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Bad breath disorder: Bad breath – Symptoms and causes

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What Is Halitosis? – American Dental Association

Halitosis – or chronic bad breath – is something that mints, mouthwash or a good brushing can’t solve. Unlike “morning breath” or a strong smell that lingers after a tuna sandwich, halitosis remains for an extended amount of time and may be a sign of something more serious. 

What Causes Halitosis?

If quick bad breath fixes are only covering up the problem for a short time, something else may be happening in your body, including: 

Dental Issues: Cavities and deeper pockets from gum disease give bad breath bacteria extra places to hide in your mouth that are difficult to clear out when you’re brushing or cleaning between your teeth. Either can contribute to halitosis.

Mouth, Nose and Throat Infections: According to the Mayo Clinic, nose, sinus and throat issues that can lead to postnasal drip may also contribute to bad breath. Bacteria feeds on mucus your body produces when it’s battling something like a sinus infection, leaving you sniffly and stinky.

Dry mouth: Saliva goes a long way for your dental health – and your breath. It rinses and removes unwanted leftovers from your mouth, helps break down food when you eat and provides disease-fighting substances to help prevent cavities and infections. If you don’t make enough saliva, one sign may be halitosis. Dry mouth can be caused by medications, certain medical conditions, alcohol use, tobacco use or excessive caffeine. 

Smoking and tobacco: Tobacco products wreak havoc on your body and your breath. Not only do many tobacco products leave their own odor on your breath; they can also dry out your mouth. Smokers are also more likely to develop gum disease, which can also add to halitosis. 

Other chronic conditions: While halitosis is most often linked to something happening in your mouth, it may also be a sign of gastric reflux, diabetes, liver or kidney disease. 

Handling Halitosis

If you notice your breath has been less than fresh lately, start by following a healthy daily dental routine – brush twice a day for two minutes with a fluoride toothpaste and clean between your teeth once a day. Other things, like drinking plenty of water, chewing sugarless gum with the ADA Seal of Acceptance and cutting back on caffeine may also help get your saliva flowing and boost the freshness of your breath.

If you notice your bad breath persists, check in with your dentist. Together, you can track down what the cause may be. With a proper cleaning and exam, your dentist can help rule out any oral health problems and advise you on next steps, including what types of dental products to use, treatment plans to take care of cavities or gum disease or refer you to a medical provider to follow up.

More on MouthHealthy

Bad Breath Causes, Treatments, and Prevention

Bad breath, medically called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You can take steps to prevent and treat halitosis, at home and with the help of your dentist or doctor.

How Does Food Affect Breath?

Basically, all the food eaten begins to be broken down in your mouth. Also, foods are absorbed into your bloodstream and move to the lungs, affecting the air you exhale.  If you eat foods with strong odors (such as garlic or onions), brushing and flossing — even mouthwash — merely cover up the odor temporarily. The odor will not go away completely until the foods have passed through your body. Other common foods that can cause bad breath include:

  • Cheese
  • Pastrami
  • Certain spices
  • Orange juice or soda
  • Alcohol

Likewise, dieters who don’t eat often enough can have bad breath. When your body breaks down fat, the process releases chemicals that can give your breath an unpleasant smell.

Why Do Poor Habits Cause Bad Breath?

If you don’t brush and floss teeth daily, food particles can remain in your mouth, promoting bacterial growth between teeth, around the gums, and on the tongue. This causes bad breath. Inflammation of the gums (gingivitis) from poor dental hygiene can also cause bad breath.

In addition, odor-causing bacteria and food particles can cause bad breath if dentures are not properly cleaned.

Smoking or chewing tobacco-based products also can cause bad breath, stain teeth, reduce your ability to taste foods, and irritate your gums.

What Health Problems Are Associated With Bad Breath?

Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. Bacteria cause toxins to form, which irritate the gums. If gum disease continues untreated, it can damage the gums and jawbone.

Other dental causes of bad breath include poorly fitting dental appliances, yeast infections of the mouth, and cavities.

Continued

The medical condition dry mouth (also called xerostomia) also can cause bad breath. Saliva is necessary to moisten the mouth, neutralize acids produced by plaque, and wash away dead cells that accumulate on the tongue, gums, and cheeks. If not removed, these cells decompose and can cause bad breath. Dry mouth may be a side effect of various medications, salivary gland problems, or continuous breathing through the mouth. In fact, morning breath is worse for people who sleep with their mouths open.

Many other diseases and illnesses can cause bad breath, including:

What Can I Do to Prevent Bad Breath?

There are some quick and easy ways to banish bad breath. Just remember, the odor from what you eat can stick around until the food works its way completely out of your system — up to 3 days later!

Bad breath can be reduced or prevented if you:

  • Practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. Brush teeth after you eat (keep a toothbrush at work or school to brush after lunch). Don’t forget to brush the tongue too, or use a tongue scraper. Bacteria on your tongue can contribute to bad breath. If you can’t brush after a meal, give your mouth a good rinse with water to at least loosen up and free those trapped bits. Replace your toothbrush every 2 to 3 months or after an illness. Use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. Rinse with an antibacterial mouthwash twice a day. Antiseptic mouthwash can help kill bacteria that cause bad breath and plaque that can lead to gingivitis, an early, mild form of gum disease. Adding a fluoride rinse to your daily routine can help prevent tooth decay. Dentures should be removed at night and cleaned thoroughly before being placed in your mouth the next morning. Clean braces and retainers as directed by your dentist.
  • See your dentist regularly — at least twice a year. They will do an oral exam and professional teeth cleaning and will be able to find and treat periodontal disease, dry mouth, or other problems that may be the cause of bad breath.
  • Stop smoking and chewing tobacco-based products. Ask your dentist for tips on kicking the habit.
  • Drink lots of water. This will keep your mouth moist. Chewing sugarless gum or sucking on sugarless candy also stimulates the production of saliva, which helps wash away food particles and bacteria. Gums and mints containing xylitol are best.
  • Eat more fruits and vegetables and less meat. Apples, carrots, celery, and other hard fruits and vegetables help clear odor-causing plaque and food particles from your mouth.
  • Keep a log of the foods you eat. If you think they may be causing bad breath, bring the log to your dentist to review. Similarly, make a list of the medications you take. Some drugs may play a role in creating mouth odors.

Who Treats Bad Breath?

In most cases, your dentist can treat the cause of bad breath.

If your dentist determines that your mouth is healthy and the odor is not of oral origin, you may be referred to your family doctor or to a specialist to determine the odor source and treatment plan. You can go over a list of your medications with them to see if any of them could be contributing to the problem. Work with them to keep diabetes, allergies, and other conditions under control.

If the odor is due to gum disease, for example, your dentist can either treat the disease or refer you to a periodontist, a dentist who specializes in treating gum conditions.

What Products Can I Use to Eliminate Bad Breath?

An antiseptic mouthwash can help eliminate bacteria that cause bad breath. For dry mouth, your dentist might recommend artificial saliva. Ask your dentist about which product is best for you.

Bad breath (halitosis): Causes, diagnosis, and treatment

Bad breath affects an estimated 25 percent of people. There are a number of possible causes of halitosis, but the vast majority come down to oral hygiene.

It is also known as halitosis or fetor oris. Halitosis can cause significant worry, embarrassment, and anxiety but it is relatively easy to remedy.

This MNT Knowledge Center article will discuss the potential origins of bad breath, diagnosis and how to treat it.

Share on PinterestAlthough bad breath is associated with certain diseases, oral hygiene is the most common cause.

