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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