Can You Get Rid Of Bad Breath – Bad breath, also known as halitosis, is a symptom in which there is a perceptibly unpleasant breath.
The rest of the cases are thought to be due to disorders of the nose, sinuses, throat, lungs, esophagus or stomach.
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Although there is absolute evidence of the benefit of using a tongue cleaner, it is insufficient to draw clear conclusions.
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Concern about bad breath is the third reason people seek dental care, after cavities and gum disease.
Bad breath is where a noticeably unpleasant odor is believed to settle on the breath. It can cause anxiety among those affected. It is also associated with depression and symptoms of obsessive-compulsive disorder.
The most common causes are biofilm that produces odors on the back of the tongue or other areas of the mouth due to poor oral hygiene. This biofilm results in the production of high levels of unpleasant odors. Odors occur primarily due to the breakdown of proteins into individual amino acids, followed by further breakdown of certain amino acids to produce detectable pollutant gases. Volatile sulfur compounds are associated with levels of oral malodor and usually decrease after successful treatment.
Other parts of the mouth can also contribute to overall odor, but are not as common as the back of the tongue. These sites are, in order of prevalence, interdental and subgingival niches, defective dental work, areas of food impaction between teeth, abscesses, and debris.
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Oral lesions caused by viral infections such as herpes simplex and HPV can also contribute to bad breath.
The intensity of bad breath can vary during the day, due to the intake of certain foods (such as garlic, onions, meat, fish and cheese), smoking,
And is inactive during the night, the odor tends to worsen upon awakening (“morning breath”). Bad breath can be transient, usually disappearing after eating, drinking, brushing, flossing, or rinsing with a specialized mouthwash. Bad breath can also be persistent (chronic bad breath), affecting around 25% of the population to varying degrees.
Normal appearance of the tongue, showing a degree of visible white coating and a normal irregular surface on the posterior dorsum.
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Bacteria on the tongue produce foul-smelling compounds and fatty acids and are responsible for 80-90% of all cases of mouth-related bad breath.
Large amounts of naturally occurring bacteria are often found on the back of the tongue, where they are relatively quiet from normal activity. This part of the tongue is relatively dry and poorly cleaned, and the complicated microbial structure of the back of the tongue provides an ideal habitat for anaerobic bacteria, which thrive under a continuously forming lingual covering from food debris, cell Dead epithelial cells, postnasal drip. .and overlying bacteria, live and dead. When left on the tongue, anaerobic respiration of these bacteria can produce the putrid odor of indole, skatole, polyamines, or the “rotten egg” odor of volatile sulfur compounds (VSCs) such as hydrosulfide, methyl mercaptan , allyl methyl sulfide and sulfide. of dimethyl. The presence of halitosis-producing bacteria on the back of the tongue should not be confused with the tongue coating. The bacteria are invisible to the naked eye and degrees of white coating on the tongue are persistent in most people with and without halitosis. A visible white coating does not always equate to the back of the tongue as the source of halitosis, but a “white tongue” is believed to be a sign of halitosis. In oral medicine, a white tongue is generally considered a sign of various medical conditions. Patients with periodontal disease were shown to have a sixfold higher prevalence of tongue coating compared to normal subjects. Patients with halitosis have also been shown to have significantly higher bacterial loads in this region compared to individuals without halitosis.
