Why does a person smell bad from his mouth. Why does the breath stink and what to do with an unpleasant symptom? Can other untreated diseases cause bad breath?

Surely at least once in a lifetime, any adult has suffered from bad breath. Doctors call this phenomenon halitosis , and it can be of varying severity, therefore, there are quite a lot of manifestations of pathology. This is due to the fact that bad breath can be caused by a variety of reasons - starting with obvious bad habits or interference with the well-established functioning of the body, and ending with the first manifestations of diseases of vital organs.

Determining the problem in an adult

If a person is concerned about bad breath in the morning, then this is a completely normal phenomenon that occurs as a result of the drying of the oral cavity, as well as the processes occurring at the base of the tongue, around it, between the teeth and in the gum pockets. This can be corrected by a thorough cleaning of the mouth or by a check-up with a dentist.

note

The exact opposite is chronic bad breath. This speaks of a pathology that cannot be ignored. We will talk in detail about the symptoms, causes and methods of struggle in this material.

Methods for self-identification of pathology in oneself

Before diagnosing yourself, you should make sure that the problem really exists, and that it bothers you all the time, and not just in the morning. If you are ashamed to ask relatives about such a shame, then there are several ways when you can determine the severity of this pathology yourself. The fact is that exhaling and inhaling it is not always possible to fully feel the purity of your own breath, therefore there is a so-called bad breath test.

How to test your breath:

1. The usual sharp exhalation into the palms - almost everyone does this to determine the presence of stale breath;
2. Run your tongue across your wrist, wait a few seconds, and sniff your saliva. Often, bad breath will be several times stronger than that of saliva from the tip of the tongue, where the processes that cause the development of bad breath are inhibited by saliva. As mentioned above, problem areas are located under the tongue, at the far walls of the inner side of the cheek, in the gum area and between the teeth;
3. Lick a spoon or even put it under your tongue - then by smell it will be possible to more accurately determine the degree of pathology.

To identify signs of halitosis, it is worth looking at more serious manifestations of the disease. They will help to make sure that it is necessary to start fighting the disease.

Symptoms of pathology:

• White or yellow coating in the mouth and on the tongue;
• Dryness in the mouth area;
• Burning sensation in the mouth;
• When rinsing the cavity, a sensation of an unpleasant taste;
• Chronic metallic taste in the mouth (sour, sweet and bitter taste).

Main causes of bad breath

Breathing problems are a concern for many people, but the prerequisites for halitosis can be very different. In some cases, bad breath can signal the presence of a more serious illness.

Can be divided causes of bad breath in adults into two conditional categories:

• Internal factors;
• External factors.

Internal factors include all deviations in the work of the body - that is, disease . External should include direct intervention in the work of the body - that is, bad habits , excessive consumption of harmful products, and sometimes vice versa - a reduction in the use of vital substances. In addition, this category includes violation of hygiene rules . Let's consider these factors in more detail.

Illness as the cause of bad breath

The most serious causes of bad breath are third-party diseases, the result of which is breathing problems. In most cases, halitosis is caused by diseases of the gums and teeth . Less rarely, halitosis can be caused by diseases of the ENT organs. In these cases, the favorable atmosphere for the reproduction and spread of bacteria and microorganisms is to blame. Patients who delay treatment for a long time almost always develop dryness and bad breath.

In other cases, patients come to the doctor whose bad breath is a symptom. diseases of the gastrointestinal tract, kidneys, liver, respiratory system, thyroid gland .

What diseases can cause bad breath:

• Gingivitis;
• Periodontitis;
• Caries;
• Tartar;
• Glossitis;
• Deviations in the work of the salivary glands;
• Stomatitis;
• Chronic tonsillitis;
• Bronchitis;
• Rhinitis;
• Nephrosis;
• Kidney dystrophy;
• sinusitis;
• Tuberculosis;
• Pneumonia;
• Gastritis;
• Ulcer;
• Enteritis;
• Colitis;
• hyperthyroid crisis;
• Diabetes.

Bad breath diseases increase as the general condition worsens, so it is so important not to ignore this symptom, but to immediately get checked for the presence of diseases by professionals.

Causes of halitosis in a healthy person

What can cause bad breath, if we are not talking about diseases? The causes of bad breath in healthy adults are determined by several external factors - that is, interference in the work of the body from the outside.

Medication use

Some medications (antihistamines, diuretics, tranquilizers, antidepressants, and drugs designed to normalize blood pressure) have side effects that cause dehydration of tissues in the oral cavity . Dryness itself causes an unpleasant odor: the less saliva in the mouth, the less the cavity is cleared of food debris, dead cells and plaque. As a result, decomposition processes in the mouth cause halitosis.

tobacco use

As a result of smoking or chewing tobacco products, chemicals eat into the mucous and soft tissues of the oral cavity, remain on the teeth and almost never leave the smoker's breath - that is, they cause chronic halitosis. Among other things, smoking provokes dehydration of the oral cavity - another harbinger of bad breath.

Dentures

If a person with dentures has odor problems, it means that they are not cleaning them well enough, and the bacteria that accumulates on the surface of the dental structure causes a strong odor. You can find out how unpleasant breathing is by doing a little experiment: you need to leave the prosthesis overnight in a closed container. The smell accumulated there during the night will show how much halitosis is running.

Diet, fasting

Strict diets or even fasting have a detrimental effect on the work of the whole organism, and bad breath is just one of the symptoms that its work is disturbed. Doctors advise switching to proper regular nutrition and a balanced diet.

Types of bad odor

What can be bad breath, and what is this or that "aroma" associated with? What you should pay attention to when there is a smell from the mouth is its distinguishing feature. It is the smell that can tell what exactly the problem is with the patient.

Ammonia

If the patient, paying attention to breathing, feels an unpleasant taste of ammonia, perhaps this is a signal from the body indicating kidney problems.

Sour

Breath with a sour taste warns of problems caused by increased acidity of the stomach. If an unpleasant odor is accompanied by bouts of heartburn or nausea, then this symptom of gastritis, pancreatitis, ulcers and many other diseases from this area.

Rotten eggs

This unpleasant smell warns of pathologies of the digestive tract accompanied by low acidity. Sometimes this breath can be a sign food poisoning.

Acetone

Breath with a taste of acetone often indicates serious pathologies of the pancreas, including diabetes and hyperthyroidism. Sometimes this bad breath is a warning of a malfunction. kidneys, liver and stomach.

Putrefactive

Breath with a hint of putrefaction appears when diseases of the teeth, gums, salivary glands, diseases of the respiratory system. Sometimes this smell can be caused by disorders of the digestive system.

Cala

The smell of feces from the mouth often indicates serious violations in the work intestines.

Sweet, metallic

Breathing of this type is observed in patients suffering from diabetes. diabetes or beriberi.

Ways to deal with bad breath

How to get rid of this problem? First of all, any doctor will say that you need to accurately identify the cause, and then deal with the elimination of the effect. It is in our power to deal with the problem comprehensively, without missing any trifles.

What to do to get rid of bad breath?

Having accepted the problem, you should know how you can deal with it on your own. Let's consider in detail how to deal with bad breath.

Care

First of all, special attention should be paid oral hygiene because bacteria and decaying food particles cause bad breath. When cleaning, be sure to pay attention to all surface of the tongue . In addition to regular brushing of teeth, experts advise using dental floss for cleaning hard-to-reach spaces between teeth.

Visit doctor

If such problems are identified, it is imperative to pass general tests and visit dentist, gastroenterologist, ENT, endocrinologist or pulmonologist . But if, in addition to unpleasant breathing, there is also pain, burning, discomfort in a certain area of ​​the body, this is what you should pay attention to first of all.

How to deal with the disease at home

An adult suffering from halitosis faces a lot of difficulties in everyday life related to communication, work, personal life. In addition to the methods listed above, there are emergency, but proven ways to eliminate bad breath, which will be useful to those who have just begun to deal with pathology.

Halitosis will help to remove simple remedies that can be found in every home.

Herbal infusions

Methods of combating halitosis proven by our ancestors - rinsing the mouth with infusions of medicinal herbs. For these purposes, cumin, peppermint, bitter wormwood and a string are suitable.

Vegetable oil

Take a tablespoon of oil in your mouth and rinse your mouth for 10 minutes. After that, the liquid must be spit out. In the process of rinsing, decomposition products will dissolve and be washed out of hard-to-reach places. If after the procedure the oil becomes cloudy, then it has completed its task.

Special solution

Bad breath can be removed with a solution of hydrogen peroxide (3%) and drinking water in a 1:1 ratio. Experts advise using this method after meals.

Cosmetic concealers

More obvious, but short-lived remedies are air fresheners, rinses, and mouth sprays. Many people use lozenges and chewing gum, but these remedies help for a very short time.

Odor from the mouth is a common phenomenon among the adult population, which can bring a lot of trouble to a person. It often becomes a serious barrier to communication, affects the state of a person, causing depression of mood. The symptom is easy to overcome if you know the cause of the occurrence.

In medicine, bad breath is called halitosis. It is considered the norm from a physiological point of view, if it manifests itself in the morning after waking up. Eliminated by brushing teeth and rinsing the mouth. Other causes of stench from the oral cavity are known:

• Food with a strong odor.
• Poor oral hygiene.
• Dental diseases.
• Pathology of the gastrointestinal tract.
• Nasopharyngeal infection.
• Bad habits - smoking and drinking alcohol-containing products.
• Taking medications.
• Diseases of the thyroid gland.

In women during menstruation, bad breath is often observed. This is due to hormonal changes.

