Akademik Veri Yönetim Sistemi
SENDROM, cilt.17, sa.3, ss.69-80, 2005 (Scopus)
Halitosis is the general term used to describe any disagreeable odor originating from mouth, nose and the air filled organs such as sinuses, lungs and pharynges. Reviews now agree that in the vast majority of cases, halitosis (85%) originates within oral cavity, where Gram-negative anaerobic bacteria producing sulphur-containing products reside. Halitosis can be either physiologic or pathologic. Physiologic halitosis occurs from the fragrant gases which are spreading from foods, vegetables (such as onion and garlic), spices. These gases are transported direct through the lungs by hematological route and exhaled leading to physiologic halitosis. Physiologic halitosis is reversible with effective oral hygiene. Pathologic halitosis is more severe and can not easily reversible. It is associated with poor oral hygiene, dental plaque, dental caries, gingivitis, periodontitis. Another factor for this halitosis is systemic diseases. Spectrometric and gas chromatography investigations showed volatile sulphur compounds (VSC), namely hydrogen sulphide (H2S), methylmercaptan (CH3SH) and dimethylsulphide (CH3)2S are the gases which cause halitosis. In the treatment plan oral soft tissues, teeth and periodontal tissues has to be examined. All failed dental restorations, caries and pulp pathologies must be targeted. Treatment of active periodontal diseases must be the priority Chronic ulserative conditions, chronic oral candidiasis and xerostomia must be searched and treated carefully. If one can not find any specific oral pathology, tongue coating and systemic diseases must de suspected for being the cause of oral malodor.