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MoonDragon's Health & Wellness
Disorders

HALITOSIS
(Bad Breath)

Oral Malodor


For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.





  • Halitosis Description
  • Halitosis Frequent Signs & Symptoms
  • Halitosis Causes
  • Halitosis Conventional Medical Treatment
  • Herbal Recommendations
  • Diet & Nutritional Recommendations
  • Nutritional Supplements
  • Notify Your Health Practitioner
  • Halitosis Supplement & Support Products




  • bad breath smelling bad breath


    HALITOSIS DESCRIPTION

    Halitosis, also known as "bad breath or oral malodor", is a common disorder with more than 90 million Americans suffering from it. It can be embarrassing for those people who are experiencing it. Most adults probably suffer from bad breath occasionally, with perhaps about 25-percent suffering on a regular basis.

    Bad breath could be a sign of a health problem and is typically caused by poor dental hygiene and the activity of bacteria in the mouth. However, other factors may be involved, including gum disease, tooth decay, heavy metal buildup, infection of the respiratory tract such as sinus infection, nose or throat infection, infection of the windpipe, improper diet, gastric problems, constipation, smoking, fever, diabetes, foreign bacteria in the mouth, indigestion, inadequate protein digestion, liver or kidney malfunction, postnasal drip, stress, and too much unfriendly bacteria in the colon. Halitosis can also be caused by a buildup of toxins in the gastrointestinal tract, salivary gland disorders, chronic bronchitis, sinusitis, or diabetes. Dieting, alcohol abuse, or fasting can cause bad breath as well.

    "Morning breath" results from dehydration and a reduction in the amount of saliva, which is needed to wash away bacteria in the mouth. Dieters and people who are fasting may experience bad breath because the lack of food causes the body to break down stored fat and protein for fuel; metabolic wastes resulting from that process have an unpleasant odor as the are exhaled from the lungs.

    In the past, bad breath was often considered to be an incurable affliction. However, in recent years it has become increasingly evident that bad breath is usually treatable once a proper diagnosis is made.

    The main problem is knowing whether we have it or not, because we are poor judges of our own breath odor. Some people suffer from bad breath without knowing it, while others build up exaggerated fears about breath odor even though they do not have it. The best way to find out whether we have bad breath is to ask for someone else's opinion. If we do not ask, other people are unlikely to tell us. And since bad breath can sometimes - fortunately rarely - be a sign of a significant general health problem, we should not be reluctant to tell people dear to us that they have a bad breath problem.





    HALITOSIS FREQUENT SIGNS & SYMPTOMS

    Some people who come to dental and medical clinics claim that they can smell their own breath. They do this in a variety of ways some ingenious. The most common thing to do is just to cover your mouth and nose with your hands and take a deep whiff. Some people are able to detect odor in this manner. An easier thing to do is to lick your wrist. Some people smell their odor on the telephone receiver after a conversation. Others rub their gums with their finger and smell it. One woman claimed to be able to smell her own bad breath by covering her head with a blanket.

    The problem with all these techniques is getting an objective viewpoint of the odor coming out. In a recent study, 52 people were asked to smell their own bad breath and score it on a scale. In general, the results showed that people were unable to score their own bad breath in an objective fashion. This is probably because we all have a certain preconception of how bad our breath smells, and when we come to score what we smell, we are heavily influenced by our mindset, regardless of how bad the smell actually is.

    Several years ago, a Japanese company came out with a little bad breath detector that looks like a small powder box, mirror and all. But when you open it, there are little buttons and lights that go on and off. You blow over a small grid, and within several seconds it gives you a score. However, there is a serious question as to whether these small instruments are at all accurate.

    Most people have bad breath at one time or another. The best way to find out if your have it on a regular basis, is to ask someone close to you. Provided that they love you, and that they have a sense of smell, family members will find a way of telling you the truth. You can also ask a very close friend.





    halitosis causes


    HALITOSIS CAUSES

    Though there may never be an easy way to tell someone they have got bad breath, there are better ways to diagnose and treat the condition today than ever before. Today, dentists are much more capable when it comes to treating bad breath since about 75-percent of bad breath stems from the mouth. It is caused when decay and debris produce sulfur compounds that cause foul odor and gum disease.

    This is a summary of different odor-related problems and their possible causes:

    PROBLEM
    POSSIBLE CAUSE OR SOURCE OF MALADOR

    Odor after fasting, dieting, sleeping, taking medications, prolonged speaking, exercise.

    Dryness in the mouth, insufficient saliva flow.

    Gums bleed and/or smell.

    Gum problems, poor cleaning between teeth.

    Odor upon talking.

    Postnasal drip on back of tongue.

    Odor at onset of menstrual cycle.

    Swelling of gums.

    Small whitish stones with foul odor appear on tongue.

    Tonsilloliths from crypts in tonsils.

    Odor appears suddenly from mouth of young children.

    Onset of throat infection.

    Odor appears suddenly from nose of young children.

    Foreign body placed in nose.

    Odor appears suddenly from entire body of young children.

    Foreign body placed in nose.

    Taste or smell of rotten fish.

    Trimethylaminuria (rare).

    Odor in denture wearers.

    Dentures kept in mouth at night or not cleaned properly.

    Odor from nose.

    Sinusitis, polyps, dryness, foreign body, hindered air or mucus flow.

    Bad taste all day long.

    Poor oral hygiene, gum disease, excessive bacterial activity on tongue.


    Halitosis can be caused by many localized and systemic disorders. Halitosis caused by normal physiological processes and behaviors is usually transitory.

  • Non-pathologic halitosis may due to hunger, low levels of salivation during sleep, food debris, prescription drugs, and smoking.

  • Chronic or pathological halitosis stems from oral or non-oral sources. In addition there appear to be several other metabolic conditions involving enzymatic and transport anomalies (such as Trimethylaminuria) which lead to systemic production of volatile malodors that manifest themselves as halitosis and/or altered chemoreception. Some of the oral causes are:
    • Periodontal disease, gingivitis, and plaque coating on the dorsum of the tongue.
    • Halitosis may be aggravated by a reduction in salivary flow.
    • Radiation therapy, Sjorgen's Syndrome, some lung conditions, including cancer, peritonsillar abscess, cancer of the pharynx and cryptic tonsils can also contribute to oral malodor.
    • Nasal problems such as postnasal drip that falls at the posterior dorsum of the tongue may exacerbate the oral malodor condition. Odor generated in this manner can be easily distinguished from mouth odor by comparing the odor exiting the mouth or nose.

  • The non-oral causes of halitosis include diabetic ketosis, uremia, gastrointestinal conditions, and irregular bowel movement, hepatic and renal failure and certain types of carcinomas such as leukemia.

  • The accurate clinical labeling and interpretation of different oral malodors both contribute to the diagnosis and treatment of underlying disease.

    7 COMMON SOURCES OF HALITOSIS
       1. Mouth & Tongue Sources
       2. Nasal, Nasopharyngeal, Sinus, & Oropharyngeal Sources
       3. Xerostomia-Induced Oral Malodor
       4. Primary Lower Respiratory Tract & Lung sources
       5. Systemic Disease-Induced Malodor
       6. Gastrointestinal Diseases & Disorders-Induced Malodor
       7. Odiferous Ingested Foods, Fluids, & Medications


  • Taste and smell can be altered due to facial injuries, cosmetic surgery radiation and olfactory epithelium located on the dorsal aspect of the nose.

  • A relationship between gastrointestinal diseases such as gastritis and oral malodor has not been established. However, oral malodor has been reported in some patients with a history of gastritis, or duodenal and gastric ulcers.

