Smelly Diareah Dizzy Gas

How to evaluate the bad breath?

Methods subjective evaluation of bad breath

SENSORY TEST
Subjective methods do not allow an accurate and based
on the assessment by the practitioner of the smell.
were analyzed:
- breath through the mouth or nose of the patient;
- the saliva of the patient;
- existing plaque on the teeth or interdental spaces;
- the existing coating on the back language.

The practitioner must ensure that he has no qualitative olfactory disorders
(ability to detect different components smelly) or quantitative
(detection of malodorous components even with concentrations
small) [14].
The screening test for possible disorders of olfaction is:
1. recognize the smell of different foods or products;
2. feel progressive dilutions of the different products (from 1 to 10-19) and track
the threshold at which a product is no longer felt.
Decreased olfactory capabilities of the practitioner (due to head trauma,
viral infection in the ENT, etc..) Can reduce its ability to detect odors
and thus compromising the subjective method Assessment
halitosis.
A slight decrease in 'physiological' olfactory capabilities can occur with
age (especially after sixty years).
Mel Rosenberg [15] proposes a scale of reference for the various bad smells
:
- 0 = no odor;
- 1 = barely noticeable odor;

How to evaluate bad breath ?

- 2 = slightly perceptible odor;
- 3 = average odor intensity;
- 4 = strong odor;
- 5 = very strong odor.

The following tips are given to the patient:
Four to ten hours before maintaining measures, the patient should refrain from taking food
(oumanger drinking), health care etmême smoking.

The organoleptic test can be performed by:
- the practitioner;
- the patient himself;
- a trusted person present in the patient's relatives.


organoleptic practiced by the practitioner
The practitioner performs the test at any dental chair with the help of his assistant.
Each of the following steps must be preceded by a period of 1-2 minutes
during which the patient remains closed mouth to encourage the accumulation of
malodorous components (Fig. 2.1 to 2.6):

- the patient opens his mouth without expiring. Bad breath in this case puts
because the various elements of the oral cavity.

- the patientmaintient his mouth closed and exhale through the left nostril (the nostril
right is closed Using his finger). lamêmemanoeuvre is repeated for the right nostril
. The exhaled air has its origins in this case, the ENT.
- the patient opens his mouth slightly and expire the air which in this case as originally
the oral cavity or upper airways.

- the patient opens his mouth and performs a forced expiration. An unpleasant odor may
as lung disease etiology.

- the patient must be between 1 to 20 out loud, which promotes drying
of the mucosa and the release of malodorous volatile components present
level of the oral cavity.

For each step, a score (as classified by Rosenberg) [15] is granted
for air from the mouth or nose. Similarly, plaque deposits present
level or interdental tooth surfaces and the tongue coating and saliva
are felt and evaluated by score Rosenberg.


















organoleptic made by the patient
The patient will be evaluated:
- floss after spent in the interdental spaces;
- the tongue scraper (or a teaspoon) after cleaning the dorsum of the tongue
;
- saliva after deposited in a small spoon;
- the back of the hand after having licked the area with the most posterior of the tongue.

organoleptic by a person of trust
the patient's relatives
For the patient himself, it is very difficult to feel his own breath as
olfactory receptors adapt quickly to a certain smell. Someone from his entourage
can point out to him that he has bad breath and tell him
different times of day during which it occurs. Factors
etiological bad breath and their implications can thus be detected more easily
.


Cetteméthode subjective, despite its limitations, is very convenient and accessible
to assess lamauvaise breath.

Subjective methods are based on the assessment by the practitioner
the smell in the air exhaled through the mouth
or the patient's nose in its saliva at the plate
Dental located at the teeth or interdental spaces
and coating present on the posterior
language.
The reference scale for the different odors
is:
- 0 = no odor;
- 1 = barely noticeable odor;
- 2 = slightly noticeable odor;
- 3 = average odor intensity;
- 4 = strong odor;
- 5 = very strong odor.
The organoleptic test can be achieved by:
- the practitioner;
- the patient himself;
- a trusted person present in the patient's relatives.
This subjective method, despite its limitations, is very convenient and accessible
to assess halitosis.