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Halitosis - Bad Breath Introduction

 

Halitosis, or bad breath, can have many causes.  The most common cause of halitosis occurs in the mouth.  Certain factors contribute to the mouth exuding a foul odor, including poor dental hygiene, tooth decay, and gum disease (gingivitis and periodontitis).  Volatile sulfur compounds (VSCs), derived from bacterial plaque that thrives in the mucus of the mouth, have also been found to cause bad breath. Bacteria located upon the tongue are also a frequent source of halitosis, and may be the strongest determinant. [1]

 

Other risk factors that can cause halitosis include; nose or throat infection (such as sinusitis), postnasal drip, acid reflux, indigestion, constipation, insufficient friendly intestinal bacteria, an overabundance of unfriendly bacteria, intestinal toxins, and stomach gases.  Bad breath is also frequently caused by eating foods with a strong, distinctive odor, such as garlic and onions.  Underlying health conditions can cause halitosis include; lung disease (such as chronic lung infections, bronchiectasis or lung abscess), liver failure, kidney failure, and diabetes (ketoacidosis ‘fruity' breath).

 

 

Halitosis Symptoms

 

Along with the symptoms of an underlying disorder, the symptoms of halitosis may include:

  • Foul odors coming from the mouth

  • ‘Fishy' breath odor may occur with liver failure

  • ‘Urine-like' breath odor may occur with kidney failure

  • ‘Fruity' breath odor (from acetone in the breath) may occur in diabetics developing ketoacidosis

If bad breath is caused by gum disease (gingivitis and periodontitis), symptoms may also include:

  • Bad taste in mouth

  • Swollen and/or recessed gums

  • Hot and cold tooth sensitivity

  • Gums bleed easily

  • Loose teeth

 

Halitosis Statistics

 

According to the Centers for Disease Control:

  • Periodontal (gum) disease is more common among diabetics.
     

  • Young adults with diabetes have about twice the risk of getting periodontal disease than those without diabetes.
     

  • About one-third diabetics have severe periodontal diseases, in which there is a loss of attachment of gums to the teeth measuring 5 millimeters or more. [2]

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