Bad breath?
I feel very annoyed because my mouth has a persistent odor.
It's not due to eating strong-smelling foods, but it keeps occurring throughout the day, no matter when.
It's really bothersome...
Is seeing a dentist helpful? I previously visited a dentist but didn't notice any improvement.
What should I do?
Xiao E, 20~29 year old female. Ask Date: 2003/11/09
Dr. Wu Jinjun reply Dentistry
Hello: There are many causes of halitosis, including oral diseases (such as periodontal disease, cavities, oral infections, and dental plaque), nasal conditions (such as post-nasal drip and sinusitis), as well as gastrointestinal issues (such as gastroenteritis and fecaliths), and respiratory diseases can also contribute to bad breath.
Therefore, it is important to identify the underlying cause of the odor in order to effectively address it.
Have you consulted a dentist before? I'm not sure what the doctor said.
If the bad breath is caused by periodontal disease or dental plaque, thorough oral hygiene practices (such as flossing and proper brushing) are necessary for improvement; simply relying on a dental cleaning by the dentist may have very limited effects.
Dr.
Wu Jin-jun, Chief of Dentistry at Hsinchu Hospital.
Reply Date: 2003/11/09
More Info
Persistent bad breath, also known as halitosis, can be a frustrating and embarrassing condition. It is important to understand that bad breath can stem from various causes, and dental care is often a crucial part of addressing the issue. However, if you've already seen a dentist and haven't noticed any improvement, it may be time to explore other potential causes and solutions.
First, let's consider the common dental-related causes of bad breath. Poor oral hygiene is a leading factor. If plaque and food particles are not effectively removed from the teeth and gums, they can lead to the growth of bacteria that produce foul-smelling compounds. Regular brushing, flossing, and dental check-ups are essential to maintaining good oral hygiene. If you haven't been consistent with your dental care routine, it might be worth revisiting your habits.
Another dental issue that can contribute to bad breath is gum disease (periodontitis). This condition occurs when plaque builds up on the teeth and leads to inflammation of the gums. If you have gum disease, you may notice persistent bad breath, along with symptoms like swollen or bleeding gums. A dentist can provide a thorough examination and recommend treatments such as scaling and root planing to help manage gum disease.
Additionally, dental appliances such as dentures or braces can also harbor bacteria and food particles if not cleaned properly, leading to bad breath. If you wear any dental appliances, ensure you are following the recommended cleaning procedures.
However, if dental care alone does not resolve your bad breath, it may be necessary to look beyond oral hygiene. Other potential causes of persistent bad breath include:
1. Dry Mouth (Xerostomia): Saliva plays a crucial role in washing away food particles and bacteria. If you suffer from dry mouth, it can lead to an increase in bad breath. This condition can be caused by medications, certain medical conditions, or even dehydration. Staying hydrated and using saliva substitutes can help alleviate dry mouth.
2. Sinus Issues: Chronic sinus infections or post-nasal drip can contribute to bad breath. Mucus can accumulate in the throat and mouth, leading to an unpleasant odor. If you suspect sinus issues, consulting an ENT specialist may be beneficial.
3. Gastrointestinal Problems: Conditions such as acid reflux or gastroesophageal reflux disease (GERD) can cause bad breath. Stomach acids can travel back up into the esophagus and mouth, leading to an unpleasant odor. If you experience symptoms like heartburn or regurgitation, it may be worth discussing with a healthcare provider.
4. Systemic Conditions: Certain medical conditions, such as diabetes, liver disease, or kidney problems, can also manifest as bad breath. If your bad breath persists despite good oral hygiene and dental care, it may be wise to consult a physician for a comprehensive evaluation.
5. Diet: Certain foods, such as garlic, onions, and spices, can contribute to bad breath. Additionally, low-carb diets can lead to a condition called ketosis, which can also produce a distinct odor. Evaluating your diet and making adjustments may help.
In conclusion, while dental care is essential for managing bad breath, it is not always the sole solution. If you have already seen a dentist without improvement, consider exploring other potential causes, including dry mouth, sinus issues, gastrointestinal problems, and systemic conditions. Keeping a detailed record of your symptoms and discussing them with both your dentist and primary care physician can help identify the underlying cause and lead to effective treatment. Remember, persistent bad breath is a common issue, and with the right approach, it can often be managed successfully.
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