A badbreath, medically known as halitosis is not only a social nuisance, but also a
pretty definitive indicator of poor general and dental health. People having
foul smelling breath are not only shunned at work, but also tend to have fewer
friends and a limited social circle as well. Hence, it is imperative to have
knowledge of factors that are responsible for causing halitosis as well its
prevention and management.
What Causes Bad Breath?
Halitosis
is a multifactorial problem which can be caused by various general or medical
reasons.
Poor Oral Hygiene
The most
common cause of a bad breath is poor oral hygiene. A failure to brush teeth
after meals can cause disintegration of the food particles that get adhered to
the teeth and the oral cavity, which is brought about by bacteria which produce
highly foul smelling sulfur dioxide gas. The presence of sulfur dioxide gas in
the oral cavity is the major reason for foul breaths.
Prolonged
ignorance of oral hygiene in some patients can result in deposition and ultimately
calcification of food and debris on the teeth. Calcified deposits in addition
to inflamed gums are also a source of foul smelling breaths
Alcohol
It is a
common occurrence that alcoholic individuals are more frequently found to have
bad breaths. Research has shown that alcohol can reduce salivary production and
flow. Since saliva acts as a bathing and cleansing medium for the oral cavity,
absence of sufficient salivary production results in development of an
extremely bad odour within the oral cavity.
Tobacco
Smoking or chewing
tobacco not only causes extrinsic tooth stains, but also results in development
of halitosis. The situation is further aggravated in case of absence of oral
hygiene measures.
Diet
Several
components of diet are known to possess a strong smell and can cause halitosis.
These include people who are fond of eating large quantities of garlic, onions
and certain spices. Intake of these dietary components results in generation of
bacteria that are responsible for bad breath
Effect of Time of Day
Breaths
smell bad more during the day than in evening or night. This is because at
night the salivary glands are at rest and functioning normally. However, during
sleep, salivary activity is reduced, which is the reason our breaths smell
strong, even to us immediately after getting up.
Xerostomia
Xerostomia
refers to any medical or dental condition in which salivary output is decreased
in the oral cavity. Local causes include alcohol and smoking while systemic
reasons include various medications and illnesses such as Sjogren’s syndrome
and Diabetes Mellitus.
Gastrointestinal Problems
Several
gastrointestinal problems such as indigestion or peptic ulcer disease also
contribute to halitosis. The main reason behind these ailments is having an
irregular diet pattern and lack of sufficient physical activity
Managements
The first
step in management is the identification and eradication of the root cause. a
dentist, along with the general physician of the patient team up to identify
possible medical or dental causes of the problem and them correct it. In case
of a dental infection, instructions regarding oral hygiene maintenance along
with antibiotics in case of severe infections are usually prescribed by the
dentist. However, in case of any systemic medical illness, it is necessary to
get the problem treated by a medical doctor.
As
discussed before, treatment of the root cause is imperative, a temporary
solution of halitosis can be sought with help of various vegetables such as
cinnamon, cadmium and parsley. These have been shown to reduce bad oral odour
and enhance breath freshness.
In Conclusion
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