Bad Breath (Halitosis)

Book an Appointment Call Now

An estimated sixty-five percent of Americans have bad breath. Over forty-million Americans have "chronic halitosis," which is persistent bad breath. Ninety percent of all halitosis is of oral, not systemic, origin.

Americans spend more than $1 billion a year on over the counter halitosis products, many of which are ineffective because they only mask the problem.

What causes bad breath?

Bad breath is caused by a variety of factors. In most cases, it is caused by food remaining in the mouth - on the teeth, tongue, gums, and other structures, collecting bacteria. Dead and dying bacterial cells release a sulfur compound that gives your breath an unpleasant odor. Certain foods, such as garlic and onions, contribute to breath odor. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is exhaled. Brushing, flossing and mouthwash only mask the odor. Dieters sometimes develop unpleasant breath from fasting.

Periodontal (gum) disease often causes persistent bad breath or a bad taste in the mouth, and persistent bad breath may mean a sign that you have gum disease.

Gum disease is caused by plaque - the sticky, often colorless, film of bacteria that constantly forms on teeth. Dry mouth or xerostomia may also cause bad breath due to decreased salivary flow. Saliva cleans your mouth and removes particles that may cause odor. Tobacco products cause bad breath, stain teeth, reduce your ability to taste foods and irritate your gum tissues. Bad breath may also be a sign that you have a serious health problem, such as a respiratory tract infection, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.

Here are characteristic bad breath odors associated with some of these illnesses:

  • Diabetes - acetone, fruity
  • Liver failure - sweetish, musty
  • Acute rheumatic fever - acid, sweet
  • Lung abscess - foul, putrefactive
  • Blood dyscrasias - resembling decomposed blood
  • Liver cirrhosis - resembling decayed blood
  • Uremia - ammonia or urine
  • Hand-Schuller-Christian disease - fetid breath and unpleasant taste
  • Scurvy - foul breath from stomach inflammation
  • Wegner`s granulomatosis - Necrotic, putrefactive
  • Kidney failure - ammonia or urine
  • Diphtheria, dysentery, measles, pneumonia, scarlet fever, tuberculosis - extremely foul, fetid odor
  • Syphilis - fetid

 

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.

Caring for bad breath

Daily brushing and flossing, and regular professional cleanings, will normally take care of unpleasant breath. And don't forget your often overlooked tongue as a culprit for bad breath. Bacterial plaque and food debris also can accumulate on the back of the tongue. The tongue's surface is extremely rough and bacteria can accumulate easily in the cracks and crevices.

Controlling periodontal disease and maintaining good oral health helps to reduce bad breath.  If you have constant bad breath, make a list of the foods you eat and any medications you take. Some medications may contribute to bad breath.

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 your dentist determines that your mouth is healthy and that the odor is not oral in nature, you may be referred to your family physician or to a specialist to determine the cause of the odor and possible treatment. If the odor is due to gum disease, your dentist can either treat the disease or refer you to a periodontist, a specialist in treating gum tissues. Gum disease can cause gum tissues to pull away from the teeth and form pockets. When these pockets are deep, only a professional periodontal cleaning can remove the bacteria and plaque that accumulate.

Mouthwashes are generally ineffective on bad breath. If your bad breath persists even after good oral hygiene, there are special products your dentist may prescribe, including Zytex, which is a combination of zinc chloride, thymol and eucalyptus oil that neutralizes the sulfur compounds and kills the bacteria that causes them. In addition, a special antimicrobial mouth rinse may be prescribed. An example is chlorhexidine, but be careful not to use it for more than a few months as it can stain your teeth. Some antiseptic mouth rinses have been accepted by the American Dental Association for their breath freshening properties and therapeutic benefits in reducing plaque and gingivitis. Instead of simply masking breath odor, these products have been demonstrated to kill the germs that cause bad breath. Ask your dentist about trying some of these products.

Back to List

Testimonials

Dr. Gorbatov Dmitry - Doctor with a capital letter. Many thanks to the doctor and his team. The clinic employs real experts in their field.It's amazing, but after visiting Dr.... Read more

Yulia Dobrynina

The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed.... Read more

Sophie Garcia (Royal Palm Beach, FL)

Thank you doctor for my beautiful smile!

V V (Hollywood, FL)

I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as... Read more

Jazlyne Jimenez (Lake Worth, FL)

Dr. Gorbatov including his entire office staff is extremely professional and does amazing cosmetic as well as implant and emergency work. The office operates in a timely manner with no... Read more

Yuri Kalachnik

Staff was so kind from start to finish. Dr Gorbatov was so gentle I didn’t feel a thing. My teeth look beautiful! Would recommend to anyone

erika castro

Doctor always helps me with everything and the atmosphere is always amazing and welcoming. I would recommend this office to everybody!

Edgar Gorodetsky

Very professional and high quality, definitely recommend to anyone wanting to feel confident with your smile

Korina Macsimova

This dentist and his staff went way above and beyond to not only remedy my issue with my teeth but made me feel extremely comfortable as well as giving me... Read more

George Cavros

Book an Appointment
Skip to content

Appointment







Fill out email and/or message