Bad breath is caused by bacteria that are present in the human mouth. When the number of bacteria exceeds the allowable values, the stench becomes unbearable. Some are able to cause a putrid smell, others - a heavy aroma of rotten meat.

Improper oral hygiene

Most often, bad breath occurs in people who brush their teeth incorrectly or pay insufficient attention to oral hygiene. If a person forgets to brush their teeth or does not use dental floss after eating, bad breath will begin to haunt throughout the day.

It is important not only to clean your teeth from plaque, but also to carefully remove them, rinse your mouth well after brushing.

Plaque on the root of the tongue

Human language is an indicator of health. In a person who is not affected by inflammatory processes, infections, the tongue is pink, the papillae of the organ are not enlarged. A yellow or white coating with an unpleasant stench indicates that bacteria live and actively multiply.

The color of the tongue can change with a disease of the internal organs, with the use of alcoholic beverages or smoking. Plaque often forms in people who take poor care of their oral cavity.

Dry mouth

A common cause of halitosis is dry mouth. Microbes and dead cells are not washed away by saliva. Cells begin to decompose, causing halitosis. Dry mouth is a frequent companion of people whose water-salt balance is disturbed. Occurs after the use of drugs or a large amount of alcohol.

With prolonged use of a number of drugs, dryness in the cavity and a sharp unpleasant odor occur.

If dryness becomes chronic, we are talking about a disease called xerostomia.

Dental diseases

Pathological processes occurring in the oral cavity are always accompanied by an unpleasant odor. Among the common diseases are:

• Periodontitis is an inflammatory disease in which the integrity of the bone ligaments that hold the tooth is broken. A purulent focus appears in the upper part of the root.
• Pulpitis is an inflammatory process in the internal tissue of the tooth. The disease is accompanied by a putrid stench.
• Gingivitis is inflammation of the gums. In a severe form, the gums bleed, a terrible smell comes from the mouth.
• Periodontitis is an inflammation of the tissues surrounding the tooth.
• Caries is a sluggish pathological process of destruction of hard tooth tissues.

With such processes, microbes and bacteria multiply perfectly in a favorable environment for them. To eliminate a strange smell, you need to visit a dental office and undergo treatment. It may be necessary to remove diseased teeth or roots. If the teeth are in order, the cause of halitosis is in diseases of the internal organs.

Diseases of the internal organs

A bad odor is present with healthy teeth - the cause of this phenomenon is seen as a disease of the gastrointestinal tract. If the dentist has not identified problems with the gums, teeth, and there is an incomprehensible smell, you need to contact a gastroenterologist.

With the smell of feces, the patient is often diagnosed with dysbacteriosis. A similar symptom is present with intestinal obstruction.

Symptoms indicate poisoning: the smell of a rotten egg, fever, weakness, nausea.

With a stomach ulcer, a bitter or sour taste and stench appear. With gastritis, there is swelling, nausea and vomiting, the smell of hydrogen sulfide or rotten eggs.

Ammonia aroma means that the patient has kidney disease.

If the patient has a problem with the thyroid gland, the smell of iodine appears due to the oversaturation of the body with the substance. The aroma of acetone is provoked by an infectious disease.

Stress

Nervousness, stress, depression often become the causes of such a nuisance. When emotional balance is restored, the pathological process stops.

To prevent a symptom, you need to carefully monitor your health. Avoid stressful situations.

Nutrition and bad habits

Often times food is the culprit. Some foods have a strong flavor on their own, and when eaten, the flavor comes from the mouth naturally.

A specific smell comes from a smoking person. The reason is that the substances contained in the cigarette are deposited on the teeth, mucous membranes. It is possible to get rid of amber forever. You need to quit the bad habit.

Causes of halitosis in a child

Signs of halitosis can be observed in children. A child without dental diseases has fresher breath. If an adult notices an unpleasant smell in the baby, but hygiene rules are observed, you need to show the child to the pediatrician. Perhaps the smell appeared due to a malfunction in the gastrointestinal tract. The doctor will prescribe a diagnosis and treatment. The breach will go away quickly.

In addition to dental and gastric pathologies, bad breath from the baby's mouth is often caused by:

• Diseases of the nasopharynx, throat;
• Eating fatty foods;
• Emotional overstrain and childhood stress;
• Moisture deficiency.

Diagnostics

It is not always possible to independently determine the freshness of one's own breath. In a medical institution, the doctor conducts diagnostics using a special device - a halimeter. If the device confirms the presence of deviations, a laboratory study of plaque and the oral cavity will be required. Diagnostics helps to find out why the stench appeared.

If an unpleasant odor is associated with diseases of the digestive system, diagnostic measures are prescribed:

• Urinalysis;
• Endoscopy;
• Ultrasound diagnostics.

Some procedures cause discomfort to the patient, but thanks to the intervention, it is possible to find out why the person is haunted by the phenomenon.

How to get rid of bad breath

To avoid an unpleasant odor and the problems provoked by it, it is necessary to pay special attention not only to oral hygiene, but also to the body as a whole. Regular visits to the dentist, gastroenterologist, careful care of the gums, teeth, tongue will contribute to fresh breath.

To keep your breath fresh, you need to clean your mouth well from food debris, use high-quality toothpaste and a suitable brush.

Toothpaste should be from a trusted manufacturer, remove plaque well, freshen breath. A toothbrush is selected with medium hardness for adults and soft for children. You can purchase an ultrasonic brush equipped with a timer. Such devices clean out food residues well, and the timer indicates the recommended duration of the procedure.

To clean your teeth throughout the day, experts recommend using dental floss after each snack.

Mint chewing gum or mint candy without sugar in the composition will help to kill the unpleasant aroma.

Treatment for dental problems

Any diseases of the gums and teeth can be accompanied by an unpleasant odor. In this case, a visit to the dentist is required. For prevention, a visit to the dentist is provided once every six months. Getting rid of bad odors is easy. It is enough to cure an unhealthy tooth or undergo regular cleaning of restoration structures with a special apparatus in the doctor's office, and the smell will disappear.

Treatment of odor in infections of the larynx and nasopharynx

Diseases of the nasopharynx, larynx are often accompanied by a fetid odor, which is impossible to get rid of without eliminating the pathological process itself.

For treatment, it is often necessary to gargle with a solution of furacilin or other disinfecting solutions. Tonsils need to be treated with streptocide. Tablets of the drug are dissolved in water, then the throat is rinsed.

If a terrible smell is associated with sinusitis, it is necessary to use antibacterial agents, for example, Azithromycin. Drops with vasoconstrictive properties. It is important to wash the nasopharynx, clean it from accumulations of pus.

In men or women, bad breath from the mouth always causes a lot of communication difficulties. Treatment measures should not be aimed only at getting rid of the symptom, eliminating the cause is an important step on the path to recovery.

Treatment with folk remedies

In folk medicine, many universal methods are described, by resorting to which it will be possible to freshen your breath at home, without medicines. You can use the funds for halitosis caused by any pathologies or processes. The very cause of the stench cannot be permanently removed, but the breath will be made fresh without risk to health.

Hydrogen peroxide

A popular home remedy for bad breath. Effective as peroxide has antibacterial properties. Well eliminates microorganisms. People who have used the rinse solution have noticed that the product whitens teeth well.

In its pure form, the use of peroxide is contraindicated. Rinse your mouth with a solution. Dissolve three teaspoons of peroxide in half a glass of warm water. Rinse at least three times a day.

If during the procedure a slight burning sensation is felt and the formation of white foam is observed, it means that there are wounds in the mouth that are disinfected when rinsing.

Hydrogen peroxide must not be swallowed. A solution of strong concentration can burn the mucous membrane of the mouth and esophagus. A solution is purchased at a pharmacy.

Activated carbon

Activated charcoal is a well-known absorbent that absorbs toxic substances and removes them from the human body. The drug is safe, used for various diseases, including pathologies that cause a strong fetid odor from the mouth. The medicine helps to eliminate odor and improves the general well-being of a person.

The drug is taken in courses. On average, the course is one to two weeks.

Vegetable oil

Vegetable oil helps fight bad breath. The product must be of high quality. To eliminate the repulsive odor, you will need to rinse your mouth with oil for 3 minutes. Then spit it out and rinse the cavity with boiled water. Carry out the procedure at least twice a day.

It is possible to add salt to the oil and also rinse your mouth.

Herbs

Folk recipes for the treatment of bad breath include courses of rinsing with herbal infusions and decoctions.

• Mix wormwood leaves, chamomile and strawberries in equal proportions and pour boiling water over. Insist herbs for at least half an hour and strain through a sieve.
• Peppermint tea is an excellent remedy to help get rid of bad breath. Tea calms well, fights insomnia.
• Peppermint decoction can be used in place of mouthwash.
• A decoction of oak bark will quickly eliminate an unpleasant odor. Pour a tablespoon of chopped bark with a glass of boiling water and insist. Strain, cool and start rinsing.
• Calamus will help to overcome the specific aroma. The grass is poured with a glass of boiling water and infused for an hour. Then it is filtered. Rinse with infusion should be at least twice a day.
• You can remove the symptom with the help of infusion of oxal leaves. Fresh leaves are poured with water, put on a heated stove and boiled for a quarter of an hour. The broth is insisted and filtered. Take two sips before meals four times a day.
• It will be possible to destroy the bacteria by taking a decoction of magnolia bark. The tool is able to kill 90% of pathogenic microflora. Pour a tablespoon of bark with 200 ml of boiling water and simmer for 20 minutes. Rinse your mouth three times a day.

