• Journal of dental hygiene science
• /
• v.8 no.3
• /
• pp.123-129
• /
• 2008

The purpose of this study was to investigate the actual conditions of the subjective oral malodor perception of the survey subjects. Through the subjective questionnaire method over about 3 months from June to August in 2007, the data was collected targeting 275 adults. Statistical methods used were Chi-square test, Fisher's exact test and One-way ANOVA. And, the following results were obtained. 1. When having seen the ratio of those who were conscious of oral malodor, the adults, who responded with saying of feeling oral malodor at present and at ordinary times, accounted for 68.4% and 79.3%, respectively. And, the adults, who responded with saying of not feeling, were indicated to be 31.6%(at present) and 20.7%(at ordinary times), respectively. 2. Almost 83.5% of total people answered that they had most severe oral malodor at the time of awakening and 51.9% of subjects answered tongue contributed to the their oral malodor. 3. About the type of oral malodor, although 37.2% of the group thought the type of oral malodor was a food smell and fetid smell was second general burning smell occurred the time of hunger(22.5%). 4. In the answers of hoping for treatment of oral malodor, 66.9% of the people showed positive response to dental treatment for controlling their oral malodor. Especially 7.3% of subjects showed very big desire for treatment. 5. In the level of oral malodor that is felt now according to the time of a meal, the case of within 1 hour after having a meal was responded to be not felt the oral malodor with 44.7%. And, there was response with saying of not feeling oral malodor in 37.6% as for 1-2 hours, 16.3% as for 2-3 hours, 14.8% as for 3-4 hours, and 23.7% as for more than 4 hours. Thus, the level of oral malodor according to the time of a meal showed the statistically significant difference(p<0.01). Through the results of this study, it could be known about whether or not being conscious of oral malodor in general people, the main cause and region for oral malodor, the importance and practicing method of tongue brush through literature. Accordingly, there is necessity of further researching and comparing whether or not being conscious of oral malodor by diversely surveying relevancy with factors of causing oral malodor based on the objective oral malodor measurement value. The future diverse researches are thought to be necessarily performed in order to prevent or reduce oral malodor.

• Journal of Oral Medicine and Pain
• /
• v.32 no.2
• /
• pp.157-175
• /
• 2007

This study was conducted through an interview process in which questionnaires were administered to 293 people. The questionnaires related to the behaviors of oral hygiene care, and disease history related to halitosis, and status of halitosis, halitosis measurement, oral examination, and caries activity tests such as the snyder test, Salivary flow rate test, and Salivary buffering capacity test. Our sample was taken from 293 rural residents within the period from 4th to 21st of January 2006. This was done in order to provide basic data to prepare both policies of halitosis prevention and a device to efficiently measure halitosis status and investigate the factors related therein. The major findings of this study results are as follows: 1. As for frequency of tooth brushing, twice a day occupied the greatest portion at 46.1 % Women exceeded men in frequency of tooth brushing. Tongue brushing everyday produced a 25.6 % result among subjects and The use of auxiliary oral hygiene devices occupied 9.2 %. 2. As for degree of usual self-awareness of halitosis: 62.5 %. This result also demonstrate that the severest time of self-awareness in regards to halitosis is wake up time in the morning. The time period produced the highest portion of 72.7 % in times of self-awareness. In terms of the area in which halitosis was observed, gum resulted in 23.0 %. As for types of halitosis, fetid smell was the most frequent at 37.2 %. 3. As for the result of halitosis measurement, values of OG less than 50 ppm occupied 54.3 % and $50{\sim}100ppm$ occupied 41.6 %. As for $NH_3$ values, $20{\sim}60ppm$ showed the highest value range of 52.6 %. 4. As for OG per disease history related to halitosis, values of OG were significantly high in the ranges of $50{\sim}100ppm$ within family history groups of food impaction by dental caries, diabetes mellitus and halitosis. As for values of $NH_3$, there showed a significant difference in respiratory system disease groups. 5 Value range of OG per ordinary halitosis self-awareness degree: values ranging less than 50 ppm were recorded at 55.9 % from the group realizing not aware of smell. 57.5 % from groups only realizing sometimes, while values range of $50{\sim}100ppm$ were recorded at 52.0 % from groups always aware of smell. 63.6 % from groups always strongly aware of smell. Meanwhile as for the values ranges of $NH_3$, $20{\sim}60ppm$. they occupied high portions for all groups of exams. 6. Values of OG per oral examination: the more pulp-exposed teeth and food impaction and the higher the tongue plaque index, values of OG increased within the range of $50{\sim}100ppm$. As for values of $NH_3$, the more prosthetic teeth and the higher the tongue plaque index, this value increased significantly, and the values increased up to no less than 60 ppm for groups of mandibular partial denture. 7. Within the realm of caries activity test: as for the Snyder test, high activity was highest by 43.0 % wherewith the higher the activity of acidogenic bacteria the higher the OG values. As for the salivary flow rate test, the number of cases below 8.0 ml showed the highest tendency by 62.5 %. The larger the salivary flow rate the more decreased OG values distribution. As for the salivary buffering capacity test, $6{\sim}10$ drops of 0.1N lactic acid showed the overwhelming trend by 58.7 % whereby the higher the salivary buffering capacity the greater distribution occupancy ratio of OG values below 50 ppm which is scentless to on ordinary person. 8. As for the correlation between oral environment and halitosis, OG showed the positive correlation with pulp exposed teeth, filled teeth, present teeth, tongue plaque index, and food impaction, while the negative correlation with salivary flow rate and prosthetic teeth. $NH_3$ showed a positive correlation with prosthetic teeth and frequency of tooth brushing, while decayed teeth was negative correlation. 9. As for the multiple regression analysis result, there have been selected female, pulp exposed teeth, prosthetic teeth, food impaction, salivary flow rate, tongue plaque index and severe activities in the Snyder test as factors affecting OG wherein explanatory power on it was 45.1 %. There have been selected females, pulp exposed teeth, tongue plaque index, and prosthetic teeth as factors affecting on $NH_3$ wherein explanatory power on it was 6.6 %. With the aforementioned results in mind, the status of halitosis among rural residents is considered to bare a close relation with oral environments and other factors related to halitosis such as the Snyder test from caries activity test, and salivary flow rate test. For the prevention of halitosis of residents in rural areas, we have to focus on correct tooth brushing methods and tongue brushing, with using auxiliary oral hygiene devices to remove fur of tongue plaque and food impaction. Also, when the cause and ingredients of halitosis are diverse and complex, in order to analyze exactly the factors of individual halitosis development, we need continuous and systematic study in order to provide rural residents with programs of oral hygiene education and encourage the use of dental hygienists in public health centers.

