Review
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HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ

Year 2018, Volume: 28 Issue: 1, 98 - 105, 28.03.2018
https://doi.org/10.17567/ataunidfd.410489

Abstract



Ağız
kokusu nefes yoluyla yayılan kötü koku olarak tanımlanır. Kötü koku ağızdaki
besin maddelerinin ya da diğer artıkların bakteriler tarafından yıkılmasından
ve kötü ağız hijyeninden kaynaklanır. Uçucu sülfür bileşikleri, oral malodorun
önde gelen unsurlarıdır. Ağız kokusunun prevalansı dünyada %22 ile %50
arasındadır. Koku multifaktöriyel etiyolojiye sahiptir, lokal faktörler
vakaların çoğunda önemli bir rol oynamaktadır. Dil dorsumu ağız kokusunun en
önemli kaynağıdır. Halitozis değerlendirmesi organoleptik ölçümler, sülfür
monitörü, gaz kromatografisi kullanılarak yapılabilir. Doğru bir teşhis yapmak,
hastalığın nedenlerini belirlemek ve hasta tedavisi için uygun adımlar atmak
önemlidir. Tedavi altta yatan sebebe yönelik olmalıdır.



Bu
derlemede ağız kokusunun intraoral ve ekstraoral nedenleri, güncel
sınıflandırması ve teşhis yöntemleri, tedavisindeki güncel yaklaşımlar ile
ilgili bilgi verilmeye çalışılmıştır.



Anahtar Kelimeler: Halitozis, ağız
kokusu, prevalans, sınıflandırma,  teşhis
yöntemleri, tedavi,  uçucu sülfür
bileşikleri





RE-CLASSIFICATION
AND PROPER DIAGNOSTIC METHODS OF HALITOSIS



ABSTRACT



Halitosis is defined as the bad odor emitted through
the breathing. Bad odor is caused by bacteria from the decay of food particles,
other debris in the mounth, and poor oral hygiene. Volatile sulphur compounds
are the prominent elements of oral malodour. The prevalence of halitosis is
between 22% and 50% in the world.
Halitosis has a
multifactorial etiology, local factors play an important role in the majority
of cases. The dorsum of the tongue is the most important source of halitosis.
Assessment of halitosis can be performed using organoleptic measurements,
sulfide monitoring, gas chromatography. It is important to make a correct
diagnosis, identify the causes of the disease and to take appropriate steps in
order to cure the patient.

Treatment is directed at the
underlying cause.



In this
review, it is aimed to give information about intraoral and extraoral causes of
halitosis, current classification and diagnosis methods, current approaches to
the treatment.



Keywords: Halitosis, prevalence, classification, diagnostic methods, treatment,
volatile sulphur compounds