Bad breath is a common problem that can cause significant psychological distress. There are a number of potential causes and treatments available.

Anyone can suffer from bad breath. It is estimated that 1 in 4 people have bad breath on a regular basis.

Halitosis is the third most common reason that people seek dental care, after tooth decay and gum disease.

Simple home remedies and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. If bad breath persists, however, it is advisable to visit a doctor to check for underlying causes.

The best method to reduce halitosis is good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease.

It is recommended that individuals visit the dentist for a check-up and cleaning twice a year.

The dentist may recommend a toothpaste that includes an antibacterial agent or an antibacterial mouthwash.

Alternatively, if gum disease is present, professional cleaning may be necessary to clear out the build-up of bacteria in pockets between the gums and teeth.

Potential causes of bad breath include:

  • Tobacco: Tobacco products cause their own types of mouth odor. Additionally, they increase the chances of gum disease which can also cause bad breath.
  • Food: The breakdown of food particles stuck in the teeth can cause odors. Some foods such as onions and garlic can also cause bad breath. After they are digested, their breakdown products are carried in the blood to the lungs where they can affect the breath.
  • Dry mouth: Saliva naturally cleans the mouth. If the mouth is naturally dry or dry due to a specific disease, such as xerostomia, odors can build up.
  • Dental hygiene: Brushing and flossing ensure the removal of small particles of food that can build up and slowly break down, producing odor. A film of bacteria called plaque builds up if brushing is not regular. This plaque can irritate the gums and cause inflammation between the teeth and gums called periodontitis. Dentures that are not cleaned regularly or properly can also harbor bacteria that cause halitosis.
  • Crash diets: Fasting and low-carbohydrate eating programs can produce halitosis. This is due to the breakdown of fats producing chemicals called ketones. These ketones have a strong aroma.
  • Drugs: Certain medications can reduce saliva and, therefore, increase odors. Other drugs can produce odors as they breakdown and release chemicals in the breath. Examples include nitrates used to treat angina, some chemotherapy chemicals, and some tranquilizers, such as phenothiazines. Individuals who take vitamin supplements in large doses can also be prone to bad breath.
  • Mouth, nose, and throat conditions: Sometimes, small, bacteria-covered stones can form on the tonsils at the back of the throat and produce odor. Also, infections or inflammation in the nose, throat, or sinuses can cause halitosis.
  • Foreign body: Bad breath can be caused if they have a foreign body lodged in their nasal cavity, especially in children.
  • Diseases: Some cancers, liver failure, and other metabolic diseases can cause halitosis, due to the specific mixes of chemicals that they produce. Gastroesophageal reflux disease (GERD) can cause bad breath due to the regular reflux of stomach acids.

Rarer causes of bad breath

As mentioned earlier, the most common reason for bad breath is oral hygiene, but other situations can also be to blame.

Rarer causes of bad breath include:

  • Ketoacidosis: When the insulin levels of a person with diabetes are very low, their bodies can no longer use sugar and begin to use fat stores instead. When fat is broken down, ketones are produced and build up. Ketones can be poisonous when found in large numbers and produce a distinctive and unpleasant breath odor. Ketoacidosis is a serious and potentially life-threatening condition.
  • Bowel obstruction: Breath can smell like feces if there has been a prolonged period of vomiting, especially if a bowel obstruction is present.
  • Bronchiectasis: This is a long-term condition in which airways become wider than normal, allowing for a build-up of mucus that leads to bad breath.
  • Aspiration pneumonia: A swelling or infection in the lungs or airways due to inhaling vomit, saliva, food, or liquids.

The specific odor of breath can vary depending on the cause of the problem. It is best to ask a close friend or relative to gauge your mouth odor, as it can be difficult to assess it yourself.

If no one is available, one way of checking the odor is to lick your wrist, leave it to dry, and then smell it. A bad smell on this area of the wrist is likely to suggest that you have halitosis.

Some individuals are concerned about their breath even though they may have little or no mouth odor. This condition is called halitophobia and can lead to obsessive mouth-cleansing behavior.

Other lifestyle changes and home remedies for bad breath include:

  • Brush the teeth: Be sure to brush at least twice a day, preferably after each meal.
  • Floss: Flossing reduces the build-up of food particles and plaque from between the teeth. Brushing only cleans around 60 percent of the surface of the tooth.
  • Clean dentures: Anything that goes into your mouth, including dentures, a bridge, or a mouth guard, should be cleaned as recommended on a daily basis. Cleaning prevents the bacteria from building up and being transferred back into the mouth. Changing toothbrush every 2 to 3 months is also important for similar reasons.
  • Brush tongue: Bacteria, food, and dead cells commonly build up on the tongue, especially in smokers or those with a particularly dry mouth. A tongue scraper can sometimes be useful.
  • Avoid dry mouth: Drink plenty of water. Avoid alcohol and tobacco, both of which dehydrate the mouth. Chewing gum or sucking a sweet, preferably sugar-free, can help stimulate the production of saliva. If the mouth is chronically dry, a doctor may prescribe medication that stimulates the flow of saliva.
  • Diet: Avoid onions, garlic, and spicy food. Sugary foods are also linked to bad breath. Reduce coffee and alcohol consumption. Eating a breakfast that includes rough foods can help clean the back of the tongue.

If breath odor persists despite controlling these factors, it is recommended that an individual visits a doctor for further tests to rule out other conditions.

Often, a dentist will simply smell the breath of a person with suspected halitosis and rate the odor on a six-point intensity scale. The dentist may scrape the back of the tongue and smell the scrapings as this area can often be a source of the aroma.

There are a variety of sophisticated detectors that can rate odor more precisely.

They include the following:

  • Halimeter: This detects low levels of sulfur.
  • Gas chromatography: This test measures three volatile sulfur compounds: Hydrogen sulfide, methyl mercaptan, and dimethyl sulfide.
  • BANA test: This measures levels of a specific enzyme produced by halitosis-causing bacteria.
  • Beta-galactosidase test: Levels of the enzyme beta-galactosidase have been found to correlate with mouth odor.

The dentist will then be able to identify the likely cause of the bad breath.

Bad breath (halitosis): Causes, diagnosis, and treatment

Bad breath affects an estimated 25 percent of people. There are a number of possible causes of halitosis, but the vast majority come down to oral hygiene.

It is also known as halitosis or fetor oris. Halitosis can cause significant worry, embarrassment, and anxiety but it is relatively easy to remedy.

This MNT Knowledge Center article will discuss the potential origins of bad breath, diagnosis and how to treat it.

Share on PinterestAlthough bad breath is associated with certain diseases, oral hygiene is the most common cause.

Bad breath is a common problem that can cause significant psychological distress. There are a number of potential causes and treatments available.

Anyone can suffer from bad breath. It is estimated that 1 in 4 people have bad breath on a regular basis.

Halitosis is the third most common reason that people seek dental care, after tooth decay and gum disease.

Simple home remedies and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. If bad breath persists, however, it is advisable to visit a doctor to check for underlying causes.

The best method to reduce halitosis is good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease.

It is recommended that individuals visit the dentist for a check-up and cleaning twice a year.

The dentist may recommend a toothpaste that includes an antibacterial agent or an antibacterial mouthwash.

Alternatively, if gum disease is present, professional cleaning may be necessary to clear out the build-up of bacteria in pockets between the gums and teeth.

