Monday, October 22, 2007

Bad Breath Cures

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Contents
Chapter 1 What is Halitosis? ……………………………………… 4
Chapter 2 Causes of Bad Breath ………………………………….. 5
Chapter 3 Diagnosis for Bad Breath ………………………….. 6
Chapter 4 Home Care to Reduce Bad Breath ………….. 7
Chapter 5 Practical Tips on Smelling and Breathing Well.11
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“Call it bad breath or halitosis; it’s an acutely
unpleasant situation that’s the real reason for
embarrassment. Many of us with bad breath
aren’t even aware there’s a real problem.”
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What is Halitosis?
“Oral malodor or breath odor, or most commonly bad breath is terms used
to describe noticeably unpleasant odors exhaled in breathing.”
Acute bad breath is a very common problem caused by such things as oral
dryness, stress, hunger, eating certain foods such as garlic and onions,
smoking, and poor oral care. Morning breath is a typical example of
transient bad breath. However, Chronic bad breath is a far more serious
condition affecting one quarter of the population in different capacities,
and usually has a bad impact on the individual's capacity to maintain good
personal and business relationship, leading to catastrophe.
Halitosis is caused by the presence of a huge colony of oral bacteria and
invariably requires persistent treatment. Presently, persistent halitosis is
not clearly understood or even identified as a curable condition by most
medical experts, so a proper and effective treatment is almost impossible to
find. Most of the treatment available is mostly asymptotic and are limited to
controlling bad breath by mouth and breath fresheners. Though many
breath clinics have sprouted like mushroom, all over the world, many of
them are not really successful. However, a very small number of clinics use
established methods of microbiological examination to determine the
varieties of odor-causing bacteria. The specific bacteria are then controlled
by patient specific treatments, thus giving patients relief from the ordeal.
Though the reasons for bad breath odor are not completely understood,
most unpleasant odors are known to occur due to food debris trapped in the
mouth. It is really amazing to find as many as 400 different types of bacteria
in an average mouth! Trouble can occur when several dozen of these are
allowed to flourish in large proportions or are genetically mutated to
reproduce in a large number. Many species of these bacteria are usually
found on the back of the tongue, where they find protection and security
from normal mouth activity. The rough edges of our tongue usually harbor
millions of these harmful bacteria, which create toxins by digesting debris,
dead cells, and other residues. These toxins are harmful in creating a bad
odor in the breath. The anaerobic respiration of these bacteria will accrue
residual compounds containing sulfides and ammonia. These bad compounds
often mix with the breath to form an aerosol of nausea and bad odor. Other
causes of chronic bad breath may be periodontitis (gum disease), diabetes,
kidney failure, sinusitis, tonsilloliths, gastroesophageal reflux disorder
(GERD), and a wide variety of prescription drugs.
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Causes of Bad Breath
The majority of bad breath problems begin in the mouth.
• Bad breath that is of mouth origin can be traced to a sulfur compound
produced by bacteria. Dead and dying bacterial cells release this
sulfur compound, which gives the breath a bad odor.
• Bacterial plaque, debris and food waste accumulate on the back of
the tongue. The tongue's surface is extremely rough and bacteria can
reside easily in the cracks and crevices. Large amounts of sulfur
compounds can be produced in this area, making it a frequent site of
origin for bad breath.
• The tooth attracts bacteria containing plaque, debris and if not
cleaned regularly and thoroughly, this can result in large
accumulations of bacteria which result in bad breath.
• People who have Periodontitis disease often experience bad breath
because of bacteria accumulating in areas that are not cleaned easily,
such as deep fissures around teeth.
• Fortunately, treatment is very effective for people who have bad
breath of mouth origin.
Other reasons for bad breath are:
• Sinus or respiratory infections
• Diabetes related acetone smell
• Fishy odor in case of kidney disease
• Liver problems
• Digestive disorders
• Dieting and fasting related foul odors
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Diagnosis for Bad Breath
We can not really make out that we have a bad mouth odor, due to process
of habituation. However, people we usually associate with can really
identify the bad breath coming out of our mouth. The degree of bad breath
depends mainly on oral dryness and amount of residual toxins in the mouth.
The simplest method to check whether you have bad breath or not, is to
lick the back of your wrist and allow the saliva to dry for some time and
smell the area.
