The origin of person's bad breath must be identified before it can be treated.
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For most people, the treatment approach for curing their bad breath will be pretty straightforward.
The treatment that is needed to resolve the vast majority of cases of bad breath is simply more effective mouth cleaning. Most cases of halitosis are oral in origin and are due to the fact that the person's exhaled breath contains high levels of smelly sulfur compounds produced by oral bacteria. As a cure for halitosis, Improved mouth cleaning (brushing, flossing, tongue cleaning) will typically remove enough of these bacteria that the person will at least notice a significant improvement in the quality of their breath, and very likely a complete resolution of their halitosis.
Unfortunately this will not be the case for all people because there can be other causes of halitosis. And while improved oral home care is typically a needed part of their treatment, it won't be a definitive cure on its own.
For this reason, before a dentist can begin treating a patient's case of halitosis they must first evaluate the nature of their breath problem so they know that their proposed treatment plan is appropriate. Towards this goal, dental professionals have developed the following classification system for categorizing types of bad breath.
Types of bad breath.
Dentists use three broad classifications to categorize the types of breath malodor problems that a patient might have. They are genuine halitosis, pseudo-halitosis and halitophobia. As you read through the descriptions of each of these classifications, take notice of how the proper identification of the breath problem being treated is very important because the cure for each can be quite varied.
Genuine halitosis.
Genuine halitosis refers to those cases of oral malodor that are easily identified, either by smelling or by the use of a testing apparatus designed to detect the compounds associated with bad breath. Genuine halitosis can be caused by a number of different situations and conditions. They will be discussed in greater detail later on in this hub.
Pseudo-halitosis.
Pseudo-halitosis refers to situations where the patient feels that they do have bad breath but in reality they do not (in the sense that no one else can smell it and no scientific apparatus can identify it). Since an oral malodor does not exist, proper treatment lies with counseling the patient about their misconception.
Halitophobia.
Halitophobia refers to a situation where a patient has been treated for bad breath (either real or imagined), at this point in time they do not have bad breath, yet they still continue to believe that they do. These patients may have had genuine halitosis originally that has been successfully resolved. Or the patient may have had pseudo-halitosis yet continues to believe that they have bad breath even after receiving counseling. These patients need to be referred to a medical professional for psychological counseling.
Subclassifications of genuine halitosis.
Genuine halitosis (bad breath that is readily identifiable) is subdivided into two further categories. They are physiologic and pathologic halitosis.
Pathologic halitosis.This subcategory refers to those cases of genuine halitosis that are a caused by or aggravated by a disease process or other pathological condition. This classification is discussed in greater detail below.Physiologic halitosis.Physiologic halitosis refers to those cases of genuine halitosis that are caused by / associated with a putrefactive process taking place in the oral cavity. This is the classic type of bad breath that most people suffer with. And it is the type of bad breath that a person can usually resolve on their own just by improving their oral home care (especially their tongue cleaning habits).Subclassifications of pathologic halitosis.
The pathologic halitosis category is subdivided into two further classifications. They are based on the location of the disease process that has caused the person's oral malodor.
Oral pathologic halitosis.Oral pathologic halitosis refers to those cases of bad breath that are associated with a disease process or other pathologic condition involving the tissues of the mouth. In most cases this type of halitosis is associated with the presence of periodontal disease (gum disease). And while improved oral home care (brushing, flossing, tongue cleaning) will play an important role in getting this type of bad breath under control, the patient will also need professional dental care (cleanings, gum surgery) to treat their underlying condition.Extraoral pathologic halitosis.
This classification refers to those situations where a person's breath malodor originates from a pathologic condition or disease state that is located in a part of the body other than the mouth. In general, a person's malodor will either come from their upper respiratory tract, lower respiratory and/or upper digestive tracts, or else disorders elsewhere in the body. In the later case, compounds produced by the disease process have become blood borne. The person's bad breath is a result of these compounds being exhaled from their lungs.Improved oral home care may assist with improving the quality of the person's breath in these cases. But ultimately the patient must be referred to the appropriate type of physician or medical specialist for treatment before a total resolution of the problem can be achieved.Articles from Dentistry-Explained: A blog about dentistry.
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the insurance guy says:
13 months ago
Nice article. A ton of good information. Who would have thought so many things could make your breath smell so bad. I wonder how many divorces have been caused by bad breath. I'll bet there's some kind of government funded study on that topic!