My Mouth Smells What to do | Bad Breath | Reasons | Treatment
- Dr Abi
- May 11, 2023
- 4 min read
Updated: May 23, 2023
Do you find yourself constantly worrying about the smell of your breath? Does it seem like no matter what you do, your breath just doesn't smell fresh? If so, you may be experiencing bad breath, also known as halitosis.

Bad breath can be a distressing and embarrassing problem, affecting up to 25% of the population. However, the good news is that most cases of bad breath can be treated or managed effectively with proper oral hygiene and other measures.
Halitosis, the medical term for bad breath, can be caused by a variety of factors related to oral health, diet, and systemic diseases. The oral microbiome, which is the collection of bacteria and other microorganisms in the mouth, plays a critical role in the development of halitosis.
Poor oral hygiene and inadequate saliva production can lead to an overgrowth of bacteria in the mouth, resulting in the production of malodorous compounds.
Reasons for Halitosis, or bad breath
1. Poor oral hygiene: Not brushing and flossing regularly can lead to the build up of bacteria in the mouth, which can cause bad breath.
2. Gum disease: Periodontal disease is caused by the build up of bacteria in the gum pockets, and can lead to chronic bad breath.
3. Dry mouth: Saliva helps to wash away bacteria in the mouth, so when the mouth is dry due to medications or other factors, bad breath can result.
4. Certain foods and drinks: Strong-smelling foods like garlic, onions, and coffee can leave an odour in the mouth.

5. Smoking and tobacco use: Tobacco products can cause a persistent bad odour in the mouth.
6. Medical conditions: Certain medical conditions, such as respiratory infections, acid reflux, and liver or kidney disease, can cause halitosis.
7. Poorly fitting dental appliances: Dentures, braces, and other dental appliances can trap food particles and bacteria, leading to bad breath.
8. Stress and anxiety: Stress and anxiety can lead to dry mouth, which can cause halitosis.
9. Certain medications: Certain medications, such as antidepressants and antihistamines, diuretics can cause dry mouth and halitosis as a side effect.
The surface of the tongue provides a rich environment for the growth of bacteria, which can produce VSCs that contribute to bad breath.
Treatment of Bad breath
Treatment options are as follows:
1. Oral hygiene measures
Improving oral hygiene practices, such as brushing twice a day, flossing daily, and cleaning the tongue, can help to reduce bad breath. This is because poor oral hygiene is one of the most common causes of bad breath.
2. Professional cleaning
Professional cleaning by a dentist can help to remove plaque and tartar build up, which can contribute to bad breath.

3. Treatment of underlying dental problems
Dental problems, such as tooth decay and gum disease, can contribute to bad breath. Treating these problems can help to improve breath odor.
4. Treatment of underlying medical conditions
Certain medical conditions, such as sinusitis, respiratory infections, and gastrointestinal disorders, can cause bad breath. Treating these underlying conditions can help to improve breath odour.
5. Use of mouthwash
Antimicrobial mouthwashes can help to kill bacteria in the mouth and reduce bad breath. However, it is important to note that mouthwash should not be used as a substitute for brushing and flossing.
Mouthwashes containing antimicrobial agents, such as chlorhexidine or cetylpyridinium chloride, have been shown to be effective in reducing the bacterial load in the mouth and improving breath odor. Daily doing mouthwash with a pinch of salt in half a glass of lukewarm water works too.
6. Modification of lifestyle habits
Certain lifestyle habits, such as smoking and alcohol consumption, can contribute to bad breath.
Quitting smoking and limiting alcohol consumption can help to reduce bad breath.
The papillae on the tongue's surface provide a sheltered area for bacteria to grow, and food debris and dead cells can accumulate there, providing a source of nutrients for the bacteria.
7. Cleaning tongue: One of the main sources of VSCs in the mouth is the tongue. Cleaning the tongue can withdraw the mouth smell.
Frequently asked questions
1. How can I prevent bad breath?
To prevent bad breath, it is important to brush and floss regularly, drink plenty of water, avoid tobacco and alcohol, and visit your dentist regularly.
2. How do I know if I have bad breath?
You can perform a simple test by licking the inside of your wrist, letting it dry for a few seconds, and then smelling it. If it has an unpleasant odour, it may indicate that you have bad breath.
3. Is mouthwash effective for treating bad breath?
Mouthwash can be effective for treating bad breath if it contains antibacterial ingredients that kill odour-causing bacteria. However, it should not be used as a substitute for regular brushing and flossing.
4. How often should I brush and floss to prevent bad breath?
It is recommended to brush and floss twice a day to prevent bad breath, and to clean your tongue with a tongue scraper or brush.
5. Can bad breath be a sign of a more serious health problem?
Yes, bad breath can be a sign of underlying medical conditions such as gum disease, diabetes, and respiratory infections. It is important to speak with your dentist or doctor if you have persistent bad breath.
Author-

Dr. Abi Negi
Dentist
10 + years of experience
Certification in Rotary Endodontics
Associate Fellowship in Laser Dentistry Certification in Practical Implantology
Certification in Laser Treatments Diploma in Practical Occlusion and Restorative Dentistry Course Advanced occlusion appliance therapy, TMD Comprehensive Course in Veneers - Ceramic & Composite Aesthetic Certified - Europe, Germany WHO Health Program Certified Certification in Laser Dentistry Fellow of the Academy of General Education (FAGE) Member of the Indian Dental Association (IDA)

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