References

  • 1. Rosenberg M, McCulloch CAG. Measurement of oral malodor: Current methods and future prospects. J Periodontol 1992; 63: 776-82.
  • 2. Yeagaki K, Coil JM. Genuine halitosis, pseudo-halitosis and halitophobia: Classification, diagnosis and treatment. Compendium 2000; 21: 880-9.
  • 3. Schmidt J, Krause F, Haak R. Halitosis: measurement in daily practice. Quintessence Int 2015; 46: 633-41.
  • 4. Akaji EA, Folaranmi N, Ashiwaju O. Halitosis: A reivew of the literature on its prevalence, impact and control. Oral Health Prev Dent 2014; 4: 297-304.
  • 5. Morita M, Wang HL. Association between oral malodor and adult periodontitis: A review. J Clin Periodontol 2001; 28: 813-9.
  • 6. Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Psychological condition of patients complaining of halitosis. J Dent 2001; 29: 31-3.
  • 7. Sanz M, Roldan S, Herrera D. Fundamentals of breath malodour. J Contemp Dent Pract 2001; 2: 1-12.
  • 8. Lu DP. Halitosis: an etiologic classification, a treatment approach, and prevention. Oral Surg Oral Med Oral Pathol 1982; 54: 521-6.
  • 9. Madhushankari GS, Yamunadevi A, Selvamani M, Mohan Kumar KP, Basandi PS. Halitosis – An overview: Part-I – Classification, etiology and pathophysiology of halitosis. J Pharm Bioallied Sci 2015; 7: 339-43.
  • 10. Amano A, Yoshida Y, Oho T, Koga T. Monitoring ammonia to assess halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 692-6.
  • 11. Miyazaki H, Arao M, Okamura K, Kawaguchi Y, Toyofuku A, Hoshi K, Yaegaki K. Tentative classification of halitosis and its treatment needs. Niigata Dental Journal 1999; 32: 7-11.
  • 12. Tangerman A, Winkel EG. Extra-oral halitosis: an overview. J Breath Res 2010; 4: 017003.
  • 13. Aydin M, Harvey-Woodworth CN. Halitosis: A new definition and classification. British Dent J 2014; 217: E1.
  • 14. Replogle WH, Beebe DK. Halitosis. Am Fam Physician 1996; 53: 1215-23.
  • 15. Suarez FL, Furne JK, Springfield J, Levitt MD. Morning breath odor: Influence of treatments on sulfur gases. J Dent Res 2000; 79: 1773-7.
  • 16. Dudzik A, Chomyszyn-Gajewska M. Pseudohalitosis and halitophobia. Przegl Lek 2014; 71: 274-6.
  • 17. Aydın M. Ağız Kokusu Teşhisi ve Tedavisi. Dentalife 2005; 14: 26-9.
  • 18. Ben-Aryeh H, Horowitz G, Nir D, Laufer D. Halitosis: An interdisciplinary approach. Am J Otolaryngol 1998; 19: 8-11.
  • 19. Mokeem SA. Halitosis: a review of the etiologic factors and association with systemic conditions and its management. J Contemp Dent Pract 2014; 15: 806-11.
  • 20. Delanghe G, Ghyselen J, Bollen C, van Steenberghe D, Vandekerckhove BN, Feenstra L. An inventory of patients_response to treatment at a multidisciplinary breath odor clinic. Quintessence Int 1999; 30: 307-10.
  • 21. Scully C, Porter R, Greenman J. What to do about halitosis? British Med J 1994; 308: 217-8.
  • 22. Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodontal Res 1992: 27: 233-8.
  • 23. Lang B, Filippi A. Halitosis-Part 1: Epidemiology and pathogenesis. Schweiz Monatsschr Zahnmed 2004; 114: 1037-50.