Other folk ways

You can eliminate the unpleasant smell with folk remedies after eating, if there is a meeting or negotiations ahead. Recipes:

• Grind ginger root into powder. After eating, take half a teaspoon of the powder orally.
• Helps with the smell of aniseed. Chew the seeds before breakfast.
• It is useful to eat a couple of apples before meals in the morning. The fruit saves from an unpleasant smell and normalizes the work of the stomach.
• Parsley will help against the smell of onions and garlic. Chew on a sprig of grass and the smell will disappear.
• Roasted sunflower seeds effectively mask the smell.
• The best remedy for bad breath is apple cider vinegar. Dissolve a teaspoon of a natural remedy in a glass of water and rinse your mouth for several minutes.
• You can get rid of the unpleasant smell by chewing the fruits of the juniper tree.
• With periodontal disease, propolis will help to cope with halitosis. Propolis tincture well relieves bad odor.
• To eliminate the symptom, try making a remedy from chamomile and honey. You need to finely crush the flowers and mix a teaspoon of grass with two tablespoons of honey. Take a teaspoon before meals.
• You can get rid of the strong onion flavor by chewing coffee beans or pine needles.
• succeeds with the help of Corvalol. The option is doubtful, but alcohol will disguise.
• Nutmeg will give a fresh pleasant aroma to the breath.

Effective home remedies can help fight halitosis, clean your mouth, eliminate bacteria, and reduce or eliminate bad breath. But they are not able to save a person from the cause of the symptom. If the smell is constantly haunting, the struggle brings temporary freshness, you need to see a doctor.

Prevention

Preventing halitosis is easy. Go to the dentist regularly, carefully monitor the oral cavity, follow the recommendations of the doctor. In addition to brushing your teeth, you need to clean your tongue, as a mass of bacteria settles on the organ. The tongue is cleaned with a regular brush or a special rubber one.

It is important to monitor nutrition, exclude harmful foods, eat more fresh fruits and vegetables. Doctors recommend adjusting your diet and lifestyle. So that a bad aroma does not pursue a person, you will need to give up bad habits.

The main thing is to monitor your health, treat diseases of the digestive system in time and undergo preventive examinations.

Alternative medicine and the uncontrolled use of herbs to relieve symptoms can be ineffective and dangerous to health.

If all the measures taken do not work, nothing helps, and the stench appears immediately after brushing your teeth, an unpleasant smell becomes a common occurrence - you need to visit a doctor. The dentist will look at the oral cavity and find out whether an unpleasant symptom has appeared from the teeth or not, and will tell you what to do to avoid trouble. If the pathology is not of a dental nature, you will have to contact a gastroenterologist. The doctor will diagnose, diagnose and prescribe treatment.

The appearance of an unpleasant putrid odor from the mouth, the causes of which cannot always be quickly determined, is a common problem faced by many. Bad breath creates an obstacle to the normal communication of a person with others (after all, not everyone is pleased to communicate with a person who stinks of rotten meat), and this, in turn, is the cause of the development of numerous psychological problems, such as self-doubt, a sense of inferiority, depressed or depressed state. Moreover, a persistent smell of decay from the mouth can also indicate the presence of health problems. These are, first of all, diseases of the oral cavity, problems in the functioning of the organs of the respiratory and digestive systems.

Not always the presence of a bad smell (halitosis) is a pathology: in some cases it is customary to talk about a false form of halitosis, which most often develops against the background of insufficient oral hygiene. In this case, the manifestations of the problem are insignificant, others simply do not notice it. However, if the unpleasant odor is characterized by severity and persistence, we are talking about a disease that needs to be treated. Moreover, the doctor should prescribe treatment, and only after the true cause of the development of halitosis has been identified. Only in this case, the therapy will be effective.

Types of bad odor

An unpleasant smell can be different, depending on the variety of amber, the reason for its appearance is also determined. So, dental problems (stomatitis, caries, periodontal disease, tartar) and respiratory diseases (bronchitis, rhinitis, sinusitis, pneumonia) lead to the appearance of a persistent smell of rot.

Odor types:

1. The smell of feces most often develops in the presence of severe problems in the work of the intestines. In this case, digested food residues cannot be excreted naturally from the body. Food lumps linger in the intestines, where the processes of decay and fermentation begin, which leads to the appearance of a characteristic amber with the smell of feces.
2. The appearance of the smell and taste of acetone in the mouth is an alarming symptom, indicating a significant damage to the pancreas (for example, in diabetes mellitus), as well as serious diseases of the liver and kidneys.
3. A persistent sweetish aroma often signals the development of diabetes, a lack of vitamins in the body. In this case, it is impossible to solve the problem with the help of hygiene procedures alone, the patient needs a full-fledged treatment.
4. A pronounced sour smell often occurs with pathologies of the stomach, accompanied by an increase in the acidity of its secret - gastric juice. Such diseases are considered gastritis, peptic ulcer, impaired secretory function of the organ.
5. The presence of problems in the work of the digestive organs is evidenced by the appearance of a pronounced ammonia smell or the aroma of rotten eggs. Often the problem develops against the background of gastritis, kidney disease, toxic processes (food, chemical poisoning).

Reasons for the smell of rot

Not always halitosis in men and women is a symptom of any pathological process in the body. An unpleasant putrid odor from the mouth can occur in the presence of bad habits (smoking, addiction to alcohol), as well as when using products that have a specific pronounced aroma.

In addition, halitosis is a sign of age-related changes in the body (with age, the human salivary glands atrophy, lose their functionality, which leads to a decrease in saliva production and dry mouth).

Often, an unpleasant odor appears as a result of prolonged use of certain drugs that change the composition of saliva, reduce the level of its secretion.

In all these cases, the problem is solved independently, but only after the cause of its appearance has been eliminated. Why does a woman's mouth smell like rot?

The cause may also be a violation of the hormonal background in the body, for example, during:

• pregnancy;
• lactation;
• menopause.

If the rotten smell is persistent and cannot be eliminated with toothpaste, it is possible that one or another pathological process is the cause of its appearance. These are diseases of a dental nature, disorders of the organs of the respiratory and digestive systems.

dental problems

In the absence of proper care for teeth and gums, food particles gradually accumulate in hard-to-reach places. Over time, they begin to decompose, creating a breeding ground for various pathogens.

Pathogenic microflora in such conditions actively reproduces, releases a greater amount of waste products. This leads to the development of various dental problems, one of the symptoms of which is the appearance of a persistent putrid odor.

The most common dental causes of halitosis are:

1. Gingivitis, periodontal disease - gum disease.
2. Stomatitis is an infectious lesion of the soft tissues of the oral cavity, accompanied by the appearance of painful ulcers.
3. Caries and its complications (pulpitis and periodontitis).
4. Glossitis is an inflammation of soft tissues that develops due to infectious or non-infectious causes.

Among the dental problems - the causes of halitosis - also include the presence of abundant soft plaque or hard deposits on the teeth, as well as pathologies of the salivary glands, accompanied by a change in the viscosity of saliva and dry mouth.

ENT diseases

A common cause of bad breath are various pathologies of ENT organs.

Many of these pathologies are accompanied by the formation of foci of suppuration. Purulent contents spread in the mouth, which leads to the appearance of a putrid odor.

With rhinitis and sinusitis, nasal breathing is difficult, a person is forced to breathe through his mouth. This is the reason for the development of dryness in the mouth, which leads to bad breath. Diseases accompanied by copious sputum production also contribute to the appearance of a putrid odor.

Pathologies of the gastrointestinal tract

Often the smell of rot appears with the development of diseases of the digestive system.

These include:

• gastritis;
• pancreatitis;
• peptic ulcer affecting the stomach and various parts of the intestine;
• pathology of the liver and pancreas.

In the presence of these diseases, food cannot be digested and moved normally, its remains stagnate in the intestines, where the processes of decay begin. At the same time, a characteristic smell is produced, which affects the freshness of breath.

A common cause of halitosis are dietary disorders, for example, following a strict diet, accompanied by numerous restrictions. Such a diet often leads to vitamin deficiency, weakening of the body, and the development of gastrointestinal diseases.

Other reasons

Less common risk factors are disorders of the urinary system, in which harmful substances cannot be normally excreted from the body. As a result, intoxication of the body develops. One of the symptoms of this process is halitosis.

In addition, the smell of rot is a consequence of disruption of the endocrine system, in which:

• the process of assimilation of glucose is disturbed;
• metabolism is disturbed;
• hormonal levels change.

Often, halitosis is the result of poor oral care. In the absence of hygiene, food particles accumulate in hard-to-reach areas between the teeth. Over time, they begin to rot and decompose, while bacteria begin to multiply in the mouth, which leads to the development of all kinds of problems, one of which is halitosis.

The appearance of a specific amber often leads to excessive consumption of various foods.

Features in childhood

A fetid odor is a problem that not only adults, but also children face. Most often, the smell of rot from the mouth in children occurs as a result of malnutrition, for example, if the child ate a dish seasoned with garlic or grapes.

In addition, the stench in the mouth of a child often occurs as a result of diseases of the upper respiratory organs (in particular, inflammation of the maxillary sinuses, accompanied by the development of suppuration). In most cases, the problem resolves itself, for this it is necessary to establish the cause of its occurrence.

Diagnostics

Not always a person can independently feel the appearance of an unpleasant odor from his mouth, of course, if we are not talking about a pronounced problem in an advanced stage of its development.

How to determine yourself

You can determine the appearance of a fetid odor from the oral cavity yourself; for this, there are several different techniques that can be used at home.

