Periodontitis, Halitosis And Oral-Health-Related Quality Of Life-A Cross-Sectional Study
JOURNAL OF CLINICAL MEDICINE(2021)
摘要
We aimed to explore the association between volatile sulfurous compounds (VSCs) and periodontal epithelial surface area (PESA) and periodontal inflamed surface area (PISA) on a cohort of periodontitis patients. Consecutive patients were assessed for periodontitis and halitosis. A full-mouth periodontal status assessment tested probing depth (PD), clinical attachment loss (CAL), gingival recession (REC), bleeding on probing (BoP), PISA and PESA. A halitosis assessment was made using a VSC detector device. Periodontal measures were regressed across VSC values using adjusted multivariate linear analysis. From a total of seventy-two patients (37 females/35 males), the PESA of posterior-lower regions was found to be significantly higher in halitosis cases than their non-halitosis counterparts (p = 0.031). Considering all patients, the PESA of the posterior-lower region (B = 1.3, 95% CI: 0.2-2.3, p = 0.026) and age (B = -1.6, 95% CI: -3.1-0.2, p = 0.026) showed significant association with VSCs. In halitosis patients, the PESA of the posterior-lower region (B = 0.1, 95% CI: 0.0-0.1, p = 0.001), PISA Total (B = -0.1, 95% CI: -0.1-0.0, p = 0.008) and the OHIP-14 domain of physical disability (B = -2.1, 95% CI:-4.1-0.1, p = 0.040) were the most significant variables in this model. The PESA from the posterior-lower region may be associated with VSCs when other causes of extra-oral halitosis are excluded. Further intervention studies are needed to confirm this association.
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关键词
halitosis, oral-health-related quality of life, periodontitis, periodontal disease, periodontal medicine, volatile sulfurous compounds
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