  • 24. Zigurs G, Vidzis A, Brinkmane A. Halitosis Manifestation and prevention means for patients with fixed teeth dentures. Stomatologia 2005; 7: 3-6.
  • 25. Young K, Oxtoby A, Field EA. Halitosis: A review. Dent Update 1993; 20: 57-61.
  • 26. Rosenberg M. Clinical assessment of bad breath: current concepts. J Am Dent Assoc 1996; 127: 475-82.
  • 27. Delanghe G, Ghyselen J, Feenstra L, Van Steenberghe D. Multidisciplinary breath-odour clinic. Leuven, Belgium: Leuven University Press 1996: 199-208.
  • 28. Ierardi E, Amoruso A, La Notte T, Francavilla R, Castellaneta S, Marrazza E, et al. Halitosis and Helicobacter pylori: A possible relationship. Dig Dis Sci 1998; 43: 2733–7.
  • 29. Yilmaz AE, Bilici M, Tonbul A, Karabel M, Dogan G, Tas T. Paediatric halitosis and Helicobacter pylori infection. J Coll Physicians Surg Pak 2012; 22: 27–30.
  • 30. Vali A, Roohafza H, Keshteli AH, Afghari P, Javad Shirani M, Afshar H, et al. Relationship between subjective halitosis and psychological factors. Int Dent J 2015; 65: 120-6.
  • 31. Kleinberg I, Westbay G. Salivary metabolic factors and involved in oral malodor formation. J Periodontol 1992; 63: 768-75.
  • 32. Berg M, Fosdick LS. Studies in Periodontal disease. II. Putrefactive organisms in the mouth. J Dent Res 1946; 25: 73-81.
  • 33. Singh VP, Malhotra N, Apratim A, Verma M. Assessment and management of halitosis. Dent Update 2015; 42: 346-53.
  • 34. Ratcliff PA, Johnson PW. The relationship between oral malodor, gingivitis and periodontitis. A review. J Periodontol 1999; 70: 485-9.
  • 35. Young A, Jonski G, Rölla G, Waler SM. Effects of metal salts on the oral production of volatile sulfur-containing compounds (VSC). J Clin Periodontol 2001; 28: 776-81.
  • 36. Waler S. On the transformation of sulfur-containing amino acids and peptides to volatile sulfur compounds (VSC) in the human mouth. Eur J Oral Sci 1997; 105: 534-7.
  • 37. Kojima K. Clinical studies on the coated tongue. Jpn J Oral Maxillofac Surg 1985: 1659-76.
  • 38. Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Characteristics of patients complaining of halitosis and the usefulness of gas chromatography for diagnosing halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 531-4.
  • 39. Masuo Y, Suzuki N, Yoneda M, Naito T, Hirofuji T. Salivary β-galactosidase activity affects physiological oral malodour. Arch Oral Biol 2012; 57: 87-93.
  • 40. Yaegaki K, Sanada K. Biochemical and clinical factors influencing oral malodor in periodontal patients. J Periodontol 1992; 63: 783-9.
  • 41. De Boevcr EH, Loesche WJ. Assessing the contribution of anaerobic microflora of the tongue to oral malodor. J Am Dent Assoc 1995; 126: 1384-93.
  • 42. McNamara TF, Alexander JF, Lee M. The role of microorganisms in the production of oral malodor. Oral Surg 1972; 34: 41. 43. Yang F, Huang S, He T, Catrenich C, Teng F, Bo C, et al. Microbial basis of ora malodor development in humans. J Dent Res 2013; 92: 1106-12.
  • 44. Goldberg S, Cardash H, Browning III, Sahly H, Rosenberg M. Isolation of enterobacteriacaeae from the mouth and potential association with malodor. J Dent Res 1997; 76: 1770-5.
