Bad breath also known as Halitosis, is not only related to mouth problems.
Causes are broadly divided into:
- Oral causes 2. Extra oral causes
Oral causes:
- Poor oral hygiene β Plaque, food debris, and bacteria buildup.
- Gum disease β Gingivitis or periodontitis
- Tongue coating β Especially the back of the tongue
- Dental caries β Tooth decay
- Dry mouth (xerostomia) β Reduced saliva flow
- Oral infections β Abscesses, ulcers
- Smoking and tobacco use.
Extraoral causes
- Sinusitis β Postnasal drip
- Tonsillitis - Especially tonsil stones
- Nasal polyps
- Fasting or keto diet β Ketone breath
- Diabetes (ketoacidosis) β Fruity/sweet smell
- Liver failure β Musty or βrotten eggβ breath (foetor hepaticus)
- Kidney failure β Ammonia-like or urine smell
- GI diseases β GERD, H. pylori infection, bowel obstruction
**It is very important to identify the root cause of the bad breath to treat effectively.