  • Saliva plays a central role in the formation of oral malodor. Such formation has its basis due to bacterial putrefaction, the degradation of proteins, and the resulting amino acids produced by microorganisms.

  • Many patients with a chief complaint of oral malodor have some level of gingival and or periodontal pathology sufficient to be the etiology, but clearly periodontal pathology is not a prerequisite for production of oral malodor.

  • Medications such as antimicrobial agents, anti-rheumatic, anti-hypertensive, antidepressants and analgesics may cause altered taste and xerostomia.

  • Halitosis in healthy people arises from the oral cavity and generally originates on the tongue dorsum. The sulfur producing anaerobic bacteria appears to be the primary source of this odors. The large surface area of the tongue and its papillary structure allow it to retain food and debris. This is an excellent putrefactive habitat for gram negative anaerobes that metabolize proteins as an energy source. The bacteria hydrolyze the proteins to amino acids, three of which contain sulfur functional groups and are the precursors to volatile sulfur compounds (VSC's). These gaseous substances, responsible for malodor, consist primarily of hydrogen sulfide (H2S), dimethyl sulfide [(CH3)2S], methyl mercaptan (CH3SH) and sulfur dioxide (SO2). Cadaverine levels have been reported to be associated with oral malodor and this association may be independent of VSC. Subjects challenged with cysteine rinses produced high oral concentrations of VSC, which thus seems to be a major substrate for VSC production. The other sulfur-containing substrates had much less effect. It was found that the tongue was the major site for VSC production.
    • Tongue Plaque Coating: Research suggests that the tongue is the primary site in the production of oral malodors. The dorsoposterior surface of the tongue has been identified as the principal location for the intraoral generation of volatile sulfur compounds (VSC's). The tongue is a haven for the growth of microorganisms since the papillary nature of the tongue dorsum creates a unique ecological site that provides an extremely large surface area, favoring the accumulation of oral bacteria. The proteolytic, anaerobic bacteria that reside on the tongue play an essential part in the development of oral malodor. The presence of tongue coating has been shown to have a correlation with the density or total number of bacteria in the tongue plaque coating. The weight of the tongue coating in periodontal patients was elevated to 90 mg, while the VSC was increased by a factor of four. The CH3SH/H2S fraction was increased 30-fold when compared with individuals with healthy periodontium. This high ratio of amino acids can be due to free amino acids in the cervicular fluid when compared with those of L-cysteine. The BANA (Benzoyl-DL-arginine-2 napthylamide) test has been used to detect T.denticola and P.gingivalis. The two organisms that may contribute to oral malodor can be easily detected by their capacity to hydrolyze BANA a trypsin-like substrate. BANA scores are associated with a component of oral malodor, which is independent of volatile sulfide measurements, and suggest its use as an adjunct test to volatile sulfide measurement. Higher mouth odor organoleptic scores are associated with heavy tongue coating and correlate with the bacterial density on the tongue and it also correlates to BANA-hydrolyzing bacteria-T. denticola, P.gingivalis, and Bacteroides forsythus.

    • Microbiota Associated With Oral Malodor: The actual bacterial species that cause oral malodor have yet to be identified from among the 300 plus bacterial species in the mouth. Putrefaction is thought to occur under anaerobic conditions, involving a range of gram-negative bacteria such as Fusobacterium, Veillonella, T.denticola, P. gingivalis, Bacteroides and Peptostreptococcus. Studies have shown that essentially all odor production is a result of gram-negative bacterial metabolism and that the gram-positive bacteria contribute very little odor. Fusobacterium nucleatum is one of the predominant organisms associated with gingivitis and periodontitis and this organism produces high levels of VSC's. The nutrients for the bacteria are provided by oral fluids, tissue and food debris. Methionine is reduced to methyl mercaptan and cysteine. Cysteine is reduced to cystine, which is further reduced to hydrogen sulfide in the presence of sulfhydrase-positive microbes. This activity is favored at a pH of 7.2 and inhibited at a pH of 6.5. Isolates of Klebsiella and Enterobacter emitted foul odors in vitro which resembled bad breath with concomitant production of volatile sulfides and Cadaverine both compounds related to bad breath in denture wearers. The amounts of volatile sulfur compounds (VSC) and methyl mercaptan/hydrogen sulfide ratio in mouth air from people with periodontal involvement were reported to be eight times greater than those of control subjects.
    HALITOSIS PREVENTION

    FLOSSING

    Researchers, for the most part, suggest flossing as a very important addition to tooth brushing. In research, subjects who said that they floss had much less bad breath (as well as gum disease) as compared with those that said they did not. It is important to use floss properly, following professional instruction. Remember to floss around the ends of the teeth at the ends of each row.

    Children would probably have problems flossing, since it requires a delicate control of the fingers they do not have yet. The elderly may also have problems with flossing and hand-finger control.

    One of the great advantages of using floss, is that you can smell the floss directly following each passage between the teeth, and clean the smelly areas more diligently.

    Consult your dentist or hygienist for instructions for proper flossing techniques.

    MOUTH RINSES & MOUTHWASHES

    The best time to use any mouth rinse appears to be right before bedtime. Since in many instances, bad breath involves the back of the tongue, it is probably helpful to gargle the mouth rinse. Some clinicians recommend extending the tongue while gargling, in order to allow the mouth rinse to reach farther back.

    Mouthwashes have been used as chemical approach to combat oral malodor. Mouth rinsing is a common oral hygiene dating back to ancient times. Antibacterial components such as cetylpyridinium chloride, Chlorhexidine, Triclosan, essential oils, quaternary ammonium compounds, benzalkonium chloride hydrogen peroxide, sodium bicarbonate, zinc salts and combinations have been considered along with mechanical approaches to reduce oral malodor. Any successful mouth rinse formulation must balance the elimination of the responsible microbes while maintaining the normal flora and preventing an overgrowth of opportunistic pathogens.

    Most commercial mouth rinses and mouthwashes only mask odors, providing little antiseptic function and should not be used. Most of these products contain nothing more than flavoring, dye, and alcohol. Even when these mouth rinses do contain antiseptic substances, the effects are usually not long-lasting. The microbes survive antiseptic attacks by being protected under thick layers of plaque and mucus. While they may kill bacteria that cause bad breath, the bacteria soon return in greater force. These type of mouth rinses and mouthwashes can also irritate the gums, tongue, and mucous membranes in the mouth.

    Many commercially available rinses contain alcohol as an antiseptic and a flavor enhancer. The most prevalent problem with ethanol is that it can dry the oral tissues. This condition in itself can actually induce oral malodor. In addition, there is some controversy as to whether or not the use of alcohol rinses are associated with oral cancer. The FDA states that there is no evidence to support the removal of alcohol from over-the-counter products but alcohol-free mouth rinses are becoming increasingly popular.

    People having present or past alcohol-dependency (alcoholism) problems should avoid mouth rinses that contain alcohol.

    TYPES OF RINSES

  • Zinc Rinses: Clinical trials conclude that zinc mouth rinses are effective for reducing oral malodor in people with good oral health. Zinc rinses (in chloride, citrate or acetate form) have been found to reduce oral volatile sulfur compound (VSC) concentrations for greater than three hours. The zinc ion may counteract the toxicity of the VSC's and it functions as an odor inhibitor by preventing disulfide group reduction to thiols and by reaction with the thiols groups in VSC's. It has been reported a zinc-based rinse was more effective as compared to chlorinedioxide based rinse when both rinses were used twice a day for 60 seconds over a 6-week period. Zinc containing chewing gum has been shown to reduce oral malodor.

