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Blog Archive

Friday, December 6, 2013

Responses Summary Halitosis & Tonsillectomy

TO ALL HALITOSIS SUFFERERS


Please participate in the Halitosis Study Questionnaire #2 if you have not done so yet.

TO SEE SUMMARY OF RESPONSES
CLICK HERE

The more breath (malodor) halitosis sufferers participate in this questionnaire, the greater amount of data is consequently documented and compiled regarding this condition. Dr. Murat tells us in the paper he wrote for MEBO's 2013 Annual Meetup and Conference held in Memphis, TN, “How can we understand whether halitosis comes from mouth or breath?,” which describes the origin of Oral (malodor) Halitosis and Breath (malodor) Halitosis and the differences of their clinical signs.

In addition to making reference to the work done by Drs. Tangerman, Whittle, and Phillips, et al., his paper presents excerpts from his book, Halitosis, In: Oral Microbiology,
Aydin M. Aydin M. (2012). Halitosis. In: Oral Microbiology. Aydin M, Mısırlıgil A. editors. Ankara: MN Medical & Nobel, p.97-105.,


Breath (malodor) Halitosis, as opposed to Oral (malodor) Halitosis, comes from blood gases. Naturally volatile aromatic metabolites, usually by-products of biochemical processes, are present in the breath (Tangerman A, 2002). Exhaled molecules reflect the arterial concentrations of biological substances (Whittle at al., 2007). A total of 3,481 different VOC were observed in the breath of normal humans (Phillips et al., 1999). Many alcohols and aldehydes exhaled that have pungent odor begin to be offensive when they exceed a specific threshold.

Dr. Aydin has shown interest in our international community and has focused his study on the causes and treatment of the various types of halitosis. He gives an explanation below listing some of the compounds released in the breath,


In the breath of healthy persons, ammonia, acetone, methanol, ethanol, isoprene,
propanol, acetaldehyde, C13-20 alkanes, and hydrogen were measured as 833, 477,
461, 112, 106, 18, 22 ppb, 1.5 x10 -10 M /l, <10 ppm respectively. (Smith D, 2007)
(Phillips M, 2000) (Hamilton LH, 1998).

Most of them are end product of lipid, nitrogen, cholesterol, alcohol, carbohydrate,
protein or aminoacid metabolism, oxidation of proteins, pancreatic insufficiency,
carbohydrate malabsorption intolerance, abnormal gut flora, bacterial gut overload, liver
or renal failure, or subclinic trimethylaminuria disease.

A list of exhaled volatiles in patients with systemic disease, such as diabetes mellitus,
sleep apnea, H. pylori infection, sickle cell disease, asthma, breast cancer, lung
carcinoma, chronic obstructive pulmonary disease, cystic fibrosis, liver disease, cirrhosis,
uremia, kidney failures, trimethylaminuria, has been published (Whittle CL, 2007).

Distinction between Oral and Breath Halitosis : Both give similar sign of bad
odor in the mouth and/or breath.
Where is odorous gas emitted from ?
The mouth or from the breath?
The difference is important for both, diagnosis or treatment. 

This handout lists useful tools to distinguish between them, including the three points noted in the MEBO Blog post, "The MEBO Conference and Social Meetup in Memphis," scroll down to section, "HALITOSIS FROM MOUTH OR BREATH."

See handout for additional information.


María

María de la Torre
Founder and Executive Director

A Public Charity
maria.delatorre@meboresearch.org
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