Bad breath – finally exhale again carefree
Whether you wake up in the early morning, after a particularly garlic-containing meal or a cup of coffee – every one of us now and then has bad breath. This form of bad breath, however, is short-lived and can be easily removed with brushing. But in some cases, even the best oral hygiene does not help, the unpleasant odor still remains. Chronic diseases can be the cause of bad breath and make it a persistent problem. Not least because of the social prejudices with which those affected are confronted.
Halitosis as a common disease
Apart from temporary forms, such as. As the morning bad breath, suffer up to 1/4 of the population permanently under chronic bad breath the one in medical jargon too halitosis (if the bad air comes from the mouth and nose) or Fetor ex ore (if the evil smell comes only from the mouth) is called. This leads to a bad Odor from the mouth and / or nose, the most of one not noticed but probably by the people in the environment.
Bad breath its origins and causes
|origin||Accurate localization / cause||countermeasures|
|Oral causes (90%)||Tongue coating (saliva and food particles are decomposed)||Tongue brush and tongue paste|
|Periodontitis / gingivitis (gingivitis caused by bacteria)||Intensive Dental Care, Professional Teeth Cleaning, Dental Treatment;|
|Low salivary production (e.g., salivary gland disease, age, medication)||Drink plenty of water; sugar-free candies and chewing gum;|
|Carious / broken teeth / strong dental plaque||Renovate teeth (intensify dental care, professional teeth cleaning, restoration of broken teeth, renewal of old, intact dentures, removal of root remnants;|
|habits||to eat and drink||Little / no alcohol, coffee, best. Teas, a lot of drinking; regular meals; little garlic and onion;|
|Smoke||Smoke settles on respiratory tract / mucous membranes → Stop smoking;|
|Medications (e.g., antidepressants, appetite suppressants, antihypertensives, sulfur containing medications, etc.)||Possibly. replace with another preparation;|
|stress||Change daily routine; Relaxation exercises; Sports;|
|Diets → ketosis||No too extreme or radical diets|
|Other causes (10%)||ENT diseases / inflammation in the ENT area||Treatment of underlying diseases: sinusitis (sinusitis), tonsillitis (tonsillitis), pharyngitis (pharyngitis), runny nose (rhinitis);|
|Malignant diseases||Lung cancer (bronchial carcinoma)|
|General disorders||Treatment of the underlying diseases: diabetes, renal failure, liver cirrhosis, metabolic diseases, gastritis caused by Heliocbacter pylori bacteria, Zenker or esophageal diverticulum, hiatal hernia; disturbed intestinal flora; Sjögren syndrome, lung diseases (e.g., pneumonia);|
It will 2 forms of bad breath distinguished. First, the much more common Fetor ex ore, with this comes the foul-smelling smell only from the mouth. Not when exhaling from the nose with the mouth closed. The place of origin is here then usually the mouth (90% of all cases of bad breath). One of the main causes of this type of bad breath (foetor ex ore) is not one optimal dental care, which bacteria give the opportunity for explosive propagation. These then settle in various places in the mouth and then interact with food residues and saliva putrefaction. This then arise Sulfur-containing gases which cause the foul-smelling odor.
The main source of such processes is the tongue surface Especially if it has deep furrows and notches, bacteria can accumulate and multiply optimally here. Because even the toothbrush is not used here and only a few use a tongue scraper or a tongue brush. Also for “energy” to grow is provided by the regular contact with the food sufficiently. It is assumed that at Over 50% of all patients with chronic halitosis, of the Place of origin the tongue upper larch is.
Another, almost as common place of origin is the gums. This does not happen optimal care for a healthy gum, to inflammatory reactions on selbigem. Through this Gingivitis (gingivitis or periodontitis) it comes just in the inflammatory foci, in affected periodontal pockets, etc. to decay processes. Here, the bacteria then produce sulfur-containing metabolites that lead to the typical bad breath.
But also in carious teeth, or under badly fitting or broken dentures It can lead to decay processes or metabolic processes cause halitosis, because broken fillings, crowns and inlays serve as a hiding place for the bacteria.
Just like one too little salivation (xerostomia). The saliva is responsible for cleaning processes and acid neutralization. If too little saliva is formed, so you have a permanently dry mouth, the remaining saliva can no longer do these tasks sufficiently. In this case, the bacteria in the mouth can better survive and multiply faster. This is also the reason why many people in the morning suffer from bad breath, because at night generally less saliva is produced. Morning bad breath is not a disease. The causes of xerostomia (Dry mouth) during the day are u.a. some drugs (e.g. Antihypertensives, antidepressants), certain Diseases (e.g. Sjögren syndrome), diets, permanent mouth breathing (Snoring) and the normal aging process.
Furthermore, bacterial Inflammation of the ear, nose and throat area lead to bad breath. But this is much rarer than causes originating directly in the mouth! Here are sinusitis (sinusitis), tonsillitis (tonsillitis), runny nose (rhinitis) pharyngitis (pharyngitis) the most common causes. Especially at the chronic tonsillitis (Chronic tonsillitis), the diagnosis may be delayed because often bad breath is the only symptom here. The inflammation is considered chronic if it lasts more than three months. Often it is Bad breath is the only sign For this, the affected person can otherwise be free of complaints. For this reason, it is possible that she does not notice her own bad breath. In almond tissue, there are depressions that become blocked in an inflammation. Bacteria form, which feed on the decomposition of leftovers. This results in bad-smelling metabolites, which are exhaled by the person concerned. Even without inflammation, the almonds may be the cause of bad breath, namely, if they or the wells are excessively large and can accumulate food leftovers there.