  • Chlorhexidine Rinses: Chlorhexidine digluconate is useful in decreasing gingivitis and plaque buildup. It is one of two active ingredients in mouth rinses that has been shown to reduce gingivitis in long-term clinical trials and appears to be the most effective anti-plaque and anti-gingivitis agent known today. The efficacy of chlorhexidine as a mouthrinse to control oral malodor has not been studied extensively. The primary side effect of chlorhexidine is the discoloration of the teeth and tongue. In addition, an important consideration for long-term use is its potential to disrupt the oral microbial balance, causing some resistant strains to flourish, such as Streptococcus viridans. The effect of 1-stage full mouth disinfection in periodontitis patients (Scaling and root planing of all pockets within 24 hours together with the application of Chlorhexidine to all intra-oral niches followed by chlorhexidine rinsing for 2 months) resulted in a significant improvement in oral malodor when compared to a fractional periodontal therapy (consecutive root planings per quadrant, at a 1 to 2 week interval). While Chlorhexidine appears to be clinically effective from these open-design clinical studies, it is not an agent that should be used routinely, or for long periods of time, in the control of oral malodor, because of its side effects. Mouth rinse containing Chlorhexidine, Cetylpyridium chloride and Zinc lactate was evaluated in a clinical study for two weeks. Eight subjects participated in this pilot study and this formulation showed improvement in organoleptic scores and a trend to reduce tongue and saliva microflora. Antimalodor properties of chlorhexidine spray 0.2-percent chlorhexidine mouth rinse 0.2-percent and sanguarine-zinc mouth rinse were evaluated on morning breath. Oral malodor parameters were assessed before breakfast and four hours later after lunch. Results indicated that a sanguarine-zinc solution had a short effect as compared to chlorhexidine that lasted longer.

  • Chlorine Dioxide Rinses: Chlorine Dioxide (ClO2) is a strong oxidizing agent that has a high redox capacity with compounds containing sulfur. Chlorine dioxide is also used in water disinfection and in food processing equipment sanitation and functions best at a neutral pH. Commercially available mouth rinses are a solution of sodium chlorite since chlorine dioxide readily loses its activity. Further independent clinical investigations are needed to substantiate the effectiveness of sodium chlorite containing rinses for the control of oral malodor. In fact, chlorine dioxide, the agent most widely touted on the Internet, has no published clinical studies (as of December, 1999) to substantiate the claims to reduce oral malodor. Benzalkonium chloride in conjunction with sodium chlorate has been shown to be effective in reducing oral malodor. In this pilot study subjects with mild to severe periodontitis were instructed to use the mouthwash twice a day for a period of six weeks and periodontal and oral malodor parameters were assessed.

  • Triclosan Rinses: Triclosan (2,4,4'-trichloro-2'-hydroxydiphenylether) is a broad spectrum non ionic antimicrobial agent. This lipid soluble substance has been found to be effective against most types of oral cavity bacteria. A combined zinc and triclosan mouth rinse system has been shown to have a cumulative effect, with the reduction of malodor increasing with the duration of the product use.

  • Two-Phase Rinses: Two-phase oil-water mouth rinses have been tested for their ability to control halitosis. A clinical trial reported significant long-term reductions in oral malodor from the whole mouth and the tongue dorsum posterior. The rinse is thought to reduce odor-producing microbes on the tongue because there is a polar attraction between the oil droplets and the bacterial cells. The two-phase rinse has been shown to significantly decrease the level of volatile sulfur compounds eight to ten hours after use, although not as effectively as a 0.2-percent chlorhexidine rinse. Positive controls such as Chlorhexidine and Listerine that had previously shown to reduce organoleptic scores were used in these clinical studies.

  • Hydrogen Peroxide: The potential of hydrogen peroxide to reduce levels of salivary thiol precursors of oral malodor has been investigated. Using analytical procedures, percent reduction in salivary thiols levels posttreatment compared to baseline was found to be 59-percent.

  • Topical Antimicrobial Agents: Azulene ointment with a small dose of Clindamycin was used topically in eight patients with maxillary cancer to inhibit oral malodor that originates from a gauze tamponade applied to the postoperative maxillary bone defect. The malodor was markedly decreased or eliminated in all cases. Anaerobic bacteria such as Porphyromonas and Peptostreptococcus involved in generation of malodor also became undetectable.

  • Breathnol is a proprietary mixture of edible flavors, which was evaluated in a clinical study, and this formulation reduced oral malodor for at least 3 hours. Certain lozenges, chewing gums, and mints have been reported to reduce tongue dorsum malodor.

  • Alternative Remedies: Some of the natural controls for oral malodor include chewing gum containing tea extract. Also recommended are natural deodorants such as copper chlorophyll and sodium chlorophyllin. Alternative dental health services suggest the use of chlorophyll oral rinses in addition to spirulina and algae products.

  • Conclusions About Mouth Rinses & Mouth Washes: Many of the mouth rinses available today are being used for the prevention and or treatment of oral malodor. Much more research is required to develop an efficacious mouth rinse for the alleviation of oral malodor. The treatment of oral malodor is relatively a new field in dentistry and many of the treatments thus far have involved a trial and error approach, but the knowledge and experience gained so far will hopefully facilitate clinical investigations in this field and eventually lead to improved diagnostic techniques and treatment products.

    SMOKING & TOBACCO USE

    For at least a century, people have smoked in order to cover up other oral odors. In my mind, this is not advisable. First, smoking itself is a health hazard, not only to you, but to those around you. Smoking can exacerbate gum (periodontal) disease and post-nasal drip, two important bad breath risks. Furthermore, in many people, the smoke odor lingers in the mouth itself and mixes with the other smells, resulting in a particularly noxious aroma.

    Smoke odor comes out of two places: the mouth and the lungs. Interestingly, in some people the smell from the lungs is much weaker than that coming out of the mouth. This observation indicates that smoke components are retained in the mouth itself. On one hand, it is true that this may have an effect in reducing the activity of bacteria in the mouth. However, the toxic components in smoke have a similar effect in injuring our own cells. All in all, smoking is not a good idea as far as breath freshening is concerned.

    Tobacco smoke may occasionally be detected on the breath of people who do not smoke at all. These individuals have been continually exposed to the smoke of others, and end up having telltale odor as a result.

    BAD BREATH (HALITOSIS) IS USUALLY WORSE...

  • Upon awakening.
  • When your mouth is dry (lots of things cause dry mouth - not drinking enough fluids, having just given a long speech, being under stress, hundreds of medications...).
  • After indulging in products with high levels of proteins, such as milk products and meat. If a little piece of meat remains between you teeth for a time, it is rapidly putrefied. Coffee may increase malodor, although no scientific evidence is available. Foods containing onions, garlic, (cabbage?) and various spices may cause bad breath. Some of this odor may be due to the odorants being released into the lungs from the blood stream, sometimes for days following ingestion.
  • Directly prior to or during the menstrual period, perhaps because the gums tend to get swollen and trap bacteria and/or debris.

  • tongue cleaning


    TIPS FOR TONGUE BRUSHING

  • Brush your tongue whenever you brush your teeth. Choose a brush (make sure that the bristles are not hard) that minimizes gagging reflex. Stroke from near the throat (as far in as you can get) in an outwards motion. Take care not to press to hard, as you do not want to do damage your tongue. For even better results, try wetting the brush with an effective mouthwash.

