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http://dx.doi.org/10.13065/jksdh.20220014

Relationship between stress and halitosis in Korean adolescents  

Lee, Eun-Sun (Department of Dental Hygiene, Hanyang Women's University)
Do, Kyung-Yi (Department of Preventive Medicine, Yonsei University Wonju Collage of Medicine)
Publication Information
Journal of Korean society of Dental Hygiene / v.22, no.2, 2022 , pp. 125-132 More about this Journal
Abstract
Objectives: The purpose of this study was to examine the relationship between stress and halitosis in a representative sample of Korean adolescents. Methods: This study was based on the 15th Korea Youth Risk Behavior Survey (2019). The final participation rate in the survey was 95.3%; 57,303 out of 60,100 (95.3%) adolescents aged 13-18 years were selected. Multiple logistic regression with complex samples was performed to identify the correlation between stress and halitosis. Stress level was classified as 'very much', 'a little', and 'not much' and halitosis was defined as the presence of an unpleasant odor in the oral cavity. Results: The prevalence of halitosis among students was 21.3%. As a result of multiple regression analysis, the 'a little' [odds ratio (OR); 1.39, 95% confidence interval (CI); 1.29-1.49] and 'very much' stress group (OR; 1.78, 95% CI; 1.66-1.90) exhibited significantly higher risk of halitosis than the 'not much' stress group. Conclusions: A significant correlation between stress and halitosis exists among Korean adolescents. Therefore, psychological factors such as stress should be considered in managing halitosis in adolescents.
Keywords
Adolescent; Halitosis; Oral health; Stress;
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Times Cited By KSCI : 8  (Citation Analysis)
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1 De Lima PO, Nani BD, Rolim GS, Groppo FC, Franz-Montan M, Alves De Moraes AB, et al. Effects of academic stress on the levels of oral volatile sulfur compounds, halitosis - related bacteria and stress biomarkers of healthy female undergraduate students. J Breath Res 2020;14(3):1-10. https://doi.org/10.1088/1752-7163/ab944d   DOI
2 Calil CM, Oliveira GM, Cogo K, Pereira AC, Marcondes FK, Groppo FC. Effects of stress hormones on the production of volatile sulfur compounds by periodontopathogenic bacteria. Braz Oral Res 2014;28(1):1-8. https://doi.org/10.1590/1807-3107bor-2014.vol28.0008   DOI
3 Cho HE. Relationship self - perceived halitosis and related factor among adults. J Korean Soc Dent Hyg 2017;17(6):1121-34. https://doi.org/10.13065/jksdh.2017.17.06.1121   DOI
4 Hong MH. Correlation between stress, dry mouth and halitosis in adults. J Korean Soc Dent Hyg 2015;15(3):389-97. https://doi.org/10.13065/jksdh.2015.15.03.389   DOI
5 Chung JS, Park HS, Na DW, Noh EK, Choi CH, Park J. Halitosis and related factors among adolescents in Korea. J Korean Acad Oral Health 2010;34(4):534-42.
6 Kim SY, Sim S, Kim SG, Park B, Choi HG. Prevalence and associated factors of subjective halitosis in Korean adolescents. PLoS One 2015;10(10):e0140214. https://doi.org/10.1371/journal.pone.0140214   DOI
7 Kim JB, Paik DI, Moon HS, Kim HD, Jin BH, Choi EG, et al. Clinical preventive dentistry. 4th ed. Seoul: Kommonsa; 2006: 66.
8 Quirynen M, Dadamio J, Van den Velde S, De Smit M, Dekeyser C, Van Tornout M, et al. Characteristics of 2000 patients who visited a halitosis clinic. J Clin Periodontol 2009;36(11):970-5. https://doi.org/10.1111/j.1600-051X.2009.01478.x   DOI
9 Suzuki N, Yoneda M, Naito T, Iwamoto T, Yamada K, Hisama K, et al. The relationship between alcohol consumption and oral malodour. Int Dent J 2009;59(1):31-4. https://doi.org/10.1922/IDJ_1984Suzuki04   DOI
10 Ford PJ, Rich AM. Tobacco use and oral health. Addiction 2021;116(12):3531-40. https://doi.org/10.1111/add.15513   DOI
11 Quirynen M, Zhao H, Van Steenberghe D. Review of the treatment strategies for oral malodour. Clin Oral Investig 2002;6(1):1-10. https://doi.org/10.1007/s00784-002-0152-9   DOI
12 Guedes CC, Bussadori SK, Weber R, Motta LJ, Costa da Mota AC, Amancio OMS. Halitosis: prevalence and association with oral etiological factors in children and adolescents. J Breath Res 2019;13(2):026002. https://doi.org/10.1088/1752-7163/aafc6f   DOI
13 Hampelska K, Jaworska MM, Babalska ZL, Karpinski TM. The role of oral microbiota in intra - oral halitosis. J Clin Med 2020;9(8):1-17. https://doi.org/10.3390/jcm9082484   DOI
14 Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. 1st ~ 15th guidelines for the use of raw data of Korea youth risk behavior survey. Cheongju: Ministry of Health and Welfare; 2020: 7-12.