  • 45. Shimura M, Watanabe S, Iwakura M, Oshikiri Y, Kusumoto M, Ikawa K, et al. Correlation between measurements using a new halitosis monitor and organoleptic assessment. J Periodontol 1997; 8: 1182-5.
  • 46. Rosenberg M, Kulkarni GV, Bosy A, McCulloch CAG. Reproducibility and sensitivity of oral malodor measurements with a portable sulfide monitor. J Dent Res 1991; 11: 1436-40.
  • 47. Laleman I, Dadamio J, De Geest S, Dekeyser C, Quirynen M. Instrumental assessment of halitosis for the general dental practitioner. J Breath Res 2014; 8: 017103.
  • 48. Van den Velde S, Quirynen M, van Hee P, van Steenberghe D. Halitosis associated volatiles in breath of healthy subjects. J Chromatography B Analytical Technologies Biomed Life Sci 2007; 853: 54-61.
  • 49. Aylıkcı BU, Colak H. Halitosis: From diagnosis to management. J Nat Sci Biol Med 2013; 4: 14-23.
  • 50. Rodriguez-Fernandez J, Costa JM, Pereiro R, Sanz-Medel A. Simple detector for oral malodour based on spectrofluorimetric measurements of hydrogen sulphide in mouth air. Anal Chim Acta 1999; 398: 23-31.
  • 51. Hanada M, Koda H, Onaga K, Tanaka K, Okabayashi T, Itoh T, et al. Portable oral malodor analyser using highly sensitive In2O3 gas sensor combined with a simple gas chromatography system. Anal Chim Acta 2003; 475: 27-35.
  • 52. Lee ES, Yim HK, Lee HS, Choi JH, Kwon HK, Kim BI. Clinical assessment of oral malodor using autofluorescence of tongue coating. Photodiagnosis Photodyn Ther. 2016 Mar; 13: 323-9.
  • 53. Hitz Lindenmüller I, Weiss P, Volken M, Filippi A. Diagnostics of tongue coating using autofluorescence. Swiss Dent J 2015; 125: 1074.
  • 54. Rosenberg M. Bad Breath: Diagnosis and treatment. Univ Tor Dent J 1990; 3: 7-11.
  • 55. Scully C. Halitosis. BMJ Clin Evid 2014. pii: 1305.
  • 56. Murata T, Yamaga T, Lida T. Classification and examination of halitosis. Int Dent J 2002; 52: 181-6.
  • 57. Roldán S, Herrera D, O'Connor A, González I, Sanz M. A combined therapeutic approach to manage oral halitosis: a 3-month prospective case series. J Periodontol 2005; 76: 1025-33.
  • 58. Quirynen M, Zhao H, Soers C, Dekeyser C, Pauwels M, Coucke W, et al. The impact of periodontal therapy and the adjunctive effect of antiseptics on breath odorrelated outcome variables: A double-blind randomized study. J Periodontol 2005; 76: 705-12.
  • 59. Amou T, Hinode D, Yoshioka M, Grenier D. Relationship between halitosis and periodontal disease–associated oral bacteria in tongue coatings. Int J Dent Hygiene 2013; 6: 1-7.
  • 60. Van Der Sleen MI, Slot DE, Van Trijffel E, Winkel EG, Van Der Weijden GA. Effectiveness of mechanical tongue cleaning on breath odour and tongue coating: A systematic review. Int J Dental Hygiene 2010; 8: 258-68.
  • 61. Pitts G, Brogdon C, Hu L, Masurat T, Pianotti R, Schumann P. Mechanism of action of an antiseptic, anti-odor mouthwash. J Dent Res 1983; 62: 738-42.
  • 62. Seemann R, Kison A, Bizhang M, Zimmer S. Effectiveness of mechanical tongue cleaning on oral levels of volatile sülfür compounds. J Am Dent Assoc 2001; 132: 1263-7.
Year 2018, Volume: 28 Issue: 1, 98 - 105, 28.03.2018
https://doi.org/10.17567/ataunidfd.410489

