blessedrich wrote: I have read the "Halitosis: a new definition and classification" cover to cover about 3 times already and I intend to ready some more because it contains a lot of information that is helping me narrow down my problem.
But I will like to get some confirmation from you with the conclusions that i have drawn from reading to know if I am right or wrong.
I have 2 follow up question:.... snip...
Thanks for you interest with my manuscript and classification schema.
Criteria used for classification follow (hyerarchically order):
1- aetiology
2- origin
2- place where it comes from
There are some dificulties to classify some cases, for example asthma. Their origin airway mucosa but NO gas comes from alveolar expiration air. So, is this airway halitosis or blood gases? We should classifiy Type 2+4.
Also odorous gases come from either oral or nasal cavity in oropharingeal infection. Same origin but two different pathways. We should classify Type 1+2
Another example Gastrointestinal infectious diseases (including SIBO or parasites). Odorous gases can enter mesenteric or portal blood and leave the body from alveolar breath (Type 4) or the gases can elevate to oral cavity through passing pylor and gastroeusophagial valves. (Type 3). Please note that, here, we talk about the same origin but different pathways. So that, These can be classified Type 3+4.
Also, one extrem example: retronasal olfaction is not enough clear whether type 5 neurogenic halitosis or type 2 halitosis.
There are some little doors can be spontaneously opened at any time between types of halitosis. Type 2 halitosis can spontaneously spread pharynx or dorsolingual area, after this progression, type 1 is included to this clinic picture.
On the other hand, one type halitosis invites another type of halitosis if it enough prolongs. For example every Type of halitosis turns to Type 5 or Type x+5 halitosis if it enough long time remains without cure. When a patient with Type 2 halitosis, has not been treated for many years, then, he will be Type 2+5. Every halitosis intends to add or turn to type 5 within years.
Halitosis terminology contains a lot of misconceptions, misused terms, traps
Have you read this?
http://murataydin.org/halitofobi.pdf
-M