Most people are aware of these culprits and they cause little chronic problem. Smoking is a real breath killer, which can only be controlled by quitting. The mouth itself is by far the most common source of halitosis. These bacteria are found throughout the mouth but are most common on the surface of the tongue and in the tissue pocket below the gum line adjacent to each tooth. Dry mouth conditions can aggravate halitosis as well.
Many medical problems can have bad breath as a side effect.
These include but are not limited to diabetes, gastric reflux, sinusitis, tonsillitis, liver disease, colds, lung disease, and esophageal disease. Treatment Controlling the mouth bacteria that produce VSCs is the key to tackling halitosis. Regular dental care is paramount to controlling bad breath, as halitosis will never disappear in the presence of periodontitis or Once periodontal contributors are controlled or ruled out, an effective daily oral hygiene program is simply the only way to control most cases of bad breath. Proper tooth brushing involves not only removing the plaque from all tooth surfaces, but also gently cleaning below the gum line as well. Many newer toothbrushes are designed to do this, but it has been my experience that most patients have neither the dexterity nor the patience to perform the dental gymnastics required.