Scientific Online Resource System

Scripta Scientifica Medica

Bad breath in gastrointestinal and liver diseases

Radosveta Tomova, Vladimir Panov

Abstract

Bad breath is an oral health condition characterized by unpleasant odor from the oral cavity. The origin of halitosis is associated with different oral pathologies, but it may be related to systemic conditions in 15% of the cases. We examined 55 patients with various hepatic and gastrointestinal diseases. With an apparatus to measure bad breath we investigated the levels of odor in patients. The apparatus quantifies volatile sulfur compounds, hydrogen sulphide, mercaptan, dimethylsulfide and hydrocarbon from the mouth on a scale from 0 to 5. We compared the obtained results with those of 79 patients with general good health. Our studies indicate that the levels of bad breath in the first group were significantly higher in men (0.99) compared to those of women (0.41), more than twice, which is in contrast to the group of patients without systemic diseases. We registered the following average values for bad breath - 0.65 in younger patients (20-50 years) and a higher one - 0.89 in older patients (51-78 years). Older patients showed higher values of bad breath. Men have halitosis more often (67%) than women (32%).

As bad breath is caused by factors outside the mouth in only 15% of the cases, most likely, general illness cannot change this parameter.


Keywords

gastrointestinal diseases, liver diseases, bad breath, halitosis

Full Text


References

Tomás Carmona I, Limeres Posse J, Diz Dios P, Fernández Feijoo J, Vázquez García E, Extraoral etiology of halitosis. Med Oral. 2001 Jan-Feb;6(1):40–47.

Mokeem SA. Halitosis: a review of the etiologic factors and association with systemic conditions and its management. J Contemp Dent Pract. 2014 Nov 1;15(6):806–811.

Cortelli JR, Barbosa MD, Westphal MA. Halitosis: a review of associated factors and therapeutic approach. Braz Oral Res. 2008;22 Suppl 1:44–54.

Sivan Kinberg, Miki Stein, Nataly Zion, Ron Shaoul, The gastrointestinal aspects of halitosis, Can J Gastroenterol. 2010 Sep; 24(9): 552–556.

Krasteva A, Panov Vl, Krasteva A, Kisselova A. Oral cavity and systemic diseases – Helicobacter pylori and dentistry. Biotechnol & Biotechnol EQ. 2011;25:2447–541.

Krasteva A, A Kisselova, V Dineva, Vl Panov, A Ivanova, Z Krastev. Presence of helicobacter pylori in patients with oral malodor. J of IMAB 2013; 19(4):419–421.

HajiFattahi F, Hesari M, Zojaji H, Sarlati F, Relationship of Halitosis with Gastric Helicobacter Pylori Infection. J Dent (Tehran). 2015 Mar;12(3):200–205.

Adler I, Muiño A, Aguas S, Harada L, Diaz M, Lence A, Labbrozzi M1, Muiño JM, Elsner B, Avagnina A, Denninghoff V, Helicobacter pylori and oral pathology: relationship with the gastric infection. World J Gastroenterol. 2014 Aug 7;20(29):9922–9935.

Elahi M, Telkabadi M, Samadi V, Vakili H, Association of oral manifestations with ulcerative colitis. Gastroenterol Hepatol Bed Bench. 2012 Summer;5(3):155–160.

Krasteva A, Panov Vl, Krasteva A, Kisselova A. Oral cavity and systemic diseases – inflammatory bowel diseases. Biotechnol. & Biotechnol. Eq., 2011, 25(2), 2305–2309.

Bollen CM, Beikler, Halitosis: the multidisciplinary approach, T.Int J Oral Sci. 2012 Jun;4(2):55–63.

Krasteva A, Panov Vl, Krasteva A, Kisselova A. Oral cavity and systemic diseases – GERD. Biotechnol. & Biotechnol. Eq., 2012, 26(2), 2823–2825.

Kislig K, Wilder-Smith CH, Bornstein MM, Lussi A, Seemann R, Halitosis and tongue coating in patients with erosive gastroesophageal reflux disease versus nonerosive gastroesophageal reflux disease.Clin Oral Investig. 2013 Jan;17(1):159–165.

Guglielmi M, Beushausen M, Feng C, Beech A, Baur D, Halitosis as a product of hepatic disease. SADJ. 2014 Sep;69(8):364–367.

Panov Vl. Oral manifestations of hepatitis C virus, J of IMAB 2013, 19(4):377–379.

Panov Vl, Bad breath and its association with age and gender, Scripta Scientifica Medicinae Dentalis, 2 (2), 2016, 7–10.

Lourenço C, Cl Turner, Breath Analysis in Disease Diagnosis: Methodological Considerations and Applications, Metabolites. 2014 Jun; 4(2): 465–498.

Ciçek Y, Arabaci T, Canakçi CF. Evaluation of oral malodour in left- and right-handed individuals. Laterality. 2010 May;15(3):317–326.

Nadanovsky P, Carvalho LB, Ponce de Leon A., Oral malodour and its association with age and sex in a general population in Brazil. Oral Dis. 2007 Jan;13(1):105–109.




DOI: http://dx.doi.org/10.14748/ssm.v48i4.1810

Refbacks

About The Authors

Radosveta Tomova
University Hospital St `Ivan Rilski`, Sofia
Bulgaria

Clinic of Gastroenterology

Vladimir Panov
Medical University of Varna
Bulgaria

Font Size


|