Halitosis (Bad Breath)

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Bad breath (halitosis) can result from poor oral hygiene habits and may be a sign of other oral health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits.

How does what you eat affect breath?
All the food you eat begins to be broken down in your mouth. As foods are digested and absorbed into your bloodstream, they are eventually carried to your lungs and given off in your breath. If you eat foods with offensive odors (such as garlic or onions), your best efforts at brushing, flossing, and using mouthwash will only cover up the odor temporarily. The odor will not completely go away until the food is eliminated from the body.

Why do poor habits cause bad breath?
If you don't brush and floss your teeth daily, food particles can remain in your mouth, which promotes bacteria growth between teeth, around the gums, and on the tongue. This causes bad breath. In addition, odor-causing bacteria and food particles can cause bad breath if dentures are not properly cleaned daily.

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

What health problems are associated with bad breath?
Persistent bad breath or bad taste in your mouth may be warning signs of periodontal disease. Periodontal disease is caused by the buildup of plaque on teeth. The bacteria cause toxins or poisons to form in the mouth, which irritate the gums. Damage can occur to the gum and jawbone as periodontal disease progresses.

The medical condition dry mouth can also cause bad breath. Saliva is necessary to moisten and cleanse the mouth by neutralizing acids produced by plaque and washing 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 caused by the side effects of various medications, salivary gland problems, or continuous breathing through the mouth.

Other diseases and illnesses can also cause bad breath. Some of these medical problems include: respiratory tract infections (for example, infections involving the nose, throat, windpipe, lungs); chronic sinusitis; postnasal drip; chronic bronchitis; diabetes; gastrointestinal disturbances; or liver or kidney problems.

What can I do to prevent bad breath?
Bad breath can be reduced or prevented if you:

  1. Practice good oral hygiene. Brush at least twice a day with fluoride toothpaste to remove food debris and plaque. Brush your teeth after you eat (keep a toothbrush at work or school to brush after lunch). Don't forget to brush your tongue, too. Replace your toothbrush every 2 to 3 months. Use floss or an interdental cleaner to remove food particles and plaque between your teeth once a day. Dentures should be removed at night and cleaned thoroughly before being placed in your mouth the next morning.
  2. See your dentist regularly -- at least twice a year. He or she will conduct an oral examination and professional teeth cleaning and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.
  3. Stop smoking and chewing tobacco-based products. Ask your dentist for tips on kicking the habit.
  4. Drink lots of water. This will keep your mouth moist. Chewing gum (preferably sugarless) or sucking on candy (preferably sugarless) also stimulates the production of saliva, which helps wash away food particles and bacteria.
  5. Keep a log of the foods you eat. If you think the foods that you eat may be causing your bad breath, record what you eat so that you can determine which foods may be contributing to the problem. Bring the log to your dentist to review. Also make a list of the medications you take. Some medications may play a role in creating mouth odors.

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Last Updated: 1/10/2007

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