Abstract

References

  • 1. Rosenberg M, McCulloch CAG. Measurement of oral malodor: Current methods and future prospects. J Periodontol 1992; 63: 776-82.
  • 2. Yeagaki K, Coil JM. Genuine halitosis, pseudo-halitosis and halitophobia: Classification, diagnosis and treatment. Compendium 2000; 21: 880-9.
  • 3. Schmidt J, Krause F, Haak R. Halitosis: measurement in daily practice. Quintessence Int 2015; 46: 633-41.
  • 4. Akaji EA, Folaranmi N, Ashiwaju O. Halitosis: A reivew of the literature on its prevalence, impact and control. Oral Health Prev Dent 2014; 4: 297-304.
  • 5. Morita M, Wang HL. Association between oral malodor and adult periodontitis: A review. J Clin Periodontol 2001; 28: 813-9.
  • 6. Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Psychological condition of patients complaining of halitosis. J Dent 2001; 29: 31-3.
  • 7. Sanz M, Roldan S, Herrera D. Fundamentals of breath malodour. J Contemp Dent Pract 2001; 2: 1-12.
  • 8. Lu DP. Halitosis: an etiologic classification, a treatment approach, and prevention. Oral Surg Oral Med Oral Pathol 1982; 54: 521-6.
  • 9. Madhushankari GS, Yamunadevi A, Selvamani M, Mohan Kumar KP, Basandi PS. Halitosis – An overview: Part-I – Classification, etiology and pathophysiology of halitosis. J Pharm Bioallied Sci 2015; 7: 339-43.
  • 10. Amano A, Yoshida Y, Oho T, Koga T. Monitoring ammonia to assess halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 692-6.
  • 11. Miyazaki H, Arao M, Okamura K, Kawaguchi Y, Toyofuku A, Hoshi K, Yaegaki K. Tentative classification of halitosis and its treatment needs. Niigata Dental Journal 1999; 32: 7-11.
  • 12. Tangerman A, Winkel EG. Extra-oral halitosis: an overview. J Breath Res 2010; 4: 017003.
  • 13. Aydin M, Harvey-Woodworth CN. Halitosis: A new definition and classification. British Dent J 2014; 217: E1.
  • 14. Replogle WH, Beebe DK. Halitosis. Am Fam Physician 1996; 53: 1215-23.
  • 15. Suarez FL, Furne JK, Springfield J, Levitt MD. Morning breath odor: Influence of treatments on sulfur gases. J Dent Res 2000; 79: 1773-7.
  • 16. Dudzik A, Chomyszyn-Gajewska M. Pseudohalitosis and halitophobia. Przegl Lek 2014; 71: 274-6.
  • 17. Aydın M. Ağız Kokusu Teşhisi ve Tedavisi. Dentalife 2005; 14: 26-9.
  • 18. Ben-Aryeh H, Horowitz G, Nir D, Laufer D. Halitosis: An interdisciplinary approach. Am J Otolaryngol 1998; 19: 8-11.
  • 19. Mokeem SA. Halitosis: a review of the etiologic factors and association with systemic conditions and its management. J Contemp Dent Pract 2014; 15: 806-11.
  • 20. Delanghe G, Ghyselen J, Bollen C, van Steenberghe D, Vandekerckhove BN, Feenstra L. An inventory of patients_response to treatment at a multidisciplinary breath odor clinic. Quintessence Int 1999; 30: 307-10.
  • 21. Scully C, Porter R, Greenman J. What to do about halitosis? British Med J 1994; 308: 217-8.
  • 22. Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodontal Res 1992: 27: 233-8.
  • 23. Lang B, Filippi A. Halitosis-Part 1: Epidemiology and pathogenesis. Schweiz Monatsschr Zahnmed 2004; 114: 1037-50.
  • 24. Zigurs G, Vidzis A, Brinkmane A. Halitosis Manifestation and prevention means for patients with fixed teeth dentures. Stomatologia 2005; 7: 3-6.
  • 25. Young K, Oxtoby A, Field EA. Halitosis: A review. Dent Update 1993; 20: 57-61.
  • 26. Rosenberg M. Clinical assessment of bad breath: current concepts. J Am Dent Assoc 1996; 127: 475-82.
  • 27. Delanghe G, Ghyselen J, Feenstra L, Van Steenberghe D. Multidisciplinary breath-odour clinic. Leuven, Belgium: Leuven University Press 1996: 199-208.
  • 28. Ierardi E, Amoruso A, La Notte T, Francavilla R, Castellaneta S, Marrazza E, et al. Halitosis and Helicobacter pylori: A possible relationship. Dig Dis Sci 1998; 43: 2733–7.
  • 29. Yilmaz AE, Bilici M, Tonbul A, Karabel M, Dogan G, Tas T. Paediatric halitosis and Helicobacter pylori infection. J Coll Physicians Surg Pak 2012; 22: 27–30.
  • 30. Vali A, Roohafza H, Keshteli AH, Afghari P, Javad Shirani M, Afshar H, et al. Relationship between subjective halitosis and psychological factors. Int Dent J 2015; 65: 120-6.
  • 31. Kleinberg I, Westbay G. Salivary metabolic factors and involved in oral malodor formation. J Periodontol 1992; 63: 768-75.
  • 32. Berg M, Fosdick LS. Studies in Periodontal disease. II. Putrefactive organisms in the mouth. J Dent Res 1946; 25: 73-81.
  • 33. Singh VP, Malhotra N, Apratim A, Verma M. Assessment and management of halitosis. Dent Update 2015; 42: 346-53.
  • 34. Ratcliff PA, Johnson PW. The relationship between oral malodor, gingivitis and periodontitis. A review. J Periodontol 1999; 70: 485-9.