  • Another way of cleaning your tongue is to use a tongue scraper. Several kinds are currently available. You can also try using a piece of gauze, washcloth or other material, which you can wet with mouthwash or water.

  • People with hairy tongues (you can ask your dentist whether yours is hairy) may have more likelihood of having bad breath from their tongue. So do people with periodontal disease. Smokers may similarly suffer from foul tongue odor. In such instances, back-of-the-tongue cleaning becomes even more important.

  • Animated-Teeth: Getting Rid of Halitosis By Cleaning Your Tongue





    HALITOSIS CONVENTIONAL MEDICAL TREATMENT

    Oral malodor has been recognized in the literature since ancient times, but in the last five to six years it has increasingly come to the forefront of public and dental professional awareness. Approximately 40 to 50-percent of dentists see 6 to 7 self-proclaimed oral malodor patients per week. Standard diagnosis and treatment for oral malodor in the routine care of each patient has not been established in the dental or the medical field. However the transfer of knowledge is increasing because of pioneering researchers and clinicians that have developed reputable clinics dealing with this condition. Dental and medical schools must incorporate diagnosis and treatment of oral malodor into their curriculum, so that the future generations of clinicians can effectively treat this condition.

    To date, there have been four international conferences where the experts in the field have gathered and published their observations and research findings. The fourth international conference was held at the School of Dentistry, University of California (UCLA) and it was a big success and demonstrated a continued enthusiasm towards further meetings and scientific research in the area of oral malodor. Although this area of research has been ridiculed, at least 50-percent of the population suffers from a chronic oral malodor condition by which individuals experience personal discomfort and social embarrassment leading to emotional distress. The consequences of oral malodor may be more than social; it may reflect serious local or systemic conditions. Oral Malodor research has gained momentum with increasing suspicions being directed at the sulfur-producing bacteria as the primary source of this condition.

    DIAGNOSIS & HALITOSIS ASSESSMENT

  • Organoleptic Measurements: One major research problem that must be tackled is the lack of an established gold standard for rapidly measuring oral malodor condition. The objective assessment of oral malodor is still best performed by the human sense of smell (direct sniffing-organoleptic method) but more quantifiable measures are being developed. At present, confidant feedback and expert odor (organoleptic) judges are the most commonly used approaches. Both assessments use a 0 to 5 scale in order to consistently quantify the odor (0= No odor present, 1= Barely noticeable odor, 2= Slight but clearly noticeable odor, 3= Moderate odor, 4= Strong offensive odor, 5= Extremely foul odor). Individuals are instructed to refrain from using any dental products, eating or using deodorants of fragrances four hours prior to the visit to the clinic Individuals are also advised to bring their confidante or friends to assess their oral malodor.

  • ORAL & NON-ORAL DETECTION METHODS
       1. Self-monitoring oral malodor tests.
       2. Spousal and friend/confidante feedback.
       3. Spoon Test.
       4. Home microbial testing.
       5. Wrist-lick test.
       6. In-office oral malodor testing.
       7. Odor Judges.
       8. Microbial and fungal testing.
       9. Salivary incubation test.
       10. Artificial noses including the Halimeter®.


    In order to create a reproducible assessment, subjects are instructed to close their mouth for two minutes and not to swallow during that period. After two minutes the subject breathes out gently, at a distance of 10-centimeters (4 inches) from the nose of the their counterpart and the organoleptic odors are assessed. In order to reduce inter-examiner variations, a panel consisting of several experienced judges is often employed. A study on the inter-examiner reproducibility indicates that there is some co-relation, albeit poor. Gender and age influence the performance of an organoleptic judge. Females have a better olfactory sense and it decreases with age. Dentists and periodontists may not be ideal judges if they do not use masks on a daily basis.

    Oral malodor can be analyzed using gas chromatography (GC) coupled with flame photometric detection. This allows separation and quantitative measurements of the individual gasses. However the equipment necessary is expensive and requires skilled personnel to operate it. This equipment is also cumbersome and the analysis is time consuming. As a result, GC cannot be used in the dental office and is not always used in oral malodor clinical trials. Recently a closed-loop trapping system followed by off-line high resolution gas chromatography ion trap detection was used for detection of compounds from saliva and tongue coating samples. Numerous volatile components were detected ranging from ketones to many unknowns. Adding casein (to provide cysteine and methionine) during incubation led to the appearance of nine new sulfur-containing compounds.

    Better treatment begins with improved detection. And that starts with new devices, such as the Halimeter, that can detect the amount of sulfur-producing bacteria in the mouth.

  • Portable Sulfide Meter: The portable sulfide meter (Halimeter® - Interscan Corporation, Chatsworth, CA.) has been widely used over the last few years in oral malodor testing. The portable sulfide meter uses an electrochemical, voltametric sensor which generates a signal when it is exposed to sulfide and mercaptan gases and measures the concentration of hydrogen sulfide gas in parts per billion. The halimeter is portable and does not require skilled personnel for operation. The main disadvantages of using this instrument are the necessity of periodic re-calibration and the measurements cannot be made in the presence of ethanol or essential oils. In other words, the measurements may be affected if the subject is wearing perfume, hair spray, deodorant, etc. In addition, this limitation does not allow the assessment of mouthwash efficacy until after these components have been thoroughly rinsed out or dissipated.

  • The Electronic Nose: The "Electronic Nose" is a hand held device, being developed to rapidly classify the chemicals in unidentified vapor. Its application by scientists and personnel in the medical and dental field as well as it is hoped that this technology will be inexpensive, miniaturizable and adaptable to practically any odor detecting task. If the Electronic Nose can learn to "smell" in a quantifiable and reproducible manner, this tool will be a revolutionary assessment technique in the field of oral malodor. This device is based on sensor technology that can smell and produce unique fingerprints for distinct odors. Preliminary data indicates that this device has a potential to be used as a diagnostic tool to detect odors.

    MEDICAL MANAGEMENT OF ORAL MALODOR

    A large number of so called "Fresh Breath Clinics" are offering diagnostic and treatment services for patient complaints of oral malodor. There are no accepted standards of care for these services, and the clinical protocols vary widely.

    A thorough medical, dental and halitosis history is necessary to determine whether the patient's complaint of bad breath is due to oral causes or not. It is important to determine the source of oral malodor; complaints about bad taste should be noted. In most cases patients that complain of bad taste may not have bad breath. The taste disorders may be due to other causes. It has been reported that in approximately 8-percent of the individuals the odor was caused by tonsillitis, sinusitis, or a foreign body in the nose. This percentage of individuals may be higher, additional research is needed in this area. Approximately 80 to 90-percent of the oral malodor originates from the dorsum of the tongue. Therefore the treatments targeted towards reduction of the oral malodor will require antimicrobial components directed against the tongue microbiota.

    Treatment of oral malodor is important not only because it helps patients to achieve self-confidence but also because the evidence indicates that volatile sulfur compounds can be toxic to periodontal tissues even when present at extremely low concentrations. The best way to treat oral malodor is to ensure that patients practice good oral hygiene and that their dentition is properly maintained.

    MANAGEMENT OF ORAL & NON-ORAL MALADOR
       1. Local chemical/antibacterial methods.
       2. Systemic antibacterial methods.
       3. Mechanical debridement of the tongue.
       4. Salivary stimulation and/or substitutes.
       5. Nasal mucous control methods.
       6. Avoidance of foods, fluids and medications.
       7. Correction of anatomic abnormalities.
       8. Medical management of systemic diseases.


