There are many risk factors and causes for halitosis, and even healthy people have bad breath on occasion.
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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.
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Many people have small tonsilloliths, but it’s rare to have a large tonsil stone.
Tobacco smoking is the most concentrated form of pollution that most people are exposed to. It impairs the ability to identify odors and diminishes the sense of taste. Quitting smoking improves the smell function.
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Your tonsils are filled with nooks and crannies where bacteria and other things, including dead cells and mucus, can get trapped. When this happens, the debris can bond together.
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2. Brush Up on Your Oral Hygiene – (Pun intended) You are the only one who can remove dental plaque on a daily basis. This takes both commitment and a great technique. Don’t’ rush through your oral hygiene routine. Ask your dentist or dental hygienist for tips on the best ways to brush and floss. Consider adding a flexible tongue cleaner to your routine to remove plaque from the tongue. As you consistently remove plaque, you reduce the bacterial count in your mouth, which lowers the risk for bad breath.
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Visit your dentist on a regular basis. Regular checkups can find problems, such as gum disease, infections, and dry mouth. If you have bad breath and the dentist can’t find a cause, you may be referred to your primary healthcare provider for more follow-up.
To make herbal tea for fresh breath, steep a tea bag or a teaspoon of dried herbs in a cup of hot water for 5-10 minutes. Strain the tea and let it cool down to a comfortable temperature. Drink the tea slowly, swishing it around in your mouth before swallowing. Repeat this process several times a day for best results.
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Halitosis is defined as a chronic bad breath that mint and mouthwash can’t solve, as mentioned above. Also known as fetor oris, halitosis can make an affected person subconscious and they feel reluctant to hang out with larger groups of people because they are embarrassed by their bad breath. It is estimated that 1 in 4 people have halitosis on a regular basis[i]. According to the latest statistics, an estimated 25% of the world population is having trouble with this annoying symptom. After tooth decay and gum disease, halitosis is the third most common reason people seek dental care[ii]. As should you if you ever notice that your toothpaste or mouthwash does not seem to win the fight over that awful bad breath.
Halitosis in Children: How to Help Your Child Fight Bad Breath
Other things to avoid are alcohol, sugary foods, caffeine, and carbonated beverages. These foods and drinks can dry out your throat and feed the anaerobic bacteria that cause bad breath and tonsil stones in the first place.
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Bad breath may also be caused by medications you are taking, including central nervous system agents, anti-Parkinson drugs, antihistamines/decongestants, anti-psychotics, anti-cholinergics, narcotics, anti-hypertensives, and anti-depressants.
Sores, painful gums, bad breath -- what's going on in your mouth? Find out with our slideshow of the most common mouth problems. Learn about canker sores, cold sores, oral thrush, TMJ, and oral cancer. See what treatments for bad breath and other dental problems are available from your dentist.
Making dietary changes can help improve breath odor. Avoiding foods that are known to cause bad breath, such as garlic and onions, can be beneficial. Instead, opt for foods that promote good oral health, such as fruits and vegetables. Drinking plenty of water throughout the day can also help keep the mouth hydrated and reduce the risk of bad breath.
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Our body’s ability to sense chemicals is another chemosensory mechanism that contributes to our senses of smell and taste. In this system, thousands of free nerve endings especially on the moist surfaces of the eyes, nose, mouth, and throat identify sensations like the sting of ammonia, the coolness of menthol, and the heat of chili peppers.
To remove your tonsil stones, use a tonsil stone pick or water flosser on a very low setting, but never put too much pressure on your tonsils, even if you cannot get the stone out. Check out my article on the best tonsil stone removal tools.
Tonsil stones are generally not harmful and do not cause any health problems. However, they can cause bad breath and discomfort.
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Occasional bad breath is common and can be easily remedied by practicing good oral hygiene. However, chronic halitosis is a more persistent condition that requires further attention. Halitosis is often caused by underlying medical conditions or poor oral health habits that need to be addressed.
