Dental research center > Hygienic information > Mouth odor
There is no doubt that, mouth odor is embarrassing for many of the individuals.
Unfortunately, mouth odor can't be diagnosed personally.
Halitosis is considered as a disease and it should not be mistaken for the bad smell which may arise from eating some nourishment such as onion or garlic. Halitosis can be treated and decreased to a large extent.
Etiology of Halitosis
If you don't brush your teeth and also don't clean your interproximal surfaces, dental caries will occur. The food remnants between your teeth will be fermented-particularly on root surfaces- and cause mouth odor.
While you neglect your gingival hygiene, gums will be weakened as time passes. Bacterial accumulation on the surfaces that teeth are attached to gingival tissues will result into some difficulties such as mouth odor.
Increased anaerobic bacteria
Bacteria exist in the mouth as natural flora. Lack of proper oral hygiene, causes the germs to spread. The most common locations for bacterial growth are on the tongue's surface, nasal canals and throat. In some people anaerobic germs increase and grow more than normal for different reasons. Anaerobic bacteria cause mouth odor by decomposing food remnants.
Life style, diet
Commonly, halitosis is caused by lack of proper oral hygiene in gingiva and tongue. Different bacteria and decomposing of food remnants are effective to create this complication.
Food decomposition leads to sulfur generation and results in making mouth odor. Post extraction sockets that are filled with clot, uncleaned acrylic dentures, pericoronitis(inflammation of the gingival surrounding the crown of a tooth),tongue and tongue coat are operative to cause mouth odor.
Saliva has an important role in appropriate respiration. While bacteria increase in the mouth, salivary flow will decrease their accumulations.
As salivary flow is reduced during the night, generation and proliferation of oral microbes increase when we are asleep. Further more, low salivation causes hypoxia in oral tissues and provides good condition for reproduction of anaerobic bacteria. So this is the reason that some people suffer from halitosis.
Infections: Recurrent infections of tonsils, bronchitis, pneumonia, and infections of digestive system, kidney, liver and diabetes can cause halitosis.
Post nasal drip: Accumulation of excessive mucus in sinuses, throat and at posterior part of the tongue can result in reproduction of anaerobic microbes. It has to be noted some dairy products, allergens and some specific drugs can be effective in creation of mucus.
Drugs: some drugs can cause xerostomia and increased mucus production. Antidepressants, antihistamines, and drugs taken to reduce blood pressure are among related dugs.
Diseases: Pulmonary diseases, blood, liver and kidney disorders and diabetes have a role in creating halitosis. Such diseases can cause mouth odor as well.
Other Factors: Stress, psychological pressures and smoking can be a reason for mouth odor.
Methods of Treatment
Good oral hygiene and brushing the teeth can be effective to lessen mouth odor. Brush your teeth accurately at least twice a day. Don't forget washing and brushing your tongue and oral mucosa.
Using mouth rinse will help to disinfect oral microbes and bacteria and is effective in treatment of halitosis.
Changing Life style and diet, relieving the stress, avoiding smoking, and drinking plenty of water can have an important role in mouth odor's treatment. Chewing parsley and eating vegetables such as rosemary and cinnamon are effective in exterminating mouth odor.
Eating fruits with sour taste and chewing gums will be helpful, because they stimulate salivation. Besides drinking 6 to 8 glasses of water during a day is also effective. (probably because it reduces salivary PH and prevents the dissolution of compositions creating halitosis.)
Editor: Hamid Reza Arab ( Assistant Professor, Department of Periodontics)
Translated by Dr. Bahareh Hafez.(Dentist)