    Traditional procedures of scaling and root planing can be effective for patients with OM caused by periodontitis. All patients should be instructed in proper tooth brushing and flossing and tongue cleaning. Mouth rinses should be recommended based on scientific evidence. Caution should be exercised and professional advice should be sought as to administration and type of mouth rinse to be used. Tongue scraping should be demonstrated and patients should be asked to demonstrate to the dental hygienist the appropriate use of tongue scrapers. The tongue has a tendency to curl up while tongue scraping therefore a combination of flexible tongue scrapers and tongue scrapers with handles should be recommended to the patients.

    The saliva functions as an antibacterial, antiviral, antifungal, buffering and cleaning agent and so any treatment that increases saliva flow and tongue action, including the chewing of fibrous vegetables and sugarless gum, will help decrease oral malodor. Finally, oral rinses can be used as supplement good oral hygiene practices.

    For most people, a healthy diet, good oral hygiene on a daily basis and visiting the dentist twice per year for cleanings and exams are adequate to prevent bad breath. If you follow this advice, your days should be filled with hugs and kisses. For more information on fighting halitosis and to obtain a dental referral call 1-800-DENTIST to find dentists in your area.

    HOME TREATMENT

  • One method often used, but is not totally reliable is "Licking the back of your hand, letting it dry, and smelling it". It is considered to still be a powerful tool for self diagnosis to see if you have bad breath.

  • Along with good oral hygiene, some of the most promising treatments are mouthwashes, toothpastes, and other oral products that contain both chlorine dioxide and zinc. Zinc stops an enzyme from breaking down an amino acid that makes the sulfur and by doing this stops the process for a longer period of time. The chlorine dioxide kills the already formed bacteria. As a rule, do not use commercial mouthwashes. Most contain nothing more than flavoring, dye, and alcohol. While these may kill the bacteria that cause bad breath, the bacteria soon return in greater force. Mouthwashes can also irritate the gums, tongue, and mucous membranes. Look for a product containing zinc and chorine dioxide. Often such products can eliminate bad breath for up to eight hours. Use liquid Chlorophyll, 1 tablespoon per 1/2 glass water for a gargle/mouthwash or a chlorophyll based mouth rinse. Use helpful mouth rinse daily as needed.

  • Another breeding ground for odiferous bacteria is a dry mouth. When mouths are dried out, there is a sixfold increase in such sulfur compounds. The dryer the mouth, the less saliva, and the worse the breath. Alcohol as well as some medications, including antidepressants, asthma drugs, antihistamines, and some blood pressure medications, may dry the mouth out. Be sure to drink plenty of quality water and other healthy liquids daily to help alleviate "dry mouth" issues.

  • Brush your teeth and tongue after every meal may help to remove food and bacterial deposits that sour the breath. You have to get to the bacterial source and remove it. Try tongue rakes or tongue scrapers that gently scrape bacteria off the tongue and clean between the teeth with dental floss. Use Stim-U-Dent wooden toothpicks, available in most drug stores, after every meal to massage between the teeth. This is important for the prevention of gum disease.

  • Brush your teeth with circular motions, and apply only gentle pressure to avoid injuring the gums.

  • Replace your toothbrush every month (4 weeks), as well as after any infectious illness, to prevent bacteria buildup and fungi. Keep your toothbrush clean. Between uses, store it in Hydrogen Peroxide or Grapefruit Seed Extract (GSE) to kill germs. If using hydrogen peroxide, rinse it well before brushing. There are bacteria-destroying toothbrush sanitizers available that turn on automatically at intervals throughout the day.

  • If you practice good oral hygiene and still have bad breath and bleeding gums, consult your dentist to see if you have developed a peridontal disease.

  • Care for you teeth regularly and thoroughly. Floss and brush them after every meal, if possible. Chew your food well to help break down the food particles so the stomach and intestines are less burdened. Aid digestion further by eating plenty of fresh fruits and vegetables. Avoid foods whose odors linger. Also, avoid alcohol, which leaves residues on the teeth and affects digestion. If you smoke, stop.

  • Bad breath may be a sign of an underlying health problem. Treatment is dependent on what is found and what the reasons are for your halitosis. The first step toward treating bad breath is to isolate the cause. For instance, if the cause is gum disease then your health care provider or dentist will treat the gum disease. If it is caused by calcium deposits on the tonsils that are bad smelling, your health care provider can remove them from the folds of the tonsils. Consult your health care provider for a thorough checkup if the home treatment does not improve the condition.

  • See Peridontal Disease, Sinusitis, and/or Sore Throat for more information.




    parsley


    HERBAL RECOMMENDATIONS

    Bad breath can be a source of embarrassment, even a source of shame. We tend to shun people whose breath offends us, wondering if we, too, are afflicted. However, bad breath is a condition you can usually correct easily, not by masking it with sprays or rinses, but by getting at the source of the problem. The most obvious causes of bad breath are gum disease, poor dental hygiene, dry mouth, smoking and chronic throat and nasal infections. The less obvious source is often the most common. Foul odors travel up from the stomach as a result of poor digestion that leaves food putrefying in the digestive tract. Recurrent digestive ills and respiratory infections may themselves be caused by underlying disease or impaired immunity. In this case, unpleasant mouth odor that does not respond to better dental care and diet can be a warning sign you and your health care provider should attend to. You can often, however, turn to effective herbal remedies to aid digestion, improve gum health and freshen breath.

    myrrh for healthy gums.

    MYRRH FOR HEALTHY GUMS


    Myrrh, both astringent and antimicrobial, is well known for its ability to defeat mouth and gum inflammations and infections and strengthen the gums at the same time. Made of dried resin from Myrrh Tree Bark, Myrrh tinctures work well in both gargles and direct applications. Gargle with 1 teaspoon of Myrrh Tincture, available at health food stores or online, diluted in water; or massage your gums several times daily with a cotton ball soaked in the tincture.


  • Alfalfa (Medicago Sativa) is useful to generate energy and endurance; a tonic for the whole body, due to its highly nutritive value. Alfalfa's deep root system pulls valuable minerals from the soil. With the aid of sunlight, nutrients including beta carotene and chlorophyll are made available to the body in a usable form. Alfalfa is a good source of minerals and other nutrients for the body. Alfa Max Alfalfa Extract is a 10X extract of fresh green alfalfa leaves. Alfalfa delivers excellent health benefits. Alfalfa is a rich natural source of chlorophyll, vitamins, minerals and protein which supports a healthy colon. Alfalfa, taken as a tonic, relieves fatigue, stress & sleeplessness and is a natural food source. Alfalfa leaf powder can be blended into vegetable juices or used in baking or in vegetarian dishes. It is 20-percent protein and 15-percent fiber; plus it contains 16 amino acids, 13 trace minerals and 13 vitamins. Alfalfa Powder is a whole food supplement highly valued for its nutrition. Alfalfa supplies a rich source of Chlorophyll, which cleanses the blood stream and colon, where bad breath often begins. Take 500 to 1,000 mg in tablet form or 1 teaspoon of liquid form in juice or water three times daily.

  • Chlorophyll is a unique substance found in all green plants and is sometimes called the blood of plant life. Identified as sodium-copper chlorophyllin, this water soluble extract is derived exclusively from alfalfa through a natural process. Chlorophyll capsules and liquids are available as supplements.

  • Fennel Seed has historically been used to aid digestion and sweeten the breath.

  • Grapefruit Seed extract is used to safely destroy viruses, bacteria, molds, and other microbes that want to live in and on us. Can be used interally and as a mouth rinse, or solution for soaking your toothbrush.