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Bad breath (halitosis) can be caused by a variety of things, including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, GERD, lactose intolerance, gum disease, and more. Treatment for bad breath depends on the cause.
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If halitosis persists despite these efforts, it is important to seek professional help. A doctor or dentist can help diagnose and treat any underlying medical conditions that may be contributing to bad breath. With proper care and treatment, halitosis can be effectively managed, leading to fresher breath and improved oral health.
If bad breath persists despite practicing good oral hygiene and using over-the-counter products, it may be a sign of an underlying medical condition. It is important to seek the advice of a dentist or doctor if bad breath continues for an extended period of time.
Saliva plays a crucial role in the functioning of the mouth. It acts as a lubricant and helps in flushing food as well as bacteria. Lack of saliva results in a medical condition called a dry mouth. It promotes bacteria growth, further creating an unpleasant smell. There are several reasons behind the reduction in saliva flow. Allergy to certain medicines, dehydration, consumption too much of alcohol, and mouth breathing may cause dry mouth.
If you are experiencing bad breath of any kind, book an appointment with your dentist so you can receive the right information to treat your specific case. Practice Closed Temporarily, Responding to the COVID-19 Pandemic Your Guide to Teeth Whitening Recent Posts Types of Teeth Stains & How to Remove Them What To Eat After a Dental Implant How Long Does Dental Freezing Last? What Are the Best Painkillers for Toothaches? How Long to Leave Fluoride Varnish on Teeth Categories Brushing & Flossing Dental Emergencies Dental Health Dentures Emergency Dental Care Family General Dentistry Implants Kids Dental Care News Oral Health Orthodontics Teeth Whitening Tips TMJ Uncategorized Veneers
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Spicy foods can also cause bad breath as they can increase the production of stomach acid, leading to acid reflux. Acid reflux can cause a sour taste in the mouth and contribute to bad breath. It's best to avoid these foods if you're concerned about maintaining fresh breath.
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4. Freshening agents: Toothpastes that contain ingredients like baking soda or menthol can help freshen breath and leave your mouth feeling clean and refreshed.
Even if food isn’t naturally smelly, it can become smelly if it’s left in your mouth too long. If you’re not cleaning your mouth well enough, food residue can rot in your mouth, causing very bad breath. This is particularly common for people who don’t floss and have residue stuck between their teeth.
Halitosis that is caused by a persistent dry mouth is due to a lack of saliva. Because your saliva washes away the leftover food particles that can make your breath smell, an inadequate amount of it can mean those particles stay put. Drinking water is an easy way of mimicking saliva, and will help to rinse away the debris that leads to bad breath. Keep a water bottle with you whenever possible so you can sip on water throughout the day to keep bad breath at bay
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The reasons for bad breath range from the not-so-bad (you had a slice of garlic pizza) to the more urgent (you’ve got an infection). Understanding some of the most common causes of bad breath can help you work with your dentist and hygienist to put together a plan to keep unpleasant mouth odors away.
Often the goal of low carb diets is to move the body into ketosis, which helps it burn fat. During ketosis, the body produces ketones, which have a notable odor. One way to minimize the smell of ketones is to drink more water. If the smell is bad enough, you might consider giving up the diet. It’s up to you and your doctor to weigh the pros and cons of losing weight versus having bad breath.
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Many people do brush and floss consistently, but their techniques are incorrect. This means that even though they are going through the motions, they are leaving plaque on the teeth. Others do not maintain a consistent routine of brushing and flossing every single day. Obviously, this also allows plaque to remain on the teeth.
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In addition to causing bad breath, smoking can also lead to other oral health issues such as gum disease and oral cancer. Quitting smoking is the best way to improve your oral health and maintain fresh breath. If you need help quitting, there are various resources available, such as support groups and nicotine replacement therapies.
Laser cryptolysis is another medical treatment option. This procedure uses laser technology to reshape the tonsil crypts, reducing the likelihood of debris and bacteria becoming trapped and forming tonsil stones.
If you suspect that you have a tonsil stone, the first thing you could do is gargle with salt water, hydrogen peroxide, apple cider vinegar, or antiseptic mouthwash.
