Posts for tag: bad breath
Bad breath, or halitosis, is bad news in any social situation — whether you're having an intimate conversation with a date or simply saying hello as you shake someone's hand. Halitosis, from the Latin halitus (exhalation) and the Greek osis (a condition or disease causing process), can also be a warning that something's amiss healthwise — usually in your mouth (85% to 90% of the time) but sometimes elsewhere in your body.
Most Common Causes of a Malodorous Mouth
Most unpleasant odors emanating from the mouth result from the processing of food remnants by certain strains of bacteria that typically populate the oral environment. As they feed on food particles, these microbes produce nasty-smelling byproducts — mostly volatile sulfur compounds, which have a distinctive “rotten egg” odor. That's why diligent dental care is front and center when it comes to banishing bad breath. Brushing, flossing and routine professional cleanings will help ensure that traces of last night's dinner or your midday candy bar don't stick around for bacteria to dine on.
Especially important, but often overlooked, during routine home oral care is the back of the tongue. This is actually the most common location for mouth-related bad breath to develop. Unlike the front of your tongue, which is bathed in saliva, the back of the tongue is relatively dry and poorly cleansed — an ideal setting in which microbe-laden plaque can form and flourish.
Even if you're industrious when it comes to brushing and flossing, food debris can get trapped and plaque can build up in hard-to-reach places such as between teeth (interdental), under the gums (subgingival) and around faulty dental work (e.g., ill-fitting crowns or veneers) contributing to overall oral odor. Other culprits include unclean dentures and oral disease such as tooth decay, gum disease, and abscesses.
Halitosis may accompany dry mouth, or xerostomia (xero – dry, stomia – mouth), a condition in which the normal flow of saliva, which cleanses the oral environment and keeps odor-producing bacteria in check, is interrupted. Most of us wake up with a temporary case of halitosis or “morning breath” because our salivary glands are less active while we sleep, but it usually disappears after a good brushing. If dry mouth is persistent, other possible triggers include: breathing through your mouth, a medication side effect, fasting or dehydration, or even stress.
Clearly, maintaining or restoring a healthy oral environment is your greatest defense against halitosis. Take care of your teeth and there's no reason your breath should be any less attractive than your smile!
If you would like more information about halitosis and ways to prevent or treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bad Breath.”
Although usually not considered a serious health condition, bad breath is nonetheless one of the most embarrassing conditions related to the mouth. Although some serious systemic diseases may result in mouth odor, most cases originate in the mouth or nose. Bacteria are usually the culprit — certain types of the organism can excrete volatile sulphur compounds, which emit a rotten egg or rotten fish smell.
The largest breeding ground for bacteria is the tongue, typically in the back where saliva and hygiene efforts aren’t as efficient in removing food remnants. A bacterial coating can develop on the surface of the tongue, much like the plaque that can adhere to teeth; the coating becomes a haven for bacteria that cause bad breath.
There seems to be a propensity in some people who exhibit chronic bad breath to develop this tongue coating. To rid the tongue of this coating, people with this susceptibility could benefit from the use of a tongue brush or scraper. These hygienic devices are specifically designed for the shape and texture of the tongue to effectively remove any bacterial coating. Toothbrushes, which are designed for the hard surface of the teeth, have been shown not to be as effective in removing the coating as a tongue scraper.
Before considering using a tongue scraper you should consult with your dentist first. If you suspect you have chronic bad breath, it’s important to determine the exact cause. Using a tongue scraper is unnecessary unless there’s an identifiable coating that is contributing to the bad odor. It’s also a good idea to obtain instruction from your dentist on the best techniques for using a tongue scraper to be as effective as possible and to avoid damaging soft tissues from over-aggressive use.
In addition, don’t neglect other hygiene habits like brushing, flossing and regular cleanings. Removing as much bacterial plaque as you can contributes not only to a healthier mouth but also pleasanter breath.
If you would like more information on the tongue and halitosis, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tongue Scraping.”
In our office, many of our patients are always asking us if over-the-counter (OTC) mouthwashes or mouthrinses are truly effective tools for curing bad breath. Unfortunately, nearly all of them merely mask any odorous smells temporarily — regardless of how refreshing they taste. There are mouthrinses available that are effective for treating gingivitis and tooth decay, but you must visit our office to obtain a proper diagnosis and a prescription for them. Reality is that a mouthrinse alone can't cure bad breath; however, there are products available that can make a positive impact on your dental health. The key is to match the right mouthrinse to your specific dental need.
- OTC mouthrinses that contain about 0.05% sodium fluoride are an effective tool that when combined with good oral hygiene can significantly reduce the development of tooth decay.
