Archive for the ‘Bad Breath’ Category


Archive for the ‘Bad Breath’ Category

Gum Disease – Battling The Almost Inevitable Gum Disease

Monday, August 1st, 2011

Chances are high that you will have periodontal disease or gum disease in your lifetime.

Over 80% of adults do. With those odds, it may seem inevitable that you will have it, but why not be in the 20% that don’t? You can, all it takes is

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diligent, thorough and proper oral care.

First – THE DESCRIPTION: periodontal disease is the chronic infection of the soft tissue around the teeth caused by plaque producing bacteria. The gums hold the teeth in place. As the gums become infected, they loosen their hold on the teeth and pockets are formed. These pockets collect debris and cause more infection and bone loss to the tooth. Imagine the tooth as a fence post in the ground, cemented in place. The post starts out sturdy and strong with no movement. The cement is doing its job. Now imagine that chemicals (from acid rain or blowing debris or winter salt trucks) start to erode the cement. Soon the post becomes wobbly and the wood under the ground starts to rot. The cement in this example is the gum tissue and the post is the tooth. Unfortunately, gum disease is worse than one rotting fence post. It is infectious and contagious. It can spread from tooth to tooth in the mouth and from one person’s mouth to another through saliva.

Second – THE SYMPTOMS: This is not so easy. Often gum disease has no symptoms so it is left untreated until it becomes so bad irreparable bone loss occurs. Outward signs of periodontitis are:

  • Bad breath that won’t go away
  • Red or swollen gums
  • Bleeding gums especially after tooth brushing
  • Tender or sore gums
  • Loose teeth
  • Receding gums

Third – THE DIAGNOSIS: During regular six month cleanings, a dentist can diagnose periodontal disease in its very early stages. Xrays determine if any bone loss has occurred. Periodontal probing determines the depth of the pockets or space that the gums have loosened around the tooth. High levels of plaque or tartar build up that have spread to below the gum line is another indication.

Fourth – THE TREATMENT: If you have perio issues, there are several steps that a dentist may recommend depending on the severity of the case. The most important action is meticulous at home daily oral care. Teeth must be brushed twice or more times each day for at least two minutes and flossed at least once per day. Other treatments include prescription oral rinses, three month perio cleanings, scaling and root planing (SRP) and surgery.

Last but not least – PREVENTION: The most important preventative measure to avoid the insidious gum disease is to take excellent care of your teeth. Proper cleaning at least twice a day is imperative. The goal is to keep the bacteria that cause the plaque at very low levels.

Not everyone gets gum disease, make sure you are among those that don’t.

 

6 Signs In Identifying Periodontal Disease

Monday, April 11th, 2011

Most people are totally unaware that they have periodontal disease. Before major symptoms and pain occurs, this health issue may have already set in. For those that do not get regular six month dental checkups they could be well on their way to losing their teeth and contributing to other major health problems.

Before the systems become severe, it is important that regular six month checkups with a dentist are made to identify periodontal disease.

SIX SIGNS OF PERIODONTAL DISEASE:

The first clue to periodontal disease is bad breath that is constant and won’t go away.

When dealing with chronic bad breath, it is important that a systemic disease, such as diabetes, is ruled out. Other causes of bad breath that may have nothing to do with periodontal disease are diet (coffee, sugar, spicy foods) and medication (for colds and high blood pressure to name a few). Some sources of bad breath can originate in the lungs, sinus or stomach. These factors must also be considered.

However, since about 80% of the population has periodontal disease, it is most likely that bad breath is caused by this disease in the mouth. Those plump red gums that may look healthy to the uneducated eye are really symptoms of periodontal disease.

Pay particular attention to the areas around the tooth. Red or purple coloring around the tooth indicate the disease. Healthy gums are pink with the surface showing “stippling”, like the surface of an orange, not smooth and puffy like a water balloon. Gums that are tender to the touch and that bleed with the slightest aggravation are signs of periodontal disease. Gums should not bleed when brushing or flossing. Bleeding gums are an indication that the tissue is dying and infection is setting in.

Painful chewing is another sign of periodontal disease. Sharp pain located in just one tooth could be dental decay, a cracked tooth, one in need of a root canal or a new filling that is too high. Those with TMJ (Temporomandibular joint dysfunction) experience jaw pain, which is different than teeth hurting from chewing.

Overall or non-localized pain is often the result  of periodontal disease.Teeth that are loose in the mouth from periodontal disease are caused by plaque deposits along and under the gum line around the bone of the tooth. The bone begins to deteriorate and the tooth looses its support into the jaw. Pockets form around the tooth further collecting bacteria, exacerbating the problem.

Sensitivity to hot, cold, sweet, sour and cold air can also be a periodontal disease symptom. Gums that are receding due to the disease expose the root surfaces that are covered in tiny tubes leading to the nerve in the tooth. When the external stimulus (hot, cold, etc.) is introduced to the exposed portion of the tooth, pain is felt in the nerves.

