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Marcia Martinez, D.M.D.
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Orlando, FL 32812
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Posts for tag: bad breath

By Marcia Martinez, D.M.D.
August 30, 2018
Category: Oral Health
Tags: bad breath  
5CausesofBadBreathandWhatYouCanDoAboutIt

Unlike the months on either side, August isn't known for major holidays. But it does have one cause for celebration: National Fresh Breath Day! True, this observance will probably never achieve big-time recognition. Yet everyone would agree that fresh breath is something to appreciate! Unfortunately, bad breath is a persistent problem for many people. The first step in treating it is to identify the cause. Here are 5 common causes of bad breath:

1. Poor oral hygiene. Certain types of oral bacteria cause bad breath, and the mouth provides a perfect environment for them—especially when dental plaque and food debris is not well cleansed. So to keep your breath fresh, maintain a diligent oral hygiene routine. This includes brushing your teeth twice a day with fluoride toothpaste and flossing at least once a day. For an extra-clean mouth, use a tongue scraper—a plastic tool about the size of a toothbrush that's available in most drug stores. This will remove bacteria and food debris from your tongue for extra freshness.

2. Oral diseases. Bad odors in your mouth may also be caused by infections—which is what tooth decay and gum disease actually are. Sometimes old fillings wear out, allowing bacteria to re-infect a tooth that was once treated for decay. Other signs of these common oral diseases include tooth pain and bleeding or puffy gums. If you notice any of these, don't ignore it—make a dental appointment today!

3. Diet. Smelly foods will give you smelly breath; it's that simple. And the odors may linger after you have eaten them. When onion, garlic and other pungent foods are digested, their odor-producing substances enter your bloodstream and proceed to your lungs—which can affect how your breath smells. If you suspect your dietary habits are causing bad breath, try eliminating certain foods (at least temporarily) and see if that helps.

4. Dry mouth. Saliva helps cleanse your mouth, so reduced saliva flow can lead to bad breath. This accounts for "morning breath," which is caused when the mouth dries out during sleep (especially if you are a mouth-breather). However, some people don't produce enough saliva throughout the day. Sometimes it's just that they don't drink enough water. But a very common cause of chronic dry mouth is regular use of medications, both prescription and over-the-counter. If you notice that medication is drying out your mouth, let your doctor know. And stay hydrated!

5. Smoking. Given that smoking increases your risk for many serious diseases, including oral cancer, the fact that it can lead to bad breath seems almost trivial. Still, it's worth noting that smoking causes mouth odor both directly and indirectly by reducing the flow of saliva and promoting gum disease. In fact, tobacco in all forms is a hazard to your health.

If you'd like more information on bad breath, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Warning Signs of Periodontal (Gum) Disease” and “Dry Mouth.”

By Marcia Martinez, D.M.D.
December 01, 2014
Category: Oral Health
Tags: bad breath   tongue scraper  
RemovingBacterialCoatingWithaTongueScrapercanReduceBadBreath

Although usually not considered a serious health condition, bad breath is nonetheless one of the most embarrassing conditions related to the mouth. Although some serious systemic diseases may result in mouth odor, most cases originate in the mouth or nose. Bacteria are usually the culprit — certain types of the organism can excrete volatile sulphur compounds, which emit a rotten egg or rotten fish smell.

The largest breeding ground for bacteria is the tongue, typically in the back where saliva and hygiene efforts aren’t as efficient in removing food remnants. A bacterial coating can develop on the surface of the tongue, much like the plaque that can adhere to teeth; the coating becomes a haven for bacteria that cause bad breath.

There seems to be a propensity in some people who exhibit chronic bad breath to develop this tongue coating. To rid the tongue of this coating, people with this susceptibility could benefit from the use of a tongue brush or scraper. These hygienic devices are specifically designed for the shape and texture of the tongue to effectively remove any bacterial coating. Toothbrushes, which are designed for the hard surface of the teeth, have been shown not to be as effective in removing the coating as a tongue scraper.

Before considering using a tongue scraper you should consult with your dentist first. If you suspect you have chronic bad breath, it’s important to determine the exact cause. Using a tongue scraper is unnecessary unless there’s an identifiable coating that is contributing to the bad odor. It’s also a good idea to obtain instruction from your dentist on the best techniques for using a tongue scraper to be as effective as possible and to avoid damaging soft tissues from over-aggressive use.

In addition, don’t neglect other hygiene habits like brushing, flossing and regular cleanings. Removing as much bacterial plaque as you can contributes not only to a healthier mouth but also pleasanter breath.

If you would like more information on the tongue and halitosis, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tongue Scraping.”

By Marcia Martinez, D.M.D.
October 31, 2014
Category: Oral Health
Tags: bad breath  
ProperCleaningTechniquescanHelpyouControlChronicBadBreath

We all experience the occasional bout of bad breath from dry mouth or after eating certain foods. Chronic halitosis, on the other hand, could have an underlying health cause like periodontal (gum) disease, sinus infections or even systemic illnesses like diabetes. Anyone with persistent halitosis should undergo a thorough examination to determine the root cause.

If such an examination rules out a more serious cause, it’s then possible the particular population of bacteria that inhabit your mouth (out of a possible 600 or more strains) and your body’s response makes you more susceptible to halitosis. After feeding on food remnants, dead skin cells or post-nasal drip, certain types of bacteria excrete volatile sulfur compounds (VSCs) that give off an odor similar to “rotten eggs.”