You can identify the problem in several ways:

1. Before performing hygiene procedures, it is necessary to use floss, with which the interdental space is cleaned. After that, you need to smell the floss, and if a characteristic unpleasant odor is felt, this indicates the development of halitosis.
2. Ordinary paper napkins can also be used instead of dental floss. It is important that they are not flavored. Wipe the surface of the enamel with a napkin, after which the existing smell is assessed.
3. You can determine bad breath if you exhale sharply into palms folded together. A person suffering from halitosis will smell an intense putrid odor.

Which doctor to contact

If a persistent smell of rot appears, which cannot be eliminated with the help of hygiene procedures, a person needs timely medical assistance.

First of all, you need to consult a doctor:

• dentist
• gastroenterologist;
• Laura;
• pulmonologist.

You will need to undergo a detailed examination, including:

• examination of the oral cavity;
• study of the composition of dental plaque;
• blood test for glucose, kidney and liver enzymes;
• pharyngoscopy;
• endoscopy.

Treatment at home

There are many effective ways to remove amber and freshen your breath at home. These are various herbal decoctions, oil-based products, and other affordable and simple recipes. Of course, they can be used only after consulting a doctor and identifying the cause of the development of the disease.

Decoctions

Rinsing the mouth with decoctions of various herbs allows you to clean the oral cavity, eliminate harmful bacteria and their waste products, and freshen your breath.

Commonly used herbs are:

• chamomile;
• calendula;
• St. John's wort;
• sage.

They contain a large number of essential oils and substances that have a bactericidal effect. To prepare a decoction, you can use any one agent or a mixture of them.

To prepare a decoction, take 1 tbsp. l. raw materials, pour it with boiling water, insist, filter. Decoction should rinse your mouth after each meal (if possible) or 2 times a day after brushing your teeth.

Oil products

Oil-based emulsions have a beneficial effect on the condition of the gums, contribute to the destruction of pathogenic microflora, and have a calming, regenerating effect.

For the preparation of the product, high-quality unrefined vegetable oil is used. For greater effect, you can add 1 drop of essential oil (for example, tea tree oil) to it. 1 st. l. oils dissolve in the mouth for 20 minutes, after which they spit out. After the procedure, rinse your mouth with boiled water.

Hydrogen peroxide

Hydrogen peroxide has a powerful bactericidal effect, allows you to qualitatively disinfect the oral cavity, which is especially necessary for diseases of the throat, stomatitis, infectious lesions of soft tissues.

To prepare the composition, you need 1 tsp. means to dissolve in a glass of boiled water. The resulting solution rinses the throat and mouth 2-3 times a day.

Aloe and honey

Aloe has a pronounced antibacterial and regenerating effect, honey can relieve inflammation, soothe irritated tissues, and remove a fetid odor. In addition, these ingredients have a positive effect on the functioning of the digestive system. It is important to prepare the remedy correctly. A plant aged 3-5 years is well suited for this (it is not recommended to water it for 1 week) and May honey.

The tool is prepared as follows:

1. The lower shoots of the plant (1.5 kg.) Are carefully ground in a blender or meat grinder.
2. The resulting mass is mixed with honey in the proportion of 1 part of aloe and 1.5 parts of honey.
3. Add 800 g of red wine.
4. The mixture is transferred to a dark glass dish, infused for 1 week in places protected from sunlight.

The mixture is taken orally according to a special scheme: in the first 3-5 days it is necessary to consume 1 tsp. 1 time per day one hour before meals. After 5 days, the dosage is increased by 3 times (this amount is used once, or divided into 3 doses). The course of therapy is designed for 2-3 months.

Buckwheat flour

To prepare the remedy, you need to fry 1 cup of buckwheat in the oven, then grind it to a state of flour.

The drug is taken on an empty stomach at 0.5 tsp. The course of treatment is 10 days, after which you need to take a break. Buckwheat flour can be taken over a long period of time, while not forgetting to observe the duration of the courses and take three-day breaks.

Pine and mint

To freshen your breath, you can use natural chewing gum. Coniferous needles are used as it, which must be chewed carefully for 5-10 minutes (it is important to be careful not to damage soft tissues and enamel). Often, instead of needles, fresh mint leaves are used, which also need to be chewed. These funds not only freshen the breath, but also destroy pathogenic microflora, help strengthen the gums.

Oak bark

Oak bark is a versatile remedy for the treatment of halitosis. It is used in the presence of dental problems, as well as in diseases of the internal organs. So, with digestive disorders, a decoction of oak bark is taken orally.

To prepare the product, you need 1 tbsp. l. raw materials pour 0.5 liters of boiling water. The product is heated in a water bath for 15 minutes, then filtered, cooled, taken 50 g 2 times a day 15-20 minutes before a meal.

With the development of dental problems, the decoction is used as a mouthwash. In this case, it is better to prepare a more concentrated preparation. For this, 3 tbsp. l. raw materials are poured with 1 cup of boiling water, heated in a water bath for 20 minutes, then filtered, topped up with boiling water to a volume of 300 ml. The resulting decoction is treated with the oral cavity every 2-3 hours.

Medical treatment

It is possible to eliminate the fetid odor only if the cause of its appearance is dealt with. Often such a cause is a disease that requires mandatory medical treatment.

So, the patient is prescribed the following medications:

1. Furacilin, Chlorhexidine - for bacterial infections of the oral cavity. The preparations are used to prepare solutions for rinsing.
2. Almagel - for gastritis and gastric ulcer.
3. Creon is an enzymatic agent that normalizes the process of digestion of food and its movement through the intestines.
4. Omez - a drug to speed up the process of splitting food.
5. Antibacterial drugs - for infectious diseases of the respiratory, digestive systems, as well as for dental problems.

Possible Complications

Often, bad breath leads to difficulties in communicating with people around. And this is a common cause of all kinds of psychological problems.

So, a person becomes more withdrawn, tries to avoid the company of friends and relatives, acquires a large number of complexes, feels inferior. All this negatively affects the personal and professional aspects of life, causing the development of prolonged stress and depression.

Prevention

It is much easier to prevent the development of the disease than to spend a large amount of effort, time and money on its elimination.

To reduce the risk of developing a problem, you must:

1. Quit smoking and drinking alcohol.
2. Adjust your diet.
3. Maintain and strengthen the immune system.
4. Follow the rules of hygiene, take care of your teeth and gums.

The problem of bad breath is quite common and reaches 80-90% of the adult population, but only in 25% of cases bad breath is persistent and its cause is the presence of a chronic pathological process in the human body. Halitosis is caused, as a rule, by a disease of the digestive organs (stomach, liver, intestines, teeth and oral cavity). In most cases, it occurs due to the accumulation in the human mouth - on the tongue, around the teeth and between the teeth - a large number of anaerobic bacteria.

This condition is also known as "halitosis" or "halitosis", "ozostomy", "stomatodisody". The problem of bad breath is by no means intractable. The methods of its treatment are usually very simple and effective - you just need to correctly recognize the main cause of the unpleasant odor.

Do you have bad breath?

Of course, under certain circumstances, each of us may develop bad breath - and we ourselves will often be able to find out about this only by the reaction of the people around us. Determining if you have bad breath is often difficult, primarily because the mouth, the source of all these odors, is connected to the nose through an opening located at the back of the mouth, in the soft palate. And since the nose "filters" the odors that arise in the back of the mouth, it also filters this most unpleasant odor. That is, you, quite possibly, have this smell from your mouth - but you yourself do not know about it.

If even our own noses can't tell us with certainty what our breath smells like, can we still know? One way is to get the opinion of one of your closest relatives on this matter. You can also make the same request to a close friend, or to your dentist at the next visit to him. If this question seems too personal to you and you are afraid to "entrust" it to adults, do not be embarrassed and ask your children about it. As we well know, it is through their mouths that the truth often speaks.

Is it possible to independently determine how your breath smells?

Such methods are also known. For example, lick your wrist, let the saliva dry for about five seconds, and then smell the area. Well, how? This is exactly how you smell. Or, to be precise, this is what the front of your tongue smells like.

Now try to figure out what the back of your tongue smells like. Take a spoon, turn it over, and use it to scrape the furthest part of your tongue. (Don't be surprised if you choke on this.) Look at the stuff you've scraped off your tongue on the spoon - it's usually thick and whitish. Now sniff it. This is the smell of your breath (as opposed to the smell of the front of the tongue) that others are most likely to smell.

The main cause of bad breath

Now you know that in most cases, the source of bad breath is the white matter that covers the back of the tongue. Or, to be more precise, the bacteria that live in this white substance.

There is another, also very common cause of bad breath - these are bacteria that accumulate in other areas of the mouth.

What conditions or circumstances can cause or exacerbate bad breath? Many of these factors are somehow related to:

Oral bacteria.
- Conditions that stimulate the growth of these bacteria.
- Poor cleaning of those areas where bacteria accumulate.

Can food cause bad breath?

Certain foods have a long history of causing bad breath, such as onions and garlic. When food is digested, its constituent molecules are absorbed by our body and then removed from it by the blood stream.

Some of these molecules, which have very characteristic and unpleasant odors, enter our lungs with the blood stream. They are excreted from the lungs during exhalation - hence the unpleasant odor. Although this kind of bad smell is a rather annoying problem, we will not discuss it in detail in these pages. The unpleasant smell caused by the use of certain foods usually disappears by itself in a day or two - as soon as the body removes all the "bad-smelling" molecules. And getting rid of such a smell is quite simple - you just need to exclude such products from your diet or reduce their use to a minimum.

Does smoking contribute to bad breath?

