Articles on halitosis

Understanding Bad-Breath (Halitosis)- Keep Your Breath Fresh.

Dr. Prashant Ojha
Halitosis is defined as breath that is offensive to others, caused by a variety of reasons including but not limited to periodontal disease, a bacterial coating of the tongue, systemic disorders and different types of food. It is one of the most frequent claims from patients to the dentist.Calculus, plaque and scarce dental visits were significantly correlated to severe halitosis.  correlated with periodontitis and tongue coating to VSC( volatile sulfur compound) scores. Also, severe periodontitis patients present with higher halitosis scores than non-periodontal patients. Tongue coating was considered an in important factor for halitosis. Smoking and periodontal disease were associated with higher halitosis rankings. In children, caries experience and age were associated to halitosisPeriodontal pathogens and products of in inflammation to produce volatile odoriferous compounds. Therefore, the presence of periodontal inflammation needs to be considered in the management of halitosis. Main oral causes of halitosisPlaque-related gingival and Gingivitis, periodontitis, acute necrotizing ulcerative periodontal disease , pericoronitis and abscessesUlceration Systemic disease (inflammatory ⁄ infectious disorders, cutaneous, gastrointestinal and hematological disease), malignancy,local causes, aphthae and drugsHyposalivation (e.g. from drugs, Sjogren syndrome, radiotherapy, chemotherapy)Tongue coating - Poor hygieneWearing dental appliances- Poor hygieneDental conditions -Food impactionBone diseases like Jaw dry sockets, osteomyelitis, osteonecrosis, malignancyExtra-oral causes of halitosisRespiratory system (microbial etiology)SinusitisAntral malignancyForeign bodies in the nose, Nasal malignancy, TonsillolithsTonsillitisPharyngeal malignancy and Lung infectionsBronchitisBronchiectasisLung malignancyGastrointestinal Esophageal diverticulum tractGastro-esophageal reflux disease MalignancyIn some individuals, the complaint of halitosis cannot be associated with either the ability of the clinician to detect odors or with the demonstration of VSC in the exhaled air. This paradoxical situation has been classified as halitophobia, an important psychological problem that needs to be addressed with non-oral clinical strategiesTreatmentPeriodontal therapy-Periodontal treatment like scaling and polishing, flap surgery decreases halitosis.Approaches directed to tongue coating- Several studies have demonstrated that reducing bacteria on the dorsum of the tongue will diminish halitosis.Mouthrinses, especially chlorhexidine and cetilpyridinium chloride have been effective in reducing halitosis.\Masking agents-When it is not possible to direct the treatment approach to the cause, masking agents have been developed to decrease the odor. The use of chewing gum may decrease halitosis, especially through increasing salivary secretion. Mouthrinses containing chlorine dioxide and zinc salts have a substantial effect in masking halitosis, not allowing the volatilization of the unpleasant odor.

Bad Breath From Stomach Problems

Dr. Himani Sanwaria, Dentist
Tips to cure bad breath from stomach problems.Many people are actually surprised to learn that the bad breath does not always stem from the mouth itself but it is caused by digestive disorders and other such issues. Stomach problems such as Acid Reflux Disease, obstructive bowel, and just plane indigestion can cause chronic halitosis.But do you know how are these conditions linked?Most stomach and digestive conditions that cause bad breath do so because a bacteria and harmful enzymes get absorbed in to the system and then released through the breath. In the case of acid reflux disease the stomach acids can warp their way all the back up into the throat and then are expelled in the breath.In order to get rid of bad smell from mouth due to stomach problems you need to understand what conditions you have that’s causing the problem and then address appropriately. For instance, if it’s Acid Reflux, you need to make adjustments. Change your diet or use some medication to cure that stomach acids. You can cure bad breath from stomach problems by just covering it up with gums and mints. One the smell from these products wear off and the bad breath is till present, if you are suffering from indigestion for long time, you may want to see your doctor to get diagnosed correctly. Sometimes just understanding the problem does not necessarily mean that you can correct it that easily. In order to cure bad breath from stomach problems without being able to fix those problems you need to:Make sure that you are following a good program of proper oral hygiene.Never skip brushing and flossing and of course rinsing afterwards.You might not be able to cure bad breath from stomach problems by doing this but you can make sure that it’s not any worse.Keep yourself adequately hydrated at all times. This way you can neutralize stomach acids and help your mouth keep itself clean.Saliva is a great cleanser for the mouth. When your mouth is dry, your bad breath is going to be worse.There is no shame in asking your doctor for help and being able to cure bad breath from stomach problems. He or she may have seen this type of problem many times before and may be able to give you a life time permanent solution.

