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Changes in Bad Breath and Olfactory Function After Extraction of Carious Teeth

9 de noviembre de 2026 actualizado por: Rojdan Ferman GÜNEŞ UYSAL, Batman University

The Effect of Dental Caries on Halitosis Awareness and Olfactory Functions

This study aims to evaluate changes in halitosis and olfactory function in adults with advanced dental caries requiring tooth extraction.

A total of 80 adult patients aged 18-65 years with one or more teeth indicated for extraction due to advanced dental caries will be included. Tooth extractions will be performed under local anesthesia using an atraumatic technique as part of routine dental care. The extraction sockets will be allowed to heal by secondary intention.

Assessments will be performed before tooth extraction and 21 days after the last extraction. Halitosis will be evaluated by a single trained and blinded examiner using the organoleptic scoring method (OLS). Participants will also rate their perceived halitosis using a visual analog scale (VAS).

Olfactory function will be assessed using the Sniffin' Sticks test, which consists of three components: odor threshold, odor discrimination, and odor identification. The scores of these three tests will be combined to calculate the total TDI score.

The preoperative and postoperative results will be compared to investigate changes in halitosis and olfactory function following the removal of carious teeth.

Descripción general del estudio

Estado

Terminado

Condiciones

Tipo de estudio

De observación

Inscripción (Actual)

80

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

The study population consists of 80 adults aged 18-65 years with one or more teeth indicated for extraction due to advanced dental caries. Participants are systemically healthy, non-smokers, and have healthy periodontal tissues or have completed periodontal treatment before enrollment. Both male and female participants are included. Tooth extractions are performed under local anesthesia using an atraumatic technique as part of routine clinical care. Halitosis and olfactory function are assessed before tooth extraction and 21 days after the last tooth extraction. Participants who do not meet the eligibility criteria are excluded from the study.

Descripción

Inclusion Criteria:

Adults aged 18-65 years. Patients with one or more teeth indicated for extraction due to advanced dental caries.

Systemically healthy individuals. Non-smokers. Individuals with healthy periodontal tissues or those who have completed periodontal treatment before enrollment.

Exclusion Criteria:

History of loss of smell or changes in olfactory function within the two weeks preceding the olfactory assessments and tooth extraction.

Use of antibiotics or anti-inflammatory medications for more than 7 consecutive days within the preceding 6 weeks.

Presence of an upper respiratory tract infection at the time of assessment. History of COVID-19 infection. Pregnancy. Lactation. Traumatic tooth extraction or extraction procedures requiring flap elevation. Development of alveolar osteitis (dry socket) during the postoperative follow-up period.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Modelos observacionales: COHORT
  • Perspectivas temporales: PROSPECTIVE

Cohortes e Intervenciones

Grupo / Cohorte
Adults Undergoing Extraction of Carious Teeth

This cohort consists of adults aged 18-65 years who underwent extraction of one or more teeth due to advanced dental caries as part of routine clinical care. Tooth extractions were performed under local anesthesia using an atraumatic technique, and the extraction sockets were allowed to heal by secondary intention.

Participants underwent assessments of halitosis and olfactory function before tooth extraction and 21 days after the last extraction. Halitosis was evaluated using an organoleptic scoring method and a patient-reported visual analog scale (VAS). Olfactory function was assessed using the Sniffin' Sticks test, including threshold, discrimination, and identification components (TDI score).

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in Organoleptic Score (OLS) from Baseline to Follow-up
Periodo de tiempo: At baseline (before tooth extraction) and 21 days after the last tooth extraction.

Halitosis will be assessed by a single trained and blinded examiner using the organoleptic scoring method (OLS). Participants will be instructed to keep their mouths closed, breathe through their noses, and then exhale through their mouths. The examiner will assess the odor of the exhaled breath using a 6-point scale ranging from 0 to 5, where 0 indicates no detectable odor and 5 indicates extremely strong odor. Changes in OLS scores between baseline (before tooth extraction) and follow-up will be evaluated.

At baseline (before tooth extraction) and 21 days after the last tooth extraction.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in Patient-Perceived Halitosis Severity (VAS) from Baseline to Follow-up
Periodo de tiempo: At baseline (before tooth extraction) and 21 days after the last tooth extraction.

Participants will assess their perceived halitosis severity using a 10-point visual analog scale (VAS), ranging from 0 (no perceived bad breath) to 10 (extremely severe bad breath). Changes in VAS scores between baseline (before tooth extraction) and follow-up will be evaluated.

At baseline (before tooth extraction) and 21 days after the last tooth extraction.
Change in Olfactory Function (Sniffin' Sticks TDI Score) from Baseline to Follow-up
Periodo de tiempo: At baseline (before tooth extraction) and 21 days after the last tooth extraction.

Olfactory function will be assessed using the Sniffin' Sticks test, consisting of three components: odor threshold (T), odor discrimination (D), and odor identification (I). The threshold test evaluates the lowest odor concentration that participants can detect. The discrimination test assesses the ability to distinguish between different odors, while the identification test evaluates the ability to identify familiar odors from multiple-choice options. The scores of the three components will be summed to obtain the total TDI score. Changes in total TDI scores between baseline and follow-up will be evaluated.

At baseline (before tooth extraction) and 21 days after the last tooth extraction.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

6 de mayo de 2026

Finalización primaria (Actual)

27 de mayo de 2026

Finalización del estudio (Actual)

1 de julio de 2026

Fechas de registro del estudio

Enviado por primera vez

9 de noviembre de 2026

Primero enviado que cumplió con los criterios de control de calidad

9 de noviembre de 2026

Publicado por primera vez (Actual)

13 de noviembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

13 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

9 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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