You probably had to meet people who smoke heavily, whose breath has a specific smell. Although many factors contribute to the formation of bad breath associated with smoking, the main ones are nicotine, tar and other foul-smelling substances found in tobacco smoke. These substances accumulate on the teeth and soft tissues of the smoker's mouth - gums, buccal tissue, tongue. And again, we will make a reservation - we will not discuss this type of unpleasant smell in detail on these pages either. The only way to completely get rid of this smell is to stop smoking (although with perfect oral hygiene, this smell can be somewhat reduced). Note also that smoking itself dehydrates the tissues of the mouth. This weakens the moisturizing and disinfecting effect of saliva, which washes away bacteria and their waste products. Dry mouth is discussed in more detail below. It is known that people who smoke are more likely to have problems associated with periodontal disease ("gum disease").

Periodontal disease is also caused by bacterial activity. Gum disease and its association with bad breath is discussed in more detail below.

Does xerostomia (dry mouth) contribute to bad breath?

Even if you don't have any particular odor problems, you've probably noticed that in the morning, when you just woke up, your breath is much less fresh. This happens because our mouth "dries up" at night - because during sleep our body produces less saliva. The result of this drying is "morning breath". A similar "drying out effect" is often noticed in themselves, for example, by teachers or lawyers who have to talk for several hours - this also dries up the mouth. Some people suffer from chronic dry mouth - this condition is called xerostomia. It is even more difficult for them to solve problems with fresh breath. The moisture in our mouths aids in cleansing. We are constantly swallowing saliva - and with each sip, millions of bacteria are washed out of our mouths, as well as food particles that these bacteria feed on. In addition, saliva dissolves and washes away the waste products of bacteria that live in the mouth.

Saliva is a special form of moisturizing mouth fluid, a kind of natural mouth cleaner. Any moisture can have a cleansing and dissolving effect; saliva, in addition, contains special components that kill bacteria and neutralize their waste products. When the mouth dries out, the beneficial effect of saliva is greatly reduced. The neutralization of bacteria slows down and the conditions for their growth improve.

Chronic drying of the mouth - xerostomia - can also be a side effect of taking certain medications. Xerostomia can be caused by antihistamines (allergy and cold medicines), antidepressants, blood pressure medications, diuretics, tranquilizers, and narcotics. Dry mouth can get worse with age. Over time, our salivary glands stop working with the same efficiency, and the composition of saliva also changes. This leads to the fact that the cleansing properties of saliva weaken. People who have had xerostomia for a long time are more likely to develop periodontal disease (gum disease). Gum disease can also be the cause of bad breath.

Can periodontal disease cause bad breath?

Periodontal disease, commonly referred to simply as "gum disease," can also be a cause of bad breath. Ask any dentist - the smell of gum disease is very specific, and an experienced doctor can determine the presence of such a disease even before examining the patient.

Diseases of the oral cavity are the second most common cause of bad breath (the first, as you remember, is the accumulation of bacteria).

More often they occur in people over 35 years old - that is, the older the person, the more likely it is that problems with fresh breath are caused by the condition of his gums. Periodontal disease is a bacterial infection of the soft tissues surrounding the teeth. If such a disease is started, it can lead to serious damage to the bone into which our teeth are “inserted”. Often, as the disease progresses, gaps (called "periodontal pockets" by dentists) form between the teeth and gums, in which large numbers of bacteria accumulate. These pockets are so deep that they are difficult to clean properly; bacteria and their waste products that accumulate in them also cause an unpleasant odor.

Can a respiratory disease cause bad breath?

Of course it can. Diseases of the upper respiratory tract, allergies - all these diseases lead to the fact that mucous secretions begin to flow from the nasal cavity to the oral cavity, through an opening in the soft palate. The accumulation of these secretions in the mouth can also cause bad breath.

People with sinus disease often have a stuffy nose, forcing them to breathe through their mouths. Breathing through the mouth causes it to dry out, which, as we already know, also causes bad breath. People with sinus disease often take antihistamine (anti-allergic) medications, which also dry out the mouth.

What dental diseases can cause bad breath?

In most cases, the occurrence of an unpleasant odor in the mouth is associated with various diseases of the oral cavity itself. Any active infection in the mouth, such as a tooth abscess or a partially erupted wisdom tooth, can cause bad breath. Extensive untreated cavities in the teeth can accumulate a large amount of bacteria and food debris, which also cause bad breath. If you have such diseases, during the examination, your dentist will definitely identify them and suggest effective methods of treatment.

Can other untreated diseases cause bad breath?

Some diseases of the internal organs can also cause an unpleasant odor. If the patient has tried all the usual ways to eliminate an unpleasant odor in such cases, but they have not led to anything, then a visit to the therapist will not hurt. Your doctor, of course, knows which diseases are most likely in your case; but, for general information, bad breath can occur with diseases of the respiratory tract, liver, kidneys, gastrointestinal diseases.

Can dentures cause bad breath?

Dentures (full, partial, removable, etc.) can have a significant impact on the freshness of your breath. If you wear any type of denture, a simple test can be done to see if your denture is causing bad breath:

Remove your dentures and place them in a covered container, such as a plastic lunch box. Close it tightly and leave it like that for five minutes. Then sharply open it and immediately smell it. About the same smell from your mouth and feel the people with whom you speak.

Although in most cases bad breath is caused by bacteria accumulating on the tongue, on or around the teeth (periodontal disease), bacteria can also accumulate on the surface of dentures and this can also cause bad breath.

What is actually the main cause of bad breath?

In most cases, the occurrence of bad breath is associated with the condition of the oral cavity. Namely - an unpleasant odor is usually caused by bacteria that live in it. Bacteria, like humans, consume food and excrete its waste throughout their lives. The waste products of certain types of bacteria are sulfur compounds, and they are the cause of an unpleasant odor. Remember how a rotten egg smells? This odor is also caused by the formation of a sulfur compound, hydrogen sulfide, in the egg. The characteristic smell of compost heaps or barnyards also owes its "fragrance" to the presence of a sulfur compound - methyl mercaptan. And both of these compounds secrete bacteria that live in our mouths. These substances are collectively referred to as "volatile sulfur compounds" (VSCs). The term "volatile" means that these substances evaporate quickly, even at normal temperatures. The "volatility" of these compounds explains their ability to quickly penetrate, so to speak, into the noses of the people around us. Although these substances mainly form bad breath, bacteria. living in the oral cavity, emit other products that have a very unpleasant odor. Here are some of them:

Kadavrin is a substance that forms a characteristic putrid odor.
- Putrescine - forming a stench when meat rots.
- Skatol is the main component of the smell of human feces.

You will probably be quite surprised to learn that in an ordinary human mouth there can be such a "bouquet" of unpleasant odors - but this is true, and, unfortunately, there are no exceptions. Each person, to one degree or another, has these, so to speak, aromas in his breath. Fortunately, the human sense of smell does not pick up these odors if their concentration in the breath is low. Only when it rises does the same characteristic unpleasant odor form.

What types of bacteria cause bad breath?

Most of the chemical compounds that cause an unpleasant odor (hydrogen sulfide, methyl mercaptan, cadavrine, putrescine, skatole) are secreted by anaerobic bacteria (their more accurate name is gram-negative anaerobes). The term "anaerobic" means that they live and reproduce best in places where there is no oxygen. In our mouths, there is a constant struggle for living space between bacteria that secrete products that form an unpleasant smell, and other bacteria that do not. The freshness of our breath is determined, in fact, by the degree of balance in the presence of both bacteria. A buildup of plaque (the white film that forms on the tongue and teeth - at the gum line and below) can tip this balance in favor of bad breath bacteria. Imagine - a layer of plaque only one or two tenths of a millimeter thick (that is, about a banknote thick) already does not contain oxygen at all - that is, there is no better place for bacteria to be found. Therefore, as plaque builds up, more and more odor-forming bacteria colonize it - which means that each of our exhalations contains more and more compounds secreted by these bacteria.

What do anaerobic bacteria feed on that produce bad breath?

Most of the foul-smelling substances that cause bad breath are excreted by bacteria after the consumption of proteins. That is, when we eat foods such as meat or fish, the bacteria living in our mouth get their share of food. And what they secrete after eating, and there are those same compounds. which cause an unpleasant odour. Anaerobic bacteria will find proteins - their favorite food - in anything, even the cheeseburger you ate. In addition, in our mouths there will always be "natural" protein food for them - for example, dead skin cells, or numerous protein components contained in saliva. If you use your toothbrush and floss irregularly, a real feast for bacteria forms in your mouth - food leftovers from today's breakfast, yesterday's dinner, the day before yesterday's lunch ...

What foods contain the most protein?

Meat, fish and seafood, eggs, dairy products (milk, cheeses and yogurts) - all these products contain a lot of protein. Most people get about two-thirds of the proteins they need from them. Other sources of protein are cereals and products from them, nuts, leguminous plants (peas, beans and lentils). The ingredients found in many of our favorite desserts (like cakes and pies) turn these delicious meals into true protein pantries.

Where do the bacteria that cause bad breath live?

In most cases, these bacteria accumulate on the tongue, but they have many other "habitats".

Language

Remember the "experiment" we recommended you do at the beginning of this section. While the odor produced by the anterior region of our tongue may not be the most pleasant, it is usually not the main source of breath freshness problems. The main "component" of an unpleasant odor is formed in the back of the tongue. Go to the mirror, stick out your tongue and examine it carefully. You will surely see a whitish coating on its surface. Closer to the back of the tongue, this plaque becomes more dense. The number of bacteria that accumulate on the human tongue depends on the texture of its surface. In people whose tongue surface has more folds, grooves and indentations, this number will be greater than in people with a smoother surface of the tongue. In order to create a favorable environment for the life of bacteria in the white layer on the tongue - i.e. devoid of oxygen - this layer can be only one to two tenths of a millimeter thick. Such an "oxygen-free" environment is also called "anaerobic"; It is in it that bacteria live and multiply best. Studies have shown that the number of bacteria on the human tongue directly depends on the thickness of the white layer covering it. And as you can guess, the freshness of your breath depends on the number of bacteria: the fewer of them, the fresher it is.

