Woman testing to see if she has halitosis (bad breath)

ORAL-HYGIENE

Halitosis (Bad Breath): Causes, Treatments, and Prevention

Dr. Stephanie Gans
This blog has been reviewed and approved by Dr. Stephanie Gans

Everyone experiences bad breath occasionally, but if you notice it daily, it may be time to re-evaluate your oral health routine.

In this article, we'll explore the causes of bad breath, its associated symptoms of bad breath, and various bad breath treatment options, detailing how to integrate them into your daily oral hygiene practices.

key Takeaways
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What is Halitosis?

Bad breath, medically termed halitosis, primarily originates from bacterial accumulation in your mouth. These bacteria feed on residual food particles, dead cells, and proteins, multiplying and releasing foul-smelling gases. Concurrently, these bacteria contribute to plaque formation, a sticky film on your teeth that, if not regularly removed, can solidify into tartar.

Fortunately, once you identify the causes of bad breath, you can implement targeted steps for effective bad breath treatment and bad breath prevention.

Causes of Bad Breath

Graphic illustrating bacteria in the mouth contributing to bad breath

Poor Oral Hygiene Inadequate brushing and flossing habits allow bacteria to proliferate, especially around the gumline and on the back of your tongue. If this buildup isn't removed daily, it can lead to plaque, tartar, and consequently, bad breath.

Overnight Bacteria Accumulation You might wonder why you wake up with bad breath even after brushing before bed. During sleep, bacteria multiply on your teeth, gums, and tongue. These bacteria consume amino acids from leftover food particles in your mouth, releasing sulfur compounds that result in unpleasant morning breath.

Dry Mouth Saliva plays a crucial role in preventing bad breath by rinsing away debris and food particles. If your body produces insufficient saliva—even if you are well-hydrated—you may have a condition known as dry mouth (xerostomia). Dry mouth can be triggered by specific medications or systemic medical conditions.

Symptoms of bad breath related to dry mouth include:
  • A sticky sensation in your mouth

  • Thick saliva

  • Difficulty chewing and swallowing

  • Burning or tingling in your mouth

  • Dry lips

If you suspect you suffer from dry mouth, consult a doctor or dentist for potential bad breath treatment options.

Tobacco Use Smoking and chewing tobacco compromise your body’s ability to combat infection, reduce blood flow to your gums, and hinder tissue repair. Tobacco consumption significantly impedes your body's capacity to fight off the bacteria and plaque buildup that lead to halitosis.

Diet Certain foods (like garlic, onions, and some spices) can cause temporary bad breath. Brushing teeth or rinsing with mouthwash may offer temporary relief, but the odor typically persists until the food has fully passed through your system.

Stress Stress can induce physiological and lifestyle changes that contribute to bad breath. For example, your body releases stress hormones (such as cortisol, adrenaline, and noradrenaline) which can decrease saliva production.

Without adequate saliva to moisten your mouth, tongue, and teeth, food particles and bacteria can accumulate more easily, leading to halitosis.

Certain Dental or Medical Problems On rare occasions, bad breath can signal more serious underlying conditions, such as gum disease (including gum abscesses, gingivitis, and periodontitis), diabetes, or liver and kidney disease.

Bad Breath Treatment and Prevention

Man brushing teeth with an electric toothbrush

Once you identify the causes of bad breath, you can effectively address the problem and work towards preventing bad breath from recurring! Here are some top tips for bad breath treatment and prevention.

Brush Your Teeth At least Twice a Day The most effective bad breath treatment for odor caused by bacteria and plaque on your teeth is to brush twice daily using a stannous fluoride toothpaste and an electric toothbrush.

Floss Once a Day To eliminate as much food, plaque, and bacteria from between your teeth as possible, floss once daily using string floss or a floss pick.

Rinse with an Antibacterial Mouthwash Employ an antibacterial mouthwash to target bacteria in areas your toothbrush and floss cannot effectively reach.