Potential causes of bad breath include:

  • Tobacco: Tobacco products cause their own types of mouth odor. Additionally, they increase the chances of gum disease which can also cause bad breath.
  • Food: The breakdown of food particles stuck in the teeth can cause odors. Some foods such as onions and garlic can also cause bad breath. After they are digested, their breakdown products are carried in the blood to the lungs where they can affect the breath.
  • Dry mouth: Saliva naturally cleans the mouth. If the mouth is naturally dry or dry due to a specific disease, such as xerostomia, odors can build up.
  • Dental hygiene: Brushing and flossing ensure the removal of small particles of food that can build up and slowly break down, producing odor. A film of bacteria called plaque builds up if brushing is not regular. This plaque can irritate the gums and cause inflammation between the teeth and gums called periodontitis. Dentures that are not cleaned regularly or properly can also harbor bacteria that cause halitosis.
  • Crash diets: Fasting and low-carbohydrate eating programs can produce halitosis. This is due to the breakdown of fats producing chemicals called ketones. These ketones have a strong aroma.
  • Drugs: Certain medications can reduce saliva and, therefore, increase odors. Other drugs can produce odors as they breakdown and release chemicals in the breath. Examples include nitrates used to treat angina, some chemotherapy chemicals, and some tranquilizers, such as phenothiazines. Individuals who take vitamin supplements in large doses can also be prone to bad breath.
  • Mouth, nose, and throat conditions: Sometimes, small, bacteria-covered stones can form on the tonsils at the back of the throat and produce odor. Also, infections or inflammation in the nose, throat, or sinuses can cause halitosis.
  • Foreign body: Bad breath can be caused if they have a foreign body lodged in their nasal cavity, especially in children.
  • Diseases: Some cancers, liver failure, and other metabolic diseases can cause halitosis, due to the specific mixes of chemicals that they produce. Gastroesophageal reflux disease (GERD) can cause bad breath due to the regular reflux of stomach acids.

Rarer causes of bad breath

As mentioned earlier, the most common reason for bad breath is oral hygiene, but other situations can also be to blame.

Rarer causes of bad breath include:

  • Ketoacidosis: When the insulin levels of a person with diabetes are very low, their bodies can no longer use sugar and begin to use fat stores instead. When fat is broken down, ketones are produced and build up. Ketones can be poisonous when found in large numbers and produce a distinctive and unpleasant breath odor. Ketoacidosis is a serious and potentially life-threatening condition.
  • Bowel obstruction: Breath can smell like feces if there has been a prolonged period of vomiting, especially if a bowel obstruction is present.
  • Bronchiectasis: This is a long-term condition in which airways become wider than normal, allowing for a build-up of mucus that leads to bad breath.
  • Aspiration pneumonia: A swelling or infection in the lungs or airways due to inhaling vomit, saliva, food, or liquids.

The specific odor of breath can vary depending on the cause of the problem. It is best to ask a close friend or relative to gauge your mouth odor, as it can be difficult to assess it yourself.

If no one is available, one way of checking the odor is to lick your wrist, leave it to dry, and then smell it. A bad smell on this area of the wrist is likely to suggest that you have halitosis.

Some individuals are concerned about their breath even though they may have little or no mouth odor. This condition is called halitophobia and can lead to obsessive mouth-cleansing behavior.

Other lifestyle changes and home remedies for bad breath include:

  • Brush the teeth: Be sure to brush at least twice a day, preferably after each meal.
  • Floss: Flossing reduces the build-up of food particles and plaque from between the teeth. Brushing only cleans around 60 percent of the surface of the tooth.
  • Clean dentures: Anything that goes into your mouth, including dentures, a bridge, or a mouth guard, should be cleaned as recommended on a daily basis. Cleaning prevents the bacteria from building up and being transferred back into the mouth. Changing toothbrush every 2 to 3 months is also important for similar reasons.
  • Brush tongue: Bacteria, food, and dead cells commonly build up on the tongue, especially in smokers or those with a particularly dry mouth. A tongue scraper can sometimes be useful.
  • Avoid dry mouth: Drink plenty of water. Avoid alcohol and tobacco, both of which dehydrate the mouth. Chewing gum or sucking a sweet, preferably sugar-free, can help stimulate the production of saliva. If the mouth is chronically dry, a doctor may prescribe medication that stimulates the flow of saliva.
  • Diet: Avoid onions, garlic, and spicy food. Sugary foods are also linked to bad breath. Reduce coffee and alcohol consumption. Eating a breakfast that includes rough foods can help clean the back of the tongue.

If breath odor persists despite controlling these factors, it is recommended that an individual visits a doctor for further tests to rule out other conditions.

Often, a dentist will simply smell the breath of a person with suspected halitosis and rate the odor on a six-point intensity scale. The dentist may scrape the back of the tongue and smell the scrapings as this area can often be a source of the aroma.

There are a variety of sophisticated detectors that can rate odor more precisely.

They include the following:

  • Halimeter: This detects low levels of sulfur.
  • Gas chromatography: This test measures three volatile sulfur compounds: Hydrogen sulfide, methyl mercaptan, and dimethyl sulfide.
  • BANA test: This measures levels of a specific enzyme produced by halitosis-causing bacteria.
  • Beta-galactosidase test: Levels of the enzyme beta-galactosidase have been found to correlate with mouth odor.

The dentist will then be able to identify the likely cause of the bad breath.

Bad breath (halitosis): Causes, diagnosis, and treatment

Bad breath affects an estimated 25 percent of people. There are a number of possible causes of halitosis, but the vast majority come down to oral hygiene.

It is also known as halitosis or fetor oris. Halitosis can cause significant worry, embarrassment, and anxiety but it is relatively easy to remedy.

This MNT Knowledge Center article will discuss the potential origins of bad breath, diagnosis and how to treat it.

Share on PinterestAlthough bad breath is associated with certain diseases, oral hygiene is the most common cause.

Bad breath is a common problem that can cause significant psychological distress. There are a number of potential causes and treatments available.

Anyone can suffer from bad breath. It is estimated that 1 in 4 people have bad breath on a regular basis.

Halitosis is the third most common reason that people seek dental care, after tooth decay and gum disease.

Simple home remedies and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. If bad breath persists, however, it is advisable to visit a doctor to check for underlying causes.

The best method to reduce halitosis is good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease.

It is recommended that individuals visit the dentist for a check-up and cleaning twice a year.

The dentist may recommend a toothpaste that includes an antibacterial agent or an antibacterial mouthwash.

Alternatively, if gum disease is present, professional cleaning may be necessary to clear out the build-up of bacteria in pockets between the gums and teeth.

Potential causes of bad breath include:

  • Tobacco: Tobacco products cause their own types of mouth odor. Additionally, they increase the chances of gum disease which can also cause bad breath.
  • Food: The breakdown of food particles stuck in the teeth can cause odors. Some foods such as onions and garlic can also cause bad breath. After they are digested, their breakdown products are carried in the blood to the lungs where they can affect the breath.
  • Dry mouth: Saliva naturally cleans the mouth. If the mouth is naturally dry or dry due to a specific disease, such as xerostomia, odors can build up.
  • Dental hygiene: Brushing and flossing ensure the removal of small particles of food that can build up and slowly break down, producing odor. A film of bacteria called plaque builds up if brushing is not regular. This plaque can irritate the gums and cause inflammation between the teeth and gums called periodontitis. Dentures that are not cleaned regularly or properly can also harbor bacteria that cause halitosis.
  • Crash diets: Fasting and low-carbohydrate eating programs can produce halitosis. This is due to the breakdown of fats producing chemicals called ketones. These ketones have a strong aroma.
  • Drugs: Certain medications can reduce saliva and, therefore, increase odors. Other drugs can produce odors as they breakdown and release chemicals in the breath. Examples include nitrates used to treat angina, some chemotherapy chemicals, and some tranquilizers, such as phenothiazines. Individuals who take vitamin supplements in large doses can also be prone to bad breath.
  • Mouth, nose, and throat conditions: Sometimes, small, bacteria-covered stones can form on the tonsils at the back of the throat and produce odor. Also, infections or inflammation in the nose, throat, or sinuses can cause halitosis.
  • Foreign body: Bad breath can be caused if they have a foreign body lodged in their nasal cavity, especially in children.
  • Diseases: Some cancers, liver failure, and other metabolic diseases can cause halitosis, due to the specific mixes of chemicals that they produce. Gastroesophageal reflux disease (GERD) can cause bad breath due to the regular reflux of stomach acids.