Periodontal sources

Bad breath bacteria thrive in other areas of the mouth besides the tongue. You may have noticed that flossing also sometimes causes an unpleasant odor. And perhaps this smell becomes more noticeable when you start brushing between the back teeth. In the gaps between the teeth, bacteria that form an unpleasant odor also find refuge. Dentists call these areas "periodontal" ("paro" means "about" and "dont" means "tooth"). Even in a more or less healthy mouth, bacteria can find an oxygen-deprived (anaerobic) environment, such as under the gum line, around and between teeth. And in people suffering from periodontal disease ("gum disease"), the number of such anaerobic "corners" increases many times over. Periodontal disease often results in damage to the bone that surrounds the teeth. This, in turn, leads to the formation of depressions between the teeth and gums (dentists call them "periodontal pockets"). These pockets are usually very difficult or impossible to clean and make an ideal anaerobic environment for odor-causing bacteria to live and multiply.

How to get rid of an unpleasant smell?

Since the main source of bad breath is the foul-smelling secretions of bacteria (volatile sulfur compounds), the main way to get rid of them is to clean the mouth so that:

Deprive bacteria of nutrients.
- Reduce the number of bacteria already accumulated in the mouth.
- Weaken the anaerobic environment in which bacteria live and multiply.
- Do not allow the formation of new foci of reproduction of bacteria.

In addition, cleaners can be used that reduce the activity of odor-causing volatile sulfur compounds.

How to deprive bacteria of nutrients?

As you remember, the main source of bad breath is the foul-smelling waste products of bacteria that they secrete during the digestion of proteins. Therefore, people who eat a vegetarian diet (consisting mainly of fruits and vegetables) are less likely to have problems with fresh breath than those who consume a lot of protein foods, such as meat. In addition, it is very important to clean the oral cavity in a timely and correct manner - especially after consuming protein-rich foods. After finishing breakfast, lunch or dinner, the smallest food particles remain in our mouths, which get stuck between the teeth, and also settle in a white coating on the back of the tongue. And since it is in these places that anaerobic bacteria that cause an unpleasant odor accumulate, not cleaning your mouth properly after eating will provide them with enough nutrients for a long time.

To get rid of bad breath, brush your teeth and gums. The bacteria that produce the products that cause bad breath also live in the plaque that builds up on the teeth and at the gum line. In order to reduce this plaque, prevent its further accumulation and remove food debris that "lingered" in the mouth and serve as food for bacteria, it is necessary to thoroughly clean the teeth and gums with a toothbrush and dental floss. Let me remind you once again about dental floss. If you do not clean carefully and daily the gaps between the teeth, where the toothbrush cannot penetrate, it is unlikely that you will be able to part with bad breath.

Diagnosis of the causes of bad breath

Particular attention should be paid to diagnostic methods. First of all, it is necessary to inform the attending physician about the presence of chronic diseases. It has been established that the appearance of bad breath is largely influenced by nutritional and hygienic factors, so patients are advised to refrain from eating, drinking, rinsing the mouth and smoking at least two hours before carrying out diagnostic measures.

The first is a hedonic research method, conducted by a doctor who evaluates the quality and strength of an unpleasant odor, and gives a score on the Rosenberg scale from 0 to 5 points. The main drawback of the method is subjectivity.

The next step is to measure the amount of sulfur compounds in the exhaled air using a special sulfide monitoring device "Halimeter". Hydrogen sulfide, methyl mercaptan, and dimethyl sulfide account for 90% of all oral volatile sulfur compounds, so determining the concentration of these gases is the main way to determine the severity of halitosis.

The next step is a microbiological study. The diagnostic stage is very important, because depending on the source of the unpleasant odor and the reasons that caused it, the treatment tactics will depend.

Visit Your Dentist

If, after all the measures taken, the smell from the mouth does not disappear, call and make an appointment with your dentist for an appointment, where you can not only discuss the problem in detail, but also carry out the necessary procedures to clean your mouth. This may be the best solution because:

1) Not all people know how to most effectively use dental floss and a tooth cheek. After examining your mouth, the doctor will teach you the necessary techniques.

2) Effective cleaning of the teeth can be hindered by tartar that has grown on them. Your dentist will remove it.

3) If you have signs of periodontal disease ("gum disease"), the doctor will identify them and offer you appropriate treatment. Periodontal disease can seriously damage your teeth and the surrounding bone. This creates deep "pockets" between the teeth and gums, where bacteria accumulate - and they are so deep that they are difficult or even impossible to clean.

4) During the examination, your doctor will identify - if any - other untreated diseases that may increase bad breath.

5) If your doctor finds it unlikely that these diseases are the cause of bad breath, he will suggest that you make an appointment with a therapist and give appropriate explanations.

It is necessary to thoroughly clean the tongue

Since most people tend to ignore this procedure, try making it part of your daily oral care routine. Very often, the use of this method alone - without additional measures - helps to eliminate an unpleasant odor. Recall again the "experiment" we recommended you do at the beginning of this section. Then we found that the front of the tongue has a less unpleasant odor than the back. This is because the anterior region of the tongue is constantly self-cleaning - and therefore less anaerobic bacteria accumulate on it. In the process of moving the tongue, its front part constantly rubs against the hard palate - this is how cleansing occurs. preventing the accumulation of bacteria. Unlike the front, the back of the tongue during its movement comes into contact only with the soft palate. In this case, effective cleaning is not obtained. Therefore, bacteria that cause bad breath accumulate mainly on the back of the tongue, and therefore this is the area that needs periodic cleaning.

How to properly clean the tongue? In order to clean the back of the tongue, there are several ways, but they all have the same goal - to remove bacteria and food debris that accumulate in this area. When cleaning the tongue - no matter what method you use - you need to try to penetrate as far as possible in order to clean as much of its surface area as possible. If you start to choke, don't be surprised. This is a natural reaction, but over time this reflex should weaken.

How to clean the tongue with a toothbrush or a special brush.

To clean the surface of the tongue, you can use a toothbrush or a special tongue brush. Start cleaning as far back as you can reach, then gradually move the brush strokes (directed forward) towards the front of the tongue. Movements should be made with some pressure on the surface of the tongue - but, of course, not too strong, so as not to cause irritation. For a more effective cleaning of your tongue, you can use toothpaste, since it contains the same ingredients as mouth-cleansing liquids. You can learn more about this on the oral cleaners page. Pastes neutralizing volatile sulfur compounds. Because it is LSS that causes bad breath, toothpastes containing neutralizing LSS, such as chlorine dioxide or zinc, improve the freshness of your breath.

Pastes with antibacterial properties

If the toothpaste you use contains antibacterial agents - such as chlorine dioxide or cetylpyridone chloride - you can both expel and kill anaerobic bacteria when cleaning your tongue.

Although cleaning the tongue with a toothbrush can be quite satisfactory, many people prefer to use a special tongue scraper, believing this method to be more effective. Some patients claim that they choke less when scraping their tongue with a spoon than when cleaning it with a toothbrush or special brushes. In order to test your reaction to this method, you can conduct a simple experiment. Take an ordinary spoon in the kitchen (better than a teaspoon), turn it over and try to scrape her tongue. To do this, touch the back of the tongue with a spoon, press it lightly and pull it forward. Do it carefully, but without effort. Do not scrub too hard - this may irritate the surface of the tongue. If scraping as a method is not objectionable to you, buy a special spoon from the drugstore designed for this purpose. It is quite possible that it will clean the tongue more effectively than a teaspoon.

What types of liquid mouth cleaners can help get rid of bad breath?

Liquid mouthwashes, when used along with regular and effective tongue cleaning, brushing, and flossing, can also go a long way in getting rid of bad breath. You should not just rely only on rinse aids and neglect the rest of the measures listed. The ability of liquid mouthwash to effectively fight bad breath is associated with some of its properties, namely:

A) antibacterial properties. If the mouthwash has the ability to kill bacteria, it can help reduce the amount of anaerobic bacteria in your mouth. Since it is these bacteria that secrete volatile sulfur compounds, which in turn form bad breath, the less of these bacteria in the mouth, the better.

C) The ability to neutralize volatile sulfur compounds. The composition of rinse aids includes components that have the ability to neutralize volatile sulfur compounds and the substances that form them. As you remember, volatile sulfur compounds are foul-smelling substances that form an unpleasant odor. If the purifier is able to reduce their content in your breath, then it will naturally be fresher.

Listed below are some substances that have the ability to effectively neutralize unpleasant odors. These substances are usually included in rinse aids sold in pharmacies.

A) Mouthwashes containing chlorine dioxide or sodium chlorite (Antibacterial / Neutralize volatile sulfur compounds)
Many dentists believe that mouthwashes containing chlorine dioxide or sodium chlorite, which forms it, play a critical role in neutralizing bad breath. Research data suggests that chlorine dioxide has a dual effect:

Chlorine dioxide is an oxidizing substance (meaning that it releases oxygen). Since most odor-causing bacteria are anaerobic (meaning they prefer to live in places where there is no oxygen), exposure to an oxidizing agent helps to reduce their numbers, which consequently reduces odor.

