The Impact of Oral Health Education on Awareness of Halitosis Among The General Public
Keywords:
Education, Halitosis, Oral Health, Knowledge, PsychosocialAbstract
Halitosis is a common oral health problem in the general population but is often overlooked, even though it can lower self-confidence and serve as an early indicator of periodontal disease. This study aims to analyze the effectiveness of a structured oral health education intervention in improving the public’s knowledge of halitosis, its intraoral etiology, and its prevention. This quantitative study, employing a one-group pre-test and post-test design, involved 200 respondents from various demographic backgrounds. Knowledge levels were assessed before (pre-test) and after (post-test) the interactive educational session using a validated structured questionnaire. A paired-sample t-test revealed a highly significant increase in the mean knowledge score, from 6.79 ± 1.53 to 8.48 ± 1.47 following the intervention (p < 0.0001). Analysis of the normalized gain score (N-Gain) yielded an average value of 61.38%, which falls into the moderate (effective) category; 38.5% of respondents achieved the high improvement category, and 46.5% fell into the moderate category. The most notable increase in knowledge was observed in correcting the public’s perception that halitosis is not only triggered by strongly odorous foods but also stems from intraoral factors such as plaque buildup, tartar, gingivitis, or periodontitis. Key findings from this study indicate that structured oral health education has been shown to effectively improve the public’s understanding of halitosis.Downloads
References
Alison, L. K., Cuan, H. K., & Halim, S. (2025). Recent Advances in the Diagnosis and Treatment of Halitosis. Journal of Science and Science Education, 6(2). https://doi.org/https://doi.org/10.29303/jossed.v6i2.13122
Alssum, L., Alsaleh, L., & Alzoman, H. (2023). Self-perceived halitosis and its social impact on females: A cross-sectional study. Medicine, 102(38), e35164. https://doi.org/10.1097/MD.0000000000035164
Aninda, R., Purwaningsih, E., & Ulfah, S. F. (2022). Pengetahuan Masyarakat tentang Halitosis dengan Menggunakan Media Instagram di Kelurahan Arjuna Bandung. Indonesia Journal of Health and Medical, 2(4).
Ayuningtyas, N. F., Parmadiati, A. E., Mahdani, F. Y., Marsetyo, R. I., Femilian, A., & Siregar, M. (2023). The Impact of Community Empowerment Programs on Oral Health Education for Knowledge Improvement in the Elderly. Journal of Health and Allied Sciences NU, 13(01), 060–063. https://doi.org/10.1055/s-0042-1748492
Briceag, R., Caraiane, A., Raftu, G., Horhat, R. M., Bogdan, I., Fericean, R. M., Shaaban, L., Popa, M., Bumbu, B. A., Bratu, M. L., Pricop, M., & Talpos, S. (2023). Emotional and Social Impact of Halitosis on Adolescents and Young Adults: A Systematic Review. Medicina, 59(3), 564. https://doi.org/10.3390/medicina59030564
Degif, R., & Abaynew, Y. (2025). Knowledge, attitudes, and practices toward halitosis among dental patients at Zewditu memorial hospital, Addis Ababa, Ethiopia. Frontiers in Oral Health, 6, 1522682. https://doi.org/10.3389/froh.2025.1522682
Erawati, S., Idamawati, I., & Wijaya, H. (2023). Relationship Between Halitosis Level and Oral Hygiene in High School Student. Jurnal Penelitian Pendidikan IPA, 9(SpecialIssue), 1083–1088. https://doi.org/10.29303/jppipa.v9iSpecialIssue.6348
Erawati, S., Idamawati Nababan, & Anisa Ulfah. (2023). Overview of Knowledge, Attitudes, and Behaviors Related to Halitosis in Online Motorcycle Taxi Drivers in Sei Putih Tengah Sub District, Petisah District, Medan, Indonesia. Bioscientia Medicina?: Journal of Biomedicine and Translational Research, 6(18), 2970–2975. https://doi.org/10.37275/bsm.v6i18.743
Fitri, H., Fajrin, F. N., Kasuma, N., Wulandari, R. W., Sari, S. R., & Ernesto, G. (2022). The effectiveness of dental and oral health education for youth through online media. Journal of Syiah Kuala Dentistry Society, 7(1), 21–26. https://doi.org/10.24815/jds.v7i1.27251
Guajardo, N. A. R., Morales, G. M. A., Casas, F. D. M., Cepeda, M. A. A. N., Morteo, L. T., Martínez, R. E. O., Quintero, M. L., & Soto, J. M. S. (2025). Halitosis: An updated scoping review. International Journal of Applied Dental Sciences, 11(2), 05–09. https://doi.org/10.22271/oral.2025.v11.i2a.2130
