the organoleptic test score and hydrogen sulfide (H2S), methyl mercapton (CH3SH), tongue coating score and volatile sulfur compounds, which was also significantly correlated with bleeding on probing percentage and tongue coating score. Tongue scraping significantly reduced the levels of volatile sulfur compounds. Further reduction of volatile sulfur compounds after nonsurgical periodontal treatment and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling were noted compared with baseline.Conclusion: Volatile sulfur compounds, with H2S and CH3SH as the main components, in mouth air are the prominent elements of malodor. Volatile sulfur compounds were decreased by more than 50% after tongue scraping. Nonsurgical periodontal treatment and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling maintained a significantly lower level of malodor compared with baseline.