Doctor. I have a serious problem of bad breath and I unable to control it. Even after brushing teeth twice a day. The problem continues. I have tried the mouth wash. But there is no positive results. Can you please suggest the solution.

Dr. Supreeth S. MDentist18yrs exp

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Hi lybrate-user sorry to hear about your problem inspite of your efforts bad breath or called as" halitosis" there are various reasons for bad breath. First of all update your medical history as the problem could be elsewhere in your body but will be shown as bad breath through your mouth as mouth being the gateway for your complete system. Apart from that there might be local soft or hard deposits on your teeth which can cause bad breath. This might need professional cleaning by the dentist your teeth might be not well aligned, which we call as" crowded" teeth which makes its challenging for you to keep it clean. So consult an orthodontist (specialist for braces) to align your teeth. Your health of the gums might be compromised which also leads to bad breath. Consult a periodontist for gum problems. Your teeth might have cavities where the food can get lodged and might lead to bad breath. Consult your dentist for this. Inspite of regular cleaning and brushing it might be difficult for you to get a fresh breath. As I mentioned above your dentist will tell you exactly the problem areas. Make sure you do your part well. Regular brushing of your teeth twice daily regular flossing of your teeth (which means cleaning between your teeth by means of floss) clean your tongue gently as it can harbour bacteria causing bad breath stay away from tobacco related habits consume a lot of water and stay hydrated. As dry mouth also leads to bad breath. Please do not use mouth washes if not prescribed by your dentist as they have their own side effects which would be a negative to your oral health. Pay a visit to your dentist every 6 months or earlier for routine cleaning as suggested by your dentist. Problems diagnosed and treated earlier needs less attention as well as works out financially easier for you. I hope I clarified your question. If you need further clarification you can always buzz me or ask your dentist. Good luck and god bless. 

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Dr. Yasmin Asma ZoharaDentist23yrs exp

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?Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. ?Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. ?Reduce your alcohol consumption. ?Stop smoking. ?Cut down on coffee. ?Drink plenty of water to help prevent your mouth becoming dry. ?Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. ?Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. ?Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. ?Use a separate toothbrush to clean your dentures. ?Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. ?Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. ?Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. ?If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. ?Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. ?You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person. 

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Please get professional cleaning of your teeth done by a dentist. After your teeth are cleaned you can practice methods to maintain oral hygiene like brushing twice, using mouth wash. You can also ask your dentist to suggest you proper brushing techniques and about how to use mouthwash for the best results. Follow the instructions given by your dentist and your problem will be solved. 

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Pls get your teeth cleaned. You hav food deposits which smell. Also clean your tongue. 

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Dr. Isha MalhotraDentist13yrs exp

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Medically called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. Basically, all the food eaten begins to be broken down in your mouth. As foods are digested and absorbed into the bloodstream, they are eventually carried to your lungs and given off in your breath. If you eat foods with strong odors (such as garlic or onions), brushing and flossing -- even mouthwash -- merely covers up the odor temporarily. The odor will not go away completely until the foods have passed through your body. If you don't brush and floss teeth daily, food particles can remain in your mouth, promoting bacterial growth between teeth, around the gums, and on the tongue. This causes bad breath. Antibacterial mouth rinses also can help reduce bacteria. In addition, odor-causing bacteria and food particles can cause bad breath if dentures are not properly cleaned. Smoking or chewing tobacco-based products also can cause bad breath, stain teeth, reduce your ability to taste foods, and irritate your gums. Persistent bad breath or a bad taste in the mouth 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 jawbone. Other dental causes of bad breath include poorly fitting dental appliances, yeast infections 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, neutralize 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. Many other diseases and illnesses may cause bad breath. Here are some to be aware of: respiratory tract infections such as pneumonia or bronchitis, chronic sinus infections, postnasal drip, diabetes, chronic acid reflux, and liver or kidney problems. Bad breath can be reduced or prevented if you: practice good oral hygiene. Brush twice a day with fluoridetoothpaste to remove food debris and plaque. Brush teeth after you eat (keep a toothbrush at work or school to brush after lunch). Don't forget to brush the tongue, too. Replace your toothbrush every 2 to 3 months or after an illness. Use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. Rinse with an antibacterial mouthwash twice a day. Dentures should be removed at night and cleaned thoroughly before being placed in your mouth the next morning. See your dentist regularly -- at least twice a year. He or she will conduct an oral exam and professional teeth cleaning and will be able to detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor. Stop smoking and chewing tobacco-based products. Ask your dentist for tips on kicking the habit. Drink lots of water. This will keep your mouth moist. Chewing gum (preferably sugarless) or sucking on candy (preferably sugarless) also stimulates the production of saliva, which helps wash away food particles and bacteria. Gums and mints containing xylitol are best. Keep a log of the foods you eat. If you think they may be causing bad breath, bring the log to your dentist to review. Similarly, make a list of the medications you take. Some drugs may play a role in creating mouth odors. 

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Dr. Premendra GoyalDentist26yrs exp

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Bad breath can be due to various reasons. If you have bleeding gums or tartar accumulation on your teeth, a dental cleaning will help you overcome the problem. If you have any other issue like constipation or acidity or sinusitis etc, you need to get the root cause of the problem treated. 

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