• Journal of Korean society of Dental Hygiene
• /
• v.17 no.6
• /
• pp.1121-1134
• /
• 2017

Objectives: The purpose of this study is to analyze the factors affecting the self-perceived halitosis of adults and to utilize them as basic data for the development of prevention and management program to reduce of self-perceived halitosis. Methods: A questionnaire survey of 301 adults in their 20s and 50s living in Gwangju and Jeonnam selected by convenience sampling from July 1, 2017 to August 31, 2017 was conducted to investigate oral health status and behavior, fatigue and perceived stress. Statistical analysis was performed using frequency analysis, independent t-test, one way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The degree of self-perceived halitosis was higher in married (2.51) and unemployed (2.71), with tongue brushing (2.68), intention to participate in halitosis education (2.57), taking medication (2.73), coated tongue (2.82) and there was both otolaryngology and gastrointestinal disease (2.72) and periodontal disease (2.89) (p<0.05). Fatigue (${\beta}=0.237$), periodontal disease (${\beta}=0.196$), and coated tongue (${\beta}=0.237$) affect the self-perceived halitosis (p<0.001). Conclusions: The self-perceived halitosis in adults was correlated with fatigue and perceived stress. Also fatigue, periodontal disease, coated tongue factors were analyzed as factors influencing self-perceived halitosis. Additional studies such as prevention and management of periodontal disease and coated tongue, which is a factor of self-perceived halitosis in adults, and development of programs to reduce self-perceived halitosis for fatigue management, which is an external factor, are necessary.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.3
• /
• pp.383-390
• /
• 2016

Objectives: The purpose of this study was to examine the correlation between oral malodor and related factors in visitors to preventive dentistry practice lab. Methods: The subjects were selected from 71 visitors to preventive dentistry practice lab in a department of dental hygiene. The subjects were from twenty to twenty nine years old and had no systemic diseases or symptoms. The questionnaire consisted of general characteristics, oral malodor concentration, oral health status, oral health behavior, and self-rated oral malodor. Results: The mean concentration of the oral cavity gas was 50.80. The score of 50.80 was a weak smell by the selected judgement criteria. The oral malodor prevalence rate accounted for 39.1 percent and a weak smell was detected in 40 points. Those having higher oral malodor concentration tended to have lower self-rated oral health status(p<0.05). Conclusions: The results can not be generalized to determine the cause of oral malodor, but self-rated oral health status can be linked to systemic disease control. More investigation should be taken in order to analyzed the correlation between oral malodor and systemic diseases.