Bad Breath ( Halitosis)

Dr. Abhinav, Dentist
Foul-smelling breath, is usually caused by the breakdown of food. Other culprits include poor dental hygiene, dry mouth, infection, tobacco usage and severe dieting.CausesThere are many causes of bad breath, which include:·        Food particles from stinky foods like garlic and onions·        Smoking·        Respiratory Infections·        Acid RefluxIf you notice that your breath seems stale after your morning break, it could be the result of your daily rituals. Both coffee and cigarettes are known causes of bad breath. The actual smells introduced to your mouth from coffee and cigarettes can cause unpleasant odors. Cigarettes also encourage the growth of foul-smelling bacteria in your mouth.Has it been a while since your last visit to the dentist? Your bad breath may be caused by dental health issues, not by stinky food. When you suffer from problems such as an abscessed tooth, gum disease, cavities and bad oral hygiene, your breath may be the first symptom you notice. That's because dental issues usually involve unpleasant-smelling bacteria.Bacteria that affect your teeth and gums. That's also why it is important to brush twice daily with an oral health product. Regular checkups also help. The check-ups allow your dentist to address possible problems before they become serious issues.If you've had a bad cold or sinusitis recently, your breath could suffer. The infection could lead to a foul smell from the throat, which is often mistaken for typical bad breath. If you have bad breath accompanied by a sore throat, swollen tonsils or phlegm and discharge from the throat or sinuses, see your doctor. You may need antibiotics instead of mouthwash.Digestive ProblemsWhen spicy foods leave you up all night with heartburn, it could be one of the causes of bad breath as well. Typically, your stomach acids help break down food and push it through your intestines. The National Digestive Diseases Information Clearinghouse states that gastro esophageal reflux (GER) occurs when your stomach contents flow backup into your esophagus. Not only is it painful, but it can cause a smelly gas to come out of your mouth: Bad breath.Food ParticlesFood particles, such as those left over from the fish or garlic bread you just ate, can lead to bad breath. Food particles may become wedged between teeth and gums and leave behind an odor after you've finished eating. Chewing sugarless gum, sucking on a sugarless candy or a mouth wash can rid your mouth of particles and give you fresh breath on the go.Bad breath can affect anyone,anywhere. Understanding the causes of that smell will help you make lifestyle and behavioral changes that will banish bad breath once and for all.

Sufferingfrom Bad Breath: Halitosis ?

Dr. Amogh Tanwar, Dentist
What Causes Bad Breath?There are a number of factors that could cause bad breath.Here are some of the most common causes:Poor oral hygiene.If you doesn't brush and floss his teeth frequently, bad breath can result. If plaque is not brushed away, it can irritate the gums, causing additional issues. The tongue can also harbor bacteria that produce foul odors and bad breath, so make sure you are brushing your tongue as well.Cavities and Gum infection. They can harbor bacteria and cause infection and bad breathDry mouth. Saliva helps to cleanse the mouth. When your mouth is producing less saliva than normal, xerostomia may occur, which contributes to bad breath.Mouth breathing. When a person breathes through his mouth (due to a stuffy nose or as a sleep habit), it prevents saliva from washing away bacteria, which promotes bad breath.Bacteria on theTongue. Most odor causing bacteria reside on the tongue. If you don't brush your tongue with Toothbrush, odor causing bacteria will accumulate and cause bad breath.Infections in the mouth. Bad breath can also come about as a result of cavities, plaque buildup, mouth sores, or oral surgery.A foreign object. A foreign object lodged in the nose can cause bad breath in people.Certain foods. If you consumes foods that have a strong odor, like garlic, onions or specific spices, it can impact the freshness of your breath.Medications. Sometimes, the way medication breaks down in the body can lead to bad breath.This process releases chemicals that may result in bad breath.An illness or condition. If you are  suffering fromal lergies, a sinus infection, tonsillitis or another condition, bad breath can occur.Stomach Ailments. If you are suffering from stomach disorders , acid reflux  can lead to foul breath Smoking and tobacco chewing . smokers and tobacco users generally suffer from bad breathRespiratoryInfections and diseases. These can also cause bad breathHow to AvoidBad BreathHealthy teeth are integral to overall health and well being.Brush twice a day with a fluoride toothpaste and mouth washes to promote fresh breath. When you brush your teeth, make sure to clean your tongue, as bacteria can collect and grow on the tongue.Floss daily in order to remove odor causing food particles stuck between the teeth.Remember to get a new toothbrush every few months, because dull bristles cannot effectively remove plaque and debris from the teeth and can become a source of infection.Avoid halitosis and other oral health concerns by scheduling regular checkups and professional cleanings with a dentist.Chronic BadBreath Most of the time, your  bad breath will go away once you implement better oral hygiene. However, some  may experience chronic bad breath. If a dentist determines that your  mouth is healthy, you may be referred to a primary care physician for additional tests to diagnose the underlying cause of the halitosis.