Another easy way is to lightly scrape the back of
the tongue with an inverted spoon or a piece of
dental floss, and to test for the smell of the dried
residue. You may need to ask your spouse to
smell your breathe and give you a proper
opinion. Of late highly reliable home tests are
made available which test for the presence of
polyamines and sulfur compounds on tongue
swabs. You may need to test several times in a
day to arrive at an average result. However, if
bad breath is continuous and everlasting, and all
other factors have been ruled out, you will consider taking sophisticated
tests using modern technology.
A new portable sulfide monitor called the Halimeter is being used widely to
test for levels of sulfur emissions in the mouth air. However, it has
drawbacks in clinical and lab applications. For example, many common
sulfides are not recorded as easily and can be read erroneously in test
results. Certain foods such as garlic and onions produce sulfur in the breath
for as long as 48 hours and can result in false readings. The Halimeter is also
found to be very sensitive to alcoholic drinks; you may need to avoid
drinking alcohol or using alcohol-rich mouthwashes for at least 12 hours
prior to being tested. This meter will loose its sensitivity over time and
requires periodic recalibration to remain accurate.
Modern research have given us portable gas chromatography machines such
as the “OralChroma”, which is specifically designed to digitally measure
molecular levels of the three major odor compounds in a sample of mouth
air. It is extremely accurate in its results and produces visual conclusions in
graph form via computer interface.
Microbiological testing of swab samples of teeth and tongue residue remains
the most accurate method of determining the specific bacterial causes of
oral malodor. It is very authentic too!
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Home care to Reduce Bad Breath
You can use commercially available breath fresheners or mouth washes for
temporary relief from bad breath. However, most of them are temporary
and act by masking the smell producing layers of tongue and once the effect
wears off, the bad breath will resurface with renewed vigor. Using antibacterial
mouth rinses may provide you better results in controlling bad
breath. Always avoid alcohol containing mouth rinses as alcohol is a drying
agent and will worsen the problem sooner or later.
Acute bad breath may be temporarily controlled by using a hydrogen
peroxide rinse in your mouth. Hydrogen peroxide at a minute concentration
of 1.5% can be taken as an oral antiseptic by gargling 10 ml, for a few
minutes. Hydrogen peroxide is commonly available at a concentration of 3%
and should be diluted to 1.5% by mixing it with an equal volume of water.
Hydrogen peroxide is a powerful oxidizer which kills most bacteria,
including useful aerobic bacteria.
Evidence suggests that the most effective
products are generally unavailable in drugstores,
but are usually found on the internet
pharmacies. Top of the brand home breath tests
and antibacterial rinses, toothpastes, gums,
mints, and tongue gels are always costlier like
any premium product; but unlike the well-known
inexpensive brand names, they can really control
your problem to a marked degree. However, you
will need to be extra cautious in finding
remedies on internet as there are chances of you
getting ripped off for a higher price or you may not simply find the right
medication. In such cases, you will have to do trial and error exercises to
find the best pharmacy.
Never forget to brush your teeth after meals and a regular flossing at least
once in a day will remove putrefying food debris from between the teeth,
especially at the gum line and posterior of the tongue. Gently cleaning the
tongue surface twice daily with a tongue brush, tongue scraper or tongue
cleaner will help you keep your tongue and teeth in good shape and health.
Alternatively, you can also use an inverted teaspoon to scrap the surface of
your tongue. Tooth brush will not work well in scraping the back of your
tongue as the bristles will not reach the back parts of your tongue. Be
careful to avoid scraping the V-shaped row of taste buds found at the
extreme back of the tongue. Brushing a small amount of antibacterial mouth
rinse or tongue gel onto the tongue surface will further inhibit bacterial
action.
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Since dry mouth can increase bacterial buildup and cause or worsen bad
breath, chewing sugarless gum can help with the production of saliva, and
thereby help to reduce bad breath. Some gums, toothpastes, sprays, and
gels which combat dry mouth for several hours have recently been
marketed over the counter. Maintain water levels in the body by drinking
several glasses of water a day. Adding lemon juice to your water is
refreshing and also beneficial. Parsley is a natural breath freshener when
chewed slowly, and is easy to grow at home.
Some studies have shown that eating yoghurt, drinking green tea, or
chewing cinnamon or sugarless cinnamon gum can reduce bad breath.