Gum fissures are the small grooves between the teeth and gums and are healthy, although they can become inflamed when gingivitis is present. The difference between a fissure and a periodontal pocket is that the former is less than 3 mm deep and the latter is more than 3 mm. Periodontal pockets often accompany periodontal disease (gum disease). There is some controversy about the role of periodontal disease in causing bad breath. However, advanced periodontal disease is a common cause of severe halitosis. People with uncontrolled diabetes are more likely to have multiple gingival and periodontal abscesses. His gums are evident with large pockets where pus accumulates. This focus of infection can be a potential source of bad breath. Removal of subgingival calculus (i.e. tartar or hard plaque) and friable tissue has been shown to significantly improve bad breath. This is done by subgingival scraping and root planing and irrigation with an antibiotic mouthwash. Bacteria that cause gingivitis and periodontal disease (periodontopathogens) are invariably gram-negative and capable of producing VSC. Methyl mercaptan is known to be the major VSC contributor to halitosis caused by periodontal disease and gingivitis. Breath VSC level showed a positive correlation with periodontal pocket depth, number of pockets, and whether the pockets bleed when examined with a rectal probe. Indeed, VSC itself may have been shown to contribute to the inflammation and tissue damage characteristic of periodontal disease. However, not all patients with periodontal disease have halitosis, and not all patients with halitosis have periodontal disease. Although patients with periodontal disease are more likely to develop halitosis than the general population, the symptom of halitosis was more strongly associated with the degree of tongue coating than with the severity of periodontal disease. Another possible symptom of periodontal disease is bad taste, which does not necessarily accompany a bad odor detectable by other people.
In this case, the air coming out of the nostrils has a pungent odor that differs from the oral odor. Nasal odor can be due to sinus infections or foreign bodies.
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Halitosis is often identified as a symptom of chronic rhinosinusitis, but gold standard techniques of breath analysis have not been applied. Theoretically, there are several possible mechanisms of objective and subjective halitosis that may be involved.
There is disagreement about the proportion of cases of halitosis caused by conditions of the tonsils.
Tonsil conditions that may be associated with halitosis include chronic caseous tonsillitis (cheese-like material may ooze from the opening of the tonsillar crypt), tonsillitis (tonsil stones), and, less commonly, peritonsillar abscess, actinomycosis, fungal diseases, chondroid choristoma and inflammatory inflammation. . myofibroblastic tumor.
The lower esophageal sphincter, which is the valve between the stomach and the esophagus, may not close properly due to a hiatal hernia or GERD, allowing acid to enter the esophagus and gas s ‘escape in the mouth. Zker’s diverticulum can also cause halitosis due to the aging of food trapped in the esophagus.
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Most researchers consider the stomach to be a very unusual source of bad breath. The esophagus is a closed, collapsed tube, and the continuous flow of gas or putrid substances from the stomach indicates a health problem, such as reflux severe enough to cause stomach ulcers or a fistula between the stomach and the esophagus. manifestations more serious than the bad smell.
In the case of allyl methyl sulfide (a byproduct of garlic digestion), the odor does not come from the stomach, as it is not metabolized there.
There are some systemic (non-oral) medical conditions that can cause bad breath, but they are rare in the general population. These conditions are:
A quarter of people who seek professional advice about bad breath have an exaggerated concern about having bad breath, known as halitophobia, delusional halitosis or as a manifestation of olfactory reference syndrome. They’re pretty sure they have bad breath, even though many haven’t asked anyone for an objective opinion. Bad breath can seriously affect the lives of between 0.5 and 1.0% of the adult population.
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Scientists have long thought that smelling one’s own breath is often difficult due to acclimation, although many people with bad breath are able to detect it in others. Research suggests that self-assessment of halitosis is not easy because of preconceived ideas about how bad we think it should be. Some people assume they have bad breath because of bad taste (metallic, acidic, fecal, etc.), but bad taste is considered a bad indicator.
A popular home method to determine the presence of bad breath is to lick the back of the wrist, let the saliva dry for a minute or two, and smell the result. This test results in overestimation, the research concluded, and should be avoided.
A better way would be to lightly scrape the back of the tongue with a disposable plastic spoon and smell the drying residue. There are now at-home tests that use a chemical reaction to test for the presence of polyamines and sulfur compounds in tongue samples, but there are few studies showing how they actually detect the odor. Also, as breathing changes in intensity throughout the day, depending on many factors, multiple testing sessions may be necessary.
If bad breath is persistent and all other medical and health factors have been ruled out, specialized tests and treatments are needed. Hundreds of dtal offices
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