Details

Autor(en) / Beteiligte

• Szalai, Eszter
• Tajti, Péter
• Szabó, Bence
• Kói, Tamás
• Hegyi, Péter
• Czumbel, László Márk
• Varga, Gábor
• Kerémi, Beáta

Titel

ORGANOLEPTIC AND HALITOMETRIC ASSESSMENTS DO NOT CORRELATE WELL IN INTRA-ORAL HALITOSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Ist Teil von

• The journal of evidence-based dental practice, 2023-09, Vol.23 (3), p.101862-101862, Article 101862

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2023

Quelle

Elsevier ScienceDirect

Beschreibungen/Notizen

• •None of the halitosis measuring devices is superior significantly to the others, and our data with very low certainty does not suggest changing subjective measurement to objective measurement.•The halitosis measuring devices’ sensitivity and specificity are not outstanding.•Our findings suggest the need to exclude patients with extra-oral halitosis if the diagnosis would make with sulfide monitors. The gold standard method for diagnosing oral halitosis is the subjective organoleptic measurement. Device-supported methods are also widespread worldwide. The challenges and safety concerns around performing organoleptic measurements during pandemics and the diversity of measuring device alternatives raised our clinical question: which halitometer is the most suitable for diagnosing halitosis? This systematic review was registered in PROSPERO (ID CRD42022320024). The search was performed on March 23, 2022 in the following electronic databases: MEDLINE, Embase, Scopus, Web of Science, and CENTRAL. Adult populations with or without halitosis were included, and patients with systemic diseases were excluded. Organoleptic (subjective) measurement and the device-supported (objective) methods were compared; the primary outcome was the correlation coefficient, and the secondary was the specificity and sensitivity of the devices. QUADAS-2 and QUADAS-C were used to evaluate the risk of bias in the studies. Random–effects meta analyses were performed on the outcomes, and the secondary outcomes were plotted on a common ROC plot. A total of 1231 records were found in the 5 databases. After the selection process, 76 articles were eligible for the systematic review, and 14,635 patients were involved in the qualitative analysis. The pooled Spearman's correlation coefficient (c.c.) for sulfide monitors was 0.65; 95% CIs: [0.53-0.74]; I2 = 95%, P < .01. The pooled Spearman's c.c. for portable gas chromatographs was 0.69; 95% CIs: [0.63-0.74]; I2 = 12%, P < .01. The pooled Spearman's c.c. for gas chromatographs was 0.76; 95% CIs: [0.67-0.83]; I2 = 0%, P < .01. None of the most commonly used halitometers proved to be significantly superior to the others. Halimeter and OralChroma measurements did not correlate well with the organoleptic level of oral halitosis in adults. Therefore, better halitometers need to be developed as an alternative to organoleptic measurements.