Rarer causes of bad breath

As mentioned earlier, the most common reason for bad breath is oral hygiene, but other situations can also be to blame.

Rarer causes of bad breath include:

  • Ketoacidosis: When the insulin levels of a person with diabetes are very low, their bodies can no longer use sugar and begin to use fat stores instead. When fat is broken down, ketones are produced and build up. Ketones can be poisonous when found in large numbers and produce a distinctive and unpleasant breath odor. Ketoacidosis is a serious and potentially life-threatening condition.
  • Bowel obstruction: Breath can smell like feces if there has been a prolonged period of vomiting, especially if a bowel obstruction is present.
  • Bronchiectasis: This is a long-term condition in which airways become wider than normal, allowing for a build-up of mucus that leads to bad breath.
  • Aspiration pneumonia: A swelling or infection in the lungs or airways due to inhaling vomit, saliva, food, or liquids.

The specific odor of breath can vary depending on the cause of the problem. It is best to ask a close friend or relative to gauge your mouth odor, as it can be difficult to assess it yourself.

If no one is available, one way of checking the odor is to lick your wrist, leave it to dry, and then smell it. A bad smell on this area of the wrist is likely to suggest that you have halitosis.

Some individuals are concerned about their breath even though they may have little or no mouth odor. This condition is called halitophobia and can lead to obsessive mouth-cleansing behavior.

Other lifestyle changes and home remedies for bad breath include:

  • Brush the teeth: Be sure to brush at least twice a day, preferably after each meal.
  • Floss: Flossing reduces the build-up of food particles and plaque from between the teeth. Brushing only cleans around 60 percent of the surface of the tooth.
  • Clean dentures: Anything that goes into your mouth, including dentures, a bridge, or a mouth guard, should be cleaned as recommended on a daily basis. Cleaning prevents the bacteria from building up and being transferred back into the mouth. Changing toothbrush every 2 to 3 months is also important for similar reasons.
  • Brush tongue: Bacteria, food, and dead cells commonly build up on the tongue, especially in smokers or those with a particularly dry mouth. A tongue scraper can sometimes be useful.
  • Avoid dry mouth: Drink plenty of water. Avoid alcohol and tobacco, both of which dehydrate the mouth. Chewing gum or sucking a sweet, preferably sugar-free, can help stimulate the production of saliva. If the mouth is chronically dry, a doctor may prescribe medication that stimulates the flow of saliva.
  • Diet: Avoid onions, garlic, and spicy food. Sugary foods are also linked to bad breath. Reduce coffee and alcohol consumption. Eating a breakfast that includes rough foods can help clean the back of the tongue.

If breath odor persists despite controlling these factors, it is recommended that an individual visits a doctor for further tests to rule out other conditions.

Often, a dentist will simply smell the breath of a person with suspected halitosis and rate the odor on a six-point intensity scale. The dentist may scrape the back of the tongue and smell the scrapings as this area can often be a source of the aroma.

There are a variety of sophisticated detectors that can rate odor more precisely.

They include the following:

  • Halimeter: This detects low levels of sulfur.
  • Gas chromatography: This test measures three volatile sulfur compounds: Hydrogen sulfide, methyl mercaptan, and dimethyl sulfide.
  • BANA test: This measures levels of a specific enzyme produced by halitosis-causing bacteria.
  • Beta-galactosidase test: Levels of the enzyme beta-galactosidase have been found to correlate with mouth odor.

The dentist will then be able to identify the likely cause of the bad breath.

Bad breath (halitosis): Causes, diagnosis, and treatment

Bad breath affects an estimated 25 percent of people. There are a number of possible causes of halitosis, but the vast majority come down to oral hygiene.

It is also known as halitosis or fetor oris. Halitosis can cause significant worry, embarrassment, and anxiety but it is relatively easy to remedy.

This MNT Knowledge Center article will discuss the potential origins of bad breath, diagnosis and how to treat it.

Share on PinterestAlthough bad breath is associated with certain diseases, oral hygiene is the most common cause.

Bad breath is a common problem that can cause significant psychological distress. There are a number of potential causes and treatments available.

Anyone can suffer from bad breath. It is estimated that 1 in 4 people have bad breath on a regular basis.

Halitosis is the third most common reason that people seek dental care, after tooth decay and gum disease.

Simple home remedies and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. If bad breath persists, however, it is advisable to visit a doctor to check for underlying causes.

The best method to reduce halitosis is good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease.

It is recommended that individuals visit the dentist for a check-up and cleaning twice a year.

The dentist may recommend a toothpaste that includes an antibacterial agent or an antibacterial mouthwash.

Alternatively, if gum disease is present, professional cleaning may be necessary to clear out the build-up of bacteria in pockets between the gums and teeth.

Potential causes of bad breath include:

  • Tobacco: Tobacco products cause their own types of mouth odor. Additionally, they increase the chances of gum disease which can also cause bad breath.
  • Food: The breakdown of food particles stuck in the teeth can cause odors. Some foods such as onions and garlic can also cause bad breath. After they are digested, their breakdown products are carried in the blood to the lungs where they can affect the breath.
  • Dry mouth: Saliva naturally cleans the mouth. If the mouth is naturally dry or dry due to a specific disease, such as xerostomia, odors can build up.
  • Dental hygiene: Brushing and flossing ensure the removal of small particles of food that can build up and slowly break down, producing odor. A film of bacteria called plaque builds up if brushing is not regular. This plaque can irritate the gums and cause inflammation between the teeth and gums called periodontitis. Dentures that are not cleaned regularly or properly can also harbor bacteria that cause halitosis.
  • Crash diets: Fasting and low-carbohydrate eating programs can produce halitosis. This is due to the breakdown of fats producing chemicals called ketones. These ketones have a strong aroma.
  • Drugs: Certain medications can reduce saliva and, therefore, increase odors. Other drugs can produce odors as they breakdown and release chemicals in the breath. Examples include nitrates used to treat angina, some chemotherapy chemicals, and some tranquilizers, such as phenothiazines. Individuals who take vitamin supplements in large doses can also be prone to bad breath.
  • Mouth, nose, and throat conditions: Sometimes, small, bacteria-covered stones can form on the tonsils at the back of the throat and produce odor. Also, infections or inflammation in the nose, throat, or sinuses can cause halitosis.
  • Foreign body: Bad breath can be caused if they have a foreign body lodged in their nasal cavity, especially in children.
  • Diseases: Some cancers, liver failure, and other metabolic diseases can cause halitosis, due to the specific mixes of chemicals that they produce. Gastroesophageal reflux disease (GERD) can cause bad breath due to the regular reflux of stomach acids.

