最近审阅: 30 十月 2020
最近更新: 10 十一月 2017

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 口臭
  • 口臭不能被临床医师或患者伴侣/亲戚察觉
  • 强迫症行为、抑郁、恐惧性焦虑、偏执及社交交往减少
  • 患者反映周围的人通过捂鼻开窗等以避免口臭
  • 进食洋葱、大蒜或卤制品
  • 牙齿和/或牙周疾病
  • 口腔黏膜疾病征象
  • 鼻咽疾病证据

其他诊断因素

  • 上呼吸道或消化道疾病征象
  • 上呼吸道和消化道恶性肿瘤证据
  • 内分泌、代谢性、肝脏或肾脏疾病证据

危险因素

  • 口腔损害
  • 呼吸系统疾病
  • 胃肠道 (GI) 疾病
  • 肝脏疾病
  • 肾脏疾病
  • 内分泌疾病
  • 代谢性疾病

诊断性检查

需考虑的检查

  • 硫化物监测仪
  • 气相色谱
  • 苯-精氨酸-萘基(BANA)检测
  • 暗视野显微镜检查
  • 口腔细菌PCR
  • 选择离子流动管质谱
更多 需考虑的检查

治疗流程

撰稿人

Stephen R. Porter

Director and Professor of Oral Medicine

UCL Eastman Dental Institute

London

UK

利益声明

SRP declares that he has no competing interests.

Stefano Fedele

Senior Clinical Lecturer in Oral Medicine

UCL Eastman Dental Institute

London

UK

利益声明

SF has received research funding and advisory/consultancy fees from Amgen for work unrelated to this article. SF has also received fess from professional conferences for lecturing on topics unrelated to this article.

同行评议者展开全部内容

Professor of Oral Medicine

Department of Oral Sciences

University of Palermo

Palermo

Italy

利益声明

GC declares that she has no competing interests.

Professor

Howard University College of Dentistry

Washington

DC

利益声明

RSB declares that he has no competing interests.

内容使用需遵循免责声明