The patient scenarios are examples that provide a framework for clinicians to work within as they counsel and provide treatment to patients with bad breath issues. Clinicians will have to adapt their use of the P-LI-SS-IT model to their particular settings, the amount of time they have available, and their particular level of competence. As clinicians expand their level of knowledge and experience in the oral malodor arena, they will become more proficient at devising individualized treatment plans for helping patients. Dental professionals interested in more information about the diagnosis and treatment of breath odor may be interested in an article published by Seeman, et al. in 2014 in the Journal of Breath Research.39
It is important to keep in mind that while the brief therapy part of the model may be sufficient to resolve many of our patients’ oral malodor problems, it is not intended to resolve all bad breath problems. If we don’t have the expertise in our office, we have an ethical responsibility to identify and refer patients to those who do.
Many of the essential elements of some of the popular standardized programs currently being marketed can be successfully utilized within the brief therapy approach offered here. It is also the author’s firm opinion, based on an ever increasing amount of clinical and research evidence, it is unethical to involve patients in an expensive, long-term treatment program without first trying to resolve their problems from within a brief therapy approach.