Posts for tag: bad breath

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 02, 2018
Category: Oral Health
Tags: bad breath  
10TipstoTameBadBreath

National Fresh Breath Day is celebrated in August, but who doesn’t want fresh breath every day? Everyone has bad breath once in a while, so here are some tips to fight it.

1. Step up your oral hygiene routine.
Good oral hygiene is the first line of defense against bad breath. Brush your teeth morning and night and floss daily to remove much of the tiny food debris and plaque (colonies of oral bacteria) that can cause bad breath.

2. Don’t neglect your tongue.
A coated tongue can be a source of bad breath, so brush your tongue as well as your teeth or use a tongue scraper, which can be purchased in the oral health aisle of your local pharmacy.

3. Clean around your braces.
If you have braces, use an interdental brush or a water flosser to free trapped food particles.

4. Pay attention to your oral appliances.
If you wear dentures, be sure to clean them thoroughly every day, and brush your gums and the inside of your mouth as well. Bridgework also needs special attention: Clean carefully around the bridge and under the false tooth, as food can get stuck there.

5. Tackle dry mouth.
Dry mouth, a major cause of bad breath, can result from numerous medications, salivary gland problems, or breathing through the mouth instead of the nose due to sinus problems, sleep apnea, or other conditions. If your mouth is chronically dry, chew sugarless gum to stimulate saliva production, or ask about an over-the-counter or prescription saliva substitute.

6. Avoid extreme dieting.
Weight loss diets that advocate a stringent reduction in carbohydrates can lead to “keto breath.” This foul-smelling breath happens when the body burns fat instead of glucose for fuel.

7. Quit smoking.
In addition to smelling like cigarettes, people who smoke have less—as well as lower quality—saliva, which contributes to bad breath and poor oral health. If you need help quitting, talk with us or call (800) QUIT-NOW.

8. Be aware that some foods and beverages can leave stinky breath.
These include garlic, onions, strong spices, coffee, alcohol, cheese, and canned fish.

9. Keep up with regular dental visits.
Professional dental cleanings are necessary to get rid of hardened plaque (tartar) that can’t be removed by your brushing and flossing routine at home. We also check for gum disease, another cause of bad breath.

10. See your doctor.
Certain medical conditions like acid reflux, diabetes, and respiratory infections can cause bad breath. If you have an untreated health condition, make an appointment with your medical doctor.

If you are concerned about bad breath, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 19, 2016
Category: Oral Health
EvenCelebritiesLikeJenniferLawrenceArentImmuneFromBadBreath

Exchanging passionate kisses with big-screen star Jennifer Lawrence might sound like a dream come true. But according to Liam Hemsworth, her Hunger Games co-star, it could also be a nightmare… because J.Law’s breath wasn’t always fresh. “Anytime I had to kiss Jennifer was pretty uncomfortable,” Hemsworth said on The Tonight Show.

Lawrence said the problem resulted from her inadvertently consuming tuna or garlic before the lip-locking scenes; fortunately, the two stars were able to share a laugh about it later. But for many people, bad breath is no joke. It can lead to embarrassment and social difficulties — and it occasionally signifies a more serious problem. So what causes bad breath, and what can you do about it?

In 9 out of 10 cases, bad breath originates in the mouth. (In rare situations, it results from a medical issue in another part of the body, such as liver disease or a lung infection.) The foul odors associated with bad breath can be temporarily masked with mouthwash or breath mints — but in order to really control it, we need to find out exactly what’s causing the problem, and address its source.

As Lawrence and Hemsworth found out, some foods and beverages can indeed cause a malodorous mouth. Onions, garlic, alcohol and coffee are deservedly blamed for this. Tobacco products are also big contributors to bad breath — which is one more reason to quit. But fasting isn’t the answer either: stop eating for long enough and another set of foul-smelling substances will be released. Your best bet is to stay well hydrated and snack on crisp, fresh foods like celery, apples or parsley.

