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Bad breath, commonly referred to as halitosis, usually originates
from one of two sources - certain foods we
eat or the breakdown of food particles by
bacteria which inhabit the mouth.
The Foods We Eat - The Cause of Temporary Bad
Breath
We
have all probably experienced bad breath caused by eating certain
foods. We eat a meal and then suffer with embarrassing bad breath
later. The culprits are sulfur compounds found in certain foods like
garlic and cabbage. These sulfur compounds cause breathe to smell
bad.
When we eat, sulfur compounds from foods are absorbed by our
digestive systems. Contrary to popular belief, sulfur compounds do
not cause bad breath as a result of working their way back up into
the mouth from the stomach.
Rather, the sulfur compounds move from the digestive system into
the bloodstream where they are carried to the lungs. Here the lungs
expel the sulfur compounds from the body by way of the air that we
exhale ! Amazingly, many of these sulfur compounds are also excreted
in sweat from the skin and in urine for hours to even days after the
food containing them is eaten.
How can you get rid of this type of bad breath ? One option is to
avoid the foods that cause bad breath such as cabbage and onions.
Alternatively, you can use one of several new products on the market
which attack and neutralize the sulfur compounds while they are in
the digestive system or in the bloodstream.
Bacteria - The Cause of Chronic Bad
Breath
Chronic bad breath is constant long standing bad breath. Although
a little harder to treat, it can be treated nevertheless. The
problem starts with bacteria. Did you know that over 170 different
types of bacteria live in our mouths?
These bacteria feed on bits of food left on our teeth after
meals. Feasting on these "leftovers", bacteria produce sulfur
compounds (Volatile Sulfur Compounds -VSCs) which once again give
breath its foul smell.
Many of these bacteria are anaerobic meaning that they can not
live in the presence of oxygen. How do they live in the mouth which
is exposed to oxygen every time we breathe? These bacteria hide in
places where oxygen can not reach - under plaque and food debris, in
the spaces between the teeth and gums, and in the deep crevices of
the tongue.
This is why proper dental care is important in eliminating bad
breath. Brushing and flossing:
- Remove bacteria from the mouth.
- Remove the layer of plaque, food debris, and dead cells which
protect bacteria from oxygen.
- Remove the left-over microscopic food particles which bacteria
use to create the odorous sulfur particles.
How Can You Tell If You Have Bad Breath
?
Contrary to popular belief, you can not tell by yourself whether
or not you have bad breath. Many people try cupping their hands to
their nose to smell exhaled air. Others may try licking and then
smelling their wrist.
Unfortunately, these simply do not work. First, the body becomes
accustomed to its own odors. As a result, it becomes hard for you to
objectively distinguish whether or not your breath odor is foul or
not. Secondly, much of the foul breath is created at the back of the
mouth and is expelled outward only when we talk.
How then do you tell if your breath offends ? Many dentists
measure breath odor using an instrument called a halimeter.
The patient blows into a straw like tube connected to the halimeter
and the machine detects the levels of volatile sulfur compounds in
the breath. The more volatile sulfur compounds measured by the
machine the worst the breath.
If you do not want to use a halimeter the next best way to detect
bad breath is to simply ask a trusted friend to tell you whether or
not your breath is offensive.
The Tongue - Safe Haven for
Bacteria
A major advancement in the treatment of bad breath has been the
finding that bacteria which causes bad breath can
reside on the tongue - especially the back of the tongue ! In
fact, as much as 50% of the bacteria within the mouth can be found
here. For bacteria the tongue is a lush velvet carpet in which they
can escape the wrath of the toothbrush and dental floss.
In many countries it has long been a practice to use a device
called a tongue cleaner (also commonly called a tongue scraper) to
gently clean the tongue but the importance of this procedure is just
being felt here in the United States.
During each brushing you shouldremove
bacteria from your tongue with one of several commercially available
tongue cleaners. What you will scrape off with the tongue
cleaner is a whitish layer of bacteria, plaque, and food debris.
This simple procedure can greatly improve the condition of your
breath.
