Bad Odor Between Teeth: Causes and Solutions for Dental Issues - Dentistry

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Bad odor from the interdental spaces?


I have had fillings on my upper row teeth, specifically the 4th and 5th teeth, but there is a smell coming from the gap in between.
Could this be due to cavities in the gap or is there another possibility?

Xiao De, 20~29 year old female. Ask Date: 2015/10/21

Dr. Zeng Guanghui reply Dentistry


The above situation indicates that there is plaque residue between the teeth.
It is recommended to maintain good oral hygiene and thoroughly remove the plaque.
If there is still an odor, it is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2015/10/21

More Info


Bad odor between teeth can be a common issue and may arise from several dental problems. Given your description of having fillings in your upper back teeth (the 4th and 5th), the odor you're experiencing could be due to a few potential causes.

1. Food Particles and Plaque Accumulation: One of the most common reasons for bad breath or odor between teeth is the accumulation of food particles and plaque. If food gets trapped in the spaces between your teeth, it can lead to bacterial growth, which produces foul-smelling compounds. This is especially true if you have tight contacts between your teeth or if your oral hygiene routine is not effectively cleaning these areas.

2. Gum Disease: Another possibility is that you may have gum disease (gingivitis or periodontitis). When the gums become inflamed or infected, they can produce a bad odor. This condition often comes with other symptoms such as bleeding gums, swelling, and sometimes pain. If the gum tissue around your fillings is not healthy, it could contribute to the odor.

3. Cavities Under Fillings: It is also possible that there is decay underneath the fillings. Sometimes, if a filling is not properly sealed, bacteria can infiltrate the area beneath it, leading to secondary decay. This can create an unpleasant odor as well.

4. Dry Mouth: A lack of saliva can lead to dry mouth, which reduces the mouth's ability to wash away food particles and bacteria. This can contribute to bad breath and odor between teeth. Certain medications, health conditions, or even dehydration can cause dry mouth.

5. Oral Hygiene Practices: Your oral hygiene routine plays a crucial role in preventing bad odors. If you are not flossing regularly or using mouthwash, bacteria can thrive in the spaces between your teeth, leading to odor.


Solutions:
1. Improve Oral Hygiene: Make sure you are brushing your teeth at least twice a day with fluoride toothpaste and flossing daily. Flossing is particularly important for cleaning between teeth where toothbrush bristles cannot reach. Consider using an interdental brush or a water flosser for better cleaning between tight spaces.

2. Regular Dental Check-ups: Schedule regular visits to your dentist for professional cleanings and check-ups. Your dentist can assess the condition of your fillings and check for any underlying issues, such as cavities or gum disease.

3. Stay Hydrated: Drink plenty of water throughout the day to help keep your mouth moist and wash away food particles and bacteria. If you experience dry mouth, consider using saliva substitutes or sugar-free gum to stimulate saliva production.

4. Use Antimicrobial Mouthwash: Incorporate an antimicrobial or antibacterial mouthwash into your routine to help reduce bacteria in your mouth and freshen your breath.

5. Address Gum Health: If you suspect gum disease, it’s essential to seek treatment from your dentist. They may recommend a deep cleaning (scaling and root planing) to remove plaque and tartar buildup below the gum line.

6. Evaluate Fillings: If the odor persists despite good oral hygiene, consult your dentist about the condition of your fillings. They may need to be replaced or adjusted if there is decay underneath.

In conclusion, bad odor between teeth can stem from various dental issues, including food accumulation, gum disease, or problems with fillings. By maintaining good oral hygiene, staying hydrated, and regularly visiting your dentist, you can effectively manage and prevent bad odors in your mouth. If the problem continues, it’s crucial to seek professional dental advice to address any underlying issues.

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