Gözde DERİNDAĞ, Özkan MİLOĞLU, Elif KURTULDU, Alper ÖZDOĞAN

HALİTOZİSİN YENİDEN SINIFLANDIRILMASI VE UYGUN TEŞHİS YÖNTEMLERİ

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

Anahtar Kelimeler:

Halitozis, ağız kokusu, prevalans, sınıflandırma, teşhis yöntemleri, tedavi

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