- OTC mouthrinses that contain alcohol, triclosan, sanguinaria extract, zinc and/or essential oils such as menthol can somewhat help reduce the bacteria in plaque, which in turn can reduce gum inflammation (gingivitis) and bad breath when used in combination with proper brushing and daily flossing.
- Prescription mouthrinses containing chlorhexidine may be more effective in helping to control both gingivitis and tooth decay in certain circumstances. This is because chlorhexidine inhibits the formation of dental plaque by preventing bacteria from sticking to your teeth.
While bad breath may seem unbearable, it is often treatable. The key is to determine and then address what is causing your bad breath. A simple trip to our office for a proper exam, assessment and thorough cleaning along with improved oral hygiene may just do the trick. Contact us today to schedule a consultation for an examination and treatment plan.
To learn more about mouthrinses, read the Dear Doctor article, “Mouthrinses.”
Bad breath can have a serious impact on a person's social and business life. Americans are well aware of this fact, and spend nearly $3 billion each year on gums, mints, and mouth rinses in order to make their breath “minty fresh.”
Bad breath or halitosis (from the Latin halitus, meaning exhalation, and the Greek osis, meaning a condition or disease-causing process) can originate from a number of causes; but oral bacteria are the most common source. About 600 types of bacteria grow in the average mouth. If bacteria act on materials that have been trapped in your mouth, many of them produce unpleasant odors.
Most often, bad breath starts on the back of the tongue, the largest place in the mouth for a build-up of bacteria. In this area bacteria can flourish on remnants of food, dead skin cells, and post-nasal drip. As they grow and multiply these bacteria produce chemical products called volatile sulfur compounds or VSCs. These compounds emit smells of decay reminiscent of rotten eggs.
In addition to bacteria on the tongue, halitosis may come from periodontal (gum) disease, tooth decay, or other dental problems. If you have halitosis, it is thus important to have a dental examination and assessment, and to treat any such problems that are found. Treating bacteria on the tongue without treating underlying periodontal disease will only temporarily cure bad breath.
The next step is to take control of tongue bacteria by brushing or scraping your tongue, with possible addition of antiseptic mouth rinses. People who have bad breath have more coating on their tongues than those who don't, and regularly cleaning the surface of the tongue has been demonstrated to reduce bad breath.
Implements have been designed specifically for the purpose of scraping or brushing the surface of the tongue. Using a toothbrush is not as effective because it is designed to clean the hard tooth surface, rather than the spongy surface of the tongue. To keep your breath fresh, you must regularly remove the coating from your tongue. This means acquiring a tongue scraper or brush and using it every day.
Contact us today to schedule an appointment to discuss your questions about tongue cleaning and bad breath. You can also learn more by reading the Dear Doctor magazine articles “Tongue Scraping” and “Bad Breath.”
More than 2,000 years ago, an ancient Greek physician, Hippocrates, often called the father of Western medicine, devised a mouth rinse of herbs and wine to sweeten bad breath. This problem has been around a long time, and it is still a major problem for many people. According to some studies it is one of the three main reasons people seek dental treatment.
Here are some facts you may not know about bad breath:
- Bad breath is sometimes called halitosis, which comes from the Latin halitus (exhalation) and the Greek osis (a condition or disease-causing process).
- Chronic bad breath is usually caused by certain types of oral bacteria. These particular bacteria are present in about 25% of the population.
- Bad breath has spawned a major industry in the United States. Americans spend nearly three billion dollars a year on gum, mints, and mouth rinses to sweeten their breath. About 60% of women and 50% of men say they use breath freshening products.
- Diseases in the oral cavity such as tooth decay and periodontal (gum) disease can often cause bad breath. If either of these diseases are your cause for bad breath, treatment would be necessary to eliminate this problem.
- The tongue is the most common location for bad breath. Bacteria are relatively sheltered on the back of the tongue, where they live on remnants of food, dead skin cells and post-nasal drip. These bacteria can generate volatile sulfur compounds (VSCs) that are also found in decaying animal or vegetable matter. VSCs are known by an unpleasant rotten egg smell.
- Bad breath can also be caused by dry mouth (xerostomia). This condition affects millions of people and can result from smoking, alcohol or coffee drinking, and it is sometimes a side effect of medications. Another cause may be mouth breathing.
- Halitosis can also originate in other parts of the mouth besides the tongue. These include inter-dental (between teeth) and sub-gingival (under the gums) areas.
- When people are starving (and sometimes when they are dieting to lose weight), their bodies begin burning their fats causing their breath to develop the smell of ketones — which smell like acetone, similar to nail polish remover. If people are not eating or drinking the coating on their tongue increases as well, making VSCs more prominent.
At our office, we want to fight bad breath or halitosis by making sure our patients understand how to clean their teeth, gums, the back of the tongue, and dentures.