Chlorine dioxide also affects the level of volatile sulfur compounds in the mouth. It neutralizes those compounds that the bacteria have already managed to isolate, and at the same time destroys those substances from which these compounds are subsequently formed. The result - the concentration of volatile sulfur compounds in the mouth is sharply reduced, and breathing, of course, becomes cleaner.

B) Zinc rinses (Neutralize volatile sulfur compounds)
Studies have shown that rinses containing zinc ions can also reduce the concentration of volatile sulfur compounds. It is believed that this is due to the ability of zinc ions to destroy those substances from which bacteria "make" sulfur compounds.

C) "Antiseptic" type rinses (Antibacterial)
"Antiseptic" cleaners (eg "Listerine" and equivalents) are also considered suitable odor neutralizers. The effectiveness of these products is related to their ability to kill bacteria that produce volatile sulfur compounds. However, "antiseptic" rinses themselves cannot destroy these compounds. Many dentists believe that "antiseptic" rinses are not the best choice. These statements are also caused by the fact that "antiseptic" rinses have a high alcohol content (often around 25 percent). Alcohol is a strong desiccant (dehydrating agent) and therefore dries out the soft tissues of the mouth. And if you remember our section on xerostomia, it is dry mouth that can be one of the causes of bad breath.

D) Rinses containing cetylpyridone chloride (antibacterial)
Cetylpyridinium chloride (cetylpyridinium chloride) is a component that is sometimes included in liquid rinses. With antibacterial action, it helps to reduce the number of anaerobic bacteria.

Do mints, lozenges, drops, sprays, and chewing gum help get rid of bad breath?

As well as liquid rinses, mints, lozenges, drops, sprays, chewing gum, etc. By themselves, they are not the most effective means of eliminating unpleasant odors. However, when used in combination with thorough and regular tongue cleaning, brushing, and flossing, these products can be very beneficial—especially if they contain substances (such as chlorine dioxide, sodium chlorite, and zinc) that can neutralize volatile sulfur compounds. In addition, mints, lozenges, and chewing gum stimulate saliva production. And we already know that saliva cleanses the oral cavity of bacteria and their secretions, which means it helps to get rid of an unpleasant odor.

How to use liquid rinse to achieve the greatest effect?

Bad breath bacteria live both on the surface and in the depths of the white plaque that accumulates on and around the teeth, gums, tongue. An antibacterial rinse by itself cannot penetrate into the depth of this plaque, and therefore, before using such a cleaner, it is better to remove as much plaque as possible in your usual ways - by scraping your tongue, brushing your teeth and flossing. By rinsing your mouth with mouthwash after these procedures, you can remove the remaining bacteria. Rinse aid should not just be typed into the mouth, but should be rinsed thoroughly. Before rinsing, say "aaaa" - this will allow you to stick out your tongue, so that the rinse aid gets on its back area, where bacteria accumulate. After rinsing, the rinse aid should be spit out immediately. That is why children should not be allowed to use mouthwash - they may accidentally swallow it.

How to clean dentures

If your dentist has placed dentures in your mouth, they should definitely explain to you how to properly clean them. Because bacteria build up on your dentures just like on your natural teeth, on your tongue and gums, your doctor will advise you to clean both the outside and the inside of your dentures with a regular toothbrush or special brush. After cleaning the dentures, they must be placed in a container with an antiseptic liquid (which one - your dentist will also advise you).

What steps can you take to get rid of bad breath?

Drink more water
Oddly enough, drinking plenty of water throughout the day will also help you reduce bad breath. With a lack of water, your body will try to retain it, which will reduce the production of saliva, and it will be less effective in dissolving and washing away bacteria and their secretions that form an unpleasant odor. Daily water intake in sufficient quantities is especially important for those suffering from xerostomia (chronic dryness of the mouth).

Rinse your mouth with water
Rinsing your mouth with plain water will also help you reduce bad breath for a short period of time. Rinsing also dissolves and washes away bacteria secretions that harm the freshness of your breath.

Stimulate salivation
It will also help you reduce bad breath. You remember that saliva cleanses the mouth, dissolves and washes away bacteria and their secretions. The easiest way to stimulate salivation is to chew something. When chewing - anything - your body thinks that you are eating, and therefore it gives a signal to increase the production of saliva. (Saliva is a very important component in the digestion of food). You can, for example, chew clove seeds, dill, mint or parsley. Peppermints, chewing gum, and mints can help salivate. But: if you prefer these foods, make sure they are sugar-free. Sugar promotes the growth of those bacteria that can cause cavities.

Watch your oral hygiene especially carefully after eating protein foods.
Anaerobic bacteria release volatile sulfur compounds - the cause of bad breath - as a result of the consumption of proteins. After you have eaten meat, fish, or any other protein-rich food, clean your mouth thoroughly so that the smallest particles of protein food do not serve as a breeding ground for anaerobic bacteria.

Treatment of helminthiases helps to eliminate bad breath in children
Scientists note that parents often notice bad breath in children with intestinal helminthiasis (especially with enterobiasis), which disappears after the eradication of helminths. Scientists suggest that the cause of an unpleasant odor may be stagnation of intestinal contents due to the presence of worms.

What diseases cause bad breath?

• Diseases of the teeth and gums (caries) Pathology of the respiratory system (any infectious and inflammatory diseases, tumors)
• Trimethylaminuria and lactase deficiency

Taking many medications can also adversely affect the freshness of breath.

Treatment for bad breath

First of all, for diagnosis and treatment, you need to contact your dentist. The doctor will identify whether there is caries or gum disease, will sanitize (disinfect) the oral cavity, remove tartar if present. As a rule, after this, the smell ceases to bother most patients.

If the dentist concludes that the smell does not originate in the oral cavity, but in deeper structures of the body, he will refer you to a general practitioner.

The therapist will prescribe an examination to determine the cause of your concerns and will treat the disease that he identifies. Many will be disappointed that they did not find the name of the pill for bad breath here, but smart people will realize that this treatment will be different depending on your personal cause of smell. You may need a whole range of drugs, including antibiotics, which, as you know, cannot be used without determining the pathogen, and this can only be done through medical tests.

Which doctor should I contact if bad breath occurs:

• Dentist
• Gastroenterologist
• Therapist (general practitioner)

Bad breath can get in the way of communicating with people at a business meeting, on a date, and in other situations. The reasons may be associated with diseases of the oral cavity or internal organs. If you are unable to cope with the problem yourself, contact a specialist immediately.

How does the disease appear?

The medical term for oral problems is halitosis. There is the usual bad morning breath. It is a purely physiological phenomenon and is eliminated with a toothbrush. In addition, garlic, onions, or cabbage can be causes of bad breath. All these manifestations are physiological. According to statistics, more than a quarter of the world's population suffers from pathological halitosis. It is much more difficult to deal with it. No chewing gum, no candy, no toothpaste will come to the rescue. The causes of bad breath in adults are different. Another important factor can be neglected caries. Carious cavities accumulate a large number of anaerobic bacteria and food debris. With periodontitis, microbes actively multiply under the gum, causing a sulfurous odor. In this case, even blood and purulent inflammatory exudate in the gum pockets smell unpleasant. Wearing dentures can also lead to halitosis. In this case, the smell is absorbed by the polymer base of the prosthesis, and pieces of food remain under the prostheses and decompose, creating an unpleasant odor.

Decreased saliva secretion and dry mouth syndrome is another cause of odor. Provided that saliva is not released quickly enough and in small quantities, the natural cleaning of the oral cavity from food residues is disturbed, favorable conditions are created for the reproduction of microorganisms, in general, local immunity is reduced. Common causes of halitosis include mainly chronic diseases associated with the gastrointestinal tract, ENT diseases, metabolic disorders, hormonal disorders, and others. Women may experience bad breath at the start of their menstrual cycle as estrogen levels rise. These hormones contribute to increased desquamation of the epithelium, including on the oral mucosa, and this is a favorite breeding ground for anaerobic microorganisms. In most cases, halitosis should make the patient check his health. The smell can signal a more serious illness. In approximately 8% of cases, the cause of halitosis is the pathology of the ENT organs. Chronic sinusitis, rhinitis, tonsillitis, nasal polyps often provoke an unpleasant odor.

The smell of acetone from the mouth in a child or in an adult may indicate diabetes. Dysfunctions of the liver and gallbladder are also accompanied by a "pungent" heavy odor, and kidney failure is accompanied by a putrid "fishy" odor. With such signals, be sure to go to the doctor, and do not run to the pharmacy in search of a magical remedy. The smell of garlic from the mouth is a problem that occurs not only immediately after taking the product. Garlic and raw onions contain substances belonging to the group of sulfur compounds. They are able to be absorbed into the bloodstream and then excreted through the lungs when breathing. Alcohol, nicotine, coffee and some drugs (antibiotics and sulfonamides, antidepressants, antihistamines and anti-inflammatory drugs) cause dry mouth and that is why they lead to bad breath.

Stress, nervous tension or excessive passion for diets and starvation provoke the occurrence of halitosis. During starvation, a deficiency in the intake of proteins and fats is created, the utilization of endogenous reserves begins, which can also cause an unpleasant odor. It appears at the moment of a stressful situation, and immediately disappears after the cessation of emotional stress.