  • Gum disease is a major factor in bad breath. If infection is present, place alcohol-free Goldenseal Extract on a small piece of cotton and place the cotton over infected gums or mouth sores. Do this for two hours per day for three days. It should quickly heal the infected parts.

  • Chewing a sprig of Parsley leaves are the traditional antidote for Garlic's pungent smell. Parsley eaten after a meal is an excellent treatment for bad breath. Parsley, a member of the Carrot family, is rich in chlorophyll, the active ingredient in many popular breath mints. This is one of the reasons Parsley is included on your plate during dinner. Most fine restauarants offer Parsley as a garnish and a breath freshener, a custom borrowed from the ancient Romans. So, truly, it is not there simply as garnish as it helps to clear the palate of lingering odors and flavors (such as fish) and should be eaten. Parsley is a good source for Vitamin C and is strengthening to the digestion.

  • Peppermint for fresh breath.

    DOUBLE-ACTING PEPPERMINT


    Peppermint improves digestion, specifically aiding digestion of fats, also acts as an oral antiseptic. It helps to freshen breath in these two basic ways. Add a couple of drops of Peppermint Essential Oil to a glass of water, and gargle with the mixture regularly. You can use Myrrh Essential Oil or Dill Essential Oil in the same way. Suck Peppermint Lozenges to fight dry mouth, which encourages bacterial growth and bad breath, and to mask lingering odors of strong-smelling and spicy foods. Or, try enteric-coated Peppermint Oil Capsules, which act both as a digestive aid and a breath freshener.

  • Peppermint tea can be a natural aid to the digestive process by soothing the stomach lining and supporting a healthy liver and gallbladder. Peppermint liquid herb tincture can be effective for the digestive system as it has an antispasmodic effect on the smoothe muscle of the digestive tract. Peppermint oil provides natural gastrointestinal comfort. Peppermint's menthol makes it an excellent breath freshener, either by using the oil in mouth rinses, toothpastes, or by chewing on fresh leaves, releasing the natural oil in the leaves.

  • Use Myrrh (to brush your teeth and rinse your mouth), Peppermint, Rosemary, and Sage. Caution: Do not use Sage if you suffer from epilepsy or other seizure disorders.

  • Garlic & Breath: Although Garlic has a reputation for causing "bad breath", it may actually help halitosis sufferers by supporting the immune system, killing offending bacteria, and promoting digestion. Garlic also deters bacteria in the mouth and bowels. Eat plenty of this potent food, or take Garlic Capsules 2 to 3 times daily.

  • Tea Tree oil can be used as an antiseptic solution for mixing with water for use as a mouth rinse, added to toothpaste to help kill bacteria and other microbes. A solution of Tea Tree oil and water can be used to soack your toothbrush in between uses. Tea Tree oil combined with Baking Soda can be used for proper brushing and oral care, leaving your gums healthy and breth refreshed. Tea Tree used in a mouthwash has antiseptic properties and a fresh flavor. A drop or two of Peppermint Oil can be added for extra deodorizing effect and a minty flavor.

  • Other herbs that may be helpful for bad breath include Anise, Cloves, Fennel, and Parsley.

  • Parsley for fresh breath.

    DAILY RITUAL


    To sweeten your breath, chew seeds such as Cardamom, Dill, Fennel, or Anise several times a day. The volatile oils in these seeds are disinfectant, mask unpleasant odors and help eliminate gas and bloating in the intestines. Chewing on a sprig of Parsley can improve bad breath, as well. Parsley is rich in chlorophyll, long believed to be a breath freshener.


    MEDICINAL TEAS

  • Sage Tea For Inflamed Gums: The tannins in Sage reduce gum, mouth and throat inflammations, all of which can cause bad breath. Pour 1 cup of hot water over 1 teaspoon of sage. Steep for 10 minutes, and then strain. Rinse your mouth with the tea several times daily.

  • Tea Blend To Improve Digestion: When poor digestion is suspected as a cause of breath odor, a bitter herb tea can promote digestive juice flow to improve matters. Combine 1 teaspoon each of Chicory, Dandelion, Oregon Grape and Chamomile. Pour 1 cup of hot water over 1 teaspoon of the blend; steep for 10 minutes. Strain. Drink 1 cup before meals.

  • HERBAL RINSES & GARGLES

  • Chamomile, Sage, Myrrh and Oregon Grape, Thyme. all antimicrobial and astringent, make effective oral disinfectants. Steep 1 tablespoon of one of these herbs in 1 cup of hot water, strain and use as a gargle three or more times a day. You can also add tinctures of these herbs to water.

  • STRENGTHEN YOUR IMMUNITY

  • Frequent mouth and throat infections not only can cause bad breath but signal a poor state of health and low resistance. To rebuild your resistance, take immune-stimulating herbs, such as Echinacea, Astragalus and Panax Ginseng. These are good choices. Take 1/2 teaspoon of a tincture (one or a combination of these herbs), 5 or 6 times a day for several weeks.





  • DIET & NUTRITIONAL RECOMMENDATIONS

  • Go on a five-day raw foods diet. After the fast, eat at least 50-percent of your food raw every day. This a good routine diet to adhere to on an ongoing basis.

  • Drink generous amounts of quality water.

  • Avoid spicy foods, whose odors can linger for hours. Foods like anchovies, blue cheese, Camembert, garlic, onions, pastrami, pepperoni, Roquefort cheese, salami, and tuna leave oils in the mouth that can release odor for up to 24 hours, no matter how much you brush or gargle. Beer, coffee, whiskey, and wine leave residues that stick to the soft, sticky plaque on teeth and get into the digestive system. Each exhalation releases their odor back into the air.

  • Avoid foods that get stuck between the teeth easily or that cause tooth decay, such as meat, stringy vegetables, and sweets, especially sticky sweets.

  • Go on a cleansing fast with fresh Lemon juice and water to detoxify the system. See Fasting for more information.

  • Brush your teeth and tongue after every meal.

  • Use a tongue scraper to help remove bacterial plaque and shed dead cells and food debris from the surface of the tongue.

  • Replace your toothbrush every month, as well as after any infectious illness, to prevent bacteria buildup.

  • Use dental floss and a Chlorophyll mouthwash daily.

  • Use Stim-U-Dent wooden toothpicks, available in most drugstores, after every meal to massage between the teeth. This is important for the prevention of gum disease.

  • Keep your toothbrush clean. Between uses, store it in Hydrogen Peroxide or Grapefruit Seed Extract to kill germs (if using hydrogen peroxide, rinse it well before brushing). There are bacteria-destroying toothbrush sanitizers available that turn on automatically at intervals throughout the day.

  • Do not use commercial mouthwashes. Most contain nothing more than flavoring, dye, and alcohol. While they may kill the bacteria that cause bad breath, the bacteria soon return in greater force. Mouthwashes can also irritate the gums, tongue, and mucous membranes in the mouth.

  • Bad breath may be a sign of an underlying health problem. Consult with your health care provider for a thorough checkup if the suggestions on this page do not improve the condition.





  • NUTRITIONAL SUPPLEMENTS

    The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for adults over the age of 18. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between the ages of 6 and 12 years old, reduce the dose to 1/2 the recommended amount. For children under 6 years old, use 1/4 the recommended amount.

    NUTRIENTS
    Supplement
    Suggested Dosage
    Comments
    Very Important
    Colon Cleanse
    And
    Fiber
    As directed on label.
    For fiber supplements take 1 tablespoon in juice or water twice daily,or on an empty stomach. Take separately from other supplements and medications.
    Needed for fiber. Fiber removes toxins from the colon that can result in bad breath.

