dc.contributor.advisor | Martínez-Sahuquillo Márquez, Ángel | es |
dc.contributor.advisor | Gallardo Castillo, Isabel | es |
dc.creator | Cameira Gonçalves Nunes, Jonas Davi | es |
dc.date.issued | 2010-12-03 | |
dc.identifier.citation | Cameira Gonçalves Nunes, J.D. (3-12). Propuesta de un protocolo de diagnóstico y tratamiento de la halitosis para uso en clínica odontológica. (Tesis Doctoral Inédita). Universidad de Sevilla, Sevilla. | |
dc.identifier.uri | http://hdl.handle.net/11441/61578 | |
dc.description | Texto completo descargado desde Teseo | es |
dc.description.abstract | INTRODUCTION. Halitosis, defined as an unpleasant breath odour, has become a health concern among the general public. However, dental practitioners lack high evidence-support protocols to manage this condition.
OBJECTIVES. To develop and evaluate a protocol, for outpatient dentistry, that allows the diagnosis and treatment of patients complaining of halitosis.
SUBJECTS AND METHODS. A protocol was created based on the literature and was used throughout a three-year clinical study comprising 714 patients. It was carried out at a novel bad breath consultation in Lisbon. This protocol consisted of a detailed questionnaire, clinical and psychological examination, evaluation by a confidant, organoleptic assessment, mouth air examination with a chromatograph (Oralchroma®), and others. Treatment differed depending on aetiological diagnosis assumption and multidisciplinary approach was performed whenever needed. After the initial visit, each patient was scheduled for follow-up sessions: day 15, and months 1, 3 and 6.
RESULTS. The majority of patients had an adequate oral hygiene (76% with O'Leary IP<20% and 69% with Löe & Silness GI¿1). A considerable impact on quality of life was assessed (average OHIP-14 of 17.5). Oral and extra-oral causes were found for 60.2% and 16.9% of cases, respectively. Pseudo-halitosis patients (20.4%), mostly women (68%), significantly referred (p<0.05) higher prevalence of gastrointestinal symptoms, dysgeusia and anxiety, and lower salivation secretion rate. Adequate treatment response was obtained in 87.8% and 96.6% of cases, at month 3 and 6 respectively. Eight of a total of 15 halitophobic patients (2.1%) responded to treatment. Confidant evaluation significantly correlated (p<0.01) with other parameters (r=0,56 and r=0,49 with organoleptic scores and VSCs, respectively).
CONCLUSIONS. The proposed protocol was found to successfully improve clinical, self-perceptive and psychosocial halitosis-related parameters. Cooperation from someone close to the patient (confidant), regular psychosocial assessment and accountability when multidisciplinary approach occurs (both by the dentist) are key factors. | es |
dc.format | application/pdf | es |
dc.language.iso | spa | es |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Patología clínica | es |
dc.subject | Estomatología y ortodoncia | es |
dc.title | Propuesta de un protocolo de diagnóstico y tratamiento de la halitosis para uso en clínica odontológica | es |
dc.type | info:eu-repo/semantics/doctoralThesis | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Estomatología | es |
idus.format.extent | 390 p. | es |
dc.description.awardwinning | Premio Extraordinario de Doctorado US | |