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KMID : 0362720170550090640
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Journal of the Korean Dental Association
2017 Volume.55 No. 9 p.640 ~ p.656
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Xerostomia and halitosis : A review and current concepts
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Lee Yeon-Hee
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Abstract
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Xerostomia is usually caused by a reduced salivary flow or by changes in the biochemical composition of saliva. Halitosis or oral malodor is an offensive odor usually originating from the oral cavity. Halitosis can lead to anxiety and psychosocial
embarrassment. The occurrence of halitosis closely related with intraoral conditions including the presence of xerostomia.
Especially, the relationship between xerostomia and halitosis is prominent in elderly patients receiving polypharmacy with at least two systemic diseases. This study is a review of the update literature of xerostomia and halitosis. A large number of papers have been searched and identified using the words , , , , , , and . Papers not relevant to the issue were removed reducing the entries to 79 only. Most of identified papers were systematic reviews, non-systematic reviews, and observational studies. With a proper diagnosis, identification of the etiology and timely referrals certain steps are taken to create a successful individualized therapeutic approach. It is significant to highlight the necessity of an interdisciplinary method for the treatment of xerostomia and halitosis to prevent misdiagnosis or unnecessary treatment. This article concisely focuses on the development of a systemic flow of events to come to the proper treatment of the xerostomia and halitosis.
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KEYWORD
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Xerostomia, Halitosis, Polypharmacy, Elderly, Multidisciplinary approach
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