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Saliva is the body’s natural defense against disease-causing bacteria in the mouth. When medications inhibit the production of saliva, your mouth suffers, and so does your breath.

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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 adding to the problem. Work with them to keep diabetes, allergies, and other conditions under control.
Sinusitis, an inflammation of the sinuses, can also contribute to bad breath from the throat. When the sinuses become blocked or infected, mucus can build up and create an environment for bacteria to thrive. This can result in bad breath. Treating sinusitis with nasal irrigation and medication can help reduce bad breath. .

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Bad breath is often evaluated by a dentist. In addition to patient history and physical examination of the mouth, tests may be needed to diagnose the cause of bad breath, such as: Organoleptic testing: assesses the strength of bad breath Sulfide monitors to measure mouth-air volatile sulfur compound (VSC) content, which are produced by anaerobic bacteria from food debris in the mouth that cause bad breath Gas chromatography to measure VSCs X-rays of the mouth Periodontal charting if gum disease is suspected Brush and floss twice daily Mouthwash Can help kill bacteria or neutralize and mask bad breath Mouthwash is only a temporary solution Clean dentures regularly and thoroughly Keep saliva flowing Chew sugar-free gum or suck on sugar-free hard candy Eat healthy foods that require a lot of chewing, such as carrots or apples Use artificial saliva if your dentist recommends it Don’t smoke See your dentist regularly https://www.mouthhealthy.org/en/az-topics/b/bad-breath https://www.uptodate.com/contents/bad-breath?search=bad%20breath&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2120250223 https://www.healthgrades.com/right-care/oral-health/6-surprising-causes-of-bad-breath#:~:text=A%20diet%20very%20high%20in,unpleasant%20odor%20from%20your%20mouth.&text=There%20are%20many%20types%20of,turn%20leads%20to%20bad%20breath
The commonalities between these causes are that the salivary glands are negatively affected, inhibiting the production of saliva. Saliva keeps the mouth moist and washes away any food particles or bacteria from the surface of the teeth. Without the presence of saliva, bacteria or food stays on the surface of the teeth and can start to produce an odour.

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[iii] Aylıkcı BU, Çolak H. Halitosis: From diagnosis to management. Journal of Natural Science, Biology, and Medicine. 2013;4(1):14-23. doi:10.4103/0976-9668.107255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633265/
As dentists, we are your best resource for addressing the problem of bad breath. We are in the perfect position to recognize, discuss, and treat this particular problem. Bad breath is complex in that it has both emotional and physical repercussions. We hear the distressing emotional consequences of bad breath in our confidential conversations with patients, and we see the negative health implications inherent in severe bad breath.

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The Importance of Regular Dental Checkups for Fresher Breath

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Below we will delve into more detail regarding some of the most common intraoral causes of halitosis and the corresponding treatments for bad breath.

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    The Importance of Oral Hygiene in Maintaining Fresh Breath
    The most obvious symptom of halitosis is persistent bad breath that does not go away even after brushing or using mouthwash. Other symptoms may include a sour taste in the mouth or a white coating on the tongue.

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    If you have tonsil stones, you probably want to get rid of that sulfur odor from your throat, and there are many ways to do so.

    When to See a Doctor for Halitosis: Serious Underlying Causes and Treatment Options
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    Most causes of bad breath are due to inadequate oral hygiene and are rarely life-threatening. If good oral hygiene practices do not eliminate bad breath, see a dental professional. In most cases, a dentist can treat the cause of bad breath. persistent dry mouth, sores in the mouth, pain with chewing or swallowing, white spots on the tonsils, fever, any other symptoms of concern.

    Rinsing your throat will kill some of the anaerobic bacteria that grow on your tonsil stones and soften the growth.
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    If you prefer natural remedies, there are several essential oils and herbs that can help freshen your breath. These natural ingredients have antimicrobial properties that can kill bacteria in the mouth. Here are some essential oils and herbs that can be effective in combating bad breath:

    Causes of halitosis can originate either inside or outside your mouth. A person with poor oral hygiene maintenance has a higher chance of halitosis than who regularly brushes. Common causes include gingivitis, periodontitis, dental caries, excessive plaque accumulation on teeth and tongue, pericoronitis, or oral ulcers. Food substances having a strong, pungent smell are another common cause. Frequent smoking, alcohol, or caffeine intake results in temporary bad breath. Any diseases or medications that cause dryness of the oral cavity are another contributing factor. Outside the oral cavity, inflammation of the tonsils or sinuses is another important factor that affects the quality of breath. Gastric diseases, especially gastroesophageal reflux, are another cause of halitosis.
    Some people find that rinsing their mouths with a mixture of water and baking soda helps neutralize odors and freshen their breath. Others prefer using essential oils like peppermint or tea tree oil as a natural mouthwash.

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Bad breath can happen to anyone. The American Dental Association reports that about half of adults in the US have or will have to deal with bad breath at some point in their lifetimes.

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You may need to see an oral specialist (periodontist) for treatment or your primary healthcare provider depending on the cause.

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During a physical examination, a healthcare professional may use a tongue depressor and a light to examine the back of the throat for the presence of tonsil stones. They may also gently palpate the neck to check for swollen lymph nodes.

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