HALITOSIS AMONG STUDENT IN SHEHU IDRIS COLLEGE OF HEALTH SCIENCE AND TECHNOLOGY

1.1 Introduction

According to Medicalnewstoday (2021), Halitosis also known as Bad breath is a common problem that can cause significant psychological distress. Halitosis is the third most common reason that people seek dental care, after tooth decay and gum disease. Simple home remedies and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. If bad breath persists, however, it is advisable to visit a doctor to check for underlying causes (Medicalnewstoday, 2021).

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Limitations of the Study and Definition of technical terms.

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1.2 Background of Study

Halitosis is a term used to describe noticeably unpleasant odor exhaled in breathing (Gage, 2007). Halitosis can be important social problem in which the standard dental treatment and mouth wash that are often recommended provide only temporary relief. The smell is from an oral source due to bacterial activities (Rosemberg, 2002).

Oral malodor is primarily the result of microbial metabolism, the mouth is a home of hundreds of bacterial species with various nutritional preferences. The most common location for mouth related halitosis is the tongue. Tongue bacterial produce malordor and fatty acid and count for about 80 to 90 percent of all cases of mouth related bad breath. Large quantities of naturally occurring bacteria are often found on the dorsum of the tongue, where they are relatively undisturbed by normal activities. This part of the tongue is relatively dry and poorly cleansed and bacterial populations can thrive on remnants of food deposits, dead epithelial cells and post nasal drip. The convoluted microbial structure of the tongue dorsum provides an ideal habitat for anaerobic bacterial, which flourish under a continually – forming tongue coating of food debris, dead cells, post nasal drip and overlying bacteria living and dead when left on the tongue the anaerobic respiration of such bacterial can yield either the putrescent smell of indole, skatole, methyl mercapton, alloymethyl sulfide and dimethyl sulfide (Tonzentich, 1997).

The organism digest protein and several fatid substances arise leading to bad breath. Oral malodor from the overgrowth of proteolytic, anerobic gram negative bacterial the creavices of the tongue dorsum can be successfully diagnosed and treated (Lochner et al, 2000). There are several causes of halitosis although the main one is oral bacterial over 90 million people suffer from chronic halitosis which is medical term for bad breath in most cases halitosis originate from the gums and tongue, caused by bacterial from the decay of food particles, other debris in the mouth and poor oral hygiene. In most cases (85-90%) bad breath originate in the mouth itself.

The intensity of bad breath differ during the day, due to eating of certain foods such as garlic, onions, meat, fish, egg, cheese, smoking and alcohol consumption, since the mouth is exposed to less oxygen and is in active during the night, the odor is usually worse upon awakening (morning breath). Bad breath may be transient of ten disappearing following brushing teeth, flushing or rinsing with special mouth wash (Tammy Devenport, 2007).

Bad breath may also be persistent (chronic bad breath). Which is a more serious condition affecting some 25 percent of the population in varying degrees. It can negatively affect the individual’s personal, social and business relationship leading to poor self esteem and increased stress. Halitosis is a medical term for bad breath and this is quite serious as a social disorder. Halitosis can cause extremely embarrassing situation in social interaction and relationship at work and in your personal life as well (Lell et al, 2006).

However, some bad breath seem to be associated with local pathological causes such as gingivitis (especially ANUG), periodontal disease, infected extraction sockets, or other types of oral species. In some cases, other possibilities that favour oral malodor are the presence of residual blood post operatively, debris under bridge or appliances, ulcer, dry mouth, and perfection of post nasal mucus drip stagnating on the tongue (Wd Kazor, 2002).

Various methods used to control halitosis (bad breath) the most widely-known reason to clean the tongue is for the control of bad breath. Method used against bad breath, such as mints, mouth sprays and mouth wash, may only temporarily mask the odour created by the bacteria on the tongue but cannot cure bad breath because they don’t remove the source of bad breath, in order to prevent the production of the sulfur – containing compounds mention above the bacteria on the tongue must be removed regularly. Most people who clean their tongue use a (tongue scraper) or a tooth brush (Dent Hes, 2007).

Therefore, in Shehu Idris College of Health Science and Technology where the research was carried out, the activities that was conducted is to know the Halitosis among Student.

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1.3 Statement of the Problems

Eating of certain foods, like cooked eggs, garlic, onion which when absorbed into our blood stream, are transferred to the lungs and exhaled breath will be produced as bad breath. Suffering from some systemic diseases such as liver and kidney, diabetic mellitus, digestive track infection whereby gases are blocked from passing the stomach or intestines. When mouth is dry, saliva production decreases leaving the mouth natural ability to clean itself impaired. Saliva is mouth’s natural mouth wash which contain properties that keep the mouth clean.

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1.4 Aim and Objectives of Study

The aim of the study is to examine the Halitosis (Bad Breathe) among Student in Shehu Idris College of Health Science and Technology. In achieving this aim, the specific objectives were set out as follows:

• To identify the occurrence of Halitosis among students in SICHST Makarfi.
• To find out the causes of Halitosis among students in SICHST Makarfi.
• To determine the measures of awareness, prevention and treatment of Halitosis.
• To create hope that there is a solution to the problems of Halitosis.

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1.5 Research Questions

The following are the questions formulated to examine the Halitosis (Bad Breathe) among Student in Shehu Idris College of Health Science and Technology:

• How common is Halitosis among students in SICHST Markafi?
• What are the predisposing factors that lead to Halitosis?
• What are the measures of awareness, prevention and treatment of Halitosis among students in SICHST Makarfi?

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1.6 Research Hypothesis

In order to pursue the objective of this study, the following generalized statements have been designed to guide and aids in obtaining the result for the experiment to be conducted. For this work, the null hypothesis will be represented with H0 while the alternative hypothesis will be represented with hypothesis H1.

H0: There is no effect of Bad Breath among Student in Shehu Idris College of Health Science and Technology

H1: There is an effect of Bad Breath among Student in Shehu Idris College of Health Science and Technology

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1.7 Significance of Study

The relevance of the study is that, information was provided to ensure the best method to reduce halitosis which is a good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease. It is recommended that individuals visit the dentist for a check-up and cleaning twice a year. The dentist may recommend toothpaste that includes an antibacterial agent or an antibacterial mouthwash.

Besides, the study will serve as reference material for subsequent researcher in the field or related topics.

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1.8 Scope of the Study

The scope of this study is limited to Halitosis among students in SICHST Makarfi which consist of causes, prevention and treatment.

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1.9 Limitations of the Study

During the course of this study, many things militated against its completion, some of which are:

1. Time Constraint: The time frame given to accomplish this project was very short due to school academic calendar and it was carried out under pressure which made the researcher not to implement some necessary features.
2. Establishment Policies: Establishment policies posed a serious limitation as most staffs are not ready to release information needed for this project work. There were lots of information needed from the staffs of this institution to enhance the study which took them time to release or they did not release at all for security purposes, hence the scope was reduced.
3. Research material: availability of research material is a major setback to the scope of the study.
4. Frequent power failure: This made the researcher append more money on fuel to ensure sustainable power.
5. Financial Constraint: Insufficient fund tends to impede the efficiency of the researcher in sourcing for the relevant materials.