In this case, we want to reduce the bacterial population through plaque removal, which in turn reduces the levels of VSCs. Our approach then is effective oral hygiene and perhaps a few cleanings — the basics every person should practice for good oral health — along with a few extra measures specific to chronic halitosis.

This calls for brushing and flossing your teeth daily. This will remove much of the plaque, the main breeding and feeding ground for bacteria, that has accumulated over the preceding twenty-four hours. In some cases, we may also recommend the use of an interproximal brush that is more adept in removing plaque clinging to areas between the teeth.

You may also need to pay special attention in cleaning another oral structure contributing to your bad breath — your tongue. The back of the tongue in particular is a “hideout” for bacteria: relatively dry and poorly cleansed because of its convoluted microscopic structure, bacteria often thrive undisturbed under a continually-forming tongue coating. Simply brushing the tongue may not be enough — you may also need to use a tongue scraper, a dental device that removes this coating. (For more information, see the Dear Doctor article, “Tongue Scraping.”)

Last but not least, visit our office for cleanings and checkups at least twice a year. Professional cleanings remove bacterial plaque and calculus (hardened plaque deposits) you’re unable to reach and remove with daily hygiene measures. Following this and the other steps described above will go a long way toward eliminating your bad breath, as well as enhancing your total oral health.

If you would like more information on treating chronic bad breath, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”

By Marcia Martinez, D.M.D.
April 20, 2013
Category: Oral Health
BadBreathmdashSufferNoMore

While most people can expect to have a temporary case of bad breath after eating spiced foods like garlic, smoking, drinking coffee or wine, odor that persists and becomes chronic is not something to take lightly. We can help diagnose the underlying cause of your bad breath, making both you and the people around you much happier!

Chronic bad breath, also known as “halitosis,” affects about 25% of Americans to some extent. Treating the condition effectively requires a thorough oral examination to uncover the source of the odor. Although some forms of bad breath can be caused by medical conditions like diabetes, lung infections, even kidney failure and cancer, between 85% and 90% of cases originate in the mouth. There are more than 600 types of bacteria found in the average mouth and, given the right (or, should we say, wrong) oral environment, dozens of these bacteria can produce foul odors including a “rotten egg” smell from the production of volatile sulfur compounds (VSCs).

Some of the oral causes of bad breath include:

  • Naturally occurring bacteria found on the back of the tongue that thrive on food deposits, dead skin cells and post nasal drip (Yuck!);
  • Dry mouth, after sleeping, especially when an individual breathes through his or her mouth;
  • Unclean dentures;
  • Decaying or abscessed teeth;
  • Diseased gums; and
  • Infected tonsils.

Once the exact origin of the odor has been determined, we can tell you what form of treatment you'll need to successfully banish the bad breath for good. If your problem is merely the result of poor oral hygiene you can play a large role in turning your situation around. In any case, treatments for mouth-related halitosis can include:

  • A careful, at-home plaque control routine using dental floss and a special toothbrush designed to clean between teeth — nobody really knows how to properly clean without professional instruction;
  • In-office and at-home tongue cleaning using a tongue scraper or brush;
  • Instruction on how to properly clean your dentures;
  • To treat underlying gum disease, periodontal therapy in the form of a deep cleaning, also known as scaling or root planing; and
  • Extraction of wisdom teeth that exhibit debris-trapping gum tissue traps.

So if you are ready to toss your breath mints away and pursue a more permanent solution to rectify your mouth odor, call our office today to schedule an appointment. For more information about the causes of bad breath, read the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”

By Marcia Martinez, D.M.D.
April 12, 2013
Category: Oral Health
Tags: bad breath  
BanishBadBreath

Treating bad breath is big business. Just check your local drug store or supermarket and you'll find a mind-numbing array of mints, gums, mouthwashes, sprays, strips and other products that promise to sweeten your breath and make you (or your mouth at least) irresistible. But most of these products only mask halitosis (from the Latin “halitus” – exhalation, and Greek “osis” – disease) and some even contain ingredients, like sugar, that contribute to tooth decay and gum disease. In most cases, for enduring, healthful results, nothing beats a trusty toothbrush, toothpaste and floss, used faithfully and correctly, along with periodic dental checks and cleanings.

Oral bacteria are the number one reason for noxious breath. More than 600 types inhabit our mouth, and some of them emit awful odors — predominantly volatile sulfur compounds characterized by a “rotten egg” smell) — as they consume remnants of food trapped in our mouth. Brushing and flossing regularly, especially after eating, can dislodge food trapped between teeth (interdental) and under the gums (subgingival), depriving microbes of a ready-made meal. It also disrupts the buildup of sticky plaque (microbial “biofilms”) where odor-causing germs can flourish.

When cleaning your mouth, pay special attention to the back of the tongue. It is the primary location for generating halitosis because it is drier and less efficiently cleansed by saliva and normal oral activity than the front. Our office can instruct you on proper oral hygiene including the gentle use of a tongue scraper or brush.

Sometimes more involved periodontal techniques such as scaling and root planing (deep cleaning) are called for; antibiotics may be useful in targeting the offending microbes. If tooth decay and/or periodontal (or gum) disease is contributing to halitosis appropriate treatment is necessary.

Remember that foul breath is just a symptom of some underlying condition. If diligent oral care at home doesn't do the trick, our office can help you get to the root of the problem and determine the appropriate therapy.

If you would like more information about halitosis and ways to prevent or treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bad Breath.”