15 Kim JE, Lee ST, Kim YE, Bae SH, Shin HJ, Jo JE, et al. Influence of stress on the oral health and quality of life of university students. J Korean Soc Dent Hyg 2018;18(5):797-806. https://doi.org/10.13065/jksdh.20180068   DOI
16 Lim HR, Jeon SY, Jo KH, Ju AI, Kim SH. Relationship between stress, oral health, and quality of life in university students. J Dent Hyg Sci 2016;16(4):310-6. https://doi.org/10.17135/jdhs.2016.16.4.310   DOI
17 Hong MH. Impact of physical stress symptoms and psycho - emotional stress symptoms on oral health in adults. Journal of the Korea Academia-Industrial cooperation Society 2014;15(3):1663-70. https://doi.org/10.5762/KAIS.2014.15.3.1663   DOI
18 Han GS. Self - perceived oral malodor symptoms and associated factors among adults in metropolitan area. J Korean Soc Dent Hyg 2013;13(3):475-80. https://doi.org/10.13065/jksdh.2013.13.3.475   DOI
19 Zalewska A, Zatonski M, Jablonka-Strom A, Paradowska A, Kawala B, Litwin A. Halitosis - a common medical and social problem. A review on pathology, diagnosis and treatment. Acta Gastroenterol Belg 2012;75(3):300-9.
20 Grocock R. The relevance of alcohol to dental practice. Br Dent J 2017;223(12):895-9. https://doi.org/10.1038/sj.bdj.2017.997   DOI
21 Rani H, Ueno M, Zaitsu T, Kawaguchi Y. Oral malodour among adolescents and its association with health behaviour and oral health status. Int J Dent Hyg 2016;14(2):135-41. https://doi.org/10.1111/idh.12160   DOI
22 Kim KE, Han JH. Correlation among halitosis, xerostomia and stress in adults. J Dent Hyg Sci 2016;16(5):370-7. https://doi.org/10.17135/jdhs.2016.16.5.370   DOI
23 Loesche WJ, Kazor C. Microbiology and treatment of halitosis. Periodontol 2000 2002;28(1):256-79. https://doi.org/10.1034/j.1600-0757.2002.280111.x   DOI
24 Kho HS. Practical oral medicine knowledge & pharmacotherapy - case - based learning -. 1st ed. Seoul: Jisung; 2015: 67-72.
25 Halitosis Control Research Association. Oral malodor management 1st ed. Seoul: Komoonsa; 2014: 130-6.
26 Lima PO, Calil CM, Marcondes FK. Influence of gender and stress on the volatile sulfur compounds and stress biomarkers production. Oral Dis 2013;19(4):366-73. https://doi.org/10.1111/odi.12011   DOI
27 Keremi B, Beck A, Fabian TK, Fabian G, Szabo G, Nagy A, et al. Stress and salivary glands. Curr Pharm Des 2017;23(27):4057-65. https://doi.org/10.2174/1381612823666170215110648   DOI
28 Wu J, Cannon RD, Ji P, Farella M, Mei L. Halitosis: prevalence, risk factors, sources, measurement and treatment - a review of the literature. Aust Dent J 2020;65(1):4-11. https://doi.org/10.1111/adj.12725   DOI
29 Lee ES, Park JR, Jung JY, Kwon SB, Han GS, Yoo JS, et al. Clinical dental hygiene curriculum. 3rd ed. Seoul: Kommonsa; 2020: 76-80.
30 Kim YJ, Lee JH. Effects of health - related behaviors and oral health behaviors on oral disease symptoms in adolescents. J Korean Acad Oral Health 2020;44(2):78-84. https://doi.org/10.11149/jkaoh.2020.44.2.78   DOI
31 Kim KS, Kang KH, Kim YS, Kim YI, Kim JD, Kim CH, et al. Oral physiology for dental hygienist. Seoul: Komoonsa; 2019: 262-3.
32 Choi AR. The effect of daily stress on the psychological well - being of adolescents: moderating effect of positive psychological capital. The Journal of Humanities and Social sciences 21 2021;12(1):299-312. https://doi.org/10.22143/hss21.12.1.22   DOI