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Bad breath Gum disease

Most chronic bad breath (halitosis) starts in the mouth: bacteria on the back of the tongue, in gum pockets and under old dental work release sulfur compounds. Treating gum disease, cleaning the tongue and correcting dry mouth resolve most cases.

Affectionate senior couple sharing a loving moment, photo for Bad breath

Signs

  • Breath others notice
  • A bad taste
  • White or yellow coating on the tongue
  • Dry mouth

Risk factors

  • Periodontitis
  • Dry mouth from medications
  • Smoking
  • Food trapped under bridges or implants

Is bad breath a sign of gum disease?

Persistent bad breath with bleeding or receding gums is a common sign of periodontitis. Bacteria in deep pockets produce sulfur compounds that brushing cannot reach. Treating the pockets removes the source.

How is chronic bad breath treated?

  • Clean the tongue daily with a scraper, back to front.
  • Treat gum pockets with scaling and root planing.
  • Replace leaking fillings and ill-fitting crowns.
  • Treat dry mouth: water, sugar-free gum, and a review of medications with a physician.

Questions

Does mouthwash cure bad breath?

Mouthwash masks odor for a short time. Removing the bacteria from the tongue and gum pockets is what stops it.

Sources

  1. American Academy of Periodontology, patient resources
  2. National Institute of Dental and Craniofacial Research, periodontal (gum) disease

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