Dental Education & Research

Treating Halitosis – A Key to Overall Well-Being

Happy Valentine's Day! Let's celebrate love and cherish the moments shared with those who make our hearts flutter. And, of course, a friendly reminder that a...

Dr. Rockson Samuel

Dr. Rockson Samuel

Founder & Chief Dentist · Indira Dental Clinic; DentalReach

7 min read10,606 views
  • oral hygiene
  • professional education
  • dentistry
  • gingivitis
  • halitosis
  • bad breath
  • periodontitis
  • volatile sulfur compounds
  • Dental Education & Research
  • Clinical & Academic Article
Happy Valentine's Day! Let's celebrate love and cherish the moments shared with those who make our hearts flutter. And, of course, a friendly reminder that a minty-fresh breath can add an extra touch of sweetness to those special moments. We get a lot of patients suffering from occasional halitosis, or oral malodor. There can be several reasons for this condition. Understanding the root cause is essential for addressing and preventing the problem. (1,2) Halitosis is primarily caused by specific bacteria in the mouth, such as streptococci, which are also found in various infections in the body. These cause foul odours in the mouth and may also indicate gum inflammation. Oral bacteria, especially those related to gum disease and periodontitis, can produce volatile sulfur compounds (VSCs). Such compounds are formed when oral bacteria break down food residues, especially proteins and other organic substances. (3) Certain foods like garlic, onions, and spices can also cause bad breath. However, persistent bad breath may be a sign of underlying health issues. For example, diabetes is known to cause a specific fruity scent in the breath. This may indicate elevated ketone levels, primarily associated with type 1 diabetes. It can also occur in type 2 diabetes with a severe condition known as diabetic ketoacidosis (4)

Why do we need fresh breath

Fresh breath boosts confidence! Halitosis can cause social awkwardness and affect personal relationships because people may hesitate to engage in close conversations. Several studies (5, 6) indicate that bad breath can be a bigger problem for well-being than is commonly understood. Thus, encouraging patients to improve their oral hygiene and to set up regular dental check-ups can help them manage and alleviate the social impact of bad breath. Fresh breath is essential in special situations, such as Valentine's Day, as well as in everyday encounters in all social environments. Good oral hygiene and fresh breath promote the creation of a positive first impression and can also influence professional advancement. Consider these insights to support your patients in achieving and maintaining fresh breath from dentist Pirta Liljekvist, a Finnish dentist exclusively providing aligner treatments.

Emphasize regular oral care routine

Encourage patients to brush their teeth at least twice daily and floss daily. This simple habit helps remove food particles and plaque from the mouth that can cause bad breath. – Halitosis can signal to others that personal hygiene may be lacking. A polished appearance won't save the situation if the breath is stale. – It can be difficult for the patient to notice himself if the breath smells. The floss test tells mercilessly how others perceive your breath. Floss test: The patient is asked to floss toward the back of his mouth using an unflavored floss. The patient is then asked to smell the floss.

Stress the importance of hydration

Drinking plenty of water helps to keep the mouth moist and wash away food particles and bacteria. Encourage patients to drink water throughout the day. Dry mouth can lead to bad breath. in addition to halitosis, caries and periodontitis is more likely in patients with less saliva. If your patient suffers from dry mouth, you should remind them to be especially careful to follow good oral hygiene practices to combat tooth decay and gum disease.

Suggest dietary modifications

Some foods temporarily cause bad breath. For example, otherwise healthy onions and garlic can still linger in your breath the next day. If the patient wants his breath to smell fresh, ask him to avoid them. Fruits and vegetables make good snacks; but one should always take breaks between meals. Frequent snacking is harmful to our teeth. Encourage dental patients to be mindful of their diet choices.

Advocate for sugar-free gum and mints

Chewing gum stimulates saliva production. Suggest sugar-free options to stimulate saliva production and neutralize acids in the mouth.

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References

  1. [1]Krespi YP, Shrime MG, Kacker A. The relationship between oral malodor and volatile sulfur compound-producing bacteria(5). 2006. DOI: 10.1016/j.otohns.2005.09.036.
  2. [2]Newman T. Everything you need to know about bad breath. Available at: source
  3. [3]Medical Journal Duodecim, 26. 2022
  4. [4]González-Moles MÁ, Ramos-García P. State of Evidence on Oral Health Problems in Diabetic Patients: A Critical Review of the Literature State of Evidence on Oral Health Problems in Diabetic Patients: A Critical Review of the Literature(22). 2021. DOI: 10.3390/jcm10225383.
  5. [5]Veeresha KL, Bansal M, Bansal V. Halitosis: A frequently ignored social condition(1). 2011. DOI: 10.4103/2231-0762.86374.
  6. [6]Wu, J. , Cannon, R Australian Dental Journal https://doi(2020). 2020. DOI: 10.1111/adj.12725
  7. [7]Pakarinen, S. ; Saarela, R. 2022. DOI: 10.3390/dj10110206
  8. [8]Boffetta P, Hayes RB, Sartori S, et al. Mouthwash use and cancer of the head and neck: a pooled analysis from the International Head and Neck Cancer Epidemiology Consortium. 2015

Written by

Dr. Rockson Samuel

Dr. Rockson Samuel

Founder & Chief Dentist · Indira Dental Clinic; DentalReach

Dr. Rockson Samuel is a dental surgeon, healthcare content strategist, and Founder and Chief Dentist of Indira Dental Clinic in Vellore, Tamil Nadu. He provides comprehensive general and family dental care with professional interests in endodontics, implant dentistry, clear aligner therapy, digital dentistry, preventive care and patient education. A graduate of K.G.F. College of Dental Sciences and Hospital under Rajiv Gandhi University of Health Sciences, he also has formal training in management and digital marketing. As Community Leader at DentalReach, he contributes to dental publishing, professional education, international media partnerships and the development of evidence-informed resources for dentists.

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