Do you suffer from bad breath? Which are the causes and treatment?

Video 3d from Clínica Médico Dental Pardiñas (http://j.mp/cPardinas) about halitosis or bad breath.

Halitosis is a common condition that affects 25% of the general population. It has a great social impact. Most patients are ashamed and affect their daily lives.
Halitosis can have multiple causes, being those of intraoral origin the most common.

In about 85% of all cases of halitosis the problem is in the mouth, with gingivitis, periodontitis and saburral tongue (accumulation of whitish substance on the back of the mouth) as the main causes .
The tongue has the highest amount of bacterial load than any oral tissue and makes the greatest contribution to the total number of bacteria present in saliva.

Microbial degradation in the oral cavity is the main cause of bad odor. Due to this process, volatile sulfur compounds are formed. These compounds are mainly produced by anaerobic bacteria present in the mouth. Poor oral hygiene, presence of plaque, decay, accumulation and putrefaction of food remains and poorly sanitized prostheses contribute to this microbial degradation and therefore bad breath.

Periimplantitis (infection of an implant), pericoronitis (typical infection around a wisdom tooth), recurrent oral ulcerations, and herpetic gingivitis are also described as causing bad breath.

Morning bad breath:
It is not proper halitosis but is a temporary physiological state. This is due to the decreased production of saliva during the night, which increases the formation of anaerobic bacteria causing the typical morning bad breath. The problem disappears as soon as routine hygiene measures are taken.

Treatment and recommendations
In most cases halitosis can be treated by maintaining correct dental and lingual hygiene (through the use of tongue scrapers) and with the use of antiseptic mouth rinses such as chlorhexidine. Chlorhexidine is the most effective product against plaque.

For treating halitosis is important to make a correct diagnosis of the origin of bad breath.To carry out a breath study, samples of bacteria, saliva and breath (expired air) are collected, as well as personal medical data that could have an influence on a pathology that leads to halitosis.

These samples are analyzed using different technologies that will let the doctor know the type of existing bacteria and the origin of the bad breath. Based on these results, the specialist will prepare a treatment plan that may include the use of different drugs, and in the cases where necessary, a dental treatment or complementary surgery (rhinosinusal, tonsillar, gastric, etc).
It is recommended to visit your periodontist for check ups and eventual treatment.

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