1. By: Alireza Talebian D.D.S Roghayeh Iranpoor D.D.S
Addiction to cigarette smoking due to suffering from halitosis and the cessation following halitosis treatment. A case report
By: Alireza Talebian D.D.S
Roghayeh Iranpoor D.D.S

2. Introduction
200 visitors to a breath odor clinic employed various measures to reduce halitosis. The most frequently used measures was chewing gum.
Only 1 sufferer used cigarette Odor as a masking agent

3. Case report Questionnaire
potential Diagnosis: A combination of physiologic and
extraoral pathologic halitosis with
moderate psychologic condition

4. Measuring Oral malodor
Portable GC
OralChroma
Organoleptic
Rosenberg’s (0-5) scoring

5. Mouth air sampling

6. Chromatogram
VSCs concentrations were below cognitive threshold

7. Organoleptic Assessment
Left & Right Nostrils Odor Oral Odor
LN Score: Oral Score:4
RN Score:3

8. Organoleptic Assessment
Tonsil odor
Tonsilar Score : 5

9. Organoleptic Assessment
Odor of Posterior and anterior area of tongue
Posterior Area Score :5 Anterior Area Score : 5
Gingival Sulcus Odor
Gingival Sulcui Score : 3.3

10. To Make a Diagnosis “Mouthwash Test” Was performed
The patient was asked to rinse his mouth with 5 ml of a zinc-containing commercial mouthwash.
The chromatographic and organoleptic assessment was performed after 60 minutes.
Since almost all parameters reduced , the diagnosis was made.

11. Confirmed Diagnosis Physiologic Halitosis + Tobacco induced halitosis
Moderate psychologic Condition

12. Treatment The patient was instructed to 1- quite smoking
2- scrape anterior area of tongue
3- brush posterior area of tongue
4- rinse with a zinc-containing mouthwash

13. Follow-up visit Organoleptic scores were reduced
VSCs concentrations were reduced
Cigarette was quit

14. Conclusion
It is proposed that attention to halitosis-caused tobacco addiction is necessary
Integration this service into clinical practice is ethical and right thing to do
Therefore a better practice is delivered to the patients