Diagnostic methods

Now in medicine, effective methods for diagnosing halitosis are used. It allows you to assess the intensity of an unpleasant odor and how successfully its treatment is progressing. To identify the bacteria that caused halitosis, some dentists use microbiological studies. They can analyze the composition of dental plaque. Using a mirror, the back of the tongue is examined - it should be the same color as the oral mucosa. White, cream or brown color indicates glossitis. During the examination, the specialist evaluates the patient's teeth for the quality of hygiene. Consult an ENT doctor (for the presence of sinusitis and polyps) and a gastroenterologist, who should rule out systemic diseases such as diabetes, liver and kidney failure. Only by finding out the cause, you can prescribe the correct treatment. If these are advanced ENT diseases, then you will have to undergo treatment with an otolaryngologist. Other chronic diseases require consultation and treatment from the relevant specialists.

If the cause of the unpleasant odor lies in the oral cavity, then it is necessary to eliminate the foci of infection, remove decayed teeth that cannot be restored, undergo a course of professional oral hygiene with the removal of supragingival and subgingival dental plaque. Any smell is volatile compounds. Often people try to mask the smell with mouthwashes or chewing gum. You must understand that the effect of chewing gum is temporary and they adversely affect the digestive tract.

Hygiene rules

Brushing your teeth should be done with a toothbrush and floss (dental floss) to remove plaque and food debris from your teeth. Cleaning your tongue should be a daily routine. This not only eliminates odor, but also reduces the overall number of bacteria in the oral cavity, which favorably affects the health of periodontal tissues. If periodontitis has already been diagnosed, it is worth starting to use special oral irrigators to more effectively remove infected masses and food debris from periodontal pockets. In addition, irrigators will help get rid of dry mouth.

Nutrition plays a key role in this matter. An excess of fast carbohydrates (sugar and processed foods) increases the amount of plaque on the teeth and provokes the occurrence of cavities. Eat plenty of fiber. Fresh herbs, vegetables and fruits are magic to normalize bowel function and reduce bad breath.

Checking your breath

You need to bring your palm to your face in such a way as to cover your mouth and nose at the same time. Then exhale deeply through your mouth. Got an unpleasant odor? If you can’t clearly determine what and how it smells, get a disposable mask at the pharmacy and breathe into it for a minute. The smell under the mask will tell you about the smell that others around you feel during communication. In the modern world, specialized breath indicators are produced that can determine the level of freshness on a five-point scale. In medical institutions, a more complex device is used - a gas analyzer. With it, you can determine the chemical composition of the air that is released during exhalation, and determine the causes of bad odor.

Why bad breath?

The main causes of bad breath are:
- insufficient level of hygiene;
- xerostomia - insufficient level of hydration of the oral mucosa; - diseases of the teeth and gums;
- inflammatory processes in the oral cavity.

Such halitosis can be cured only in dental clinics. It is worth remembering that bad breath can cause not only diseases of the oral cavity, but also:

• ENT diseases: tonsillitis, sinusitis, runny nose;
• diseases of the intestines and stomach;
• disorders of the endocrine system;
• all kinds of diets;
• lung diseases;
• some medicines;
• smoking.

Types of bad breath

A sour smell and taste in the mouth can cause gastritis with hyperacidity, ulcers of the gastrointestinal tract and diseases of the esophagus. Hydrogen sulfide smell - the smell of rotten eggs. The cause of the smell is the process of decay of protein substances. If the smell is accompanied by pain symptoms in the abdomen after eating, belching and nausea, then it can cause gastritis with low acidity, peptic ulcer, diverticulosis of the stomach or esophagus, and others. Regular overeating can cause bad breath. In such cases, you can get rid of it with the help of absorbent substances (activated carbon, Smecta), as well as enzyme-based preparations (Festal, Pancreatin, Mezim and others). The smell of feces from the mouth can occur with dysbacteriosis, intestinal motor neurosis (dyskinesia) and intestinal obstruction. The smell and taste of bitterness is a manifestation of diseases of the gallbladder and liver, this can also be indicated by a yellow coating on the tongue. The smell of acetone with a sweet aftertaste can cause pancreatic disease and diabetes. The smell of urine from the mouth indicates kidney disease.

A little about gums

It turns out that bad breath can be the cause of sore gums, Inna Virabova, President of the International Dental Association (IDA), Oral-B and Blend-a-Med expert shared this with us. Here is what Irina says:

Unfortunately, the cause of bad breath can be not only dental disease, but also gum problems. Of course, there are a lot of factors that affect the deterioration of gum health, but the most significant of them is, of course, poor oral hygiene. Most people during their daily brushing pay attention to the teeth, but do not think about the soft tissues. Meanwhile, gum disease is no less common, and their health is important for a person's overall health. For example, only a small part of patients realizes that the main accumulation of dangerous plaque does not occur on the very surface of the teeth, but at their transition to the gums (cervical region). Long-term presence of plaque in this area can cause inflammation of the gums, which means their soreness and bleeding. In addition, such a plaque is difficult to eliminate at home, and over time, the help of a specialist is required. Having accumulated in the gum area, plaque can not only cause bad breath, but also change the color of soft tissues. As a rule, people who have gum problems note their redness, blanching and even a bluish tinge. All this can create discomfort not only while brushing your teeth, but also during meals and communication.

Accordingly, it should be remembered that not only our teeth, but also the gums require daily and competent care. The bristles of the toothbrush should qualitatively penetrate into the cervical region without injuring the tooth ligament and without causing discomfort during the procedure. Moreover, each brushing of the teeth should be accompanied by a massage of the gums to improve microcirculation in them, and hence the prevention of inflammatory processes (for example, gingivitis). Of course, it is quite difficult and virtually impossible to do this with a conventional (manual) brush, and a modern electric brush will do everything for you! For example, Oral-B electric toothbrushes have a special mode for the gums and a round head that does the job perfectly. The use of this brush is recommended by specialists in any condition of the oral cavity, including even if there are signs of inflammation.

However, an electric toothbrush wouldn't be as indispensable without Gum Guard technology in its arsenal. This is a special and even unique feature that helps improve gum health through a gadget application. Thanks to this technology, you will be able to independently control the pressure on the gums, eliminating their damage. Moreover, the program will summarize your oral care, pointing out those areas where the cleaning is not of good quality and correction of individual hygiene is required. Thus, by placing your phone in front of you while brushing your teeth, you can control not only the cleaning of the surface of the teeth, but also monitor the health of the gums. Experience shows that the majority of patients using this function in electric brushes eventually learn to make absolutely correct movements during brushing and maintain safe pressure on the brush, even without being tied to an application.

Thus, it can be noted that a modern person has all the possibilities for a full-fledged oral care. That is why they should not be neglected, especially considering that current technologies help reduce the number of dental treatments through preventive procedures at home, which means keeping teeth healthy without treatment.

How to remove bad breath

The smell from the mouth of a child or an adult is removed by the same methods. To begin with, add to the daily two-time brushing the procedure for cleaning the surface of the tongue. It is better to do this in the evening with an ordinary teaspoon. With light gentle movements from the root to the tip, clean the tongue from the daily plaque. The procedure is effective, although it brings little pleasure. Read on to find out a few more ways to get rid of bad breath. Cleansing your tongue will get rid of bacteria, which become much larger at night during sleep. Your breath will be fresh the next morning. Clean the gaps between your teeth with a special floss - floss. If you didn’t have it at hand, use the old people’s method: tear off a strip of pure polyethylene, stretch it into a thread and remove food debris and plaque from the interdental space. After eating, be sure to rinse your mouth with plain water.

Homemade Mouthwash Recipes

We will tell you how to get rid of bad breath at home

1. A tablespoon of oak bark is poured with 200 ml of boiling water and heated in a water bath for 30 minutes. Strain the solution after cooling and rinse your mouth and throat. Oak bark strengthens the gums and cleanses the tonsils of plaque, which are a source of bad smell due to the large accumulation of infectious components.

2. A tablespoon of mint, chamomile, sage or strawberries is poured with a glass of boiling water. The broth must be filtered after it has cooled. Use to rinse your mouth after meals 3-4 times a day.

There is an even more powerful tool. An irrigator is a toothbrush-like tool that cleans the gaps between teeth with a strong jet of water. Massaging the surface of the gums, it ensures the activation of blood circulation.

Choosing the right toothpaste for bad breath. With halitosis, you should choose a toothpaste that does not contain alcohol. It dries out the mucous surface of the oral cavity, and the smell from this only intensifies. In addition, it is worth buying pastes that contain antibacterial agents based on chlorine compounds. When choosing a rinse, follow the same principles as when choosing a paste. Modern rinses may contain zinc and chlorine-containing ingredients that reduce the activity of bad breath through chemical reactions.

What can I do to quickly eliminate bad breath?

You will learn how to quickly remove bad breath.

• try drinking a cup of strong tea, then rinsing your mouth and throat with clean water.
• eat an apple or a carrot. The aroma of onion or garlic can be neutralized with parsley or celery root.
• drink more water if you have to talk a lot during the day. This will prevent the mouth from drying out and eliminate bad breath.
• include oatmeal porridge in your morning diet, which, in turn, significantly activates the production of saliva.
• By chewing on a coffee bean, you can muffle the bad smell and taste in your mouth.
• you can wipe your teeth, gums and tongue with your finger to massage the gums and get rid of the smell.
• use the pulp of a walnut to rub the gums. You will give your mouth the necessary vitamins and freshen your breath with a pleasant nutty taste.

If you followed our recommendations, and the smell remains, then you need to contact your dentist. If the oral cavity and teeth are healthy, but the smell will continue to disturb, it is worth looking for the reasons inside the body. The first specialist to contact is an ENT. Diseases of the nose, throat and ear most often provoke problems with fresh breath. If he assures you that everything is fine with you, then visit a therapist. The cause of an unpleasant odor is an exacerbation of the disease, which has taken a chronic form. Take care of your health and prevent possible diseases.

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