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
Digestive issues can also contribute to bad breath. When the digestive system is not functioning properly, it can lead to the buildup of gases in the stomach and intestines, which can then be released through the mouth, causing halitosis. Common gastrointestinal problems that can lead to bad breath include acid reflux, gastritis, and constipation.
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Certain foods and drinks can also contribute to bad breath. Foods like garlic and onions contain volatile compounds that are absorbed into the bloodstream and carried to the lungs, where they are exhaled. Similarly, drinks like coffee and alcohol can leave a lingering odor in the mouth.
Sinus pressure and pain are common in people who suffer from allergies, the common cold, and chemical exposure. Humidified air, hydration, avoiding allergens, and nasal irrigation can help relieve sinus pressure symptoms.
Maintaining good oral hygiene is essential in preventing halitosis. Brushing your teeth at least twice a day and flossing daily helps remove food particles and bacteria from the mouth. It is important to use a soft-bristled toothbrush and fluoride toothpaste to effectively clean your teeth and gums.
Rinsing with one or more of these liquids can also help you prevent developing tonsil stones in the future. So, you may want to gargle more frequently if you wish to avoid tonsil stones and bad breath in the future.
WorlDental.org: "The Truth About Halitosis, Bad Breath," "Bad Breath Causes and How to Get Rid of Bad 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 covers 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:
Kidney disease – about 31 million people in the United States or 10% of the population have chronic kidney disease[vi]. Kidney disease refers to the gradual loss of kidney function and it can be a complication of many other health conditions. How does kidney disease cause halitosis? These organs filter out different minerals in the blood and send healthy blood back to your body and heart. Kidney failure impairs the ability of this organ to filter out minerals and they accumulate in the bloodstream. As a result, you experience a metallic taste and bad breath.
If you suspect that your bad breath is caused by sinus issues or allergies, it is important to see a healthcare professional for an accurate diagnosis and appropriate treatment. They may recommend nasal sprays, antihistamines, or other medications to help alleviate your symptoms and improve your breath.
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When you have a cavity (or tooth decay), plaque (food particles and bacteria) accumulates in the cavity and causes bad breath.
The UK health research body Cochrane is currently assembling a review of the scientific literature on interventions for bad breath. In their previous review of mouthwashes in 2008, the five best trials showed that if they contained anti-bacterials such as chlorhexidine and cetylpyridinium chloride, chlorine dioxide or zinc, they could reduce unpleasant smells to an extent. But the authors did call for more trials to be done. Hopefully this next review will be able to give more information about which mouthwashes to choose.
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Speaking of what causes bad breath, you might actually find some of them surprising.
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Serious cases of gingivitis may need to be treated with a periodontist, who are specialists in treating gum disease and restoring bone and tissue loss because of it.