Halitosis in geriatrics: factors related to this oral problem. An observational prospective clinical study.

Main Article Content

Fernanda Pereira de Caxias
https://orcid.org/0000-0001-5493-4069
Isabela Araguê Catanoze
https://orcid.org/0000-0003-3218-4177
Emily Vivianne Freitas da Silva
Júlia Taino Helena
Daniela Atili Brandini
https://orcid.org/0000-0003-3444-8519
Daniela Micheline dos Santos
Karina Helga Leal Turcio
https://orcid.org/0000-0002-5663-2029
Aimee Maria Guiotti
https://orcid.org/0000-0001-8903-6138

Abstract

Objective: To identify the presence and level of halitosis in edentulous individuals with or without prostheses, before and after rehabilitation with complete dentures (CD). Methods: Patients were verbally invited to participate and signed an Informed Consent. Halitosis was analyzed by the volatile sulfur compounds measurement method in the presence and absence of the old prostheses (M1) and 15 to 30 days after the patients received their new prostheses (M2). At M1, the patients answered a questionnaire with clinical data, and the saliva type and presence/absence of tongue coating were assessed. T-test and Spearman correlation test were used, and a p-value < 0,05 was considered statistically significant. Results: Twenty-seven patients (19 women) with an average age of 67 years participated in the study. The mean time of prosthesis usage was 20.2 years. Tong coating was present in 21 patients (77,8%). A good odor level of halitosis was self-claimed in 13 (41,8%) individuals. The odor level of halitosis was significantly lower in M2 compared to M1, either with or without CD and after hygiene (p < 0,001). There was a positive and statistically significant correlation between the level of halitosis and alcoholism, smoking, prostheses hygiene method, and the presence of disease (diabetes). Conclusion: The old complete replacement of the prostheses with new ones was able to improve the odor level in a period of 15 to 30 days after the treatment. The presence of halitosis was correlated with alcoholism, smoking, denture hygiene methods, and the presence of diabetes.



Article Details

How to Cite
1.
Caxias FP de, Catanoze IA, Silva EVF da, Helena JT, Brandini DA, Santos DM dos, et al. Halitosis in geriatrics: factors related to this oral problem. An observational prospective clinical study. HSJ [Internet]. 2020 May 14 [cited 2024 Nov. 21];10(2):36-42. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/930
Section
ORIGINAL ARTICLE

References

Aydin M, Harvey-Woodworth CN. Halitosis: a new definition and classification. Br Dent J. 2014;217(1):E1. doi: 10.1038/sj.bdj.2014.552

Cortelli JR, Barbosa MDS, Westphal MA. Halitosis: review of associated factors and therapeutic approach. Braz Oral Res [Internet]. 2008 [cited 2020 May 13];22(Spec Iss 1):44-54. Avaiable from: www.scielo.br/pdf/bor/v22s1/07.pdf

Gokdogan O, Catli T, Ileri F. Halitosis in otorhinolaryngology practice. Iran J Otorhinolaryngol. 2015;27(79):145-53. PMCID: PMC4409959

van den Broek AM, Feenstra L, de Baat C. A review of the current literature on aetiology and measurement methods of halitosis. J Dent. 2007;35(8):627-35. doi: 10.1016/j.jdent.2007.04.009

Wu T, He X, Lu H, Bradshaw DJ, Axe A, LoewyZ, et al. Development of in vitro denture biofilm models for halitosis related bacteria and their application in testing the efficacy of antimicrobial agents. Open Dent J. 2015;9:125-31. doi: 10.2174/1874210601509010125

Nalcaci R, Baran I. Oral malodor and removable complete dentures in the elderly. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6):e5-9. doi: 10.1016/j.tripleo.2008.02.016

Ueno M, Takeuchi S, Takehara S, Kawaguchi Y. Saliva viscosity as a potential risk factor for oral malodor. Acta Odontol Scand. 2014;72(8):1005-9. doi: 10.3109/00016357.2014.938115

Yaegaki K, Coil JM. Examination, classification, and treatment of halitosis; clinical perspectives. J Can Dent Assoc [Internet]. 2000 [cited 2020 May 13];66(5):257-61. Avaiable from: www.cda-adc.ca/jcda/vol-66/issue-5/257.html

Rosenberg M, Septon I, Eli I, Bar-Ness R, Gelernter I, Brenner S, et al. Halitosis measurement by an industrial sulphide monitor. J Periodontol. 1991;62(8):487-9. doi: 10.1902/jop.1991.62.8.487

Shimura M, Yasuno Y, Iwakura M, Shimada Y, Sakai S, Suzuki K, et al. A new monitor with a zinc-oxide thin film semiconductor sensor for the measurement of volatile sulfur compounds in mouth air. J Periodontol. 1996;67(4):396-402. doi: 10.1902/jop.1996.67.4.396

Baran I, Nalçaci R. Self-reported denture hygiene habits and oral tissue conditions of complete denture wearers. Arch Gerontol Geriatr. 2009;49(2):237-41. doi: 10.1016/j.archger.2008.08.010

Liu XN, Shinada K, Chen XC, Zhang BX, Yaegaki K, Kawaguchi Y. Oral malodor-related parameters in the Chinese general population. J Clin Periodontol. 2006;33(1):31-6. doi: 10.1111/j.1600-051X.2005.00862.x

De Boever EH, Loesche WJ. Assessing the contribution of anaerobic microflora of the tongue to oral malodor. J Am Dent Assoc. 1995;126(10):1384-93. doi: 10.14219/jada.archive.1995.0049

Rösing CK, Loesche W. Halitosis: an overview of epidemiology, etiology and clinical management Braz Oral Res. 2011;25(5):466-71. doi: 10.1590/S1806-83242011000500015

Nalcaci R, Baran I. Oral malodor and removable complete dentures in the elderly. Oral Med Oral Pathol Oral Radiol Endod 2008;105(6):e5-9. doi: 10.1016/j.tripleo.2008.02.016

Rosemberg M. Clinical assesment of bad breath: current concepts. J Am Dent Assoc. 1996;127(4):475-82. doi: 10.14219/jada.archive.1996.0239

Negrato CA, Tarzia O. Buccal alterations in diabetes mellitus. Diabetol Metab Syndr. 2010;2:3. doi: 10.1186/1758-5996-2-3

Tassopoulos CN, Barnett D, Fraser TR. Breath-acetone and blood-sugar measurements in diabetes. Lancet. 1969;1(7609):1282-6. doi: 10.1016/s0140-6736(69)92222-3

Galassetti P, Mann S, Tate D, Neill RA, Costa F, Wasserman DH, et al. Effects of antecedent prolonged exercise on subsequent counterregulatory responses to hypoglycemia. Am J Physiol Endocrinol Metab. 2001;280(6):E908-17. doi: 10.1152/ajpendo.2001.280.6.E908

Novak BJ, Blake DR, Meinardi S, Rowland FS, Pontello A, Cooper DM, et al. Exhaled methyl nitrate as a noninvasive marker of hyperglycemia in type 1 diabetes. Proc Nat Acad Sci. 2007;104 (40) 15613-18. 10.1073/pnas.0706533104