Facts About Bad Breath.

Dr. J. Bindra, Dentist
 Facts about Bad Breath:1. MedicationsSaliva rinses away bacteria that foul the breath, and many drugs, among them antidepressants, diuretics, and evenaspirin, can dry the mouth.2. DietFoods high in protein or dairy products generate large amounts of amino acids, which are fodder for bacteria. A diet low in carbs burns stored fat, creating toxic-smelling ketones. And last year,researchers linked bad breath with obesity, although the basis is unclear.3. Skipping breakfastBesides the well-established advantages to body and mind of having a good breakfast, it helps quell morning breath by stimulating saliva production and scrubbing bacteria from the tongue. (But layoff the sardine-onion sandwich.)4. AlcoholHeavy alcohol consumption also can dry out the mouth.5. BacteriaThe stink-creating kind mostly hang out on the tongue, happily churning out gases as they munch on food particles and substances broken down from saliva. They multiply at night when the salivary glands slow down (hence morning breath). Some people harbour more species of malodorous bacteria than others do, which may be why certain individuals are especially halitosis-prone. This month, a study in the "Journal of Medical Microbiology" suggests that H. pylori, the same bug that is often responsible for stomach ulcers, can cause bad breath and gum disease if it finds a home in the mouth.6. Mouth breathingAny condition that dries the tissues of the mouth, preventing saliva from washing away bacteria, encourages bad breath.Candidates include sleep apnea, snoring and asthma.7. Ongoing illnessesA potent breath can signal particular diseases. Kidney failure produces a fishy smell and uncontrolled diabetes generates fruity fumes, for instance.

3 Ways to Control Bad Breath

Dr. Pranay, Dentist
Have you ever been talking to someone and afterwards realized that your breath might have had that not so fresh feeling or smell?  Worse yet, have you ever been speaking to someone and you actually had to pull away or re-position your head so that you were at least out of direct line for the smell that was coming at you; one that is so bad you are quite certain that something died in there?Bad breath also known as halitosis effects over 80% of the populationBad breath is a big issue  which develops due to negligence.  Lets Have a look at the causes of bad breath .  The problem with most rinses is that they do little do deal with the underlying issue and many even have a ton of chemicals, alcohol and other preservatives; most mouthwashes  simply mask the problem.Fortunately there are a few tricks that you can do to ensure your breath is not only fresh, but that it also clean!  The first and foremost thing is to get your teeth cleaning/scaling done once in a year from a good dentist.There are 3 tricks that you can do to make sure that your breath is as fresh as can be.1. Rinse your mouth, and gargle  with lukewarm salt water. Gargling gets to the back of the tongue and the first part of the throat.  Try moving your head around when you gargle to make sure that you get the whole inside of your mouth and most importantly the back of the tongue.  The fats and oils from foods accumulate in the middle and back part of the tongue which is what gets stinky quickest. Mmmmmm, right? Try and rinse for a minute when possible.2. After you’ve rinsed and gargled, dip your toothbrush in the salt water brush your tongue.  Hint, you pretty much need to gag in order to get as far back as you need to.  Take breaks and build up to getting back to the back of the tongue.  Look at your tongue and make sure it is pink and clean not white and coated.3. If your regular cleaning is done additionally mouthwashes can also be used to ensure less deposit formation around your teeth.Thus reducing the bad breath and also improving your gums health   Not sure if you need it?  Do the lick and sniff test.  Lick the back of your hand and let it dry for 5 seconds.  Smell it; fresh and clean, or not so much?How do I know if I have bad breath?Not sure if you have good or bad breath?  Here’s one quick way to tell.  Take a spoon, turn it upside down, and use it to scrape the very, very back portion of your tongue (don’t be surprised if you gag).  Now, take a look at the gunk you’ve scrapped off. Is it a white color, or perhaps yellow or brown?   Go ahead and take a whiff of it, good or bad, chances are that’s the smell that is coming from your mouth.These 3 tricks may not be able to control WHAT comes out of your mouth, but at least it can help you control HOW it comes out of your mouth!If you’re suffering with bad breath, you are definitely not alone. However, you can be a part of the half of the population that has fresh breath on a daily basis by using these tips.Caution : Get your teeth cleaning done mandatory once in a year from a dentist and before using any mouthwash consult your dentist which one will suit you best.

