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Brakisefalik ve Non-Brakisefalik Evcil Kedilerde Halitozis Şiddeti ile Dental Plak Birikimi Arasındaki İlişkinin Değerlendirilmesi

Year 2026, Volume: 15 Issue: 1, 39 - 46, 27.03.2026
https://doi.org/10.31196/huvfd.1849669
https://izlik.org/JA36XM46BJ

Abstract

Halitozis, kedi klinik pratiğinde sık karşılaşılan ve çoğu zaman altta yatan periodontal patolojiyi yansıtan bir bulgudur. Bu çalışmanın amacı, rutin klinik koşullarda değerlendirilen kedilerde halitozis şiddeti ile dental plak birikimi arasındaki ilişkiyi incelemek ve özellikle kafatası konformasyonunun (brakisefalik ve non-brakisefalik) ile diğer konağa bağlı faktörlerin etkisini değerlendirmektir. Kesitsel tasarıma sahip bu çalışmaya rutin muayene amacıyla başvuran, medyan yaşı 24 ay olan 114 sahipli kedi dâhil edildi. Halitozis şiddeti altı puanlı organoleptik skala (0-5) kullanılarak, dental plak birikimi ise dört puanlı bir indeks (1-4) ile değerlendirildi. Yaş, cinsiyet, kısırlaştırma durumu, vücut ağırlığı, beslenme tipi ve kraniyofasiyal morfoloji kaydedildi. Veriler Mann-Whitney U, Spearman korelasyonu ve çok değişkenli sıralı lojistik regresyon ile analiz edildi. Çalışma popülasyonunun %64,8'inde klinik halitozis saptandı. Brakisefalik (n = 41) ve non-brakisefalik (n = 73) kediler arasında halitozis şiddeti açısından anlamlı bir fark saptanmadı (p = 0,73). Tek değişkenli analizde erkek kedilerde daha yüksek skorlar gözlenmiş olsa da, çok değişkenli modelde dental plak birikimi halitozis şiddetinin tek bağımsız belirleyicisi olarak belirlendi (OR = 3.18, %95 GA: 1.82-5.56, p <0.001). Plak yükü için düzeltme yapıldığında kafatası konformasyonu ve diğer demografik faktörlerin ağız kokusu ile bağımsız bir ilişkisi bulunmadı. Bu bulgular, kedilerde halitozis şiddetinin kraniyofasiyal morfolojiden ziyade mevcut oral hijyen durumuna bağlı olduğunu göstermektedir. Bu nedenle, ırk veya yaştan bağımsız olarak, belirgin halitozis varlığında erken periodontal girişim önerilmelidir.

Ethical Statement

Bu çalışma, Atatürk Üniversitesi Hayvan Deneyleri Yerel Etik Kurulu tarafından onaylanmıştır (Toplantı No: 2025/08, Karar No: 148). Tüm kedi sahiplerinden bilgilendirilmiş onam alınmıştır.

References

  • Abdulkareem, A. A., Al-Taweel, F. B., Al-Sharqi, A. J. B., Gul, S. S., Sha, A. & Chapple, I. L. C. (2023). Current concepts in the pathogenesis of periodontitis: From symbiosis to dysbiosis. Journal of Oral Microbiology, 15(1), 2197779.
  • Bellows, J., Berg, M. L., Dennis, S., Harvey, R., Lobprise, H. B., Snyder, C. J., Stone, A. E. S., & Van de Wetering, A. G. (2019). 2019 AAHA dental care guidelines for dogs and cats. Journal of the American Animal Hospital Association, 55(2), 49-69.
  • Clarke, D. E. (2001). Clinical and microbiological effects of oral hygiene in cats. Journal of Veterinary Dentistry, 18(4), 177-183.
  • Gawor, J., Reiter, A. M., Jodkowska, K., & Levy, J. K. (2006). Influence of diet on oral health in cats and dogs. Journal of Nutrition, 136(7), 2021S-2023S.
  • Gorrel, C. (2015). Veterinary dentistry for the general practitioner (2nd ed.). Saunders Elsevier.
  • Ingham, K. E., Gorrel, C., Blackburn, J., & Farnsworth, W. (2001). Prevalence of odontoclastic resorptive lesions in a population of clinically healthy cats. Journal of Small Animal Practice, 42(9), 439-443.
  • Kulida, M., Nicpoń, J., Solonin, P., & Oliynyk, V. (2025). Clinical and morphological indicators of halitosis in cats. Ukrainian Journal of Veterinary Sciences, 1(16), 104-122.
  • Loesche, W. J., & Kazor, C. (2002). Microbiology and treatment of halitosis. Periodontology 2000, 28, 256-279.
  • Logan, E. I. (2006). Dietary influences on periodontal health in dogs and cats. Veterinary Clinics of North America: Small Animal Practice, 36(6), 1385-1401.
  • Niemiec, B. A. (2008). Periodontal disease. Topics in Companion Animal Medicine, 23(2), 72-80.
  • Palmeira, J. D., Trevizan, L., Pereira, M. C., & Gomes, L. A. (2022). Dental pain in cats: A prospective study. Journal of Feline Medicine and Surgery, 24(6), 1-10.
  • Perry, R., Tutt, C. (2015). Periodontal disease in cats: Back to basics with an eye on the future. Journal of Feline Medicine and Surgery, 17(1), 45-65.
  • Quirynen, M., Dadamio, J., Van den Velde, S., De Smit, M., & Dekeyser, C. (2009). Characteristics of 2000 patients who visited a halitosis clinic. Journal of Clinical Periodontology, 36(11), 970-975.
  • Sánchez-Vallejo, M., López-Pintor, R. M., Casañas-Gil, E., Hernández- Vallejo, G., & de Arriba, L. (2025). Feline chronic gingivostomatitis: A thorough systematic review of associated factors. Journal of Feline Medicine and Surgery, 27, 1-8.
  • Stephen, A. S. (2016). The relationship between oral malodor and chronic periodontitis: The role of volatile sulfur compounds (Doctoral dissertation, Queen Mary University of London).
  • Tangerman, A. (2002). Halitosis in medicine: A review. International Dental Journal, 52(Suppl. 5), 201-206.

Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats

Year 2026, Volume: 15 Issue: 1, 39 - 46, 27.03.2026
https://doi.org/10.31196/huvfd.1849669
https://izlik.org/JA36XM46BJ

Abstract

Halitosis is a common clinical finding in feline practice and is often associated with periodontal disease; however, the role of host-related factors remains unclear. This study aimed to evaluate the association between halitosis severity and dental plaque accumulation in a routine clinical population of cats. Particular emphasis was placed on the influence of skull conformation (brachycephalic vs non-brachycephalic) and other demographic variables. A cross-sectional study was conducted on 114 client-owned cats presented for routine examination. The median age was 24 months, and the population included 41 brachycephalic and 73 non-brachycephalic cats. Halitosis was graded using a six-point organoleptic scale (0-5), and dental plaque was assessed using a four-point index (1-4). Data on age, sex, neutering status, body weight, diet, and craniofacial morphology were recorded. Statistical analyses included Mann-Whitney U tests, Spearman’s correlation, and multivariable ordinal logistic regression. Clinically apparent halitosis was observed in 64.8% of the cats. No significant difference in halitosis severity was found between brachycephalic and non-brachycephalic cats (P=0.73). Although univariate analysis indicated higher halitosis scores in males, multivariable analysis identified dental plaque accumulation as the only independent predictor of halitosis severity (odds ratio =3.18, 95% confidence interval: 1.82-5.56, P<0.001). Skull conformation, age, diet, and other host-related factors were not independently associated with oral malodor. These findings suggest that halitosis severity in domestic cats is primarily determined by oral hygiene status rather than craniofacial morphology or demographic characteristics.

Ethical Statement

Ethical approval was obtained from the Atatürk University Animal Experiments Local Ethics Committee (HADYEK) (approval date: 24 June 2025; meeting no: 2025/08; decision no: 148), and written informed consent was obtained from all owners before study enrollment.