Rarer causes of bad breath

As mentioned earlier, the most common reason for bad breath is oral hygiene, but other situations can also be to blame.

Rarer causes of bad breath include:

  • Ketoacidosis: When the insulin levels of a person with diabetes are very low, their bodies can no longer use sugar and begin to use fat stores instead. When fat is broken down, ketones are produced and build up. Ketones can be poisonous when found in large numbers and produce a distinctive and unpleasant breath odor. Ketoacidosis is a serious and potentially life-threatening condition.
  • Bowel obstruction: Breath can smell like feces if there has been a prolonged period of vomiting, especially if a bowel obstruction is present.
  • Bronchiectasis: This is a long-term condition in which airways become wider than normal, allowing for a build-up of mucus that leads to bad breath.
  • Aspiration pneumonia: A swelling or infection in the lungs or airways due to inhaling vomit, saliva, food, or liquids.

The specific odor of breath can vary depending on the cause of the problem. It is best to ask a close friend or relative to gauge your mouth odor, as it can be difficult to assess it yourself.

If no one is available, one way of checking the odor is to lick your wrist, leave it to dry, and then smell it. A bad smell on this area of the wrist is likely to suggest that you have halitosis.

Some individuals are concerned about their breath even though they may have little or no mouth odor. This condition is called halitophobia and can lead to obsessive mouth-cleansing behavior.

Other lifestyle changes and home remedies for bad breath include:

  • Brush the teeth: Be sure to brush at least twice a day, preferably after each meal.
  • Floss: Flossing reduces the build-up of food particles and plaque from between the teeth. Brushing only cleans around 60 percent of the surface of the tooth.
  • Clean dentures: Anything that goes into your mouth, including dentures, a bridge, or a mouth guard, should be cleaned as recommended on a daily basis. Cleaning prevents the bacteria from building up and being transferred back into the mouth. Changing toothbrush every 2 to 3 months is also important for similar reasons.
  • Brush tongue: Bacteria, food, and dead cells commonly build up on the tongue, especially in smokers or those with a particularly dry mouth. A tongue scraper can sometimes be useful.
  • Avoid dry mouth: Drink plenty of water. Avoid alcohol and tobacco, both of which dehydrate the mouth. Chewing gum or sucking a sweet, preferably sugar-free, can help stimulate the production of saliva. If the mouth is chronically dry, a doctor may prescribe medication that stimulates the flow of saliva.
  • Diet: Avoid onions, garlic, and spicy food. Sugary foods are also linked to bad breath. Reduce coffee and alcohol consumption. Eating a breakfast that includes rough foods can help clean the back of the tongue.

If breath odor persists despite controlling these factors, it is recommended that an individual visits a doctor for further tests to rule out other conditions.

Often, a dentist will simply smell the breath of a person with suspected halitosis and rate the odor on a six-point intensity scale. The dentist may scrape the back of the tongue and smell the scrapings as this area can often be a source of the aroma.

There are a variety of sophisticated detectors that can rate odor more precisely.

They include the following:

  • Halimeter: This detects low levels of sulfur.
  • Gas chromatography: This test measures three volatile sulfur compounds: Hydrogen sulfide, methyl mercaptan, and dimethyl sulfide.
  • BANA test: This measures levels of a specific enzyme produced by halitosis-causing bacteria.
  • Beta-galactosidase test: Levels of the enzyme beta-galactosidase have been found to correlate with mouth odor.

The dentist will then be able to identify the likely cause of the bad breath.

Halitosis (Bad Breath) | Johns Hopkins Medicine

What is halitosis?

Halitosis is an oral health problem where the main symptom is bad smelling breath. In most cases, finding the cause of the bad breath is the first step toward treating this preventable condition.

What causes bad breath?

There are many causes of bad breath, just as there are many sources of bacteria in the mouth. Halitosis may be caused by the following:

  • Certain foods. The things you eat are linked to your oral health, including your breath. Items such as garlic and onions, or any food, are absorbed into the bloodstream. Until that food leaves the body, it has the potential to affect your breath.

  • Poor oral health care. Without correct and regular brushing and flossing, and routine dental exams, food remains in the mouth. This is a breeding ground for bacteria. Food that collects on the teeth, gums, and tongue may rot. This causes an unpleasant odor and taste in the mouth.

  • Improper cleaning of dentures. Dentures that are not cleaned correctly may be collecting bacteria, fungi, and remaining food particles, which cause bad breath.

  • Odor-causing bacteria on the tongue. Certain bacteria on the back of the tongue can interact with amino acids in foods and produce smelly sulfur compounds.

  • Periodontal disease. One of the main symptoms of this gum disease is bad-smelling breath, and an unpleasant taste in the mouth. This condition needs immediate care by an oral health professional.

  • Dry mouth (Xerostomia). This condition is often a key part of halitosis. When there is a major decrease in saliva production, the mouth can’t cleanse itself and remove debris and particles left behind by food. Dry mouth may be caused by certain medicines, a salivary gland disorder, or by always breathing through the mouth instead of the nose.

  • Tobacco products. Tobacco products such as cigarettes, cigars, smokeless tobacco, and snuff stain the teeth and put the body at risk for a host of diseases. But they also help cause bad breath. Tobacco users also are at higher risk for the following:

    • Periodontal disease

    • Loss of ability to taste

    • Irritated gums

    • Oral cancer

What are the symptoms of halitosis?

The main symptom of halitosis is a bad odor from the mouth that is considered beyond a socially acceptable level. The odor can be worse in the morning or after smoking, drinking coffee, or eating certain foods such as garlic.

How is halitosis diagnosed?

Dentists often diagnose halitosis. The diagnosis is based on the person’s history and mouth odor during the dental exam. The entire mouth is checked to see if a cause can be found, such as an infection If the dentist can’t find the cause, he or she will refer you to an appropriate specialist, such as a doctor.

What is the treatment for halitosis?

Treatment depends mainly on the cause of the condition, including:

Cause Possible treatment
Poor oral health care If the bad breath is due to improper oral healthcare, in most cases your dentist will treat the cause of the problem.
Gum disease If the cause is an underlying gum disease, the condition may be treated by your dentist. Or you may be referred to an oral specialist–in most cases, a periodontist. A periodontal cleaning often helps to remove the bacteria and tartar or plaque that has built up and is causing inflammation at the gumline.

Extensive plaque buildup

Your dentist or periodontist may recommend an antimicrobial mouth rinse. Also, you may be told to brush your tongue gently each time you brush your teeth to help remove odor-causing bacteria.
Health Condition Diagnosis and treatment of an existing health condition may get rid of the bad breath.

How can I prevent halitosis?

Halitosis can be prevented or decreased if you:

  • Brush and floss your teeth at least twice a day.

  • Brush your tongue, cheeks, and the roof of your mouth. Most bad breath bacteria live on the tongue. , So brushing or scraping the tongue can make a big difference in your breath.

  • If you have dentures, take them out at night and clean them completely before putting them back in your mouth. Talk with your dentist before using deodorizing sprays or tablets. Some only mask the odor for a short time.

  • If you smoke, quit. You will have better smelling breath, and a healthier body overall.

  • Keep your saliva flowing by eating healthy foods that make you chew. Carrots and apples require a lot of saliva. You can also chew sugar-free gum or suck on sugar-free candies. If you still don’t have enough saliva to keep your mouth moist, your dentist may suggest artificial saliva.

  • Visit your dentist on a regular basis. Regular check-ups can find problems such as gum disease, infections, and dry mouth. If you have bad breath and the dentist can’t find a cause, you may be referred to your primary healthcare provider for more follow-up.

