New Jersey Periodontist
 

Dr. John Varoscak

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Bad Breath

Chronic bad breath is a major social problem for many people.  The causes are not always the same.  Bad breath can be a local phenomena or a sign of something more systemic or serious.  Here are some of the reasons a person has chronic bad breath:

Poor oral hygiene.  If you do not brush your teeth effectively twice a day, you probably suffer from some degree of bad breath.  The more intense bad breath may be coming from food particles breaking down between your teeth.  The solution is daily flossing.  Ever notice how a piece of meat stuck between your teeth for some time tastes awful.  Guess what…it smells awful to others, too.

 
Sometimes habitually poor oral hygiene may cause periodontal disease.  When this happens, bone is lost around teeth, which results in pocket formation.  The food and bacteria that accumulate in these pockets breakdown and smell.  The smell is coming from sulfur compounds known as Hydrogen Sulfide and Mercaptan.  They occur when amino acids from the foods you eat break down during the oral digestion process.

 
Other times the sulfur compounds are originating from the back of the tongue.  To clean this area of foul smelling bacteria, patients should brush the sides and back of their tongues daily.  You can also use instruments called tongue scrapers to do the job.  Often, a simple spoon can be used to scrape the posterior tongue.

 
Certain foods such as garlic and onions can cause mouth odor.  When they are digested, get into the blood stream, and are carried to the lungs, they are exchanged as gases during exhaling.  The result is odor.  Other foods may affect individuals differently when it comes to odor.  Keep a log of what you eat prior to noticing any chronic odor that seems to be coming from your lungs.

 
Other more serious conditions can result in mouth odor upon exhaling.  These include chronic sinus infections, lung infection, alcoholism, kidney problems, stomach problems, and gastrointestinal problems.  Consult your physician if all other dental remedies fail.

 
Tobacco and tobacco products are notorious for producing mouth odor.  It originates from the oral cavity and the lungs.  The only solution is to stop smoking.  No mouthwash can effectively mask bad breath from smoking.

 
Certain vitamins, hormone therapy and medications can cause bad breath.  Consult your physician if these are suspect.

 
The bottom line for most bad breath is poor oral hygiene and periodontal disease.  As a first step, you should consult with your Periodontist in order to see if periodontal disease is the primary cause of your bad breath.