• The Korean Journal of Health Service Management
• /
• v.7 no.3
• /
• pp.125-135
• /
• 2013

The purpose of this study was to enhance soldiers' oral health level and to offer basic data on controlling and preventing halitosis. It surveyed halitosis-related elements and analyzed relationship between subjective self-perception level of halitosis according to it targeting 253 soldiers in their 20s in some areas of Seoul from September 2012 to October. Thus, the following conclusions were obtained. 1. As for subjects' self-perception of halitosis, the perception status of oral health was indicated to be 'very bad' and to be shown most highly in one place. It was indicated to be high in the group of feeling Xerostomia much and the group of often feeling the white membrane of tongue. The statistically significant difference was shown(p<0.01). 2. Subjects' self-perception of halitosis was indicated to be the highest in the group with the largest intake of snacks. It was shown to be the highest in the group of having sinus infection and rhinitis. It was indicated to be the highest in the group of having a habit of oral respiration. Significant difference was shown(p<0.05). 3. Subjects' self-perception of halitosis was indicated to be lower in the group, which ever received oral health education, than the group in opposite case. Significant difference was shown(p<0.05).

• Journal of Korean society of Dental Hygiene
• /
• v.17 no.6
• /
• pp.1195-1206
• /
• 2017

Objectives: The purpose of this study is to analyze relationship between oral health status and subjective oral malodor awareness of public health students. Furthermore, this study aimed to recognize the importance of prevention and treatment of internal and external factors and to contribute to the correct oral health management behavior. Methods: The study subjects were 500 students from 5 health departments of 2 universities located in Jeollanamdo who participated in self-administered survey from September 1 to 15, 2014. For statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the effects of general characteristics, health behavior, oral health behavior, and oral health status on subjective oral malodor awareness. Finally, to investigate the relationship between oral health status and subjective oral malodor awareness logistic regression analysis was performed. Results: Subjective oral malodor awareness was significantly higher in the group requiring dental care with the score of 1.63 (95% CI 1.00-2.65) compared to the group not requiring dental care. Subjective oral malodor awareness was significantly higher in the severe coated tongue group with the score of 5.31 (95% CI 1.45-19.40) and significantly higher in the moderate coated tongue group with the score of 2.56 (95% CI 1.61-4.08). Subjective oral malodor awareness was significantly higher in the often mouth breathing group with the score of 2.13 (95% CI 1.02-4.47) and significantly higher in the sometimes mouth breathing group with the score of 2.66 (95% CI 1.65-4.29). Conclusions: In order to prevent oral malodor, it is emphasized that regular dental checkups, proper brushing after the meal, and brushing of the tongue are necessary to remove the coated tongue. In addition, the use of supplementary oral care products is considered to be a meaningful oral health behavior.

• Journal of Korean society of Dental Hygiene
• /
• v.9 no.3
• /
• pp.493-506
• /
• 2009

The purpose of this study was to examine the awareness of people in general characteristics about oral malodor. The subjects in this study are 184 people who visited the clinical practice lab at J health college to get their teeth scaled. After conducting a survey from May 1 to June 3, 2008, we selected four different ares and then analyzed the answer sheets from 179 respondents including smoking/nonsmoking, scaling experience, toothbrushing frequency and the use of oral hygiene supplies. SPSS WIN 12.0 program was used to make a frequency analysis and cross analysis. The findings of the study are as follows: 1. Concerning an intention of treatment for oral malodor, 37.4% didn't intend to receive treatment even in case of having bad breath. 28.5% didn't yet have any definite idea about that, and 20.7% had no mind to do that at all. 10.6% had an intention to receive treatment, and 2.8% want to receive treatment. 2. As for how to cope with oral malodor in case of suffering from it, 47.5% chewed gums or ate candy. 25.1% scarcely care about that, and 15.6% covered their mouth whenever they spoke. 9.5% had little confidence about talking to others, and 2.2% found it difficult to build an amicable interpersonal relationship. 3. Concerning what to do about another person's oral malodor, 40.8% did nothing, and 19% talked to the person about that. 17.3% gave him or her chewing gum. Among their oral health characteristics, toothbrushing frequency made a significant difference to the way they responded to another person's oral malodor(p<.05). 4. As to subjective feelings about another person's oral malodor, 41.9% just found it bearable. 36.9% were a little displeased, and 9.5% never felt bad about another person's bad breath. 8.9% tried to avoid the person, and 2.8% advised him or her to chew gum. 5. Regarding an intention of participating in a oral malodor program, 46.9% had no idea about that. 31.3% intended to participate in the program, and 13.4% wanted to do that without fail. 6.1% had no mind for that, and 2.2% were never going to do that. Among characteristics of the user oral hygiene device made a significant difference whether to participating in the oral malodor program(p<.05).

