Epidemiological studies report that about 50% of the population may have oral malodor
with a strong social and psychological impact in their daily life. When intra-oral causes are
excluded, referral to an appropriate medical specialist is paramount for management and
treatment of extra-oral causes. The intra-oral causes of halitosis are highly common, and the
dentist is the central clinician to diagnose and treat them. Pseudohalitosis or halitophobia
may occur and an early identification of these conditions by the dentist is important in order
to avoid unnecessary dental treatments for patients who need psychological or psychiatric
therapy. The organoleptic technique is still considered the most reliable examination method
to diagnose genuine halitosis. Special needs patients are more prone than others to have
oral malodor because of concurrent systemic or metabolic diseases, and medications.
The present report reviews halitosis, its implications, and the management in special care
dentistry
