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Breath Center

Halitosis Data

1. 90% of  Halitosis is from oral contributing factors that produce Volatile Sulfur Compounds
2. Mouth Odor is predominantly caused by the following VSC’s: hydrogen sulfide, methyl mercaptan, dimethyl sulfide & dimethyl disulfide Hydrogen sulfide & Methyl Mercaptan break down into the amino acids; cystiene & methionine.  The two amino acids are associated with premature low birth weight babies & heart disease
3. Sulfur compounds are produced by anaerobic gram negative bacteria in the mouth
4. Gingival Inflammation & Periodontal Disease will increase mouth odor
5. Halitosis often plagues clinically healthy mouths
6. The tongue & the microenvironment in the gingival sulcus is a primary site for odor causing bacteria
7. Control & elimination of malodor involves bacterial removal & destruction of the VSC’s on a daily basis
8. VSC bacterial removal & control requires daily personal care & professional oral prophylaxis
9. Chlorine dioxide products eliminate VSC’s
10. Conditions that can increase odors are: Alkaline pH, gram negative bacteria, reduced saliva flow (dry mouth), ineffective Oral Hygiene (including unclean partials or dentures), gingivitis, periodontal disease, offensive foods, alcohol, tobacco
11. Conditions & procedures that will decrease odors: tongue cleaning, chlorine dioxide rinses, professional & daily mouth prophylaxis, acidic pH, & increase saliva flow
12. Fetor oris / fetor ex ore - Arises form sources in the mouth pathological & bacterial.  ie. herpetic gingivostomatis, viral infection, oral cancer, salivary gland disease, healing trauma. 
13. Physiological Halitosis / temporary nature / from volatile odiferous blood-borne substances released into the lungs from foods, coffee, tea, alcohol
14. Pathological Halitosis / Stems from disease ie. diabetic ketoacidosis, uremia, hepatitis
15. Other medical conditions that may contribute to malodor; imethylaminura, sinusitis, Hepatitis, emphysema, tonsillitis, tumors, pharyngitis, pneumonia, bronchitis, liver,TB, cirrhosis, uremia, esophageal reflux hiatus hernia, cancer, stress, hormonal changes