Objective: The purpose of this study was to detect the relative contributio
n of Porphyromonas gingivalis, Fusobacterium nucleatum, and Prevotella inte
rmedia in the production of oral malodor. Method and materials: The volatil
e sulfur compounds produced by these bacteria in vitro were measured semiqu
antitatively by a portable sulfide monitor. Results: Samples from the tongu
e, tonsils, and pharynx showed a significantly higher production (550 ppb)
of volatile sulfur compounds during the first 6 hours after anaerobic incub
ation in broths (brain-heart infusion, Columbia, and Trypticase Soy) than a
fter incubation in agar media (300 ppb) (P < 0.001). After 24 hours, values
in broths and agars leveled off at 350 ppb (P = 0.3) and remained constant
during the next 6 days. Measurement of separate pure cultures showed that
maximal volatile sulfur compound production was reached 6 hours after incub
ation (450 ppb for the 3 bacteria). Higher volatile sulfur compound Values
were measured in brain-heart infusion. When measurements of mixed cultures
of the 3 pathogens were performed every 15 minutes, the maximal value was r
eached after only 30 minutes of incubation (nearly 500 ppb). Conclusion: Th
e in vitro volatile sulfur compound production of oral samples is preferabl
y measured in broths. Maximal sulfur production from mixed cultures is reac
hed after 30 minutes of incubation. Samples should always be inoculated at
the same dilution.