  • Colon Cleanse Supplement Products
  • Aerobic Bulk Cleanse (ABC) Supplement Products
  • Fiber Supplement Products
  • Oat Bran Herbal Products
  • Psyllium Herbal Products
  • Rice Bran Herbal Products
  • Chlorophyll
    1 tablespoon twice daily. Chlorophyll can also be used as a mouth rinse by adding 1 tablespoon to 1/2 glass of water. To supply chlorophyll and important nutrients. Wheatgrass juice is used to for the treatment of cancer in many cancer clinics. Green drinks are one of the best ways to combat bad breath. See Juicing.

  • Chlorophyll Supplement Products
  • Alfalfa Herbal Supplement Products
  • Barley Grass Supplement Products
  • Wheatgrass Supplement Products
  • Green Foods Supplement Products
  • Kyo-Green Supplement Products
  • Vitamin C
    With
    Bioflavonoids
    2,000 to 6,000 mg daily, in divided doses. Important in healing mouth and gum disease and in preventing bleeding gums. Also rids the body or excess mucus and toxins that can cause bad breath.

  • Vitamin C Supplement Products
  • Bioflavonoids Supplement Products
  • Important
    Acidophilus
    As directed on label. Take on an empty stomach. Needed to replenish friendly bacteria in the colon. Insufficient friendly bacteria and an overabundance of harmful bacteria can cause bad breath.

  • Acidophilus Supplement Products
  • Bifidus Supplement Products
  • Alfalfa
    500 to 1,000 mg daily in table or 1 tablespoon in liquid form 3 times daily. Supplies chlorophyll, which cleanses the colon and blood stream, where bad breath often begins.

  • Alfalfa Herbal Supplement Products
  • Garlic (Kyolic)
    Take 2 tablets 4 times daily, with meals and at bedtime. Acts as a natural antibiotic destroying foreign bacteria in both the mouth and colon. Use an odorless form.

  • Garlic Herbal Supplement Products
  • Zinc
    30 mg daily 3 times daily. Do not exceed a total of 100 mg daily from all supplements. Has an antibacterial effect and neutralizes sulfur compounds, a common cause of mouth odor.

  • Zinc Supplement Products
  • Helpful
    Bee Propolis
    As directed on label. Aids in healing the gums, aids control of infection in the body, and has an antibacterial effect.

  • Bee Propolis Supplement Products
  • Vitamin A
    15,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Needed for control of infection and healing of the mouth.

  • Vitamin A Supplement Products
  • Beta Carotene
    And
    Carotene Complex
    Beta Carotene: 10,000 IU daily.
    Carotene Complex: As directed on label.
    Needed for control of infection and in healing of the mouth.

  • Beta Carotene & Carotene Complex Supplement Products
  • Vitamin B-Complex
    100 mg of each B-Vitamin daily. Amounts of individual vitamins in a complex will vary. B-Vitamins work best when taken together. Needed for proper digestion.

  • Vitamin B-Complex Supplement Products
  • Vitamin B-3
    (Niacin)
    50 mg 3 times daily. Do not exceed this amount. Dilates tiny capillaries to help blood flow to infection sites. Caution: Do not take Niacin if you have a liver disorder, gout, or high blood pressure.

  • Vitamin B-3 Supplement Products
  • Vitamin B-6
    (Pyridoxine)
    50 mg daily. Needed for all enzyme systems in the body.

  • Vitamin B-6 Supplement Products





  • NOTIFY YOUR DENTIST OR HEALTH CARE PROVIDER

  • You have symptoms halitosis, oral malodor, or bad breath. You need to be assessed as to the cause of the condition since treatment will be dependent upon the cause.

  • You have unusual symptoms or symptoms of infection. Infections need to be treated by your health care provider.

  • HELPFUL ORGANIZATIONS

  • American Dental Association (ADA)
  • ADHA - American Dental Hygienists' Association

  • HELPFUL RELATED LINKS

    Halimeter.com: Oral Malodor - A Scientific Perspective
    The Official Halimeter Website
    The Tongue Sweeper Product Information
    Oral Malodor: A Peridontal Perspective
    Bad Breath - Second World Workshop on Oral Malodor
    Production & Origin of Oral Malodor: A Review of Mechanisms & Methods of Analysis
    Relationship Between Sulcular Sulfide Level & Oral Malodor In Subjects With Periodontal Disease
    Assessing Oral Malodor - Established Methods & Emerging Techniques
    Halitosis, Oral Malodor, Bad Breath Products: Oxyfresh
    Oral Malodor: A Experts Forum





    HALITOSIS (BAD BREATH) RELIEF PRODUCTS

  • Bad Breath (Halitosis) Care Products
  • Mouthwash Dental Care Products

  • Toothpaste Dental Care Products



  • QUALITY SUPPLIES & PRODUCTS


    FTC Advertising & Affilate Disclosure: This website has an affiliate relationship with certain merchants selling products and we recieve commissions from those sales to help support this website. Any products listed here are not listed by any rating system. We do not rate any product or post any feedback about products listed here. We leave this to the individual merchants to provide. We do not provide product prices or shopping carts since you do not order these products directly from us, but from the merchant providing the products. We only provide the link to that merchant webpage with all related product information and pricing. The products are listed here by merchant, product use, quantity size or volume, and for nutritional supplements - dosage per unit. All product descriptions are provided by the merchant or manufacturer and are not our descriptive review of the product. We do not endorse any specific product or attest to its effectiveness to treat any health condition or support nutritional requirements for any individual.