To mention in passing, that’s it tumors In this area, bad breath can trigger, but this is very rare.
halitosis the under Hilitosis falls, so by the exhalation by Mouth and nose is perceived is much rarer (approx. 10% of all cases of bad breath). Here are the causes outside the mouth.
A much suspected, but in reality much rarer origin, is the stomach. Here, e.g. Bacteria in the stomach (Helicobacter pylori) to a chronic gastritis (chronic gastritis) to lead. The rising of the resulting gases, can then still by a hiatal hernia (diaphragmatic tear), which is usually associated with an insufficiently close gastric outlet, favored.
Also can Zenker or esophageal diverticulum (Bulges in the esophagus) lead to bad breath. In this case, food particles accumulate in bulges in the esophagus and it comes to decay processes whose gases then flow upwards.
But also at lung disease such as. lung infection (pneumonia), or at one bronchial Gases can develop that manifest as Hilitosis.
Further diseases which may go hand in hand with halitosis are e.g.. Diabetes mellitus, kidney failure, cirrhosis or poisoning.
Another trigger for bad breath are ours habits. This plays Smoke a major role. Because the inhaled smoke adheres to the mucous membranes and thus permanently leads to bad breath.
But also alcohol, certain medications (psychotropic), mouth breathing, Kaffe, certain teas, diets and too big distances between meals can lead to bad breath. This is usually the cause that dry out our mucous membranes by the above things and thus the self-cleaning process is disturbed by the saliva and the bacteria can reproduce better.
Bad breath can also be a sign of a bad breath milk intolerance or from having a wrong diet too much protein his. Protein like the bacteria in the mouth especially like. The more protein, the more bacteria are formed and thus their sulfur-containing metabolic products, which provide “lazy” breath.
Bad breath will be released again!
It is important not only to cover the odor with bad breath, which is usually not very effective anyway, but to eliminate its cause. A big problem with halitosis is finding out where it comes from and starting the appropriate therapy. But since over 90% of the cases of bad breath in the oral cavity, it is recommended if you have no other suspicion to start here.
For this purpose, first the Oral hygiene intensified. This is on the optimal dental care, in the form of at least Brush teeth 2-3 times a day and using floss or Interdental brushes respected. Since most of the bacteria are in the mouth, in the furrows and crevices of the tongue surface, it should be cleaned once a day (preferably in the evening) with a tongue scraper or a tongue brush. This requires a bit of practice, as this could possibly trigger the gag reflex and is therefore a bit uncomfortable at the beginning. Above all, it is important to position the tongue scraper at the very back of the tongue, as this is where most of the bacteria are and repeat the process until the tongue scraper does not remove any new deposits.
In addition, one more antibacterial mouthwashes (e.g. chlorhexidine) be used. However, these should not be used too often and no longer at a stretch as they become too tooth discoloration and may cause irritation of the oral mucosa. Furthermore, they should be on one healthy lifestyle pay attention in which they do not smoke, regular meals to take in and with things like Protein-rich foods, coffee or alcoholmoderate bypass.
Who fears one dry mouth to have. Should try more sugar-free chewing gum to chew and drink a lot to stimulate his salivation. Also, care should be taken sufficient to drink (mainly water).
Also the chewing fresh mint, which grows very easy in any garden or even on the balcony, or parsley is good for one fresh breath and has an antibacterial effect. Just as effective and to be used in between eucalyptus, fennel, chamomile, ginseng, sage or Tea Tree. In drop form or as a tea, these can medicinal herbs be taken at any time. However, it must be said that all these measures usually cover the smell only and do not represent a real treatment.
If these measures after a few weeks show no success, it is recommended a meeting by your dentist to reconcile and describe to him this problem. This will then first examine their teeth and gums for infection. If he finds it here, he can treat the underlying disease, such as gingivitis, periodontitis, intact fillings or crowns, or tooth decay. Here he will then replace old dentures, remove caries and fill the hole, or at a Gingivitis as part of a professional teeth cleaning Remove all plaque and treat the periodontal disease. Especially those who have problems with halitosis should pay more attention to his dental condition and 2 times a year for professional teeth cleaning walk. To cover these costs (about 80 € -90 € per treatment) the conclusion of a dental insurance makes sense. This should be a Dental supplement insurance comparison be made to complete a tariff with particularly high-quality services for prophylaxis. Recommended rates with very extensive benefits for PZR and prophylaxis are, for example, the tariffs Württembergian full protection V1-V3 or the tariff ERGO Direkt Premium (private dentist).
If the visit to the dentist does not bring a solution, it is recommended next family doctor to consult. This knows her best and knows if possibly. Pre-existing conditions or taken medications could be responsible for the bad breath. He may also be suspicious specialists as ENT specialist, gastroenterologist, pulmonologist or internist to continue to search for the cause.
If there is still no noticeable relief here, there are also special ones in most major cities Bad breath office hours. The doctors in these specialist consultations have a lot of experience with the subject and know exactly where the causes might be. They will help you with words and deeds! And the most important: Even if it should take longer! Do not give up and keep your breath!
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