Chapter 19 – Bad Breath( Halitosis)

Bad breath, or halitosis, is a common condition that affects people of all ages and can have a significant impact on one’s self-esteem and social life. While the occasional bout of bad breath is normal, chronic halitosis need professional attention. This blog will explore the causes of bad breath, how to prevent it, and the most effective treatments available.

What is Halitosis?

Halitosis refers to persistent bad breath that cannot be easily masked by brushing or mouthwash. It can originate from different sources—ranging from poor oral hygiene to more serious systemic health conditions. Understanding these causes is the first step toward addressing the problem.

Common Causes of Halitosis

1. Poor Oral Hygiene

The most common cause of bad breath is poor oral hygiene. Bacteria in the mouth can build up and produce foul odors.

2. Dental Issues

Cavities, gum disease, and tooth infections can all contribute to halitosis.

3. Dry Mouth (Xerostomia)

Saliva is essential for washing away food particles and bacteria. A dry mouth, often caused by medications or certain medical conditions, can lead to bad breath.

4. Diet and Lifestyle

Foods like garlic, onions, and spicy dishes, as well as smoking and alcohol consumption, can lead to temporary halitosis.

5. Medical Conditions Underlying

Conditions such as diabetes, gastrointestinal problems, and respiratory infections can also contribute to persistent bad breath

How does it occur?

Halitosis is associated with an increase in specific colony of bacteria in the mouth ( e.g veillonella, actinomyces and prevotella species) . Their main nutrient sources are proteins, peptides, or amino acids that are degraded to volatile sulfur compounds ( VSCs) and other odoriferous substances. For the compound to be odoriferous  it must be volatile.

Volatile organic compounds include

Sulfur compounds: Hydrogen sulphide, Methyl mercaptan and Dimethyl sulphide. ( Rotten egg Smell )

Polyamines: Cadaverine and Putrescine ( dead fish smell )

Alkanines :  2-methyl-propane

Nitrogen containing compounds: Urea and Ammonia.( Pungent Odour)

How to Prevent and Manage Halitosis

1. Practice Good Oral Hygiene

Brush teeth at least twice a day, floss regularly, and visit the dentist for routine check-ups.

2. Stay Hydrated

Drink plenty of water to prevent dry mouth and promote saliva production.

3. Eat a Balanced Diet

Avoid foods (onion, garlic etc) known to cause bad breath and include fresh fruits and vegetables to help neutralize odors.

4. Quit Smoking

Smoking is a major cause of chronic bad breath, so quitting can improve breath quality.

5. Use Mouthwash or Mouth Sprays

These products can temporarily mask bad breath, but they don’t address the underlying causes.

When to See a Doctor?

If your bad breath persists despite good oral hygiene and lifestyle changes, it may be time to see a doctor. A healthcare professional can identify the underlying cause and suggest a more targeted treatment.

Conclusion

Halitosis can be embarrassing, but it’s a condition that can often be treated or managed with proper care. Whether it’s improving oral hygiene or addressing an underlying medical issue, there are many ways to reduce or eliminate bad breath and improve your confidence. We have specialized bad breath management methods.

Keep Smiling & Stay Happy

Dr. Gnanaraj Jayabal
Dental & Implant Surgeon
Denticare Chennai
Mogappair

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