The Association Between Dental Caries and Halitosis in Patients with Substance Use Disorder (SUD) at Lido Rehabilitation Center
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Patients with substance use disorders are known to harm their oral health. Drug effects can induce vasoconstriction and reduce the salivary flow. The reduction in salivary flow may alter salivary pH, and a lower pH can accelerate dental caries. Furthermore, dental caries can increase the production of volatile sulfur compounds (VSCs) through bacterial degradation of food debris, contributing to halitosis. This cross-sectional study involved 100 respondents at Lido Rehabilitation Center. Data was collected in August 2025. The independent variable is dental caries, measured using the DMF-T index, and the dependent variable is halitosis, evaluated using the organoleptic method. Other risk factors, including age, sex, education, occupation, smoking history, alcohol consumption history, systemic diseases, type of drugs, and dental scaling history, were identified. The correlation between these variables was analyzed using the Chi-square test. The study found that 98 participants had dental caries and 68 had halitosis, with an average DMF-T score of 8.35. The analysis showed no significant relationship between dental caries and halitosis (p=0.516). However, the history of dental scaling was significantly correlated with halitosis severity (p=0.049). This study shows that the prevalence of dental caries and halitosis among the respondents is relatively high. Dental caries showed no significant correlation with halitosis among patients with substance use disorder (SUD). Routine scaling by a dental professional should be implemented at the Lido Rehabilitation Center.
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