Brush Your Tongue

Graphic depicting a good oral hygiene routine

After you’ve finished brushing your teeth, take a moment to brush your tongue—especially the back. The rough surface of your tongue contains numerous crevices where odor-causing bacteria can accumulate, making it a crucial area to clean for bad breath prevention.

Visit Your Dentist Twice a Year Minimize bacterial, plaque, and tartar buildup, along with a host of other dental issues, by visiting your dentist at least twice annually.

Professional cleaning and examination will often contribute significantly to preventing bad breath from returning and will help ward off more serious dental problems like cavities, gum disease, and periodontitis.

Limit Caffeinated and Alcoholic Drinks To treat bad breath and help prevent bad breath recurrence, restrict your intake of caffeinated and alcoholic beverages, as well as sugary and acidic juices. Bacteria thrive on sugar, acid, and other chemicals. Consider these drinks as fuel for the bacteria that cause bad breath and plaque.

Chew Sugarless Gum Chewing sugarless gum is an excellent way to stimulate saliva production and keep your mouth moist (both of which assist your body in removing the bacteria and plaque that cause bad breath).

Although mints can temporarily freshen your breath, they may leave a sugary residue on your teeth.

Quit Smoking If you smoke, quitting is unequivocally the simplest solution. Tobacco damages gum tissue and provides sustenance for the bacteria that cause halitosis.

If you're struggling to quit independently, consult your doctor for potential options to help you cease smoking.

Change Your Diet Since certain foods can contribute to halitosis, an effective bad breath treatment involves making dietary adjustments.

If you’ve improved your oral hygiene and still not getting the result you’re satisfied with, consider these suggestions to improve your diet:
  • Limit garlic, onions, and other strongly-scented foods.
  • Restrict sugary, starchy foods and sugary drinks.
  • Increase your consumption of fruits and vegetables, as they help cleanse your mouth and promote saliva production.

When to See a Dentist

Dentist standing in her office

Bad breath can sometimes indicate an issue elsewhere in your body. If you experience chronic bad breath and your dental professional confirms no oral problems, seek an evaluation from your primary care physician. Persistent bad breath can be a symptom of various conditions, including respiratory tract infections, chronic sinusitis or bronchitis, diabetes, or liver and kidney problems. It is crucial not to ignore this issue.

Overcome Bad Breath with Crest and Oral-B!

Woman holding an Oral-B Electric Toothbrush

No one wants bad breath. Proper and ongoing dental hygiene can keep your breath fresh and your smile radiant. The health of your tongue, gums, and teeth is directly related to your breath. Here are our Crest and Oral-B recommendations for oral hygiene and to help bad breath:

  • Start your routine with Crest Clean Breath Toothpaste. This stannous fluoride formula works around the clock, actively fighting the bacteria that cause cavities and bad breath, so you enjoy a long-lasting, fresh, and clean feeling.

  • Elevate your freshness with a mouthwash. These are essential for reducing odor-causing bacteria and neutralizing Volatile Sulfur Compounds (VSCs) – the main culprits behind bad breath. Reach for Crest Mouthwash not just for superior cavity and tartar protection, but to complete your routine with an invigorating, long-lasting clean and fresh feeling.

  • The Oral-B iO electric toothbrush, for instance, removes significantly more plaque than a manual brush, attacking the root cause of tooth decay, gum disease and bad breath. Experience a truly deep clean that leaves your smile feeling remarkably fresh and vibrant.

  • Oral-B iO Ultimate Clean brush head is engineered with unique bristle lengths to reach deep into the hidden spaces between your teeth, dislodging stubborn plaque and the odor-causing bacteria that love to hide there. This ultimate clean is key to a perpetually fresh and healthy smile.

  • Complete your oral care ritual by flossing at least once daily with Oral-B floss. Flossing is crucial for reaching the tight spaces where food particles and plaque accumulate. By meticulously removing these odor sources, you ensure every surface of your teeth is clean, contributing to an undeniably fresh and clean smile
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