Anti-bad breath products

Each brushing should be completed with a mouthwash. This procedure, which takes less than a minute, helps remove food particles and bacteria from the interdental spaces – areas that are inaccessible to the bristles of a toothbrush. But one should distinguish between rinses that have exclusively deodorant properties (masking odors and do not affect their cause), from those that inhibit the growth and activity of bacteria responsible for the formation of plaque and the occurrence of a fetid odor.The LISTERINE® line of antibacterial mouthwashes is specially designed to enhance the effectiveness of regular oral care.

Composition

LISTERINE® contains essential oils: menthol, thymol, methyl salicylate and Evaliptol. The combination of these four substances provides the antibacterial effect of LISTERINE®. The use of a mouthwash contributes not only to a decrease in the activity of bacteria in the oral cavity, but also to the destruction of already formed dental plaque – a waste product of microorganisms.

Action

All LISTERINE® rinses have a pronounced antibacterial and deodorizing effect. Their regular use helps to eliminate halitosis, and most importantly, its cause – bacterial plaque. Unlike toothpaste, mouthwash penetrates into hard-to-reach areas of the mouth, which helps get rid of plaque in the interdental spaces and gum pockets – areas of increased risk.

The LISTERINE® product line is represented by both complex and specialized products.The former are intended for the prevention of dental diseases, the latter are aimed at eliminating specific problems (discoloration of the enamel, inflammation and bleeding of the gums, tendency to caries, etc.).

Application

Use LISTERINE® twice a day, after morning and evening brushing. The rinse active ingredients will work better on the plaque-free surface of teeth and gums. For each rinse, measure 20 ml of the product (it is convenient to do this using the bottle cap).The duration of the rinsing procedure should be about 30 seconds.

Bad breath due to stomach problems: causes and methods of control

Everyone knows that bad breath is usually caused by poor oral hygiene, dental caries and eating foods with a strong odor. However, bad breath, or halitosis, can also be caused by diseases of the gastrointestinal tract. When bad breath comes from the stomach, getting rid of it is not so easy, because the cause of its occurrence is more difficult to identify and eliminate.Still, you need to deal with the possible sources of halitosis so as not to attribute bad breath to garlic soup, turning a blind eye to more serious problems.

Causes of bad breath

Diseases of the digestive system cause bad breath more often than you think. The most common ones are:

  • Gastroesophageal reflux disease (GERD). If you often have heartburn and belching after eating certain foods, such as spicy foods or dairy products, excess stomach acid may be caused by excess stomach acid that is pumped into the esophagus and mouth.Gastric juice has a sour odor, which leads to bad breath. Therefore, gastroenterologists often consider bad breath as one of the symptoms of GERD.
  • Kidney disease. According to the observations of specialists, the smell of fish or ammonia from the mouth (the so-called uremic respiration) may indicate the development of chronic renal failure.
  • Peptic ulcer. Researchers in Japan have determined that the bacteria Helicobacter pylori (H.pylori) , which are the causative agent of gastric ulcer and duodenal ulcer. Scientists have hypothesized that in the course of their vital activity, these bacteria produce volatile sulfur compounds that smell unpleasant. And although the relationship between halitosis and H. pylori requires more detailed study, clinical studies show that eradication of H. pylori contributes to the reduction of bad breath.

To get rid of an unpleasant odor that seems to be coming from the stomach, the first step is to establish its cause.If you experience discomfort after eating certain foods, then the appearance of bad breath is probably associated with acidity and gastric reflux. If you smell ammonia in your breath, you need to check your kidneys for an infectious or chronic disease. Tell your doctor about your symptoms so that they can schedule an appropriate examination to help you develop an individualized treatment plan.

Once you have identified and addressed the root cause of halitosis, follow these guidelines to keep your breath fresh.

  • Exclude triggers. If you notice that spicy foods, dairy products or stress are exacerbating bad breath, try to avoid them in the future.
  • Chew gum. Chewing gum without sugar will temporarily mask an unpleasant odor. Dentists advise choosing mint gum with antibacterial ingredients and remind you not to consume it on an empty stomach, and the chewing time should not exceed 15 minutes.
  • Monitor your oral health. Even if an unpleasant odor comes from the stomach, this does not mean at all that you can forget about regular hygiene. Brush your teeth twice a day and use mouthwash to protect your mouth from bacteria that cause bad breath.
  • Include probiotics in your diet. Remember that fresh breath starts with good digestion. Check with your doctor whether you should take a course of probiotics in tablets or whether it will be enough to drink a glass of kefir or yogurt every day.Probiotics will restore the acid-base balance in the gastrointestinal tract and save you from the negative consequences of its violation.

Contrary to popular belief, oral bacteria do not always cause halitosis. Sometimes the root of the problem is literally much lower. Observe the circumstances under which you develop an unpleasant odor and tell your doctor so that you can choose a treatment strategy for the digestive system and never think about bad breath again.

90,000 Bad breath due to stomach malfunction

There are several causes of halitosis, but did you know that stomach malfunction can be one of the causes? Bad breath in about half of the population is due to factors other than food, drink or smoking. Of these people, only about 10 percent are caused by other diseases such as diabetes, liver and kidney disease.There are even fewer people who suffer from bad breath due to a malfunctioning stomach. However, this obviously does not ease their situation.

The following describes how a stomach health condition can cause halitosis and how to deal with it.

Ulcers

In some cases, bad breath can be caused by ulcers caused by bacteria. The researchers, in an article published on the ScienceDaily website, confirm that the bacteria that are the most common causative agent of stomach ulcers and are known as Helicobacter pylori (H.pylori) can also cause bad breath. Fortunately, antibiotics are an effective way to fight these bacteria.

There is generally conflicting information that ulcers themselves cause bad breath, although H. pylori alone does not emit bad breath. However, the above study showed that patients infected with H. pylori also had Prevotella intermedia, one of the main pathogens of periodontal disease.If you have bad breath and stomach ulcers at the same time, get tested to check for a possible connection.

Reflux

Gastroesophageal reflux disease, or GERD, is another cause of bad breath associated with a malfunctioning stomach. This condition is accompanied by the reflux of gastric juice into the esophagus, causing a burning sensation in the chest or throat. According to the non-profit organization Nemours, one of the symptoms of GERD is bad breath.In addition, in GERD, acid passes from the stomach into the oral cavity and weakens dental health, in particular, it can contribute to the erosion of tooth enamel. Damage to the structure of the throat and mouth can also promote the growth of certain types of bacteria in the mouth.

Patients with GERD will have other symptoms and should be treated regardless of oral lesions. Patients with suspected GERD should be evaluated and tested for reflux.With the right treatment, bad breath can usually be said goodbye.

Is the smell really that bad?

Many people who think they have bad breath don’t actually have it. Although you can have a sulfur test, the dentist usually evaluates the odor sample. If bad breath is confirmed, get tested for cavities and gum disease – treatment for these conditions often eliminates bad breath.

In the absence of dental caries and periodontal disease, bad breath can be caused by the accumulation of bacteria on the surface of the tongue. If this is the case, brushing your tongue can be helpful by using a Colgate® 360 toothbrush with a tongue scraper on the back of the bristles. You can also start using a mouthwash, such as Colgate® Total, to help prevent bacteria from growing quickly throughout the day.

Bad breath is the third most common reason for seeking dental care after tooth decay and gum disease.If you experience bad breath, have a thorough dental check-up. If you have problems with your upper gastrointestinal tract, such as pain or heartburn, you will also need to get a physical exam. Do not force yourself to live with bad breath caused by such disorders.

