Bad Breath (halitosis)

At one time or another we have all experienced bad breath (halitosis). This can be caused by a mouth or throat infection to something in our diet. The main culprit is often garlic. This can often be counteracted by eating parsley. Fortunately this is short-lived and clears up within 24 hours. For some people though, this is a "life-sentence" as halitosis is present all the time. It does not have to be a "life-sentence" as many people believe it to be. Whilst many different products have failed you in the past, help is at hand.

Whether you call it by its medical term Halitosis or bad breath, it is one of the most unpleasant and embarrassing conditions that can cause difficulties in both your personal and professional life. Bad breath can cause embarrassment, create social and psychological barriers, and even affect marriages.

Some people with bad breath are not even aware that there is a problem.

It is an oral health condition of constant breath odor. 85-90% of bad breath is generated in the mouth - and practically all of it comes from the back of your tongue.

Almost every person has some degree of bad breath every morning when they wake up (this is called morning breath) and it is easily eliminated after brushing your teeth.

Signs and symptoms of Halitosis

There are many causes of bad breath. Researchers have proved that the majority of bad breath (about 97%) is due to anaerobic bacteria (bacteria that do not need oxygen) that breed under the surface of your tongue, in the back of the throat and on your tonsils. These bacteria cause foul-smelling sulfur compounds called Hydrogen Sulfide (the same smell released by rotten eggs) and Methyl-Mercaptan (the dirty socks smell due to bacterial breakdown products in your feet when there is sweat and warmth in your socks and shoes).

Here are some of the signs and symptoms of bad breath:

• You frequently have a bitter taste in your mouth
• A white or yellow coating on your tongue
• People seem to avoid direct contact with you and they step back from you when you are talking to them
• People around you offer mints or chewing gum
• A smelly odor when you open your mouth

Other causes of Halitosis

• Certain foods
  Foods such as garlic, onions and spicy foods etc. cause foul smelling breath after eating them. These foods are absorbed into the bloodstream, transferred into the lungs and become expelled in the air you breathe. Regular eating of such foods is likely to cause halitosis. People who diet are more likely to develop unpleasant breath from infrequent eating. You also get direct expulsion of these gases from your digestive tract.
  
• Poor oral health care
  Without proper and regular brushing, flossing and routine examinations by your dentist, food remains in the mouth causing bacteria to multiply and produce toxic waste which in turn causes breath odor. Food stuck on the teeth, gums, and tongue creates an environment where bacteria can feed and multiply. These bacteria release certain chemicals as a by-product which causes damage and decay of the gums and teeth. The chemicals that are released by the bacteria and the resulting decay in the mouth contribute to the bad breath.
  
• Improper cleaning of dentures
  Dentures that are not cleaned properly may be collecting bacteria and food particles which cause bad breath.
  
• Periodontal disease
  One of the primary symptoms of periodontal gum disease is foul, odorous breath, and an unpleasant taste in the mouth. This condition requires immediate care by an oral health professional.
  
• Dry mouth (xerostomia)
  This condition is often a large contributor to halitosis. It occurs when the flow of saliva decreases. Saliva is required to cleanse the mouth and remove particles that may cause odor. Xerostomia may be caused by certain medications, a salivary gland disorder, or by continuously breathing through the mouth instead of the nose.
  
• Tobacco products
  Not only do tobacco products such as cigarettes, cigars, smokeless tobacco and snuff stain the teeth and put the body at risk for a host of other diseases, they also contribute to bad breath. Tobacco products cause bad breath, stained teeth, reduces one's ability to taste foods and irritates the gum tissue. Tobacco users are more likely to suffer from periodontal disease and are at greater risk for developing oral cancer.
  
• Medical condition
  Bad breath may be an indication or symptom of any of the following conditions. However, each individual may experience different symptoms such as:
• A respiratory infection
• Infection of the nose, windpipe, or lungs
• Chronic bronchitis
• Post nasal drip
• Chronic sinusitis
• Diabetes
• Gastrointestinal disorders
• Liver or kidney disorders
  
• Severe dieting
  Dieters may develop unpleasant "fruity" breath from keto-acidosis which is due to the breakdown of chemicals during fasting. Restriction of caloric intake leads to hunger which can lead to a dry mouth.

Factors that affect the airways and cause bad breath:

• Nasal Polyps
• Foreign bodies
• Sinusitis
• Dryness
• Bronchitis
• Pneumonia

Factors that affect the esophagus and stomach and cause bad breath:

• Gastritis and food reflux (GERD- gastro-esophageal reflux disease)
• Stagnation of food

How to get relief from Halitosis?

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How to get relief from Halitosis?

• Maintain good oral health, this is essential for reducing bad breath.
• Brush you teeth twice a day with fluoride toothpaste to remove food debris and plaque, brush your tongue too.
• Once a day, use floss or an inter-dental cleaner to clean between teeth.
• Use an antiseptic mouthwash at least once a day, especially before bedtime to kill bacteria that may be in your mouth.
• Go for regular checkups to your dentist to detect any problems such as periodontal (gum) disease, a dry mouth or other disorders that may cause halitosis.
• Visit an oral hygienist regularly
• Use a tongue cleaner and clean right to the back of the tongue.
• Drink plenty of fluids and avoid too much coffee.
• Clean your mouth after eating dairy products, garlic, onions, spicy foods, fish and meat. Chew on some parsley after eating these foods.
• Chew sugar-free gum, especially if your mouth feels dry to increase the flow of saliva.
• Eat less meat.
• Eat fresh and fibrous vegetables.

Other general tips

• Quit smoking. Smoking predisposes you to gum disease.
• Eat a well balanced healthy diet and reduce the amount of sugary foods and drinks. Bacteria thrive on sugar in your mouth and turn it into acids which contribute to tooth decay.
• Limit alcohol intake. Alcoholic beverages often cause bad breath.