[en] AIM: To examine an organoleptic scoring method (OLS) whereby the sample is collected by negative pressure in a syringe and is subsequently smelled and rated away from the patient. MATERIALS AND METHODS: Data of 476 patients visiting a specialized halitosis clinic in Leuven (Belgium) were reviewed retrospectively. Organoleptic (with the classic and with the negative-pressure method) and instrumental (with the Halimeter® and OralChroma(™) ) ratings of breath odour were retrieved from patient files together with the final diagnosis. The correlations between the different methods were examined (Spearman correlation coefficient) as well as the positive (PPV) and negative predictive value (NPV), sensitivity and specificity of all methods. RESULTS: Both methods of OLS correlated similarly with the instrumental measurements (Halimeter® and OralChroma(™) ). Analysis of PPV, NPV, sensitivity and specificity of both methods of examination showed that the negative-pressure method performed best. CONCLUSION: The negative-pressure method is a valid method for organoleptic scoring of the breath odour and performs as good as the classic organoleptic method.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
Laleman, Isabelle ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven
De Geest, Sophie; Section of Periodontology, Department of Oral Health Sciences, KU Leuven &
Dekeyser, Christel; Section of Periodontology, Department of Oral Health Sciences, KU Leuven &
Teughels, Wim; Section of Periodontology, Department of Oral Health Sciences, KU Leuven &
Quirynen, Marc; Section of Periodontology, Department of Oral Health Sciences, KU Leuven &
Language :
English
Title :
A new method of choice for organoleptic scoring: The negative-pressure technique.
Adewole, R. A., Eweka, O. M., & Agbelusi, G. A. (2014). A review of knowledge, diagnosis and treatment of halitosis among nigerian dentists- a pilot study. Oral Biology and Dentistry, 2, 6. https://doi.org/10.7243/2053-5775-2-6
Baharvand, M., Maleki, Z., Mohammadi, S., Alavi, K., & Moghaddam, E. J. (2008). Assessment of oral malodor: A comparison of the organoleptic method with sulfide monitoring. The Journal of Contemporary Dental Practice, 9, 76–83
Bornstein, M. M., Kislig, K., Hoti, B. B., Seemann, R., & Lussi, A. (2009). Prevalence of halitosis in the population of the city of Bern, Switzerland: A study comparing self-reported and clinical data. European Journal of Oral Sciences, 117, 261–267. https://doi.org/10.1111/j.1600-0722.2009.00630.x
Cohen, J. F., Korevaar, D. A., Altman, D. G., Bruns, D. E., Gatsonis, C. A., Hooft, L., … Bossuyt, P. M. (2016). STARD 2015 guidelines for reporting diagnostic accuracy studies: Explanation and elaboration. British Medical Journal Open, 6, e012799
Dadamio, J., Laleman, I., De Geest, S., Vancauwenberghe, F., Dekeyser, C., Coucke, W., & Quirynen, M. (2013). Usefulness of a new malodour-compound detection portable device in oral malodour diagnosis. Journal of Breath Research, 7, 046005. https://doi.org/10.1088/1752-7155/7/4/046005
Dadamio, J., Van Tornout, M., Van den Velde, S., Federico, R., Dekeyser, C., & Quirynen, M. (2011). A novel and visual test for oral malodour: First observations. Journal of Breath Research, 5, 046003. https://doi.org/10.1088/1752-7155/5/4/046003
Dadamio, J., Van Tornout, M., Vancauwenberghe, F., Federico, R., Dekeyser, C., & Quirynen, M. (2012). Clinical utility of a novel colorimetric chair side test for oral malodour. Journal of Clinical Periodontology, 39, 645–650. https://doi.org/10.1111/j.1600-051X.2012.01901.x
Furne, J., Majerus, G., Lenton, P., Springfield, J., Levitt, D. G., & Levitt, M. D. (2002). Comparison of volatile sulfur compound concentrations measured with a sulfide detector vs. gas chromatography. Journal of Dental Research, 81, 140–143. https://doi.org/10.1177/0810140
Greenman, J., Lenton, P., Seemann, R., & Nachnani, S. (2014). Organoleptic assessment of halitosis for dental professionals–general recommendations. Journal of Breath Research, 8, 017102. https://doi.org/10.1088/1752-7155/8/1/017102
Greenman, J., & Rosenberg, M. (2005). Proceedings of the Sixth International Conference on Breath Odor. Oral Diseases, 11(Suppl 1), 5–6. https://doi.org/10.1111/j.1601-0825.2005.01079.x
Hatt, H. (2004). Molecular and cellular basis of human olfaction. Chemistry & Biodiversity, 1, 1857–1869. https://doi.org/10.1002/(ISSN)1612-1880
Kim, D. J., Lee, J. Y., Kho, H. S., Chung, J. W., Park, H. K., & Kim, Y. K. (2009). A new organoleptic testing method for evaluating halitosis. Journal of Periodontology, 80, 93–97. https://doi.org/10.1902/jop.2009.080389