  • 35. Young A, Jonski G, Rölla G, Waler SM. Effects of metal salts on the oral production of volatile sulfur-containing compounds (VSC). J Clin Periodontol 2001; 28: 776-81.
  • 36. Waler S. On the transformation of sulfur-containing amino acids and peptides to volatile sulfur compounds (VSC) in the human mouth. Eur J Oral Sci 1997; 105: 534-7.
  • 37. Kojima K. Clinical studies on the coated tongue. Jpn J Oral Maxillofac Surg 1985: 1659-76.
  • 38. Oho T, Yoshida Y, Shimazaki Y, Yamashita Y, Koga T. Characteristics of patients complaining of halitosis and the usefulness of gas chromatography for diagnosing halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 531-4.
  • 39. Masuo Y, Suzuki N, Yoneda M, Naito T, Hirofuji T. Salivary β-galactosidase activity affects physiological oral malodour. Arch Oral Biol 2012; 57: 87-93.
  • 40. Yaegaki K, Sanada K. Biochemical and clinical factors influencing oral malodor in periodontal patients. J Periodontol 1992; 63: 783-9.
  • 41. De Boevcr EH, Loesche WJ. Assessing the contribution of anaerobic microflora of the tongue to oral malodor. J Am Dent Assoc 1995; 126: 1384-93.
  • 42. McNamara TF, Alexander JF, Lee M. The role of microorganisms in the production of oral malodor. Oral Surg 1972; 34: 41. 43. Yang F, Huang S, He T, Catrenich C, Teng F, Bo C, et al. Microbial basis of ora malodor development in humans. J Dent Res 2013; 92: 1106-12.
  • 44. Goldberg S, Cardash H, Browning III, Sahly H, Rosenberg M. Isolation of enterobacteriacaeae from the mouth and potential association with malodor. J Dent Res 1997; 76: 1770-5.
  • 45. Shimura M, Watanabe S, Iwakura M, Oshikiri Y, Kusumoto M, Ikawa K, et al. Correlation between measurements using a new halitosis monitor and organoleptic assessment. J Periodontol 1997; 8: 1182-5.
  • 46. Rosenberg M, Kulkarni GV, Bosy A, McCulloch CAG. Reproducibility and sensitivity of oral malodor measurements with a portable sulfide monitor. J Dent Res 1991; 11: 1436-40.
  • 47. Laleman I, Dadamio J, De Geest S, Dekeyser C, Quirynen M. Instrumental assessment of halitosis for the general dental practitioner. J Breath Res 2014; 8: 017103.
  • 48. Van den Velde S, Quirynen M, van Hee P, van Steenberghe D. Halitosis associated volatiles in breath of healthy subjects. J Chromatography B Analytical Technologies Biomed Life Sci 2007; 853: 54-61.
  • 49. Aylıkcı BU, Colak H. Halitosis: From diagnosis to management. J Nat Sci Biol Med 2013; 4: 14-23.
  • 50. Rodriguez-Fernandez J, Costa JM, Pereiro R, Sanz-Medel A. Simple detector for oral malodour based on spectrofluorimetric measurements of hydrogen sulphide in mouth air. Anal Chim Acta 1999; 398: 23-31.
  • 51. Hanada M, Koda H, Onaga K, Tanaka K, Okabayashi T, Itoh T, et al. Portable oral malodor analyser using highly sensitive In2O3 gas sensor combined with a simple gas chromatography system. Anal Chim Acta 2003; 475: 27-35.
  • 52. Lee ES, Yim HK, Lee HS, Choi JH, Kwon HK, Kim BI. Clinical assessment of oral malodor using autofluorescence of tongue coating. Photodiagnosis Photodyn Ther. 2016 Mar; 13: 323-9.
  • 53. Hitz Lindenmüller I, Weiss P, Volken M, Filippi A. Diagnostics of tongue coating using autofluorescence. Swiss Dent J 2015; 125: 1074.
  • 54. Rosenberg M. Bad Breath: Diagnosis and treatment. Univ Tor Dent J 1990; 3: 7-11.
  • 55. Scully C. Halitosis. BMJ Clin Evid 2014. pii: 1305.
  • 56. Murata T, Yamaga T, Lida T. Classification and examination of halitosis. Int Dent J 2002; 52: 181-6.
  • 57. Roldán S, Herrera D, O'Connor A, González I, Sanz M. A combined therapeutic approach to manage oral halitosis: a 3-month prospective case series. J Periodontol 2005; 76: 1025-33.
  • 58. Quirynen M, Zhao H, Soers C, Dekeyser C, Pauwels M, Coucke W, et al. The impact of periodontal therapy and the adjunctive effect of antiseptics on breath odorrelated outcome variables: A double-blind randomized study. J Periodontol 2005; 76: 705-12.
  • 59. Amou T, Hinode D, Yoshioka M, Grenier D. Relationship between halitosis and periodontal disease–associated oral bacteria in tongue coatings. Int J Dent Hygiene 2013; 6: 1-7.
  • 60. Van Der Sleen MI, Slot DE, Van Trijffel E, Winkel EG, Van Der Weijden GA. Effectiveness of mechanical tongue cleaning on breath odour and tongue coating: A systematic review. Int J Dental Hygiene 2010; 8: 258-68.
  • 61. Pitts G, Brogdon C, Hu L, Masurat T, Pianotti R, Schumann P. Mechanism of action of an antiseptic, anti-odor mouthwash. J Dent Res 1983; 62: 738-42.
  • 62. Seemann R, Kison A, Bizhang M, Zimmer S. Effectiveness of mechanical tongue cleaning on oral levels of volatile sülfür compounds. J Am Dent Assoc 2001; 132: 1263-7.
There are 61 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derleme
Authors

