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Freshen Up

Your friends might not tell you if your breath needs to be freshened up, but we will! Find out just how fresh your breath is with this personalized Fresh Breath Assessment.

Store shelves are overflowing with mints, mouthwashes and other products designed to help people control bad breath. Yet these products help control bad breath (halitosis) only temporarily. And, they actually may be less effective in controlling bad breath than simply rinsing your mouth with water after brushing and flossing your teeth.

Certain foods, health conditions and habits are among the causes of bad breath. In many cases, you can improve bad breath with proper dental hygiene.

If simple self-care techniques don't solve the problem, you may want to see your dentist or doctor to rule out a more serious condition that may be causing your bad breath.

Causes

Illustration showing bacteria on tongue that can cause halitosis

Halitosis

The causes of bad breath are numerous. They include:

Food. The breakdown of food particles in and around your teeth can cause a foul odor. Eating foods containing volatile oils is another source of bad breath. Onions and garlic are the best known examples, but other vegetables and spices also can cause bad breath. After these foods are digested and the pungent oils are absorbed into your bloodstream, they're carried to your lungs and are given off in your breath until the food is eliminated from your body.

Alcohol behaves in the same fashion, allowing the measurement of alcohol levels by breath tests. Alcohol itself has almost no odor, however. The characteristic smell on your breath is mainly the odor of other components of the beverage.

Dental problems. Poor dental hygiene and periodontal disease can be a source of bad breath. If you don't brush and floss daily, food particles remain in your mouth, collecting bacteria and emitting hydrogen sulfur vapors. A colorless, sticky film of bacteria (plaque) forms on your teeth.

If not brushed away, plaque can irritate your gums (gingivitis) and cause tooth decay. Eventually, plaque-filled pockets can form between your teeth and gums (periodontitis), worsening this problem — and your breath. Dentures that aren't cleaned regularly or don't fit properly also can harbor odor-causing bacteria and food particles.

Dry mouth. Saliva helps cleanse and moisten your mouth. A dry mouth enables dead cells to accumulate on your tongue, gums and cheeks. These cells then decompose and cause odor. Dry mouth naturally occurs during sleep. It's what causes "morning breath." Dry mouth is even more of a problem if you sleep with your mouth open. Some medications as well as smoking can lead to a chronic dry mouth, as can a problem with your salivary glands.

Diseases. Chronic lung infections and lung abscesses can produce very foul-smelling breath. Several other illnesses can cause a distinctive breath odor. Kidney failure can cause a urine-like odor, and liver failure may cause an odor described as "fishy." People with uncontrolled diabetes often have a fruity breath odor. Chronic reflux of stomach acids from your stomach (gastroesophageal reflux disease, or GERD) and a slight protrusion of the stomach into the chest cavity (hiatal hernia) also can produce bad breath.


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