And speaking of hydration (or the lack of it): Mouth dryness and reduced salivary flow during the nighttime hours is what causes “morning breath.” Certain health issues and some medications can also cause “dry mouth,” or xerostomia. Drinking plenty of water can encourage the production of healthy saliva — but if that’s not enough, tell us about it: We may recommend switching medications (if possible), chewing xylitol gum or using a saliva substitute.

Finally, maintaining excellent oral hygiene is a great way to avoid bad breath. The goal of oral hygiene is to control the harmful bacteria that live in your mouth. These microorganisms can cause gum disease, tooth decay, and bad breath — so keeping them in check is good for your overall oral health. Remember to brush twice and floss once daily, stay away from sugary foods and beverages, and visit the dental office regularly for checkups and professional cleanings.

So did J.Law apologize for the malodorous makeout session? Not exactly. “[For] Bradley Cooper, Christian Bale, yeah, I’ll brush my teeth,” she laughed.

Hemsworth jokingly agreed: “If I was kissing Christian Bale I probably would have brushed my teeth too. With you, it’s like, ‘Eh. Whatever.’”

If you would like more information about bad breath and oral hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Bad Breath: More than Just Embarrassing.”

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 13, 2014
Category: Oral Health
Tags: bad breath  
BadBreathMightbeaSignofaMoreSeriousOralCondition

If you’re experiencing chronic halitosis (bad breath), it could be a sign of oral disease (as well as a systemic condition or treatment). In fact, it’s quite possible to visit our office about bad breath and find the cause is actually tooth decay, gum disease or some other oral condition.

In those cases treating the more serious condition might also result in a reduction in bad breath. Here are a few scenarios where such treatment could result in both better health and fresher breath.

Repairing decayed teeth. Repairing teeth damaged by decay — removing diseased tissue, filling cavities or repairing defective fillings — will also reduce the level of decay-causing bacteria. Such bacteria are often responsible for bad breath since they also release volatile sulphur compounds (VSCs), characterized by a foul “rotten eggs” odor. After treatment, these odors can diminish significantly.

Treating gum disease. Periodontal gum disease is a progressive infection caused by bacterial plaque. The basic treatment is to remove as much offending plaque and tartar (hard deposits) as possible. This may require extensive cleaning techniques (like root planing) to remove plaque from tooth root surfaces beneath the gum line, as well as antibiotic therapy. Periodontal therapy not only restores health to gum tissues, it may also alleviate bad breath caused by bacteria.

Extracting third molars (wisdom teeth). The opercula (flaps of gum tissue) around wisdom teeth have a tendency to trap food debris, which fosters bacterial growth. If this leads to chronic infection we may recommend removing the wisdom teeth. This not only reduces the chances of infection but may also alleviate bad breath caused by the bacterial growth.

Treating candidiasis. This is a yeast infection arising as a result of antibiotic use that suppresses normal oral flora. It’s also a source of bad breath. Treating the infection and restoring normal balance in the mouth may help alleviate bad breath as well as prevent disease.

You may see a pattern here: many of these conditions that simultaneously contribute to bad breath stem from high levels of bacteria, which flourish in plaque built up on tooth surfaces due to inadequate oral hygiene. Effective daily brushing and flossing (along with semi-annual office cleanings) removes much of the offending bacterial plaque. As a result you’ll experience better oral health — and maybe fresher breath too.

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

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
June 17, 2014
Category: Oral Health
TheTopTenMainCausesofBadBreath

Nobody wants “halitosis,” commonly known as bad breath. Americans spend an estimated $3 billion per year on breath freshening products like candies, chewing gum and sprays, but that really just masks the problem. Bad breath is clearly a major concern. Treating bad breath effectively means understanding and treating what causes it.