Simple Home Remedies to Cure Bad Breath:
Though the use of home remedies to cure bad breath is yet to be
scientifically proved, the extent of bad breath can definitely be reduced by
using some of the home remedies available right in your home. Here are
some tips and suggestions to help you out in reducing your bad breath.
Most common herbals to reduce bad breath are:
1. Parsley (Petroselinum sativum): It has been
used to correct bad breath traditionally to
minimize odors associated with garlic and onion
intake. Eat fresh, dried parsley is not effective.
2. Sage (Salvia officinalis): It is used for sore
throat and gingivitis; it dries excess secretion
such as mucus from sinus infection.
3.Thyme (Thymus vulgarus): It used as a mouth
rinse to kill fungus, bacteria and virus, strong
antiseptic, good for colds and flu.
4. Clove (Eugenia aromaticum) It is good for bad breath caused by rotting
food in mouth, used in old time mouth wash and powders, herb can be
drying.
5. Myrrh (Commiphora molmol): It is used for bad breath, infections of
mouth, teeth, throat and sinus, long history of use for gum disease and
toothache.
6. Echinacea, Purple Coneflower or Snake root (E. angustifolia, E. purpurea,
E. pallida, and E. tennessiensi): This herb besides helping to boost the
immune system also increases salivation, and act as a mouth rinse. It has
been used for sore throat and gingivitis.
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7. Wild Indigo (Baptisia tinctora): It is good for sore throat, mouth and gum
abscess, good mouthwash and stimulates immune system.
8. Spilanthes, Toothache plant (Spilanthes oleracea): This herb is antifungal
and antibacterial, it good for thrush, pyorrhea, gingivitis and toothache.
9. Frankincense (Boswellia carterii): This herb is
antibacterial, used topically for sores, increases
circulation, used for toothache.
10. Goldenseal, Oregon Grape and Barberry are
good topical lotions for mouth rinse and sore
throat infections.
11. Chew some cardamom seeds to sweeten your
breath. The aromatic flavor in cardamom is a
breath freshener.
12. Add 1 lemon juice with some sugar and salt to a glass of water and drink
it often.
13. Parsley is a great food to neutralizer. Its leaves are rich in chlorophyll,
nature's own deodorizer. Chew some leaves for fresh breath.
14. Tea made from Fenugreek (methi) seeds is also beneficial in bad breath
and bad odor.
15. Mix three parts of peppermint leaves with two parts of water. Grind in
blender until solution is thick. Gargle one cup of the solution everyday for
one week. Each day your breath will get better. Make fresh concoction
every other day.
16. A cleaned colon will often alleviate bad breath.
17. Chew some chlorophyll rich leaves such as parsley.
18. Eating natural supplements of calcium, C vitamins, B-complex and myrrh
everyday will help you reduce bad breath
19. To merely cover odor, chew cloves, drink peppermint tea, eat parsley,
take chlorophyll, or gargle with barberry tea.
20. Chew food well and drink water between meals to aid in digestion.
21. Take acidophilus or chew uemboshi plums to improve intestinal health.
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22. Chewing a very green Guava fruit will help you reduce the intensity of
bad breath.
23. Chewing a Green cardamom after meals and during eating breaks will
also help reduce the bad effects of bad breath.
Top Ten Worst Home Remedies you can adopt for Bad Breath!
1. Excessive use of mouthwash: Use this at your own peril! It produces a
dirty tissue that is much worse than what your present condition.
2. Breath mints and flavors: A pleasing smelling mouth doesn't mean that
you have a healthy mouth. Excessive use of mints may create a fertile
breeding ground for bad bacteria.
3. Chewing gum: Chewing gum does increase salivary juice flow, but only
masks bad breath and the effect are just cursory. Try drinking water
throughout the day instead, which keeps you in good health as well.
4. Chewing tobacco: Smokeless tobacco is a health hazard and causes gums
to dissolve and increases the chance of losing the material that hold your
teeth in firmness, and above all causes oral cancer.
5. Infomercial Items: Only use items that have the Seal of Approval from an
authority. Never use any items with out any quality certificate.
6. Vodka, martinis or whiskey: Alcohol is a drying agent and may further
increase the problem by making your mouth too dry.
