Abstract
Interventions and management modalities of pediatric halitosis have been suggested in the literature, however, the effect of full mouth rehabilitation (FMR) under general anesthesia (GA) on pediatric halitosis was not reported. Therefore, the present study was conducted to investigate parents’ perceptions of their child’s halitosis before and after FMR under GA; and to evaluate the effect of FMR on clinical halitosis. Fifty-seven children between 3–8 years old, scheduled for FMR under GA, were included after satisfying the inclusion criteria and upon parental consent. Parents’ perception of halitosis in their children was evaluated using a standardized questionnaire and a breath sample was collected to assess the level of volatile sulfur compounds (VSCs) using OralChromaTM before and after FMR under GA. Sixty percent (n = 34) of the parents perceived halitosis in their children before FMR and about 80% (n = 27) of them reported improvement in halitosis after FMR. Clinical halitosis was detected in 84.2% (n = 48) of the sample before treatment. A statistically significant reduction in halitosis was found in 56.3% (n = 27) of the children after treatment (p < 0.001). In conclusion, majority of parents perceived an absence or reduction of halitosis in their children following FMR and significant improvement of clinical halitosis.
Highlights
Halitosis is a condition characterized by foul-smelling or offensive odors emanating from the mouth or breath
A statistically significant reduction in halitosis was found in 56.3% (n = 27) of the children after treatment (p < 0.001)
Fifty-seven children who were scheduled for full mouth rehabilitation (FMR) under general anesthesia (GA) due to their uncooperative behavior in the dental clinic or extensive dental needs in the Dental University Hospital (DUH) at King Saud University (KSU), Riyadh, Saudi Arabia were included in this study after fulfilling the following inclusion criteria: healthy children, three to eight years old and their parents agreed to participate in the study and were cooperative during the clinical examination and halitosis measurements
Summary
Halitosis is a condition characterized by foul-smelling or offensive odors emanating from the mouth or breath. Halitosis can affect all age groups, including children [1]. The prevalence of halitosis among pediatric populations has been investigated in different regions of the world with varying estimations [2,3,4,5,6,7]. In Japan, the prevalence of halitosis in children ranged between 8% and 45% [4,5,6], while it was reported as 41% In India [7]. The prevalence of halitosis among pediatrics in Italy was 38% [3], while it was reported as approximately 15% in Turkish children [2]. The discrepancy between the prevalence of halitosis in children could be due to the lack of standardization in halitosis detection and threshold criteria
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