EVALUATION OF PATIENTS’ COMPIANCE TO A ‘STOPGAP TREATMENT PROTOCOL IN THE INITIAL MANAGEMENT OF PSYCHOLOGICAL HALITOSIS

Main Article Content

Omoregie O F
Otakhoigbogie U
Akpata O

Abstract

OBJECTIVE: This study evaluates patients’ compliance to a ‘stopgap treatment protocol’ for initial management of psychological halitosis and compares the findings with the treatment outcome in a Tertiary Hospital in Nigeria.
METHOD: A 4-year prospective study of patients’ compliance to a 3-step ‘stopgap treatment protocol’ for initial management of psychological halitosis was performed.
RESULTS: Sixty five (65) patients were diagnosed of psychological halitosis within the study period. Most of the patients filled the halitosis questionnaire (n=43, 66.2%). The mean duration of bad breath complaint was 5 (+ 0.7 S.E.) years. The mean psychological score was 4 (+ 0.4 S.E.). No clinical oral malodour was observed in all the patients. Microscopy, culture and sensitivity were performed for 45 (69.2%) patients and most of the patients had a normal oral flora 36 (55.4%). Screening for volatile sulphur compound (VSC) was performed for 23 (35.9%) patients and the mean VSC level was 8.3 (+ 1.9 S.E.) ppb. Fifty-two (80.0%) patients came for follow up and counseling visit, and the mean duration of follow up was 21 (+ 6.4 S.E.) weeks. Fifty two (80.0%) patients complied with warm saline mouth rinse instructions, while scaling and polishing procedure was performed for 49 (75.4%) of the patients. There were 42 (64.6%) diagnosed pseudohalitosis cases and 30 (46.2%) cases had improved oral malodour, significantly associated with normal oral flora (p=0.008) and compliance to scaling and polishing procedure (p=0.000). The 23 (35.4%) patients diagnosed of delusional halitosis had persistent oral malodour.
CONCLUSION: The study showed overall high patients’ compliance to the ‘stopgap treatment protocol’ and improved oral malodour was observed in patients with pseudohalitosis.

Article Details

How to Cite
F, O., U, O., & O, A. (2018). EVALUATION OF PATIENTS’ COMPIANCE TO A ‘STOPGAP TREATMENT PROTOCOL IN THE INITIAL MANAGEMENT OF PSYCHOLOGICAL HALITOSIS. African Journal of Oral and Maxillofacial Pathology and Medicine, 2(1 & 2), 31 - 35. Retrieved from https://ajompm.com/index.php/ajmp/article/view/32
Section
Articles