7. Brushing with cleanser: Many chemicals used in your home are poisonous
and should not be used for brushing your teeth.
8. Intestinal cleansing methods: Bad breath never originates from the
stomach or intestine. It is your mouth that produces bad odor due to
putrefaction of leftover food.
9. Rinsing with kerosene: It is stupid! Instead eat fire!
10. Tongue piercing: Very dangerous habit! It creates laceration and
wounds. Further it harbors dangerous bacteria in your mouth. It also
increases your mouth odor.
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Practical Tips on Smelling and Breathing Well
1. Is it possible for you to smell your own breath?
In most of us, the tongue is probably the major source of oral malodor and
bad breath. Here is small tip on how to smell on your own: Stick out your
tongue as far as it will come out, and lick one of your wrists with your own
saliva. Wait five seconds, and smell. You will be surprised to find that even
you have your own odor.
Strangely, the smell of the front end of the tongue isn't the real problem. It
is at the deepest part of your mouth, towards your throat. In many people
with bad breath, there will be a yellowish mucous on the back of the mouth
and this can be collected with a scrapping of the posterior surface of the
tongue.
2. Where does the odor on the back of the tongue come from?
Though uncertain, it seems that the origin of this material is post-nasal drip,
as many people do suffer from post nasal drip. As all of us know, most of the
mucus secretion rolls down your throat, but some of it may get stuck on the
tongue. After a few days, it starts putrefying on the skin layers when
millions of bacteria start breaking it down to smell causing compounds.
Whether or not this is true, the back of the tongue is a major source of bad
breath, and the odor which it gives off has a typical smell of its own.
3. Bad Breath from the Stomach! Is it true?
Though there are reported cases of bad breath emanating from stomach,
such occurrences are very rare. The esophageal tube, which connects the
stomach with your mouth, is not an always open tube, but is closed most of
the times. Every chunk of food you ingest moves down so slowly down to
the stomach, just like a snakes eating frog. We often belch sometimes with
every food chunk, when a little bubble of air moves from the stomach to
the mouth. Whenever, there is a belching incident, some people may emit
foul smelling gas from their stomach. However, though it may sound true,
bad odor from your stomach is a rare occurrence. Thus it seems that
stomach is probably the last place to look for foul odors and gases.
4. Bacteria in and around the gum line. How dangerous are they?
Though some people do sport a fine set of teeth, which are health and
clean, most of us need to visit of dentists almost on a regular basis. Just ask
any of your dentists and he will tell you about that awful odor coming out of
your jaw line. Gum line is probably the most preferred place for harmful
bacteria to grow and multiply. There are two types of bacteria; one that
needs oxygen to survive properly, and the other which do not required
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oxygen for their life. Those bacteria which can grow very well even with
out oxygen are the most dangerous of the lot, as they are known to create a
combination of volatile and foul smelling compounds, which ultimately
come out as bad breath.
5. Is it possible to prevent bad breath by cleaning your teeth properly?
Proper brushing (several minutes every time, making sure to stroke
properly, massage the gums and get everywhere), flossing (or a similar
method of cleaning between adjacent teeth and gums), and periodic visits
to the hygienist are of prime importance in having fresh breath.
6. Simple Tips for Tongue Brushing
You will need to develop a habit of cleaning your tongue whenever you
brush your teeth. Always choose a brush that minimizes reflex action. See
that you stroke your brush from near the throat in an outwards motion.
Never press very hard with your tooth brush as you may damage your
tongue. Use a good mouth wash and freshener liberally.
The best way of cleaning your tongue is to use a tongue scraper.
Alternatively, you can also use a piece of gauze, washcloth or other
material, which you can wet with mouthwash or water. People with a hairy
tongue will have more chances of getting bad breath from their tongue
itself. People with serious dental disease will also get serious bad breath
problems. Smokers are likely to get a foul smelling mouth odor after
repeated usage of cigarettes and tobacco.
7. How important is flossing the teeth?
It is important to use floss properly, following professional instruction.
Remember to floss around the ends of the teeth at the ends of each row.
Children would probably have problems flossing, since it requires a delicate
control of the fingers they don't have yet. One of the great advantages of
using floss is that you can smell the floss directly following each passage
between the teeth, and clean the smelly areas more diligently.
