口臭の原因の一部解明により，症状が改善傾向にある口臭恐怖症の１例

DOI 被引用文献1件
  • 米田 雅裕
    福岡歯科大学総合歯科学講座総合歯科学分野
  • 鈴木 奈央
    福岡歯科大学総合歯科学講座総合歯科学分野
  • 内藤 徹
    福岡歯科大学総合歯科学講座総合歯科学分野
  • 吉兼 透
    福岡歯科大学総合歯科学講座総合歯科学分野
  • 羽生 真也
    福岡歯科大学総合歯科学講座総合歯科学分野
  • 廣藤 卓雄
    福岡歯科大学総合歯科学講座総合歯科学分野

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  • Improvement of halitophobia after revealing the cause of oral malodor

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We report a case of halitophobia in which improvement was observed after the cause of the oral odor was identified.A 27-year-old male came to our hospital complaining of oral odor.He had been worried about his breath odor since a time when, at the age of fourteen, classmates had commented on it.He had visited several breath clinics and consulted frequently with psychiatrists but without being able to allay his anxiety.<BR>At our breath clinic, we first performed an initial medical interview.Using organoleptic measurement, a halimeter test and gas chromatography, we could detect a weak but measurable odor.An oral examination revealed no dental problem beyond a slight tongue coating but the gum test indicated a low saliva flow.We referred him to the departments of oral surgery and radiology, where no symptoms of Sjogren's syndrome were found but his parotid gland was revealed to be in an atrophic condition. We explained to him about the low saliva flow and told him that the dryness of his mouth may be the cause of the oral odor.He appeared relieved to know the possible cause of his halitosis and commenced tongue exercises to stimulate the saliva flow.<BR>On his first visit to our breath clinic, he also asked to visit our hospital's clinic of psychosomatic medicine.As his anxiety seems to have been reduced, however, we have still not referred him to that clinic.We conclude from this experience that it is important to perform a proper medical interview and breath odor measurements prior to judging that a problem may have a psychological origin.

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