References

  • Abdulkareem, A. A., Al-Taweel, F. B., Al-Sharqi, A. J. B., Gul, S. S., Sha, A. & Chapple, I. L. C. (2023). Current concepts in the pathogenesis of periodontitis: From symbiosis to dysbiosis. Journal of Oral Microbiology, 15(1), 2197779.
  • Bellows, J., Berg, M. L., Dennis, S., Harvey, R., Lobprise, H. B., Snyder, C. J., Stone, A. E. S., & Van de Wetering, A. G. (2019). 2019 AAHA dental care guidelines for dogs and cats. Journal of the American Animal Hospital Association, 55(2), 49-69.
  • Clarke, D. E. (2001). Clinical and microbiological effects of oral hygiene in cats. Journal of Veterinary Dentistry, 18(4), 177-183.
  • Gawor, J., Reiter, A. M., Jodkowska, K., & Levy, J. K. (2006). Influence of diet on oral health in cats and dogs. Journal of Nutrition, 136(7), 2021S-2023S.
  • Gorrel, C. (2015). Veterinary dentistry for the general practitioner (2nd ed.). Saunders Elsevier.
  • Ingham, K. E., Gorrel, C., Blackburn, J., & Farnsworth, W. (2001). Prevalence of odontoclastic resorptive lesions in a population of clinically healthy cats. Journal of Small Animal Practice, 42(9), 439-443.
  • Kulida, M., Nicpoń, J., Solonin, P., & Oliynyk, V. (2025). Clinical and morphological indicators of halitosis in cats. Ukrainian Journal of Veterinary Sciences, 1(16), 104-122.
  • Loesche, W. J., & Kazor, C. (2002). Microbiology and treatment of halitosis. Periodontology 2000, 28, 256-279.
  • Logan, E. I. (2006). Dietary influences on periodontal health in dogs and cats. Veterinary Clinics of North America: Small Animal Practice, 36(6), 1385-1401.
  • Niemiec, B. A. (2008). Periodontal disease. Topics in Companion Animal Medicine, 23(2), 72-80.
  • Palmeira, J. D., Trevizan, L., Pereira, M. C., & Gomes, L. A. (2022). Dental pain in cats: A prospective study. Journal of Feline Medicine and Surgery, 24(6), 1-10.
  • Perry, R., Tutt, C. (2015). Periodontal disease in cats: Back to basics with an eye on the future. Journal of Feline Medicine and Surgery, 17(1), 45-65.
  • Quirynen, M., Dadamio, J., Van den Velde, S., De Smit, M., & Dekeyser, C. (2009). Characteristics of 2000 patients who visited a halitosis clinic. Journal of Clinical Periodontology, 36(11), 970-975.
  • Sánchez-Vallejo, M., López-Pintor, R. M., Casañas-Gil, E., Hernández- Vallejo, G., & de Arriba, L. (2025). Feline chronic gingivostomatitis: A thorough systematic review of associated factors. Journal of Feline Medicine and Surgery, 27, 1-8.
  • Stephen, A. S. (2016). The relationship between oral malodor and chronic periodontitis: The role of volatile sulfur compounds (Doctoral dissertation, Queen Mary University of London).
  • Tangerman, A. (2002). Halitosis in medicine: A review. International Dental Journal, 52(Suppl. 5), 201-206.
There are 16 citations in total.

Details

Primary Language English
Subjects Veterinary Surgery
Journal Section Research Article
Authors

Büşra Baykal 0009-0005-2787-1249

Çağlar Özkalıpcı 0009-0000-9402-5679

Sıtkıcan Okur 0000-0003-2620-897X

Submission Date December 26, 2025
Acceptance Date March 11, 2026
Publication Date March 27, 2026
DOI https://doi.org/10.31196/huvfd.1849669
IZ https://izlik.org/JA36XM46BJ
Published in Issue Year 2026 Volume: 15 Issue: 1

Cite

APA Baykal, B., Özkalıpcı, Ç., & Okur, S. (2026). Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats. Harran University Journal of the Faculty of Veterinary Medicine, 15(1), 39-46. https://doi.org/10.31196/huvfd.1849669
AMA 1.Baykal B, Özkalıpcı Ç, Okur S. Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats. Harran Univ Vet Fak Derg. 2026;15(1):39-46. doi:10.31196/huvfd.1849669
Chicago Baykal, Büşra, Çağlar Özkalıpcı, and Sıtkıcan Okur. 2026. “Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats”. Harran University Journal of the Faculty of Veterinary Medicine 15 (1): 39-46. https://doi.org/10.31196/huvfd.1849669.
EndNote Baykal B, Özkalıpcı Ç, Okur S (March 1, 2026) Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats. Harran University Journal of the Faculty of Veterinary Medicine 15 1 39–46.
IEEE [1]B. Baykal, Ç. Özkalıpcı, and S. Okur, “Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats”, Harran Univ Vet Fak Derg, vol. 15, no. 1, pp. 39–46, Mar. 2026, doi: 10.31196/huvfd.1849669.
ISNAD Baykal, Büşra - Özkalıpcı, Çağlar - Okur, Sıtkıcan. “Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats”. Harran University Journal of the Faculty of Veterinary Medicine 15/1 (March 1, 2026): 39-46. https://doi.org/10.31196/huvfd.1849669.
JAMA 1.Baykal B, Özkalıpcı Ç, Okur S. Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats. Harran Univ Vet Fak Derg. 2026;15:39–46.
MLA Baykal, Büşra, et al. “Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats”. Harran University Journal of the Faculty of Veterinary Medicine, vol. 15, no. 1, Mar. 2026, pp. 39-46, doi:10.31196/huvfd.1849669.
Vancouver 1.Büşra Baykal, Çağlar Özkalıpcı, Sıtkıcan Okur. Evaluation of the Association Between Halitosis Severity and Dental Plaque Accumulation in Brachycephalic and Non-Brachycephalic Domestic Cats. Harran Univ Vet Fak Derg. 2026 Mar. 1;15(1):39-46. doi:10.31196/huvfd.1849669