Although late stages of periodontal disease show signs, early stages do not. Visit your dentist before the signs appear.

Causes of Bad Breath

Monday, April 4th, 2011

Bacterial plaque, bad breath and dental problems are all directly linked.

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The anaerobic bacteria that live in the mouth cause bad breath or halitosis, dental decay, periodontal disease  and gingivitis. Anaerobic means living in the absence of air. These types of bacteria are mostly the ones that cause disease.

Some dental issue definitions are:

  • Bad breath – the odor produced by bacteria living off food particles, each other and dying tissue. Bad breath can also be caused by other more serious health issues. An example of this is diabetes that can cause acidosis which in turn causes bad breath.
  • Dental decay – caused by the acidic excrement from the bacteria. The tooth is literally being dissolved by chronically being bathed in this acid.
  • Gingivitis – the inflammation of the gums caused by your own body trying to fight off the invasion of the bacteria.
  • Periodontal disease – (perio = around, and dontal = tooth) the loss of bone and tissue attachment around the tooth. It is caused by a microbial invasion around the tooth by anaerobic bacteria.

Between the teeth, along the gum line and on the surface of the tongue is where the film of plaque grows best. The odors and acids accumulate in these areas. The plaque is produced by the bacteria. Bad breath is caused by not being able to keep the population of bacteria under control.

In most cases poor oral hygiene is the culprit. Cleaning teeth twice daily is the minimum requirement for reducing the population of bacteria. However, meticulous cleaning is difficult.  Tooth brushing does not access in between teeth and often causes ridges and grooves along the gum line. Oral irrigating does not cut through the sticky greasy barrier the plaque produces.

Alternately, bad breath is caused by infections from dental decay, gingivitis, or periodontal disease. Once again, poor oral hygiene is the biggest reason for these infections. Unknown to most people, is the fact that improper flossing may take an infection from one part of the mouth and spread it to a healthy part. The infections also produce dead tissue, which add to the food feeding frenzy of the bacteria. The gasses from the dead tissue are what you smell.

There are other factors that contribute to the bacteria and odor besides food and infection. Smoking, mouth breathing, alcohol based mouth washes and certain medications increase dry mouth. Reduced saliva in the dry mouth does not allow your mouth to remove the bacteria that cause the odor.

In addition, the bad breath odor may be from sources other than the oral cavity. Some medical conditions cause bad breath. Infections in the lungs, nasal cavity or sinuses can cause odor that is associated with bad breath. Bad breath in diabetics is a rather common occurrence. And finally, less likely, but still possible, bad breath can be associated with certain conditions related to malfunctioning kidneys and some cancers.

Because bad breath is so repugnant to both the individual who has it as well as those in which they come in contact with, it is important to maintain a thorough oral hygiene regimen that includes cleaning the teeth at least twice, if not three times every day.

Other Sources of Bad Breath

Tuesday, September 22nd, 2009

We’ve talked about how bad breath can be caused by poor oral hygiene, infection from dental decay and dry mouth. Finally, the bad breath odor may be from sources other than the oral cavity.

Some medical conditions cause bad breath. Infections in the lungs, nasal cavity or sinuses can cause odor that is associated with bad breath.

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Bad breath in diabetics is a rather common occurrence.

And finally, less likely, but still possible, bad breath can be associated with certain conditions related to malfunctioning kidneys and some cancers.

Dry Mouth Can Cause Bad Breath

Monday, September 14th, 2009

Still on the subject of bad breath….There are o ther factors that feed the bacteria besides food and infection.

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Smoking, mouth breathing, alcohol based mouth washes and certain medications also increase dry mouth.

Reduced saliva does not allow your mouth to remove the bacteria that cause the odor.

Infection Can Cause Bad Breath

Thursday, August 27th, 2009

Infections from dental decay, gingivitis, or periodontal disease also cause bad breath. Aga in, poor oral hygiene is the biggest factor in these infections.

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Improper flossing will take an infection from one part of the mouth and inoculate a health part. The infections also produce dead tissue, which add to the smorgasbord feeding the bacteria.

The gasses given off are what you smell.

Odors & Acids That Cause Bad Breath

Thursday, July 30th, 2009

Odors and acids are produced in the film of plaque that resides between teeth, along the gum line and on the surface of the tongue. The plaque is produced by the bacteria.

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Poor oral hygiene cannot keep the population of bacteria under control, resulting in bad breath.

Cleaning teeth twice daily is the minimum requirement for reducing the population of bacteria. However, meticulous cleaning is difficult. Tooth brushing does not access in between teeth and often causes ridges and grooves along the gum line. Oral irrigating does not cut through the sticky greasy barrier the plaque produces.