Laleman, I., Dadamio, J., De Geest, S., Dekeyser, C., & Quirynen, M. (2014). Instrumental assessment of halitosis for the general dental practitioner. Journal of Breath Research, 8, 017103. https://doi.org/10.1088/1752-7155/8/1/017103
Lee, C. H., Kho, H. S., Chung, S. C., Lee, S. W., & Kim, Y. K. (2003). The relationship between volatile sulfur compounds and major halitosis-inducing factors. Journal of Periodontology, 74, 32–37. https://doi.org/10.1902/jop.2003.74.1.32
Malhotra, S., & Yeltiwar, R. K. (2011). Evaluation of two mouth rinses in reduction of oral malodor using a spectrophotometric technique. Journal of Indian Society of Periodontology, 15, 250. https://doi.org/10.4103/0972-124X.85669
de Mesquita-Guimarães, K. S. F., Santin, G. C., Scatena, C., Rodrigues, A. L., & Serra, M. C. (2017). Reproducibility of an organoleptic method for halitosis assessment. European Journal of General Dentistry, 6, 9. https://doi.org/10.4103/2278-9626.198600
Murata, T., Rahardjo, A., Fujiyama, Y., Yamaga, T., Hanada, M., Yaegaki, K., & Miyazaki, H. (2006). Development of a compact and simple gas chromatography for oral malodor measurement. Journal of Periodontology, 77, 1142–1147. https://doi.org/10.1902/jop.2006.050388
Quirynen, M., Dadamio, J., Van den Velde, S., De Smit, M., Dekeyser, C., Van Tornout, M., & Vandekerckhove, B. (2009). Characteristics of 2000 patients who visited a halitosis clinic. Journal of Clinical Periodontology, 36, 970–975. https://doi.org/10.1111/j.1600-051X.2009.01478.x
Rosenberg, M., & McCulloch, C. A. (1992). Measurement of oral malodor: Current methods and future prospects. Journal of Periodontology, 63, 776–782. https://doi.org/10.1902/jop.1992.63.9.776
Rosenberg, M., Septon, I., Eli, I., Bar-Ness, R., Gelernter, I., Brenner, S., & Gabbay, J. (1991). Halitosis measurement by an industrial sulphide monitor. Journal of Periodontology, 62, 487–489. https://doi.org/10.1902/jop.1991.62.8.487
Seemann, R., Conceicao, M. D., Filippi, A., Greenman, J., Lenton, P., Nachnani, S., … Rosenberg, M. (2014). Halitosis management by the general dental practitioner—results of an international consensus workshop. Journal of Breath Research, 8, 017101. https://doi.org/10.1088/1752-7155/8/1/017101
Shimura, M., Watanabe, S., Iwakura, M., Oshikiri, Y., Kusumoto, M., Ikawa, K., & Sakamoto, S. (1997). Correlation between measurements using a new halitosis monitor and organoleptic assessment. Journal of Periodontology, 68, 1182–1185. https://doi.org/10.1902/jop.1997.68.12.1182
Shimura, M., Yasuno, Y., Iwakura, M., Shimada, Y., Sakai, S., Suzuki, K., & Sakamoto, S. (1996). A new monitor with a zinc-oxide thin film semiconductor sensor for the measurement of volatile sulfur compounds in mouth air. Journal of Periodontology, 67, 396–402. https://doi.org/10.1902/jop.1996.67.4.396
Sorensen, H. T., Sabroe, S., & Olsen, J. (1996). A framework for evaluation of secondary data sources for epidemiological research. International Journal of Epidemiology, 25, 435–442. https://doi.org/10.1093/ije/25.2.435
Sterer, N., Greenstein, R. B.-N., & Rosenberg, M. (2002). Beta-galactosidase activity in saliva is associated with oral malodor. Journal of Dental Research, 81, 182–185
Takeshita, T., Suzuki, N., Nakano, Y., Shimazaki, Y., Yoneda, M., Hirofuji, T., & Yamashita, Y. (2010). Relationship between oral malodor and the global composition of indigenous bacterial populations in saliva. Applied and Environmental Microbiology, 76, 2806–2814. https://doi.org/10.1128/AEM.02304-09
Tangerman, A., & Winkel, E. G. (2007). Intra- and extra-oral halitosis: Finding of a new form of extra-oral blood-borne halitosis caused by dimethyl sulphide. Journal of Clinical Periodontology, 34, 748–755. https://doi.org/10.1111/j.1600-051X.2007.01116.x
Tsai, C. C., Chou, H. H., Wu, T. L., Yang, Y. H., Ho, K. Y., Wu, Y. M., & Ho, Y. P. (2008). The levels of volatile sulfur compounds in mouth air from patients with chronic periodontitis. Journal of Periodontal Research, 43, 186–193. https://doi.org/10.1111/j.1600-0765.2007.01011.x
Vandekerckhove, B., Van den Velde, S., De Smit, M., Dadamio, J., Teughels, W., Van Tornout, M., & Quirynen, M. (2009). Clinical reliability of non-organoleptic oral malodour measurements. Journal of Clinical Periodontology, 36, 964–969. https://doi.org/10.1111/j.1600-051X.2009.01473.x
Winkel, E. G., & Tangerman, A. (2008). Appropriate sample bags and syringes for preserving breath samples in breath odor research: A technical note. Journal of Breath Research, 2, 017011. https://doi.org/10.1088/1752-7155/2/1/017011
Yaegaki, K., & Coil, J. M. (2000). Examination, classification, and treatment of halitosis; clinical perspectives. Journal Canadian Dental Association, 66, 257–261