Here's How You Can Keep Bad Breath at Bay!

Dr. Swasti Jain, Dentist
Have you ever been talking to someone and afterwards realized that your breath might have had that not so fresh feeling or smell?  Worse yet, have you ever been speaking to someone and you actually had to pull away or re-position your head so that you were at least out of direct line for the smell that was coming at you; one that is so bad you are quite certain that something died in there?Bad breath also known as halitosis effects over 80% of the populationBad breath is a big issue  which develops due to negligence.  Lets have a look at the causes of bad breath. The problem with most rinses is that they do little do deal with the underlying issue and many even have a ton of chemicals, alcohol and other preservatives; most mouthwashes simply mask the problem.Fortunately, there are a few tricks that you can do to ensure your breath is not only fresh, but that it also clean!  The first and foremost thing is to get your teeth cleaning/scaling done once in a year from a good dentist.There are 3 tricks that you can do to make sure that your breath is as fresh as can be.1. Rinse your mouth, and gargle with lukewarm salt water. Gargling gets to the back of the tongue and the first part of the throat.  Try moving your head around when you gargle to make sure that you get the whole inside of your mouth and most importantly the back of the tongue.  The fats and oils from foods accumulate in the middle and back part of the tongue which is what gets stinky quickest. Mmmmmm, right? Try and rinse for a minute when possible.2. After you’ve rinsed and gargled, dip your toothbrush in the salt water brush your tongue.  Hint, you pretty much need to gag in order to get as far back as you need to.  Take breaks and build up to getting back to the back of the tongue.  Look at your tongue and make sure it is pink and clean not white and coated.3. If your regular cleaning is done additionally mouthwashes can also be used to ensure less deposit formation around your teeth. Thus reducing the bad breath and also improving your gums health. Not sure if you need it?  Do the lick and sniff test. Lick the back of your hand and let it dry for 5 seconds. Smell it; fresh and clean, or not so much?How do I know if I have bad breath?Not sure if you have good or bad breath?  Here’s one quick way to tell.  Take a spoon, turn it upside down, and use it to scrape the very, very back portion of your tongue (don’t be surprised if you gag).  Now, take a look at the gunk you’ve scrapped off. Is it a white color, or perhaps yellow or brown? Go ahead and take a whiff of it, good or bad, chances are that’s the smell that is coming from your mouth.These 3 tricks may not be able to control WHAT comes out of your mouth, but at least it can help you control HOW it comes out of your mouth!If you’re suffering with bad breath, you are definitely not alone. However, you can be a part of the half of the population that has fresh breath on a daily basis by using these tips. Get your teeth cleaning done mandatory once in a year from a dentist and before using any mouthwash consult your dentist which one will suit you best.