For more information on the causes of halitosis, visit the Colgate Dental and Oral Health Center.

Information about the author: James Burke Fine is Ph.D., Assistant Dean for Postdoctoral Research Programs, Professor of Clinical Dentistry, and Head of the Master’s in Periodontology at Columbia University College of Dentistry, New York.He has held the position of researcher and co-investigator in funded research projects. He is the author and co-author of numerous articles, sections and abstracts on periodontal diseases, including the co-author of the Clinical Guide to Periodontology. In addition, Dr. Fine has participated in lectures and seminars as a guest speaker. He is practicing limited to periodontics in Hoboken, New Jersey and in the Department of Clinical Practice at Columbia University.

90,000 The top six culprits for bad breath

Bad breath (halitosis) can be a very uncomfortable symptom that embarrasses you when dealing with other people or intimate situations. This is why it is important to have a good understanding of the causes of halitosis. Below are six possible causes of halitosis and how to fix them:

1. YOU DO NOT CARE YOUR TEETH AND Gums AS FOLLOWS

Halitosis can be caused by bacterial plaque that constantly builds up on teeth, around teeth and between teeth.Bacteria break down food particles in the mouth, producing a foul-smelling gas that causes bad breath.

The best way to prevent this is to brush your teeth 2 times a day with a fluoride toothpaste and floss to remove plaque and food stuck between your teeth.

2. YOU MAY BE DEVELOPING GUM DISEASE

Halitosis may be one of the earliest signs of gum disease, as halitosis is caused by the same bacterial plaque along the gum line that causes bleeding gums.If left untreated, bacterial plaque can cause bleeding and swollen gums – symptoms of gingivitis. If left untreated, it can lead to more serious gum problems. See your dentist urgently.

To effectively combat gum inflammation and bleeding *, brush your teeth twice a day with a fluoride toothpaste such as Parodontac, which is specially formulated to eliminate far more bacteria than conventional toothpaste **.
* Yankel et al., 1993; Yankell and Emiling, 1988

** Removes more plaque, the main cause of bleeding gums, after professional cleaning of teeth in the dentist’s office and subsequent brushing of teeth with Parodontax toothpaste (excluding Parodontax Whitening) with a sodium bicarbonate content of at least 67%, 2 times a day, compared with regular toothpaste that does not contain sodium bicarbonate.

3. YOU ARE USING CERTAIN PRODUCTS AND BEVERAGES

Eating food with a strong odor, such as garlic, onions or spices, or drinking coffee or alcohol, may spoil your breath for a while.To avoid this, do not consume these foods or drinks.

4. YOU SMOKE OR EAT TOBACCO

Smoking cigarettes and pipes and sniffing and chewing tobacco can cause bad breath. Smoking can also lead to discolored teeth and increase your risk of developing gum disease. If you quit smoking, your mouth will be healthier, your teeth will be whiter, and your breath will be fresher.

5. YOU ARE ON A RADICAL DIET

Fasting and radical or low-carb diets can have the side effect of bad breath.This is because when fat is rapidly broken down, chemicals called ketones are released. They are excreted from the body along with exhalation, causing an unpleasant odor. You can get rid of this type of halitosis only by changing your diet.

6. YOU HAVE SYMPTOMS OF DISEASE

In rare cases, certain medical conditions can lead to bad breath. One of these diseases is “dry mouth” or “xerostomia”, which occurs when the flow of saliva into the mouth is disturbed.Bad breath occurs because there is a lack of saliva, which moisturizes the mouth and helps flush out the bacteria that cause halitosis.

Bad breath can also be caused by gastrointestinal disorders, diabetes, and upper respiratory tract infections. If you are concerned about bad breath, you should see your dentist or doctor.

90,000 Bad breath causes and treatment

Bad breath occurs in everyone after sleep and quickly disappears – just brush your teeth.But sometimes, after just a few minutes, the breath becomes stale again. Why there is bad breath and what is its danger – we will tell in this article.

Why does an unpleasant odor appear

Persistent bad breath is called halitosis. It is caused by anaerobic bacteria that live in plaque. These microorganisms give off a gas that has a very unpleasant odor, which makes our breath stale. Moreover, the more bacteria there are in the mouth, the more unpleasant breathing becomes.

Ideal environment for the growth of microorganisms – food particles stuck in the interdental spaces and plaque that accumulates quickly in the gum area for two to three days. Over time, it mineralizes and turns into tartar, bacteria begin to colonize it. Now, even if you brush your teeth with an electric brush and use an irrigator, you will not be able to completely get rid of bad breath on your own, since only a hygienist can remove tartar.

Bad breath can also be caused by:

  • caries
  • periodontal tissue diseases
  • Poor adhesion of crowns
  • Drying of the oral mucosa due to diseases of the salivary glands
  • Difficulty teething wisdom teeth
  • dentures
  • inflammatory diseases of the throat
  • gastrointestinal diseases
  • metabolic disorders

Therefore, if you brush your teeth well, but the unpleasant odor still remains, then it is better to seek help from a dentist.He will find out what is the reason for the appearance of halitosis, and, if necessary, will attract specialists from other medical fields to the treatment.

Bad breath can affect both adults and children. The causes of halitosis are not related to age, but usually bad breath in a child occurs due to inflammation of the mucous membrane or due to pieces of food stuck in the carious cavity. If you notice that your child has bad breath, it is best to visit the dentist.

Three ways to check for bad breath

  • Lick your wrist and sniff. This is how the front of the tongue smells, and at its root the “aroma” is usually much more intense.
  • Take a spoon, lick it several times and smell it. It will leave saliva on it, and it smells like your breath.
  • Exhale into the mirror and immediately inhale deeply through your nose. The smell that you felt is felt by those around you while communicating with you.

If you have bad breath, see your dentist for help. The doctor can help you figure out the cause of bad breath and get rid of it.

How to get rid of bad breath

Halitosis is not masked by the aroma of gum or peppermint. To get rid of the unpleasant odor, you need to reduce the number of bacteria. This can be done only by removing tartar and plaque.

How to eliminate bad breath

  • Clean the interdental spaces with a floss and an irrigator.
  • Clean the tongue with a special brush, paying special attention to its root.
  • Drink at least 2 liters of clean water per day.
  • Visit your dentist regularly.
  • Undergo a professional hygiene procedure once every six months.

If you urgently need to freshen your breath, you can use special rinses or infusions of peppermint, string and caraway seeds. There are also aerosol fresheners and special lozenges.True, the effect will be temporary and the smell will return very quickly.

Bad breath: treatment

In 80% of cases, bad breath occurs due to dental diseases – caries or periodontitis. Therefore, it is better to start the treatment of halitosis with a visit to the dentist. He knows how to quickly solve the problem and regain freshness of breath.

Specialists of the “Edental” dental clinic network will carefully examine the oral cavity, diagnose and eliminate the cause of bad breath, as well as give recommendations for home care.

90,000 Treatment of bad breath in Ufa

Bad breath is a fairly common phenomenon that causes psychological discomfort and often indicates the presence of diseases of the oral cavity, respiratory system or digestive system.

In some cases, halitosis is considered a normal manifestation: an unpleasant odor is temporary and manifests itself after a night’s sleep, with insufficient oral hygiene, or when eating food that has a pungent odor….

If brushing your teeth and tongue does not help, you should undergo a comprehensive examination and start treating bad breath.

