Also referred to as smelly mouth, studies have estimated that up to 50 per cent of people have halitosis.
It is important to know that halitosis
can occur even if you brush and floss your teeth regularly. Bad breath
is caused by the gums and tongue – not the teeth.
Sometimes, it only lasts for a short period, but with some sufferers, it is persistent.
Halitosis can be as a result of poor
dental health habits. It can also be worsened by the types of food one
eats and incessant indulgence in other unhealthy lifestyle habits.
Clinically considered a minor issue,
persistent bad breath may be as a result of serious health issues,
however. Buttressing this, a dentist, Dr. Kolawole Obagbemiro, said a
smelly mouth can be a pointer to some underlying problems.
He said, “Halitosis is mostly caused by
sulphur-producing bacteria that normally live on the surface of the
tongue and in the throat. Sometimes, these bacteria start to break down
proteins at a very high rate and odorous volatile sulphur compounds are
released from the back of the tongue and throat. Anyone with bad breath
should go for oral examination. Persistent bad breath may be a warning
sign of gum (periodontal) disease.
“Gum disease is caused by the buildup of
plaque on teeth. Bacteria cause the formation of toxins to form, which
irritate the gums. If gum disease continues untreated, it can damage the
gums and jaw bone.
“Other dental causes of bad breath
include poorly fitting dental appliances, yeast infection of the mouth,
and dental caries (cavities).
“The medical condition, dry mouth (also
called xerostomia) also can cause bad breath. Saliva is necessary to
moisten the mouth, neutralise acids produced by plaque, and wash away
dead cells that accumulate on the tongue, gums, and cheeks. If not
removed, these cells decompose and can cause bad breath. Dry mouth may
be a side effect of various medications, salivary gland problems, or
continuous breathing through the mouth.”
According to Obagbemiro, the disease
affects all ages, including babies. A baby can be infected by a mother,
who is a sufferer but who constantly puts her mouth in the baby’s. Thus
she inflicts bacteria in the baby’s oral environment.
But men stand a higher risk of suffering
from halitosis. Explaining further, Obagbemiro said, “From research,
bad breath is more common in men because women tend to pay more
attention to hygiene and regularly take care of their bodies compared to
men.”
A nutritionist at the Federal Medical
Centre, Idi-Aba, Abeokuta, Ogun State, Okunola Oladimeji shared the same
view but with a caveat:
“To the best of my knowledge, I don’t
think there is any research that states that men are more likely to have
bad breath than women. It is more common in men than women. This is
because women are more conscious of personal hygiene and would always go
the extra mile to smell and look good. Once a woman notices that she
has bad breath, she could go to any length to deal with it; a man may
not be too concerned even when his attention is being drawn to it,” he
explained.
Stressing the need for proper but
healthy eating habits, he said consumption of sweets and junk foods at
night propels bad breath.
“Generally, late night meals are
unhealthy. When such meals are taken and one doesn’t brush one’s teeth,
particles are stuck in the teeth and this serve as breeding ground for
bacteria. Ideally, one should brush at least twice in a day — morning
and before going to bed at night.”
An uncontrolled lifestyle of alcohol and cigarettes consumption is another cause of bad breath.
Oladimeji explained that, “Persons
addicted to alcohol permanently suffer from halitosis. Not only that,
consuming leftovers without heating on the stove or other cooking
device, could cause bad breath. Also, don’t forget the tongue. It is a
major cause of mouth odour, if your tongue is not well washed, it could
cause bad breath,” he said.
For those who opt for bubble gum in dealing with bad breath, he warned that chewing gum aggravates the situation in any sufferer
“Chewing gum regularly doesn’t take care
of bad breath; rather, it damages one’s teeth. Even when some minty
bubble gum is taken, they provide a temporary relief and once the
flavour is drained, the smell continues. But before visiting a dentist
to complain of bad breath, ensure you are not taking drugs that could
propel bad breath.
Speaking on the symptoms of bad breath,
Obagbemiro said, “If one notices a white coating on the tongue
especially at the back of the tongue, this could be a symptom of bad
breath.”
Other symptoms, he said, include dry
mouth, build up around the teeth, post-nasal drip or mucous, morning bad
breath and a burning tongue, thick saliva and a constant need to clear
the throat and constant sour, bitter metallic taste in the mouth.”
Treatment for halitosis is simple and
can easily be carried out by adhering to dental instructions. According
to the chief dental Officer, Lagos State Health Service Commission, Dr.
Olufemi Orebanjo, treatment is based on the primary cause of halitosis.
He said, “Avoiding dehydration by
drinking lots of water and maintaining a good oral hygiene are major
steps to take. This means brushing and flossing of the teeth are
important. Already, some mouthwashes and toothpastes are manufactured
for this purpose and can assist in fighting halitosis.
“Gentle, but effective tongue cleaning
is also required. A variety of tongue brushes and scrapers have been
produced in recent years. The tongue should be brushed in a gentle but
thorough manner, from the back towards the front of the tongue, keeping
in mind that the hardest to reach back portion smells the worst. But
consult your dentist to identify the cause of the bad breath and to get
the most effective treatment for you.”
Orebanjo, however, noted that the condition shouldn’t be treated with kid’s gloves.
He said “Halitosis may be related to a
disease in one’s digestive system or airways. If left untreated, the
person’s health deteriorates and could lead to death. Doctors don’t like
mentioning this aspect so as not to scare people.”
Mentioning the fact that bad breath
affects people of all age groups, he advised that everyone, including
men, should be concerned about personal hygiene.
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