Case Report Management of Halitosis Patient Halitophobia and Pseudo Halitosis Condition at Halitosis Care Center Siti Hajar Hospital Medan

Abstract

Halitosis or bad breath not only causes complaints in sufferers but also disturbs people around them. This situation can cause a decrease in a person's quality of life, such as feeling embarrassed, lacking self-confidence, and difficulty interacting socially. The classification of halitosis consists of true halitosis, pathological halitosis, and halitophobia. To resolve patient complaints, management methods must be differentiated. This case report describes two types of halitosis cases, namely Halitophobia and Pseudo Halitosis at the Halitosis Care Center at Siti Hajar Hospital, Medan. This study aims to determine the management of halitophobia with pseudo-halitosis. In the first case, a patient with a diagnosis of pathological halitosis, poor OHIS, and a VSC score: of 1164 ppb underwent scaling root planning (TN3), tooth filling 36 46 (TN4), mouthwash, and administration of probiotics. In the second case, a patient with a diagnosis of halitophobia with a VSC gas level of 345 ppb underwent treatment (TN1) and Cognitive Behavioral Therapy. Management of halitosis must be by treatment needs, including intraoral examination, history taking, and education.