Root Causes

If an unpleasant odor appears, we strongly recommend contacting the following specialists:

  • To the dentist. In about half of cases, halitosis resolves after the treatment of caries and gum disease (stomatitis, gingivitis), and removal of tartar.
  • To the otorhinolaryngologist. The same effect can be given by inflammation of the palatine tonsils (tonsillitis), sinusitis and frontal sinusitis. Purulent plaques have a very pungent odor, which cannot be eliminated without the help of a doctor.
  • To a gastroenterologist. The causes of the appearance of a sour or rotten smell can be pathologies of the digestive tract, provoking a violation of the processes of digestion and absorption of food: gastritis, colitis, low acidity of the stomach, pancreatitis and dysbiosis, which is characterized by a sharp increase in the number of putrefactive bacteria and opportunistic flora.

In more rare cases, halitosis is associated with the progression of diseases of the bronchopulmonary system – bronchitis, pneumonia and tuberculosis, or with the development of diabetes mellitus. In the latter case, you will “hear” a distinct smell of acetone.

Diagnostics and treatment

Comprehensive diagnostics includes:

An accurate diagnosis is established ONLY by a doctor based on anamnesis, patient examination and examination results.Self-medication is unacceptable! Make an appointment with a gastroenterologist by phone +7 (347) 201-02-03 or on the website.

Breath – Causes of Bad Breath

Most people don’t even know they have bad breath. Due to the structural features of the nasopharynx and the human oral cavity, it is almost impossible to independently assess the freshness of breath. Since a person does not feel his breath, its freshness can only be assessed by the reaction of others.

Bad breath can have one or more causes. It is important to determine whether bad breath is your constant companion or temporary phenomenon.

The reason for temporary staleness of breath may be the consumption of certain foodstuffs. Usually, exotic spicy dishes, fatty sauces, onions, garlic, etc., have a negative effect on the breath. Thus, you can get rid of the smell simply by brushing your teeth. With regular oral hygiene after a meal, you can completely eliminate the possibility of an unpleasant odor.If the appearance of bad breath is not associated with the use of food, there are several main reasons for its occurrence.

What causes bad breath

Only a doctor can unambiguously determine the cause that causes bad breath. It should be understood that the smell is not an independent phenomenon, but only a symptom of a disease or a manifestation of pathology. Ignoring an unpleasant odor or trying to cope with it on your own, without going to a doctor, usually leads to the development of the disease.And if in the early stages of the disease, bad breath may be the only manifestation of pathology, then in the future new symptoms may join it.


Often, an unpleasant odor indicates the beginning of the process of tooth decay, while the patient does not feel pain or discomfort in the early stages. That is why we recommend visiting your dentist at least twice a year for a preventive examination and hygienic cleaning of your teeth. Proper regular hygiene and specialist supervision of your teeth and gums will keep your breath fresh.Make an appointment with the dentist now, even if nothing bothers you, do not wait for others to react to your bad breath, because it is very unpleasant. The registration is carried out by phone 8 (495) 221-21-18 or through the registration form located on the website.


Improper oral and dental care, as well as lack of it

In case of non-observance of hygiene in the oral cavity, natural processes begin – food residues serve as a substrate for actively multiplying bacteria, the waste products of which cause an unpleasant odor.This problem is especially relevant for children, adolescents, who often neglect to brush their teeth, as well as people of certain professions, restricted in freedom of movement and hygiene conditions (drivers, truckers, etc.).

Inflammatory, infectious or viral diseases

Diseases of various body systems can cause bad breath: otolaryngological diseases – tonsillitis, tonsillitis, sinusitis, sinusitis, etc .; gastroenterological diseases – gastritis, peptic ulcer, cholecystitis, dysbiosis, etc.etc .; dental diseases – any processes of destruction of tooth enamel or bone tissue. Often the cause of an unpleasant odor is a whole complex of diseases of various systems of the human body.

Frequent or chronic eating disorders

With the constant use of foods harmful or difficult to digest, digestive disorders often develop, as a result – gastroenterological diseases. Overeating or non-compliance with the diet also contributes to the disruption of digestive processes.

Smokers’ mouth odor

Tobacco smoking causes disturbances in the work of the oral mucosa, changes the qualitative composition of saliva, contributes to tooth decay and the development of many diseases. Even the use of various hygiene products for the care of the oral cavity in the case of smoking has only a temporary effect.

What is odor from the mouth

If you find you have bad breath and are in doubt about which doctor to contact in the first place – try to assess the nature of the smell, its intensity, taste, time of appearance or exacerbation.

Hydrogen sulfide odor from the mouth

Hydrogen sulfide odor usually indicates digestive disorders. Especially if after eating there is belching, bloating, nausea, vomiting, abdominal pain, etc. Also, people with an unpleasant hydrogen sulfide odor are characterized by the appearance of white plaque on the root of the tongue, regardless of food intake and oral hygiene procedures. Most often in patients with these symptoms, gastritis or peptic ulcer disease is found against the background of increased acidity of gastric juice.

Sour breath

Sour breath also indicates gastrointestinal diseases. Usually, a sour smell appears in the early stages of gastritis and is often the only symptom of the disease.

Bitter breath

A bitter odor in the presence of a bitter taste in the mouth, regardless of the time of day and the regimen of food intake, may indicate diseases of the liver and gallbladder. Often an additional symptom is the appearance of a yellow plaque on the tongue, despite the hygiene procedures.If the disease is in the early stages of development, besides an unpleasant odor and plaque, there may be no other symptoms. Over time, digestive disorders, general deterioration of health, the appearance of pain in the side, etc. are possible.

Acetone odor from the mouth

The smell of acetone and a sweetish aftertaste most often indicate endocrine disorders, in particular, the development of diabetes mellitus. Given the fact that in many cases diabetes is asymptomatic and is detected in a patient when critical pathologies are detected, a timely visit to a doctor when an odor appears can save you from a serious illness.

Ammonia and putrid odors

Ammoniacal odor from the mouth is an indicator of diseases of the genitourinary system, usually of the kidneys or bladder. A sharp putrid odor is a typical manifestation of dental diseases: diseases of the teeth, gums, depending on the degree of development, can be characterized by a sharp unpleasant odor. Often, with dental diseases, plaque on the tongue of a white or yellowish color can be observed.

Treatment of bad breath

If you have one or more of the above symptoms, you should consult a doctor.Regardless of the nature of the smell and the results of self-observation, it is better to contact several specialists in parallel. Since bad breath can be triggered by a wide range of illnesses, it is best to take decisive action to identify the cause.

The first specialist doctor to be visited is the dentist. Based on the results of the initial examination, an assessment of the current state of health of the teeth, gums and hardware testing of bad breath, the doctor will conclude about the possible causes of the appearance of stale breath.

If the diagnosis shows purely dental reasons, treatment should be started immediately, according to the schedule developed by the doctor. If during the examination there were no signs of dental diseases and pathologies, the current state of health of the teeth and gums could not provoke the appearance of an unpleasant odor, the patient is referred for consultation to other specialists, such as a gastroenterologist, endocrinologist, otolaryngologist. Our dentistry is located in the same building with the multidisciplinary clinic “Diamed”, where you will be consulted by all the listed specialists at a convenient time for you.

At the dentist’s appointment, try to describe the situation in as much detail as possible: how long ago did you identify an unpleasant odor, how it happened; if there are additional symptoms besides smell – plaque on the tongue, smack, etc. – be sure to tell us about it; notify the doctor about the results of self-observation – when the smell appears especially actively, whether its intensity changes during the day depending on the food intake, etc.