Gunawan, R. A., Kusdinar, S. M. A., Nurkhasanah, I., Rachmawati, I., Fatmasari, D., & Ningtyas, E. A. E. (2026). Peningkatan Pengetahuan Masyarakat tentang Halitosis Melalui Edukasi dengan Media Leaflet. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 6(1), 150–254. https://doi.org/10.36082/gemakes.v6i1.2887
Kahraman, E. N., Erensoy, ?., Dikilita?, A., Gül?ah?, A., Ayd?n, E. Ö., & Özalp Ate?, F. S. (2025). Awareness and knowledge of halitosis among students at two different dental universities in Turkey: A cross-sectional survey. BMC Oral Health, 25(1), 194. https://doi.org/10.1186/s12903-025-05507-3
Kapoor, U., Sharma, G., Juneja, M., & Nagpal, A. (2016). Halitosis: Current concepts on etiology, diagnosis and management. European Journal of Dentistry, 10(02), 292–300. https://doi.org/10.4103/1305-7456.178294
Krey, L., Hadju, V., Ahmad, M., Nontji, W., Usman, A. N., & Rahmadayany, S. (2022). Module-Based Health Education On Adolescent Knowledge Of Hiv/Aids. Jurnal Kebidanan Malahayati, 8(2), 364–370. https://doi.org/10.33024/jkm.v8i2.5585
Lau, P., Meethal, C., Middleton, M., Clark, M., & Darby, I. (2019). ‘Say Ahhh’: What do dentists, general medical practitioners and community pharmacists do about halitosis? International Dental Journal, 69(4), 311–320. https://doi.org/10.1111/idj.12458
Lee, Y.-H., Shin, S.-I., & Hong, J.-Y. (2023). Investigation of volatile sulfur compound level and halitosis in patients with gingivitis and periodontitis. Scientific Reports, 13(1), 13175. https://doi.org/10.1038/s41598-023-40391-3
Mento, C., Lombardo, C., Milazzo, M., Whithorn, N. I., Boronat-Catalá, M., Almiñana-Pastor, P. J., Fernàndez, C. S., Bruno, A., Muscatello, M. R. A., & Zoccali, R. A. (2021). Adolescence, Adulthood and Self-Perceived Halitosis: A Role of Psychological Factors. Medicina, 57(6), 614. https://doi.org/10.3390/medicina57060614
Nurnaningsih, H., Nurjanah, N., Widyastuti, T., Dewi, T. K., & Att-Thorf, M. A. (2026). EFEKTIVITAS MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP PEMELIHARAAN KESEHATAN GIGI DAN MULUT PENDERITA DIABETES MELLITUS. 8.
Ozkan Sen, D., Durmaz, E. N., & Saraç, F. (2024). Evaluation of self-perceived halitosis and effective conditions in periodontology clinic applicants: A cross-sectional study. Medicine, 103(50), e40424. https://doi.org/10.1097/MD.0000000000040424
Renvert, S., Noack, M. J., Lequart, C., Roldán, S., & Laine, M. L. (2020). The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review. Clinical, Cosmetic and Investigational Dentistry, Volume 12, 251–262. https://doi.org/10.2147/CCIDE.S253765
Reza, H., Puspitasari, C. D. C., Andriani, N. A., & Suwantari, S. A. (2024). The Relationship of Educational Level to Knowledge Level of High Risk Pregnancy in Integrated Antenatal Care. Indonesian Journal of Global Health Research, 6(3). https://doi.org/doi.org/10.37287/ijghr.v6i3.3192.
Saidah, A., & Isni, K. (2022). Pengaruh Edukasi Kesehatan Mulut dan Gigi Terhadap Tingkat Pengetahuan Anak di Kelurahan Rejowinangun, Yogyakarta. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion, 5(2). https://doi.org/https://doi.org/10.56338/mppki.v5i2.2071
Silva, M. F., Leite, F. R. M., Ferreira, L. B., Pola, N. M., Scannapieco, F. A., Demarco, F. F., & Nascimento, G. G. (2018). Estimated prevalence of halitosis: A systematic review and meta-regression analysis. Clinical Oral Investigations, 22(1), 47–55. https://doi.org/10.1007/s00784-017-2164-5
Sitompul, D. R. (2025). Pengaruh berkumur dengan jus jeruk lemon terhadap penurunan skor halitosis pada siswa usia sekolah menengah atas: Studi eksperimental klinis. Jurnal Kedokteran Gigi Universitas Padjadjaran, 37(2). https://doi.org/10.24198/jkg.v37i2.57745
Sumampouw, O. C., Parengkuan, W. G., & Juliatri, J. (2025). Hubungan Tingkat Pengetahuan tentang Kesehatan Gigi dan Mulut dengan Kebersihan Gigi Anak di SD GMIM Buloh. e-GiGi, 14(1), 39–44. https://doi.org/10.35790/eg.v14i1.62037
Yuditha, S., Lukas, K., & Maharani, H. P. (2023). Overview of Knowledge of Halitosis Among Employess in Faculty of Dentistry, Moestopo University. Moestopo International Review on Societies, Humanities, and Sciences (MIRSHuS), 3(2), 84–93. https://doi.org/10.32509/mirshus.v3i2.57
Yulimatussa’diyah, A. P., Nafiis, M. M., Rosyidah, I., Sutanti, T. N. E., & Syarofi, N. M. R. (2016). Pengetahuan Penanganan Halitosis dalam Masalah Kesehatan Mulut. Jurnal Farmasi Komunitas, 3(2), 85–89. https://doi.org/doi.org/10.36082/gemakes.v6i1.2887
Published
How to Cite
Issue
Section
Copyright (c) 2026 Nurfitri Amaliah

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.









