Halitosis is an oral health problem where the main symptom is bad, smelling breath. In most cases, finding the cause of the bad breath is the first step toward treating this preventable condition. NHS data has estimated that approximately 25% of the UK population suffer from chronic bad breath at any one time, this is more than those suffering from common medical conditions such as diabetes (6%) and asthma (11%) and the same amount as those suffering from gum disease (15-30%). This is a serious condition that needs to be addressed.
Halitosis is caused by sulphur-producing bacteria in the tongue and throat. The major causes include a dry mouth caused by certain foods, smoking, poor oral hygiene and a coated tongue. The treatment of halitosis will depend on the underlying cause. In recent years, there have been some major advances in the research into bad breath and understanding of the problem has grown enormously. Dentists are increasingly meeting the growing demand from patients with bad breath; by offering specialist diagnostic and treatment services.
Researchers have known for some time that periodontal disease is caused by volatile sulphur compounds (VSCs), predominantly hydrogen sulfide, methyl mercaptan, and dimethyl sulphide, which break down the resistant barrier of the periodontium causing oral malodour. As the severity of the periodontal breakdown increases, so does the presence of VSCs. By eliminating VSCs there is the potential to control periodontitis and eliminate bad breath.
Several effective treatments for chronic halitosis include brushing and flossing regularly, using a tongue scraper, drinking plenty of water, and avoiding foods that promote oral bacteria growth.
Oral hygiene is the best way to keep your breath smelling clean and fresh. Some general guidelines: Brush twice a day, for at least two minutes each time, do not rinse, and floss or use the interproximal brushes at least once daily. Remember to clean your tongue ideally with a tongue scraper.
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