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BAD BREATH
Simplified Dentistry
BAD BREATH
HALITOSIS
BREATH MALODOR
FOUL BREATH
FETOR ORIS
 Oral Malodor is the term especially used to describe the odor coming from the oral cavity.
 It affects a large proportion of population.
 The intensity of bad breath differs during the day.
 The odor is usually worse upon awakening because the mouth is dry and inactive during the night.
 At least 90% of all malodor originates from oral cavity whereas remaining 10% has systemic/local causes.
PATHOGENESIS
DIET, BACTERIA,
EPITHELIAL CELLS
PEPTIDES/PROTEINS
AMINO ACIDS
PUTREFACTION PRODUCTS(VOLATILE SULFUR
COMPOUNDS CONTAINING METHYL
MERCAPTAN, HYDROGEN SULFIDE)
Proteolysis/Hydrolysis
Amino lysis
TYPES OF HALITOSIS
GENUINE HALITOSIS PSEUDOHALITOSIS
HALITOPHOBIA
It is an obvious malodor with
intensity beyond socially acceptable
level.
It is not perceived by others,
although the patient complains of
its existence. The condition can be
improved by counselling and
simple oral hygiene measures.
After treatment for genuine
halitosis or pseudo halitosis,
the patient persists in
believing that he/she has
halitosis.
DISEASE ORAL CHARACTERISTICS
DIABETES Acetonic, fruity or smell of rotten apples
LIVER FAILURE Sweetish , musky
ACUTE RHEUMATIC FEVER Acid , Sweet
LIVER INSUFFICIENCY Sweet odor
TOXEMIA, GIT DISORDER Fetid and unpleasant taste
KIDNEY INSUFFICIENCY Fish odor
Oral malodor can also reveal important diseases, if it can be analyzed accurately.
TREATMENT
• Treatment of oral malodor is a step-by-step problem solving procedure.
• Before commencing the treatment, it is important to determine the source of malodor.
 The simplest way to distinguish oral from non-oral origin is to compare the smell from mouth and nose.
 If the origin is nasal or due to any other medical etiology they must be referred to a concerned specialist.
 The odor generating from mouth often requires dental treatment.
• There are no standard and accepted protocols for the treatment of bad breath, however, the possible protocols
contain the basic elements including standard dental and periodontal treatment.
For genuine halitosis with oral causes, the treatment is as follows-
Bad breath
Bad breath

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Bad breath

  • 3.  Oral Malodor is the term especially used to describe the odor coming from the oral cavity.  It affects a large proportion of population.  The intensity of bad breath differs during the day.  The odor is usually worse upon awakening because the mouth is dry and inactive during the night.  At least 90% of all malodor originates from oral cavity whereas remaining 10% has systemic/local causes.
  • 4. PATHOGENESIS DIET, BACTERIA, EPITHELIAL CELLS PEPTIDES/PROTEINS AMINO ACIDS PUTREFACTION PRODUCTS(VOLATILE SULFUR COMPOUNDS CONTAINING METHYL MERCAPTAN, HYDROGEN SULFIDE) Proteolysis/Hydrolysis Amino lysis
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. TYPES OF HALITOSIS GENUINE HALITOSIS PSEUDOHALITOSIS HALITOPHOBIA It is an obvious malodor with intensity beyond socially acceptable level. It is not perceived by others, although the patient complains of its existence. The condition can be improved by counselling and simple oral hygiene measures. After treatment for genuine halitosis or pseudo halitosis, the patient persists in believing that he/she has halitosis.
  • 14. DISEASE ORAL CHARACTERISTICS DIABETES Acetonic, fruity or smell of rotten apples LIVER FAILURE Sweetish , musky ACUTE RHEUMATIC FEVER Acid , Sweet LIVER INSUFFICIENCY Sweet odor TOXEMIA, GIT DISORDER Fetid and unpleasant taste KIDNEY INSUFFICIENCY Fish odor Oral malodor can also reveal important diseases, if it can be analyzed accurately.
  • 15. TREATMENT • Treatment of oral malodor is a step-by-step problem solving procedure. • Before commencing the treatment, it is important to determine the source of malodor.  The simplest way to distinguish oral from non-oral origin is to compare the smell from mouth and nose.  If the origin is nasal or due to any other medical etiology they must be referred to a concerned specialist.  The odor generating from mouth often requires dental treatment. • There are no standard and accepted protocols for the treatment of bad breath, however, the possible protocols contain the basic elements including standard dental and periodontal treatment.
  • 16. For genuine halitosis with oral causes, the treatment is as follows-