• Journal of Korean society of Dental Hygiene
• /
• v.8 no.4
• /
• pp.127-139
• /
• 2008

The purpose of this study was to examine the awareness of people in general about halitosis. The subjects in this study were 184 people who visited the clinical practice lab at J health college to get their teeth scaled. After a survey was conducted from May 1 to June 3, 2008, the analyzable answer sheets from 178 respondents were analyzed after four different areas were selected, which included smoking/nonsmoking, scaling experience, toothbrushing frequency and the use of oral hygiene supplies. SPSSWIN 12.0 program was utilized to make a frequency analysis and crosstabs analysis. The findings of the study were as follows: 1. Concerning subjective feelings of halitosis, 55.3 percent(99 people) of the respondents found themselves to have a moderate level of bad breath. 28.5 percent(51) deemed themselves to have a little foul breath, and 14 percent(25) didn't feel they had any bad breath. 2. As to the subjective level of halitosis, 89.8 percent(168) thought that their bad breath was a little perceived only by themselves, regardless of smoking, scaling experience, toothbrushing frequency and the use of oral hygiene supplies. 3. In regard to the cause of halitosis, 31 percent(56) cited plaque in the mouth as the cause, and 28.5 percent(51) pointed out the other causes that weren't mentioned in the questionnaire. 18.4 percent(33) cited decayed tooth, and 11.2 percent(20) pointed out gastroenteric disorder. 10.6 percent(19) viewed diabetes as the cause. 4. As to the time when they had the subjective symptom of halitosis, 114 respondents(63.7%) felt their own bad breath the most immediately after they got up 21.8 percent(39 respondents) did it when they were hungry 5.5 percent(9) did that before breakfast, and 4.5 percent(8) did that after having breakfast. 5. Regarding view of how to prevent halitosis, 52.5 percent(94) brushed their teeth frequently 21.2 percent(38) got their teeth scaled on a regular basis at a dentist's office, and 17.9 percent(32) drank water often. The above-mentioned finding seemed to suggest that the respondents weren't well aware of the fact halitosis was a sort of oral and systemic disease. Therefore the development of halitosis prevention and care programs geared toward practice lab visions were required.

• Journal of Korean Clinical Health Science
• /
• v.3 no.1
• /
• pp.268-275
• /
• 2015

Purpose. Most of halitosis is found by people than by themselves in their life. There are some people who are suffering from oral malodor psychasthenia although they do not have halitosis which may disturb social life by sociophobia. Methods. The subjects of this survey were the dental hygienic college students in Busan city and Gyeongnam province from December 1 to December 20, 2013, we use the 281 parts except for the 19 parts of a bad faith response of 300 parts. Results. As a response to the awareness of the halitosis of college students, "the smell became sometime" was highest in 63.3%, and tooth brushing of halitosis, In according to about awareness of halitosis brushing the number of cases showed a 73.4% increase when you answered "no" in case one day the number of brushing at least three times less than a minute halitosis awareness conducted brushing (p<0.05),in case of less than 1 minute brushing time, this was a statistically significant increase halitosis awareness (p<0.05). Conclusions. This study assessment the association between halitosis awareness and oral care habits was to provide students with the basis for education and counseling halitosis in clinical.

• Journal of Korean society of Dental Hygiene
• /
• v.13 no.2
• /
• pp.231-237
• /
• 2013

Objectives : The purpose of this study to provide preliminary data to effective halitosis control. Methods : A survey was carried out the self-perception of causative factors of halitosis in 98 female college students in Chungnam province. In addition, the levels of oral gas and breath gas were measured by use of the B&B checker, and an analysis was made of the correlation between halitosis and obsessive-compulsive disorder (OCD). Results : 1. Subjective halitosis awareness degree different degree of dryness, 'None', 'some', 'little' people who feel as the 'little fly' (68%), 78.3%, 70% was higher (p<0.05), halitosis interest 'very worried', 'worry', 'normal' person with a' not at all 'to 58.3% higher (p<0.01). 2. In regard to OCD severity, 49.0%, 34.7% and 16.3% were found to be mild, moderate and severe respectively. Halitosis tended to be severe in proportion to OCD severity, which was statistically significant (p<0.05). 3. Oral gas had a positively correlation with breath gas (r=0.329, p<0.01), but had a negative one with OCD severity (r=0.204, p<0.05). Conclusions : Symptoms of oral dryness and halitosis interest were associated with self-perception of halitosis. The levels of oral gas and breath gas were in inverse proportion to OCD severity. Hereat, it needs to analyze psychogenic factors properly as regards the diagnosis or treatment of halitosis.