Don’t panic; I’ll let you know why your throat smells so bad and let you know how to cure it.
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Brush your teeth at least twice a day, every day, for at least two minutes. And don’t forget to floss between your teeth every night before bed to clean out all that bacteria that leads to bad breath!
These compounds are given off when food and bacteria accumulate in the furrows at the back of the tongue. The good news is that this can be temporary, as a result of eating garlic or raw onions, drinking coffee or smoking cigarettes. But in three quarters of cases some kind of dental problem is found alongside the halitosis. The patients might have gums which are swollen, sore or infected or be suffering from a coating on the tongue.
While there is not scientific evidence to support an answer to the question, we believe the answer is yes. It makes sense to assume that the masks trap our exhaled air against the face, providing the opportunity to smell it. If that exhaled air contains the sulfurous gases of bad breath, we believe that our noses are more likely to detect them in that trapped environment.
Bring someone with you to help you ask questions and remember what your provider tells you.
Gum, mints, and other quick fixes are just temporary solutions to occasional bad breath. If you’re dealing with true halitosis due to decay, illness, or any other reason, you shouldn’t stop at simply masking the problem. Dr. Edwards is an experienced dentist with over thirty years of experience treating families in Memphis and the surrounding areas. If you suffer from halitosis, we encourage you to schedule an appointment with him at our East Memphis or Midtown office to find out the underlying cause of the problem. Once we know what the issue is, we can offer a variety of treatment options to get rid of your chronic bad breath for good!
Tonsil stones are formed when debris, such as food particles, dead cells, and mucus, become trapped in the crevices of the tonsils. Over time, these trapped materials harden and calcify, forming small stones. The exact cause of tonsil stones is not fully understood, but factors such as poor oral hygiene, chronic sinus issues, and large tonsils with deep crevices may contribute to their formation.
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The first thing many people do if they suspect they have bad breath is to reach for the mouthwash. The mint or clove flavouring does of course, disguise the smell for a short time, and many mouthwashes also contain antiseptic. The idea is to eliminate the bacteria that leads to foul-smelling compounds. For a time this can work. But there has been some debate concerning containing alcohol and whether it does or doesn’t exacerbate dehydration. A very dry mouth can cause breath to smell worse.
Improperly cleaned dentures can also harbor odor-causing bacteria and food particles. If you wear removable dentures, take them out at night and clean them thoroughly before replacing them.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
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The best remedies for bad breath depend on the causes. However, you can take a few steps to treat the problem, or even prevent it.
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A physician may recommend antibiotics, tonsillectomy, or other surgical ways to remove the debris. Drinking plenty of water, gargling with salt water, and controlling the urge to smoke are the necessary steps that the patient cannot avoid.
Dr. Jonathan Everett received his Doctor of Dental Surgery from the University of Washington and completed his undergraduate studies in biochemistry at Washington State University. During this time, Dr. Everett served as both the President of the American Student Dental Association chapter as well as the Student Council Vice President. As a board-member of DentPAC for the Washington State Dental Association, Dr. Everett fought to maintain the quality of dental care provided in Washington State by working with state legislators and advocating for patient-centered dentistry in Olympia.
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Lifestyle changes for maintaining fresh breath
Our body’s ability to sense chemicals is another chemosensory mechanism that contributes to our senses of smell and taste. In this system, thousands of free nerve endings especially on the moist surfaces of the eyes, nose, mouth, and throat identify sensations like the sting of ammonia, the coolness of menthol, and the heat of chili peppers.
Chronic acid reflux – a digestive disorder, also known as GERD, is a condition that affects lower esophageal sphincter, the ring of muscle between stomach and esophagus. A burning sensation in the chest (heartburn), chest pain, difficulty swallowing and regurgitation of food in the mouth are the most common symptoms of GERD. Risk factors include pregnancy, obesity, smoking, eating certain foods etc. The influx of acids and other partially digested particles into the esophagus and mouth cavity can lead to halitosis.
