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Bad Breath - Causes & Treatment 


Bad breath or halitosis could be really nasty at times. It occurs transiently post waking up in the morning due to stagnation of saliva & reduced fluid intake or after consumption of foods like garlic, onions, radish, spices and also tobacco, betel nut and alcohol. The resulting breath takes on a different odour that may last for several hours.
Apart from this chronic oral malodour could be a sign of either the dental causes or underlying systemic conditions. Dental causes include poor oral hygiene, dental infections, pyorrhoea, ulcers or oral mucosal lesions. Systemic causes mostly include cases originating from ENT (ear, nose & throat) areas like inflammation in tonsils (tonsillitis), nose (rhinitis), sinus (sinusitis) & pharynx (pharyngitis), upper respiratory tract infections (URTI) & lower respiratory tract infections like chronic bronchitis, lung abscess, asthma, cystic fibrosis, and pneumonia. Gastric & intestinal causes of halitosis include peptic ulcer, regular reflux of stomach acids (GERD), and liver insufficiency. Other listed causes are crash diets, diabetes, kidney insufficiency, blood dyscrasias & several drug salts among others.
The diagnosis is based on clinical examination and ruling out the obvious causes. In challenging cases tests like gas chromatography & BANA test are carried out & is the condition is treated accordingly.
For dental related issues, treating the decayed tooth, removing the plaque by means of professional tooth cleaning, treating oral lesions & dry mouth successfully reduce breath odour. Maintaining a good oral hygiene is a must which can be achieved by means of proper brushing, tongue cleaning by tongue scrapers & regular use of mouthwashes containing Chlorhexidine & Listerine, using dental floss & interdental brushes for cleaning areas between the teeth & regular dental checkups. Avoid alcohol & tobacco in any form & drink plenty of water.
             

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