Gözde Derindağ This is me

Özkan Miloğlu

Elif Kurtuldu This is me

Alper Özdoğan This is me

Publication Date March 28, 2018
Published in Issue Year 2018 Volume: 28 Issue: 1

Cite

APA Derindağ, G., Miloğlu, Ö., Kurtuldu, E., Özdoğan, A. (2018). HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 28(1), 98-105. https://doi.org/10.17567/ataunidfd.410489
AMA Derindağ G, Miloğlu Ö, Kurtuldu E, Özdoğan A. HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ. Ata Diş Hek Fak Derg. March 2018;28(1):98-105. doi:10.17567/ataunidfd.410489
Chicago Derindağ, Gözde, Özkan Miloğlu, Elif Kurtuldu, and Alper Özdoğan. “HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28, no. 1 (March 2018): 98-105. https://doi.org/10.17567/ataunidfd.410489.
EndNote Derindağ G, Miloğlu Ö, Kurtuldu E, Özdoğan A (March 1, 2018) HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28 1 98–105.
IEEE G. Derindağ, Ö. Miloğlu, E. Kurtuldu, and A. Özdoğan, “HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ”, Ata Diş Hek Fak Derg, vol. 28, no. 1, pp. 98–105, 2018, doi: 10.17567/ataunidfd.410489.
ISNAD Derindağ, Gözde et al. “HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28/1 (March 2018), 98-105. https://doi.org/10.17567/ataunidfd.410489.
JAMA Derindağ G, Miloğlu Ö, Kurtuldu E, Özdoğan A. HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ. Ata Diş Hek Fak Derg. 2018;28:98–105.
MLA Derindağ, Gözde et al. “HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 28, no. 1, 2018, pp. 98-105, doi:10.17567/ataunidfd.410489.
Vancouver Derindağ G, Miloğlu Ö, Kurtuldu E, Özdoğan A. HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ. Ata Diş Hek Fak Derg. 2018;28(1):98-105.

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