Saliva - Nature's Mouthwash
A very important fact to remember when battling bad breath is
that saliva is our friend. A dry mouth represents the perfect
environment for odor causing bacteria. Saliva acts as nature's
mouthwash by keeping the mouth moist, washing away bacteria, and
dissolving foul smelling volatile sulfur compounds.
Conditions which reduce saliva flow or which make
our mouth dry can therefore lead to bad breath. In fact, the
morning breath which many people experience after a long night of
sleep is caused by the reduction in saliva flow that occurs when we
sleep.
Dieting, fasting, or talking for long periods of time
reduce saliva flow and contribute to bad breath. In addition,
certain medications, alcohol consumption, and breathing through the
nose during exercise cause dry mouth contributing to the problem.
How do you make sure your saliva flow is adequate and that your
mouth stays moist ? Drink water. Saliva flow increases when we eat
or drink. If you are dieting or fasting, drinking water is a good
way to stimulate the flow of saliva. The water will also help wash
away food and bacteria.
Placing a drop of lemon juice on the tip of your tongue or
chewing sugarless gum are also effective ways to stimulate saliva
flow. It is a commonly held notion in the medical community that
mints and breath freshening gums work not by masking odor but by
stimulating saliva flow.
The Truth About Over-The-Counter
Mouthwashes
People often combat chronic bad breath using mouthwash as their
weapon of choice. Ironically, most commercial mouthwashes are
useless in eliminating chronic bad breath.
Recent studies have reported that mouthwashes only temporarily
mask the odor of bad breath for as little as 10 minutes after
brushing. In fact, because they contain alcohol, mouthwashes can
actually make the situation worse by drying out the mouth creating a
more hospitable environment for odor causing bacteria.
A new breed of mouthwashes containing chlorine
dioxide, however, have proven very effective in combating bad
breath. These mouthwashes do not mask bad breath odor like
conventional mouth washes. Instead, the chlorine
dioxide in these rinses directly attacks the volatile sulfur
compounds responsible for bad breath.
Post-Nasal Drip
The nose can contribute to bad breath. Thick mucus discharge
resulting from colds, allergies, medications, pregnancy or hormonal
changes can collect on the back of the tongue. This layer of mucus
provides a protective blanket under which bacteria hide. Bacteria
can also break down proteins in the mucus to create volatile sulfur
particles.
Sometimes mucus, bacteria, and debris condense onto the surface
of the tonsils forming small hard balls of material. Known as
tonsilloliths, these odorous balls of material are sometimes coughed
up.
Using an over-the-counter nasal spray helps thin out post-nasal
drip making it less useful to odor causing bacteria. Drinking water
may also make mucus less viscous and therefore less likely to
collect on the back of the tongue.
Periodontal Disease - A Treatable Cause
of Bad Breath
If you try:
- Staying away from certain foods that are known to cause bad
breath,
- Removing bacteria and food particles by brushing your teeth
and flossing,
- Removing bacteria from the tongue,
- Making sure that your mouth does not become too dry
(maintaining saliva flow),
and still have bad breath, you
may want to see your dentist. This is because anaerobic bacteria in
your mouth may have found special places to hide. Normally there is
a small 1-3 mm space between your gums and teeth. This is known as
the periodontal pocket or pocket for short. When pockets get to be
5mm or more they create deeper and more secluded hiding places for
bacteria.
Your dentist should be able to detect these periodontal pockets
during a routine gum exam. These areas are difficult to keep clean
and may create a continuous supply of sulfur gases. The more areas
that you have harboring these bacteria, the worse the breath.
What creates these widened pockets which harbor bacteria? These
deep pockets often result from the breakdown of the gums caused by
periodontal
disease.
If you have persistent bad breath, you should definitely see your
dentist to find out if you have periodontal disease. Other symptoms
of periodontal disease include:
- Swollen or bleeding gums
- Tender gums
- Loosening and shifting teeth
- Sensitive teeth
- Pain upon chewing
If you have periodontal disease,
your dentist can help you treat it and consequently treat the bad
breath associated with it.
For more Bad Breath Tips, visit the
Bad Breath Relief Center
Disclaimer: The information contained within is for
educational purposes only. It is not meant to serve as delivery of
medical care. Those persons with specific medical questions should
consult their dentist, doctor, or other medical care
provider.
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