Bad Breath (halitosis)

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

An estimated sixty-five percent of Americans have bad breath. Over forty-million Americans have "chronic halitosis," which is persistent bad breath. Ninety percent of all halitosis is of oral, not systemic, origin.

Americans spend more than $1 billion a year on over the counter halitosis products, many of which are ineffective because they only mask the problem.

What causes bad breath?

Bad breath is caused by a variety of factors. In most cases, it is caused by food remaining in the mouth - on the teeth, tongue, gums, and other structures, collecting bacteria. Dead and dying bacterial cells release a sulfur compound that gives your breath an unpleasant odor. Certain foods, such as garlic and onions, contribute to breath odor. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is exhaled. Brushing, flossing and mouthwash only mask the odor. Dieters sometimes develop unpleasant breath from fasting.

Periodontal (gum) disease often causes persistent bad breath or a bad taste in the mouth, and persistent bad breath may mean a sign that you have gum disease.

Gum disease is caused by plaque - the sticky, often colorless, film of bacteria that constantly forms on teeth. Dry mouth or xerostomia may also cause bad breath due to decreased salivary flow. Saliva cleans your mouth and removes particles that may cause odor. Tobacco products cause bad breath, stain teeth, reduce your ability to taste foods and irritate your gum tissues. Bad breath may also be a sign that you have a serious health problem, such as a respiratory tract infection, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.

Here are characteristic bad breath odors associated with some of these illnesses:

  • Diabetes - acetone, fruity

  • Liver failure - sweetish, musty

  • Acute rheumatic fever - acid, sweet

  • Lung abscess - foul, putrefactive

  • Blood dyscrasias - resembling decomposed blood

  • Liver cirrhosis - resembling decayed blood

  • Uremia - ammonia or urine

  • Hand-Schuller-Christian disease - fetid breath and unpleasant taste

  • Scurvy - foul breath from stomach inflammation

  • Wegner`s granulomatosis - Necrotic, putrefactive

  • Kidney failure - ammonia or urine

  • Diphtheria, dysentery, measles, pneumonia, scarlet fever, tuberculosis - extremely foul, fetid odor

  • Syphilis - fetid

Bad breath may also be caused by medications you are taking, including central nervous system agents, anti-Parkinson drugs, antihistamines/decongestants, anti-psychotics, anti-cholinergics, narcotics, anti-hypertensives, and anti-depressants.

Caring for bad breath

Daily brushing and flossing, and regular professional cleanings, will normally take care of unpleasant breath. And don't forget your often overlooked tongue as a culprit for bad breath. Bacterial plaque and food debris also can accumulate on the back of the tongue. The tongue's surface is extremely rough and bacteria can accumulate easily in the cracks and crevices.

Controlling periodontal disease and maintaining good oral health helps to reduce bad breath.  If you have constant bad breath, make a list of the foods you eat and any medications you take. Some medications may contribute to bad breath.

Improperly cleaned dentures can also harbor odor-causing bacteria and food particles. If you wear removable dentures, take them out at night and clean them thoroughly before replacing them.

If your dentist determines that your mouth is healthy and that the odor is not oral in nature, you may be referred to your family physician or to a specialist to determine the cause of the odor and possible treatment. If the odor is due to gum disease, your dentist can either treat the disease or refer you to a periodontist, a specialist in treating gum tissues. Gum disease can cause gum tissues to pull away from the teeth and form pockets. When these pockets are deep, only a professional periodontal cleaning can remove the bacteria and plaque that accumulate.

Mouthwashes are generally ineffective on bad breath. If your bad breath persists even after good oral hygiene, there are special products your dentist may prescribe, including Zytex, which is a combination of zinc chloride, thymol and eucalyptus oil that neutralizes the sulfur compounds and kills the bacteria that causes them. In addition, a special antimicrobial mouth rinse may be prescribed. An example is chlorhexidine, but be careful not to use it for more than a few months as it can stain your teeth. Some antiseptic mouth rinses have been accepted by the American Dental Association for their breath freshening properties and therapeutic benefits in reducing plaque and gingivitis. Instead of simply masking breath odor, these products have been demonstrated to kill the germs that cause bad breath. Ask your dentist about trying some of these products.


OFFICE HOURS
Monday: 09:00 AM - 5:00 PM
Tuesday: 09:00 AM - 8:00 PM
Wednesday: 09:00 AM - 5:00 PM
Thursday: 09:00 AM - 6:00 PM
Friday: Closed
Saturday: 9:00 AM - 3:00 PM
Sunday: Closed

  • High quality service, super friendly and professional staff.

    ***** By Rany K. on 12/15/2017

 

  • Best dentist I've ever had
    Dr. Channo does great work. He's courteous and fast. Never an issue with his work and his staff is amazing. If you're looking for a dentist or not happy with you're current one, go see Dr. Chano. You won't be disappointed. Never a billing issue with the insurance company like I had at multiple other places in the past.

    ***** By Michael M. on 11/13/2017

 

  • A very good experience!! Terrific staff and very helpful!

    ***** By Bernie K. on 09/02/2017

 

  • Great Dentist
    All went very well! Doc Channo is awesome and painless! For that matter his staff is also Awesome!!!

    ***** By Stan C. on 05/20/2017

 

  • Always professional, efficient and top quality
    In my 9th year as a patient at Art Dentistry Center, I can honestly say that the professionalism, efficiency and expertise continue to be the best. I had x-rays and a cleaning done this morning. Thorough, all questions answered and out the door. My dental hygiene is really good at 62 because of what they have taught me.

    ***** By Nancy S. on 05/02/2017

 

  • Professional, Very kind
    Took my daughter in because a tooth was bothering her. The dentist staff were extremely friendly and took care of everything quickly. I already have more appointments scheduled!

    ***** By Andrea B. on 04/04/2017

 

  • So far I have gotten my teeth cleaned twice and I just recently had 4 fillings done, and I have had nothing but the best service ever. Their receptionist is sweet, my dental hygienist is great, and my dentist is understanding. When I had to get my teeth filled, I was supposed to only have 3 of them done on one side at one appointment and then do the last one on a different day. I arrived at the office as nervous as ever because I absolutely hate the Novocain shot. The dentist offered anxiety medication, but I didn't have a ride home. He then stated that my cavities weren't very deep and could do them without the Novocain. I went with that option and didn't feel any pain at all!! I'm so happy he offered to let me go without the Novocain because no other dentist has done that for me. I actually opted to get the 4th tooth done right then and there to get it all over with. I love this dentist office and will recommend them to everyone!

    ***** By Sarah R. on 09/01/2016

 

  • Excellent Rating- I love this dentist! Fantastic staff with excellent environment and service! I wish they accepted Meridian Insurance!!! 

    ***** By Cynthia R. on 08/03/2016 (Published on RateABiz)

 

  • High quality service, professional Doctor and staff
    I recommend Dr Channo, he's professional and very pleasant.

     

    ***** By Aslan S on 06/28/2016 (Published on RateABiz)

 

  • "Art Dentistry Center gives my family and me more reasons to smile."

     

    - The Johnson Family.

 

 

 

  • I have always received a professional and very good service on my dental needs when visiting Art Dental. Very nice staff and service.

     

    - Jeff H

 

Contact Us