Bad Breath? Chances Are That You Could Be Diabetic

Dr. Yashwanth Kumar Venkataraman, Dentist
Bad Breath?Chances are that you could be Diabetic.Breath odour is the scent of the air you breathe out of your mouth. Unpleasant breath odour is commonly called bad breath orhalitosis; this is something you should not ignore. Those close to you would certainly agree.Bad breath can originate from the most common causes like, poor dental or oral hygiene, the cook's heavy hand with garlic or an underlying serious health problem? Regardless, you can take steps to prevent bad breath at home and treat halitosis with the help of your dentist.Your breath has an interesting ability to provide clues to your overall health. ·   Bad breath related to poor oral hygiene is most common and caused by release of sulphur compounds by bacteria in the mouth ·   Fruity odour in the breath is a sign of ketoacidosis, which may occur in diabetes. It is a potentially life-threatening condition·   Breath that smells like feces can occur with prolonged vomiting,especially when there is a bowel obstruction·   Bad breath having an ammonia-like odor (also described as urine-like or"fishy") occurs in people with chronic kidney disease·   Similarly, a very foul fruit odor may be a sign of anorexia nervosa·   Other diseases, such as asthma, lung and liver disease also can cause distinct odors on the breath. Bad breath, also called halitosis, can be so intense that doctors may even be able to use it to identify diabetes. Recently, researchers have found that infrared breath analyzers can be effective in identifying if you have pre-diabetes or early-stage diabetes. And researchers are testing a breath analyzer that even measures blood glucose levels. What Causes Diabetes Breath?Diabetes induced halitosis has two main causes: Gum disease High levels of ketones in the blood.Gum Diseases (Periodontitis)Gum diseases which is also called periodontal disease, include gingivitis, mild to moderate Periodontitis, and advanced Periodontitis. In these diseases, bacteria attack the tissues and bone that support your teeth. This may lead to inflammation that can affect metabolism and increase your blood sugar, which worsens diabetes. A person with Diabetes having periodontal disease may be more severely affected and will take longer to heal than in a person without diabetes.Diabetes and gum disease is like a double-edged sword. While diabetes can lead to periodontal diseases, these diseases can also create further problems for people with diabetes. According to a report in IOSR Journal of Dental and Medical Sciences, an estimated one in three people with diabetes will also experience periodontal diseases. Heart disease and stroke, which can be complications of diabetes, are also linked to Gum disease.Diabetes can reduce blood flow throughout your body, including your gums. If your gums and teeth aren’t receiving a proper supply of blood, they may become weak and more prone to infection. Diabetes may also raise glucose levels in your mouth, promoting bacteria growth thereby causing infection, and bad breath. To make matters worse, when your blood sugars are high it becomes hard for the body to fight infection, which makes healing in the area of the gums difficult.Bad breath is acommonest sign of periodontal disease. Other signs include:·  Red or tender gums· Bleeding gums· Sensitive teeth· Receding gumsKetonesWhen your body can’t make insulin, your cells don’t receive the glucose they need for fuel. To compensate this, your body burns fat. Burning fat instead of sugar produces ketones, which build up in your blood and urine. Ketones can also be produced when you are fasting or you are on a high-protein, low-carbohydrate diet.High ketones levels often cause bad breath. One of the ketones, acetone (also the chemical found in nail polish) can cause a nail polish-like odor on your breath.When ketones rise to unsafe levels, you’re at risk of a dangerous condition called diabetic ketoacidosis (DKA). Symptoms of DKA include:·  A sweet and fruity odor on your breath· More frequent urination than normal· Abdominal pain, nausea, or vomiting· High blood glucose levels· Shortness of breath or difficulty breathing· ConfusionDKA is a dangerous condition, mostly limited to people with type 1 diabetes whose blood sugars are uncontrolled. If you have these symptoms, seek medical help immediately.What You Can Do to Prevent Gum Disease?Along with neuropathy, cardiovascular disease, and others, Periodontitis is a common complication of diabetes. You can, however, take steps to stave off gum diseases or to lessen their severity.Take control with these daily tips:The most important step is to try to control blood sugar levels. Brush your teeth at least twice a day and floss daily.· Don’t forget to brush or scrape your tongue, a prime breeding place for foul-smelling bacteria· Drinking lots of water every single day will flush out toxins from the body and enhance the saliva production, making it a less conducive environment for bacteria to grow· Use sugar-free mints or gum to stimulate saliva· Your doctor or dentist may prescribe a medication to stimulate the production of saliva· It is also advised to avoid using mouthwashes that contain alcohol as to this will only dry the insides of the mouth causing bad breath· Visit your dentist regularly and follow treatment recommendations. Make sure the dentist knows you have diabetes· If you wear dentures, make sure they fit well and change them at regular intervals· Avoid smokingThereforeDiabetes along with Periodontist or gum disease causing bad breath, is a deadly combination if untreated. However, this will cause no or very little damage to your teeth, gums and body, if you are well informed about the effects and follow good oral hygiene practices regularly.Visit your dentist for further advice on your specific condition

What Do I Do About My Bad Breath?

Dr. Shruti Shanbhag, Dentist
Bad breath, known as Halitosis in dental terms, is not only a cause for health concern but also a cause for social embarrassment. Your dentist is the best person to help you identify the cause of the bad breath and thereby tackle it.What causes bad breath?Certain foods like onion and garlic contribute to bad breath.Conversely, fasting or dieting also causes bad breath due to infrequent eating.Dry mouth, or xerostomia, is a condition resulting from insufficient saliva flow in the mouth. This could be due to various systemic conditions, and also due to certain medications.Use of tobacco products and smoking are sure-shot reasons for bad breath. Your dentist can help you kick the habit.Sometimes, bad breath can be an indicator of a medical disorder, like infection of the respiratory tract or gastrointestinal disturbance. How can I get rid of my bad breath?Regular dental checkups with professional cleaning are essential. These will also help your dentist to identify and tackle any gum problems or other disorders at an early stage.Regardless of the cause, good oral hygiene is an important step in eliminating bad breath. If you wear any removable dental appliance, its thorough cleaning and maintenance is important.How do you treat bad breath?If the halitosis is of oral origin, as in most cases, the dentist will be able to help you tackle the problem. Gum disease in the initial stages can be reversed with a basic cleaning and polishing. Gum therapy may be advised in severe cases.If your dentist feels your mouth is otherwise healthy, they may refer you to your physician to determine if the cause of the halitosis is systemic in origin.