8. Are toothpicks important?
Some dentists recommend anatomical toothpicks, rather than floss to clean
the gum lines and crevices. There are several reasons for this advice. Many
dentists feel that people are too lazy to use floss on a regular basis, and feel
that toothpicks are better substitutes. The advantage of using non-scented
toothpicks is that similar to floss, you can smell the toothpick between each
passage and get a very good idea of the places that are causing the odor.
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One main disadvantage of the toothpicks is that they are incapable of
cleaning behind the last teeth in each row, whereas floss can do that very
effectively. Since usually the smell gets worse as you progress from the
front teeth working back, a lot of smelly bacteria can be hiding behind the
last teeth, particularly if the end tooth in the row is a wisdom tooth.
9. How effective are sprays and breath mints?
Sprays and regular mint candies are considered to be relatively ineffective
in combating bad breath. Don't be fooled by the burning sensation - it is
your own cells in pain, not the bacteria.
10. Should I use mouthwash to control bad breath?
Commercial mouthwash available in your drug store, usually contain a
formulation consisting of flavor, alcohol, and antibacterial agent. Several
types of mouthwash have been shown to reduce malodor in clinical trials,
including 0.2% chlorhexidine mouth rinses and Listerine.
11. When is the best time to rinse?
The best time to use any mouth rinse appears to be right before sleeping in
the night. You must deep gargle using a good mouth cleaning liquid, taking
care to touch the inner most areas of tongue.
12. Does chewing gum help relieve my bad breath?
The efficacy of chewing gum is probably due to the effect of salivation,
combined with the cleansing effect of mastication. Chewing gum has its
downsides. The best compromise appears to be to chew gum for a minute or
two at a time. One can chew for a minute or so in privacy, and part with the
wad in the washroom, before stepping back into society.
13. Chewing cloves will help you get rid of bad breath
Cloves are the best possible home remedy, containing a strong essential oil,
which helps prevent bad odor from your mouth. Not everyone likes the
taste of cloves, but the essential oil of clove is deadly against the bacteria.
The antibacterial agents are oily and can be derived from the clove in the
form of essential oil, and can be incorporated into mouthwash and
toothpastes. Clove oil also has analgesic properties, and is used by dentists
for all many things. Other essential oils that have some antibacterial activity
in the mouth include those derived from eucalyptus, cinnamon and mint.
14. Making your own mouthwash in your home
Here are some simple home made mouth wash:
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The basic commercial mouthwash may contain up to about 2% of flavor like
clove oil or mint, up to 2% of a surfactant to dissolve the flavor and to
provide foaming, up to 2% humectants and/or thickener, 25% alcohol, and
active ingredients. Ingredients which are reported to have an effect in
controlling odor include zinc chloride (usually around 0.2%), quaternary
ammonium compounds (for example, cetylpyridinium chloride up to 0.05%)
and certain combinations of essential oils. The most effective antibacterial
agent present in mouthwashes is probably chlorhexidine. Chlorhexidine
containing mouthwashes are good for initial diagnosis and therapy, as well
as for post surgery treatment, but are not advised for every day use.
Although some investigators have reported that sodium bicarbonate reduces
bad breath, it is usually ineffective.
15 Does smoking aggravate bad breath?
Apart from its carcinogenic properties, smoking can increase the incidence
of gum (periodontal) disease and post-nasal drip, two of the most important
bad breath risks. Furthermore, in many people, the smoke odor lingers in
the mouth itself and mixes with the other smells, resulting in a particularly
noxious aroma. Most probably, the smoke components are retained in the
mouth itself, rather than in the lung. Smoke residues in your mouth may
lacerate the skin cells, creating a favorable environment for many harmful
bacteria to cause infection. This action will invariably affects in bacteria
digesting left over food debris and dead cells.
16. When does bad breath get even worse?
Bad breath usually gets worse:
When you wake up from your sleep:
Dry mouth causes bad breath and odor to come out of your mouth at an
accelerated speed. During sleep, the tongue and mouth gets dried up due to
lack of saliva. As saliva starts increasing in levels, the degree of bad breath
comes down.
After eating copious amounts of milk products and meat:
After eating products with high levels of proteins, such as milk products and
meat, the level of bad odor from the mouth goes up. If a little piece of
meat remains between you teeth for a time, it is rapidly putrefied to toxin
compounds. Foods containing excessive amount of onions, garlic, and
various spices may cause bad breath.
