J Korean Acad Oral Health.  2016 Sep;40(3):206-211. 10.11149/jkaoh.2016.40.3.206.

Diagnosis and treatment of physiologic halitosis: a case report

• Lee SR
• Kim YS

• KMID: 2354793
• DOI: http://doi.org/10.11149/jkaoh.2016.40.3.206

Abstract

We selected a patient with physiological bad breath from among the outpatients with bad breath that have visited the halitosis control clinic in KUMC. We identified the factors that were associated with the development of bad breath and assessed the occurrence of discomfort in the mouth; thereafter, we were able to prescribe a treatment method for the patient. We determined the daily routine of the patient through a questionnaire and a diary of dietary life. From these analyses, we deduced the factors associated with her physiologic halitosis. We combined this information with the results of analysis of her oral and exhaled gas measurements, nasal gas measurements by oral malodor measuring devices, and salivary measurements to develop a treatment method that we prescribed to the patient. We conclude that oral health education, including correction of the patient's mismanaged oral-care methods and routines, could act as an alternative treatment method for patients with physiologic halitosis in Korea.

Keyword

Oral health education; Physiologic halitosis; Salivary measurement

MeSH Terms

Diagnosis*
Education
Halitosis*
Humans
Korea
Methods
Mouth
Oral Health
Outpatients

Figure

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  Fig. 1. Examination of tongue (Left: red and indented tongue, Right: normal tongue)1,9,10).

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  Fig. 2. Clinical photograph of throat area.

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  Fig. 3. Flow diagram showing the effect of patient's anxiety and stress influence on oral malodor.

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  Fig. 4. Flow diagram presenting the relationship among dietary habits, life habits and oral malodor.

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  Fig. 5. Flow diagram representing the oral malodor caused by the inappropriate mucosal membrane management.

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  Fig. 6. Flow diagram representing the oral malodor caused by the inappropriate tongue position and inadequate care of posterior part of a tongue and a throat hygiene.

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  Fig. 7. Halitosis resulted by the strained state of tongue1).

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  Fig. 8. Example of deep breathing and pronunciation exercise for tension relieving1,10).

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  Fig. 9. Tongue and mouth movement to release tension of oral muscles1,9).

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  Fig. 10. Let dorsal surface of the tongue touch palatal area and move backward, and then proceed with right and left reciprocation. After reciprocation, gargle and swallow one cup of water over three times1).

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  Fig. 11. Smile method (Left: A state of tension Right: Through the smile face as shown on the right, the position of a tongue is corrected and the tension of the throat is relieved1,10)).

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  Fig. 12. Gum method1,10.

Reference

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