And The Top Ten Main Causes of Bad Breath Are:

  1. You just woke up — because saliva flow is reduced during the night, it is normal to wake up with a dry mouth and “morning breath.”
  2. It was something you ate — garlic, onions, coffee, alcohol, spicy foods and more — are common causes — luckily they are temporary. Brushing, flossing and mouthrinses may help.
  3. It was because you didn't eat — fasting can result in bad breath. In hunger, especially starvation, a person's breath may actually smell like nail polish remover (acetone). This comes from ketones that are produced as the body metabolizes fat for energy production.
  4. “Xerostomia,” literally dry mouth — from plain old dehydration, and certainly many medications can cause dry mouth leading to bad breath. Drinking sufficient quantities of water is helpful and important.
  5. Smoker's breath — If you are a smoker, the telltale odor lingers — for days and weeks. Try quitting for multiple health benefits.
  6. Ineffective oral hygiene — buildup of food remnants and bacteria on and between your teeth and gums is a prominent cause of bad breath.
  7. Bacterial accumulation on the back of your tongue — large numbers of bacteria accumulating in the nooks and crannies, where they may give off volatile sulfur compounds (VSCs), which have an odor reminiscent of rotten eggs.
  8. You may have tooth decay or periodontal (gum) disease — one of the main causes of bad breath is gum disease. Studies have shown that the more VSCs a person has on their breath, the more likely it is that they have gum disease. Openly decayed teeth can also be a cause of bad breath.
  9. You may have a problem with your nose or tonsils — Nasal odors exhaled from the nose and mouth may be a result of sinus infections, foreign bodies, or infections of your tonsils.
  10. Serious health conditions — like diabetes, lung disease and cancer can also be systemic (general body causes of bad breath) that do not emanate from the mouth.

Because some of these problems are serious and need treatment, don't just try to cosmetically camouflage bad breath. Make every effort to remove the film of bacteria (plaque) from your teeth and gums every day; if this does not cure your bad breath, contact us for an assessment, diagnosis, and treatment.

Contact us today to schedule an appointment or to discuss your questions about bad breath. You can also learn more by reading the Dear Doctor magazine article “Bad Breath: More than just embarrassing.”

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
May 15, 2013
Category: Oral Health
BadBreathmdashMoreThanJustEmbarrassing

Most people agree that bad breath is more than embarrassing. It affects personal, social and business relationships. Although Americans spend roughly $3 billion annually on gum, mints and mouth rinses that promise relief, they are nothing more than temporary cover ups. Discovering the underlying cause of the problem is the only way to effectively eliminate the halitosis (“halitus” – breath; “osis” – disorder) long term. If you have bad breath, we can help.

While it's true that there are a few systemic (general body) medical conditions that can cause bad breath, including lung infections, liver disease, diabetes and cancer, the majority of causes originate in the mouth. We can conduct a simple oral examination to help diagnose the underlying cause of your bad breath. We will check your mouth thoroughly for signs of any dental problems that can produce an odor, including decayed or abscessed teeth, diseased gums, a coated tongue or infected tonsils. Typically, halitosis occurs when bacteria collect on the surface and back of the tongue where it is drier. Bacteria thrive in this environment, resulting in a “rotten egg” odor that so many of us are all too familiar with. This odor actually emanates from volatile sulfur compounds (VSFs), but will go away with proper treatment.

Once the exact cause is pinpointed, your halitosis can be treated in several ways. For example, we can show you how to brush and floss properly to more effectively remove bacteria responsible for tooth decay and gum disease — don't be embarrassed, nobody really knows until they're shown by a professional. We can also show you how to use a tongue scraper or brush to carefully clean the surface of your tongue. Treatment of tooth decay, the repair of defective or broken fillings, extraction of wisdom teeth (third molars) and periodontal (gum) therapy such as scaling and root planing (deep cleaning) will all help treat infection and consequently bad breath.

You don't have to be embarrassed by bad breath any longer! The sooner you call our office to schedule an examination, the sooner you will be able to breathe a lot more freely. For more information about the causes of bad breath, read the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”



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Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.

1712 I St. NW , Suite 906 Washington, DC 20006