Halitosis or bad breath can be caused by any number of factors.
What follows is a list of some of the possible causes.
Possible Medical causes
Sinus infections and tonsillar infections
Certain foods as garlic, onions, cauliflower
GERD (Gastroesophageal Reflux Disease)
Possible Dental causes
Dental caries (cavities)
Periodontal (gum) disease
Oral infections or abscesses
Xerostomia (dry mouth) caused by medicines, alcohol, stress or a medical condition
Post nasal drips or discharges
A proliferation of gram negative anaerobic bacteria
Dental plaque from poor oral hygiene
Partially impacted wisdom teeth
Although any one of the above could be a cause of bad breath, the majority of bad breath problems are caused from a proliferation of specific types of sulphur-producing bacteria in the mouth that normally live within the surface of the tongue and throat. Sometimes these bacteria start to break down proteins at a very high rate and odorous volatile sulphur compounds (VSC) are released. This proliferation is often a result of conditions such as allergies, sinus congestion or post-nasal drips, nasal polyps, and xerostomia which is a dry mouth condition. The teeth also attract bacteria containing dental plaque and if not cleaned thoroughly and regularly, can result in large accumulations of bacteria that result in bad breath. People who develop periodontal disease often experience bad breath because of bacteria and their waste products accumulating in areas not easily cleaned, such as in the deep pockets around the teeth. We rarely find halitosis resulting from a medical condition, and therefore if you have this problem, we suggest that the first approach in eliminating the problem should be an evaluation with your dentist. We can determine whether a halitosis problem is of a medical or dental origin and offer solutions.
Please note that this article is for educational purposes only, and not meant to diagnose your specific problems. Only a consultation with your dentist and physician can properly diagnose individual problems and only then offer the proper treatment recommendations!
Call 631-499-1800 for a consultation and advice about how best to determine the cause and solve your problem
Gary L. Sandler, DDS & Bonnie E. Lipow, DDS
201 Moreland Road, Suite #8
Hauppauge, NY 11788