Post by drstillstanding on Dec 27, 2011 20:16:23 GMT
www.breath-odor.com/downloads/The%20Heartbreak%20of%20Halitosis%20Causes%20and%20Cures.PDF
The Heartbreak of Halitosis: Causes and Cures
I. CAUSES OF ORAL MALODOR
A. Non-oral causes
-Systemic Sources – diabetes, high protein/low carb diets, renal or hepatic failure, sinus
infections, internal bleeding
-Medications that cause malodor – Antabuse, DMSO, Griseofulvin, Isosorbide dinitrate
-Xerogenic Medications – antidepressants, antihypertensives, CNS stimulants, narcotics
B. Dental Causes of oral malodor
-Gingivitis, periodontitis, gross carious lesions, subgingival/tongue plaque, tonsilloliths
-Bacteria include Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia,
Tannerella forsythensis, Porphyromonas endodontalis, and Eubacterium species
Mouth Compound The Smell Made
Methyl Mercaptan (CH3SH) Feces
Hydrogen Sulphide (H2S) rotten eggs
Dimethyl Sulphide (CH3SCH3) Cabbage, sulphur, gasoline
Skatole (3-methyl-1H-indole) mothballs, feces
Cadaverine C5H14N2 Corpses, urine
Putrescine (NH2(CHH2)4NH2) decaying flesh
Isovaleric acid sweat, rancid cheese, sour milk
II. TESTING FOR ORAL MALODOR
A.Organoleptic Testing – sniff or smell patient’s mouth and nose air-scale 0-5
B. Halimeter by InterScan (Chatsworth, CA) is an “electronic nose” for VSCs
III. CLASSIFICATION OF HALITOSIS WITH CORRESPONDING TREATMENT NEEDS (TN1-5)
IV. TREATMENT NEEDS (TN) FOR HALITOSIS
________________________________________________________________________________
The Heartbreak of Halitosis: Causes and Cures
I. CAUSES OF ORAL MALODOR
A. Non-oral causes
-Systemic Sources – diabetes, high protein/low carb diets, renal or hepatic failure, sinus
infections, internal bleeding
-Medications that cause malodor – Antabuse, DMSO, Griseofulvin, Isosorbide dinitrate
-Xerogenic Medications – antidepressants, antihypertensives, CNS stimulants, narcotics
B. Dental Causes of oral malodor
-Gingivitis, periodontitis, gross carious lesions, subgingival/tongue plaque, tonsilloliths
-Bacteria include Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia,
Tannerella forsythensis, Porphyromonas endodontalis, and Eubacterium species
Mouth Compound The Smell Made
Methyl Mercaptan (CH3SH) Feces
Hydrogen Sulphide (H2S) rotten eggs
Dimethyl Sulphide (CH3SCH3) Cabbage, sulphur, gasoline
Skatole (3-methyl-1H-indole) mothballs, feces
Cadaverine C5H14N2 Corpses, urine
Putrescine (NH2(CHH2)4NH2) decaying flesh
Isovaleric acid sweat, rancid cheese, sour milk
II. TESTING FOR ORAL MALODOR
A.Organoleptic Testing – sniff or smell patient’s mouth and nose air-scale 0-5
B. Halimeter by InterScan (Chatsworth, CA) is an “electronic nose” for VSCs
III. CLASSIFICATION OF HALITOSIS WITH CORRESPONDING TREATMENT NEEDS (TN1-5)
IV. TREATMENT NEEDS (TN) FOR HALITOSIS
________________________________________________________________________________