Home' Australian Pharmacist : December 2011 Contents Vol. 30 -- December #12, 2011
Continuing Professional Development
Submit your answers online at www.psa.org.au and receive automatic feedback
You explain that it is important to
brush the teeth after meals in order
to remove food debris and reduce
plaque build-up. You recommend she
buy a new toothbrush, and begin
using dental floss before she brushes
her teeth. You suggest she also use
her toothbrush to gently brush her
tongue. A mouthwash could also be
used for the next few weeks until
the bad breath improves with better
oral hygiene. The customer says she
will give these things a try, and will
also make an appointment to see
the dentist for a check-up seeing as
it has been so long. The customer is
provided with an Oral Health Self Care
fact card to reinforce the discussion.
1. Porter SR, Scully C. Oral malodour (halitosis) [online].
BMJ. 2006; 333(7569):632--35. At: www.ncbi.nlm.nih.
2. Halitosis [revised 2007 Jan]. In: eTG complete [online].
Melbourne: Therapeutic Guidelines 2011. At: http://
3. Halitosis [revised 2011 Aug]. In: BMJ Evidence
Centre [online]. London: BMJ Publishing Group;
2011. At: http://bestpractice.bmj.com/best-practice/
4. Scully C, Felix DH. Oral Medicine -- Update for the
dental practitioner: Oral malodour [online]. Br Dent
J. 2005; 199(8):498--500. At: www.nature.com/bdj/
5. Kacker A. Halitosis [revised 2010 Jun]. Medscape
Reference [online]. 2011. At: http://emedicine.
6. Halitosis [revised 2009 Mar]. Merck Manual [online].
New Jersey: MSD; 2011. At: www.merckmanuals.com
1. A common cause of transient
oral malodour is:
a) eating garlic.
b) a blocked nose.
d) all of the above.
2. Choose the INCORRECT
statement about halitosis.
a) Poor oral hygiene is the most
common cause of persistent
b) Halitosis always originates from
c) People with halitosis may also
complain of a bad taste in their
d) Wearing dentures overnight can
3. Which of the following is NOT
a possible cause of halitosis?
a) Poor digestion or bowel function.
c) Gastro-oesophageal reflux disease.
d) Nasal foreign body.
4. Which of the following is
NOT considered an effective
measure to help control
a) Tooth brushing.
b) Regular use of a mouthwash.
c) Chewing herbs.
d) Interdental flossing.
A score of 4 out of 5 attracts 1 CPD credit.
5. Choose the CORRECT
statement about the
management of halitosis.
a) Cetylpyridinium can cause
reversible staining of the teeth and
b) Dentures should be removed at
bedtime, and soaked in a denture
c) Chewing gum can produce a
transient decrease in oral malodour
by inhibiting saliva flow.
d) Tongue cleaning has been shown
to provide good long term benefits
in reducing oral malodour.
7. Scully C, Porter S. Halitosis [online]. Clinical Evidence.
2008; 07:1305. At: www.ncbi.nlm.nih.gov/pmc/articles/
8. Yaegaki K, Coil JM. Examination, Classification, and
Treatment of Halitosis; Clinical perspectives [online]. J
Can Dent Assoc. 2000; 66:257--61. At: www.cda-adc.
9. Fedorowicz Z, Aljufairi H, Naser M, et al. Mouthrinses
for the treatment of halitosis [online]. Cochrane
Database of Systematic Reviews 2008, Issue
4. Art. No.: CD006701. DOI: 10.1002/14651858.
CD006701.pub2. At: http://onlinelibrary.wiley.com/
10. Outhouse TL, Al-Alawi R, Fedorowicz Z, et al. Tongue
scraping for treating halitosis [online]. Cochrane
Database of Systematic Reviews 2006, Issue
2. Art. No.: CD005519. DOI: 10.1002/14651858.
CD005519.pub2. At: http://onlinelibrary.wiley.com/
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