The oral malodor (scientific chalitosi) is a common problem for men and women without discrimination in age.
The odor may have social, occupational and psychological unpleasant consequences.
A large section of people with bad breath, does not recognize the problem, because the phenomenon of adaptation, so the person can not perceive the same.
Causes of oral malodour
The majority of cases of bad breath due to oral cavity. teeth and tongue. The metabolic function of these bacteria creates smelly sulphurous volatile byproducts, which are responsible for bad breath.
If there is a sudden onset of odor the possible causes may be:
Poor oral hygiene. The resident bacterial populations in the mouth interact with food debris, epithelial cells, and components of saliva and generate malodorous gases sulfates. The neglected oral hygiene exacerbate the accumulation of bacteria with subsequent appearance of intense odor.
Dry mouth. Xerostomia is a common cause of bad breath. Saliva normal conditions assists in self cleaning of the oral cavity. In dry conditions, however, the reproduction of bacteria becomes easier. The oral cavity with dry mouth is a breeding ground for bacterial proliferation. Dry mouth may be a seasonal physiological characteristic (e.g. in summer), may result from medication (antidepressants, antihypertensives, diuretics), or may be a symptom accompanying diseases (diabetes, Sjodren syndrome). Also people who are subject to head and neck radiotherapy or chemotherapy have dry mouth.
Gum disease. Most of the bad breath cases are symptom accompanying various gum diseases. Gingivitis, periodontitis, which are microbial etiology diseases, accompanied by bad breath. Specifically periodontal disease creates an environment which favors trapping not only food waste but also necrotic epithelial cells, which allow overgrowth of anaerobic microbes. Extreme cases of diseases of soft and hard tissues of the oral cavity may constitute the ground creating malodor is necrotising ulcerative gingivitis and periodontitis.
Decayed teeth. The existence of rotten teeth is one of the first cases examined in clinical investigation for halitosis. Many times caries lesions can be so advanced that caused abscesses.
Impacted tooth. Often eruption of third molars (molars) can cause an inflammation known as pericoronitis. Section gum covers loose part of the tooth thereby releasing food debris and microbial colonies grow, causing inflammation, with severe pain and swelling, and malodor.
Prostheses. Patients carrying mobile prostheses (partial or full dentures) should be especially careful and attentive to the cleanliness of these prostheses. The retention of food residues can cause different types of fungal infections.
Foods with strong odors. The main culprits for bad breath are foods such as onion, garlic, coffee, spices. These foods pass through the circulatory system and excreted through the lungs.
Smoking. Smoking may be a direct or indirect ground odor agent. Generally smokers observed hypertrophy papillae of the tongue, the top surface of which is often swollen and retains the tobacco products resulting colored tongue with a dark color. Also, the incidence of periodontal disease in smokers is higher.
Alcoholism. Excessive alcohol consumption other than that has been implicated in an increased incidence of cancer of malformations in the oral cavity, results in drying of the mouth, resulting in the growth of anaerobic bacteria which cause malodour.
Excessive diets. The so-called chemical diets based on high protein intake and inadequate or forced to resort to fat to obtain energy instead of carbohydrates. As the body consumes fat, ketones are produced, which are malodorous and can be released in the breath. This condition is referred to as ketosis.
Drug intake. Long-term medication can cause dry mouth and therefore odor. Such classes of drugs are antidepressants, diuretics, NSAIDs, antihypertensives.
Systemic diseases. There are cases can the bad breath be a sign of a systemic disease. Typical diseases are diabetes mellitus and gastroesophageal reciprocation. Where diabetes is associated with ketosis, the bad breath may be a first sign to refer the patient for further medical examination. In gastroesophageal regression we release of stomach acid into the lower esophagus.
Other diseases associated with malodor is renal failure (acute, chronic), intestinal obstruction (causing fecal odor), esophageal cancer or cancer of the stomach.
Mouth breathing. Patients with mouth breathing, breathing from the mouth rather than the nose exhibit malodor. This is because the oral balance changes because the oral breathing leads to xerostomia. Oral breathing can exhibit patients with sinusitis, with obstruction of the respiratory tract, with sleep apnea, bold sygkelisiaka problems.
Metabolic syndromes. Malodor occurs in patients with metabolic syndromes, such as bulimia. The odor is due to the frequent emesis.
Treating oral malodor
Temporary solutions for treating bad breath:
Use mouthwashes antimicrobial
The chewing gum without sugar (xylitol) or mints.
Chewing parsley for clean breath.
It should be stressed that these practices, in addition to offering a transient and temporary solution, not a solution of the cause of bad breath.
The correct and complete address of the odor should begin with a visit to the specialist who in this case is the dentist, who will assess the situation and will be able to solve the problem or if it conceals some other morbid condition will guide you further medical attention.
It is estimated that the majority of bad breath cases, about 80% -90%, is directly related to the oral cavity and is treated by the dentist.
Useful tips for solving the problem is:
Good oral hygiene. Using the appropriate toothbrush and toothpaste at least twice a day, flossing and cleaning the top of the language is the best tool we have for tackling unpleasant breath. The dentist is properly trained for teaching the correct brushing technique.
Good oral hydration. Better hydration to maintain balance in the mouth and the saliva, the water consumption. If rhinitis (e.g. allergic) or sleep apnea or snoring, the use of a nasal spray helps to maintain and hydrated nasal passages.
Clean prostheses. If the odor is due to mobile prostheses (dentures) should be adhered to some simple guidelines:
– Remove the denture after food intake and this purification,
– Brushing the teeth with a toothbrush and toothpaste when oral hygiene,
– Remove the denture for 3-4 hours a day
– Keeping it in accordance with the dentist’s instructions.
Attention to diet. Avoid foods that have a strong odor, such as garlic or coffee. We enrich our daily diet with fruits Ms. vegetables because they contain water quantity. Add controlled carbohydrate (eg cereals) in our diatrofologio to avoid ketosis.
Food for clean breath. Foods that can help maintain a clean breath is tea drinks or mint. Their tea polyphenols are natural barriers to the growth of bacteria.
Visiting a dentist. The dentist will be able to give appropriate solution in cases of decayed teeth, gum disease (periodontal disease), abscesses and other conditions that can cause or worsen bad breath.
Finally it should be emphasized that the unpleasant odor observed the morning after the night’s sleep is not necessarily abnormal finding. However, the expert will be able to give answers to odor issues are the dentist. Two visits per year precaution is necessary.