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17. Bad Breath in Kids
Babies usually do not have bad odor coming out of their mouth and usually
have a sweet breath. Though this is generally true, even babies and small
children can have bad breath. One common type of bad odor is that one
associated with throat and mouth infections, a foul smell that mothers
recognize better than men. Very young children often sport bad smell from
the back of their tongues. Bad dental hygiene is another cause for bad
breath in young kids and teenaged children, as they can not clean their
tongue to the deepest point possible. Curing bad breath in children is often
very difficult owing to the sensitive tongue and gums.
18. Practical Tips for young kids and spouses with bad odor
Kids: Brush their teeth properly at least twice a day, with clean brush
motions. In case of small babies, you can also use clean cotton swabs or a
piece of cloth. Check for bad odor every day. In case of any problems,
contact your dentist immediately. A nightly gargle with Sodium chloride
solution may help reduce teeth infection.
Spouses: A case of bad mouth can create a difficult situation in any
marriage. Couples who are yet to get married will not have any problems
anyway, but it is a clear piquant situation for those who are married. Bad
breath can ruin personal relationship; persons with acute sense of personal
hygiene will never tolerate a spouse with bad mouth. Especially it is so true
during times of personal intimacy! Bad smelling mouth must be fixed as soon
as possible! Otherwise, get ready for a round of fight!
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Some Curious Facts about Bad Breath and How People Treat
Halitosis:
1. Approximately 25% of people in the world suffer from halitosis on a
regular basis.
2. A majority of the adult population will invariably face bad breath when
they wake up in the morning.
3. Most people in the world do not brush their teeth properly. It usually
takes 3 minutes of brushing to reach all nooks and corners of your teeth.
Unfortunately, humans fail miserably when it comes to tooth hygiene. Good
dental hygiene i.e. regular brushing and flossing will help to eliminate bad
breath.
4. Most people spend just on an average 30-40 seconds in brushing their
teeth. By doing this they are missing out cleaning those areas where
harmful bacteria thrives well to form sulphur compounds.
5. Bad breath usually comes from the back of the mouth where a
bacterium feeds off the accumulated food particles creating bad smelling
compounds.
6. Over 200 different species of bacteria live in your mouth— and as many
as 50% of these bacteria are found on the back of the tongue.
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7. We never emit bad breath until we actually begin to speak. Bad breath
often starts near the back of the mouth and is driven forward and out of the
mouth only when we start talking.
8. It is a pure myth that we can smell our own breath odor! It is never
possible! This is because we have become so accustomed to smell our own
odors.
9. Many foods you eat can cause bad breath. Two of the most common
culprits are onions and cabbage, which contain high amounts of sulphur
compounds. Upon digestion, these sulphur compounds are absorbed into the
blood stream and carried forward to the lungs. These odorous compounds
are then exhaled through our mouth.
10. A dry mouth is a perfect environment for bad breath causing bacteria!
Saliva is a natural mouthwash and it keeps your tongue wet always, thus
washing away bacteria, and dissolving foul smelling volatile sulphur
compounds.
11. Sleeping too much, unnecessary dieting, excessive fasting, or talking
for long periods of time makes your mouth very dry and increases the
likelihood of bad breath. Apart from this certain medications, drugs, alcohol
consumption, and nasal breathing can cause the mouth to become dry, thus
compounding the problem.
12. Bad breath could ruin your social reputation. Bad breath is a serious
social handicap; it damages social, sexual and vocational interactions.
13. If the onset of your bad breath odor has been sudden, is growing
noticeably worse over a period of days or weeks, or has been accompanied
by the onset of fever, cough, or other symptoms, it would be wise to seek
medical consultation.
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Quotable Quotes!
“Champagne does have one regular drawback: swilled as a regular thing
certain sourness settles in the tummy and the result is permanent bad
breath. Really incurable!”
----Truman Capote, 'Answered Prayers' (1975)
“And, most dear actors eat neither onions nor garlic, for we are to utter
sweet breath.”
----William Shakespeare (1564 - 1616) A Midsummer Night's Dream
“Since garlic then hath powers to save from death, bear with it though it
makes unsavory breath.”
----Salerno Regimen of Health (12th century)

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