    BAD BREATH (HALITOSIS) ORAL CARE PRODUCTS

    HERBSPRO PRODUCTS

    Breath Freshing Mouth-Oral Liquids

    HerbsPro: Lick-A-Drop Drops Liquid, Super Concentrated, Wow Drops, 10 ml
    All natural super concentrated Wow Drops. One tiny drop is all it takes, Use for bad breath, colds, cough, and sore throats,
    HerbsPro: Advanced Antiseptic Mouthwash, Original Flavor, Listerine, 3 fl oz.
    Listerine antiseptic mouthwash provides deeper clean than brushing alone. Kills germs that cause bad breath, plaque, and the gum disease, gingivitis.
    HerbsPro: Ultraclean Antiseptic Mouthwash, Cool Mint, Listerine, 500 ml
    Antiseptic kills germs that cause bad breath, plaque and the gum disease gingivitis, deeper cleaning than brushing alone.
    HerbsPro: Peppermint Antiseptic Mouthwash, Dr Tichenors, 8 fl. oz.
    Dr. Tichenor's helps kill the germs that cause bad breath while leaving your mouth pepperminty fresh. Just be prepared. Its concentrated formula really packs a minty wallop. And because it's concentrated, Dr. Tichenor's saves you money. Simply dilute one part all-natural Dr. Tichenor's mouthwash concentrate with five parts water in your daily oral hygiene regimen.
    HerbsPro: Ultimate Essential TartarGuard Mouthwash Rinse, Eco-Dent, 8 fl. oz.
    HerbsPro: Peppermint Antiseptic Mouthwash, Dr Tichenors, 16 fl. oz.
    Dr. Tichenor's helps kill the germs that cause bad breath while leaving your mouth pepperminty fresh. Just be prepared. Its concentrated formula really packs a minty wallop. And because it's concentrated, Dr. Tichenor's saves you money. Simply dilute one part all-natural Dr. Tichenor's mouthwash concentrate with five parts water in your daily oral hygiene regimen.
    HerbsPro: Wicked Fresh Cool Mountain Mint Mouthwash, Long Lasting, Tom's of Maine, 16 fl. oz.
    Natural and long lasting, helps stop bad breath without the burn.
    HerbsPro: Wicked Fresh Peppermint Wave Mouthwash, Long Lasting, Tom's of Maine, 16 fl. oz.
    Natural and long lasting, helps stop bad breath without the burn.
    HerbsPro: Fresh Mint Anticavity Fluoride Rinse, Natural Dentist, 16 fl. oz.
    Kills bad breath germs, strengthens tooth enamel, with xylitol. No alcohol, artificial sweeteners, dyes or preservatives.
    HerbsPro: Fresh Mint Total Care Zero Mouthwash, Listerine, 16.667 fl. oz.
    Aids in the prevention of dental cavities. Use up to twice a day to restore enamel. Strenthens teeth. Kills bad breath germs. Freshen breath. Clean the whole mouth. Less intense, zero alcohol.
    HerbsPro: Total Care Anticavity Mouthwash, Fresh Mint Flavor, Listerine, 16.667 fl. oz.
    Aids in the prevention of dental cavities. Use twice a day to help prevent cavities. Restore enamel, strengthen teeth, kill bad breath germs, freshen breath, cleans the whole mouth.
    HerbsPro: Clean Mint Zero Antiseptic Mouthwash, Listerine, 16.66 fl. oz.
    Zero alcohol, less intense, proven to kill million of germs that cause bad breath on contact.
    HerbsPro: Anticavity Fluoride Mouthwash, Cool Splash Mint, ACT Restoring, 18 fl. oz.
    HerbsPro: Sensitive Formula Anticavity Fluoride Mouthwash, Mild Mint, ACT Total Care, 18 fl. oz.
    Anticavity fluoride mouthwas, non-burning alcohol free, non-irritating to sore mouth, kills bad breath germs, strengthens teeth.
    HerbsPro: Total Care Anticavity Mouthwash, Fresh Mint Flavor, Listerine, 33.82 fl. oz.
    Aids in the prevention of dental cavities. Use twice a day to help prevent cavities. Restore enamel, strengthen teeth, kill bad breath germs, freshen breath, cleans the whole mouth.
    HerbsPro: Zero Mouthwash, Clean Mint Flavor, Listerine, 33.81 fl. oz.
    Zero alcohol, less intense. Proven to kill million of germs that cause bad breath on contact.
    HerbsPro: Total Care Anticavity Mouthwash, Cinnamint Flavor, Listerine, 1000 ml
    Anticavity mouthwash strengthens teeth, restores enamel, helps prevent cavities, kills bad breath germs and cleans whole mouth, freshens breath.

    Bad Breath Lozenges & Capsules

    HerbsPro: OralBiotic Blis K12, Now Foods, 60 Lozenges
    A dietary supplement that supports mouth and throat health, promotes healthy oral bacteria and reduces bad breath.
    HerbsPro: Deodorex, Quality of Life Labs, 60 Caps
    Dietary supplement purifies the blood of ammonia, provides detox support, inhibits chemicals that cause bad breath, reduces body odors where they originate. This product is suitable for vegetarians and gluten-free.
    HerbsPro: Ollois Mercurius Solubilis 30 C, Ollois Homeopathics, 80 Pc
    Traditionally used for infections, bad breath.
    HerbsPro: Breath Buddies, World Organics, 90 Caps
    Breath Buddies ensure long-lasting fresh breath whether you eat garlic, onion or spicy food, smoke, drink coffee or simply have morning breath. Whereas other breath fresheners merely mask bad breath, Breath Buddies' natural ingredients work in the digestive system to neutralise bad breath where it originates. By simply chewing or swallowing 2 or 3 capsules, Breath Buddies start to work immediately, even with garlic. Breath Buddies: The all natural breath freshener for internal cleansing.

    Tongue Cleaners

    HerbsPro: Purple Tongue Cleaner, Pureline Oralcare, 1 Each
    Tongue Cleaner helps to scrape the tongue in order to help reduce bacteria, improve breath, and increase oral hygiene. Scientific studies have shown that the primary source of bad breath is the tongue. During sleep the tongue accumulates an unpleasant film of bacteria and other compounds. This is why after brushing your teeth, fresh breath is difficult to maintain. The bacteria are also potential contributors to the formation of plaque, periodontal disease, and other oral hygiene problems.
    HerbsPro: Neon Tongue Cleaner, Pureline Oralcare, 1 Each
    Tongue Cleaner helps to scrape the tongue in order to help reduce bacteria, improve breath, and increase oral hygiene. Scientific studies have shown that the primary source of bad breath is the tongue. During sleep the tongue accumulates an unpleasant film of bacteria and other compounds. This is why after brushing your teeth, fresh breath is difficult to maintain. The bacteria are also potential contributors to the formation of plaque, periodontal disease, and other oral hygiene problems.
    HerbsPro: Red Tongue Cleaner, Pureline Oralcare, 1 Each
    Tongue Cleaner helps to scrape the tongue in order to help reduce bacteria, improve breath, and increase oral hygiene. Scientific studies have shown that the primary source of bad breath is the tongue. During sleep the tongue accumulates an unpleasant film of bacteria and other compounds. This is why after brushing your teeth, fresh breath is difficult to maintain. The bacteria are also potential contributors to the formation of plaque, periodontal disease, and other oral hygiene problems.
    HerbsPro: Tongue Cleaner, Dr. Tung's Products, 1 Each
    Dentist recommended, freshens breath, removes bacteria, improves taste, hygienic stainless steel. Works wonders for bad breath.

    Mouth Care Toothpastes

    HerbsPro: Claybrite Extra Natural Mint Toothpaste, Zion Health, 3.2 oz.
    Helps prevent pyorrhea, control bleeding gums with xylitol and Green Tea extract. Eliminates bad breath, whitens teeth, heals gums, controls cavities. Healthy for children.
    HerbsPro: Pro-Health Clinical Gum Protection Toothpaste, Smooth Mint, Crest, 4 oz.
    Aids in the prevention of cavities. Helps prevent gingivitis. Helps interfere with the harmful effects of plaque associated with gingivitis. Helps control plaque bacteria that contribute to the development of gingivitis. Builds increasing protection against painful sensitivity of the teeth to cold, heat, acids, sweets or contact. Fights tartar. Whitens teeth by removing surface stains. Fights bad breath.
    HerbsPro: Total Advanced Whitening Toothpaste, Colgate, 4 oz.
    Aids in the prevention of cavities, plaque, gingivitis. This toothpaste whitens teeth with an advanced whitening ingredient that gently removes surface stains. It also helps prevent new surface stains. Fights tartar buildup and bad breath.
    HerbsPro: Max Clean Whitening Foam Toothpaste, Effervescent Mint, Colgate, 6 oz.
    Helps protect against cavities. Bursts into foam as you brush to penetrate between teeth and around gums - helping to remove bad breath germs, even in hard to reach places. Penetrates hard to reach places for a rush of clean (during brushing). Whitens teeth. Freshens breath.

    Dental Floss

    HerbsPro: Glide Pro-Health Clinical Protection Floss, Fresh Mint, Oral-B, 1 Each
    Protects against gingivitis, cavities, and bad breath. Use as part of a complete dental program. Slides up to 50-percent more easily in tight spaces, Dentist recommended brand.
    HerbsPro: Triple Clean Floss Picks, Fresh Mint, Dentek, 90 Count
    DenTek Floss Picks removes plaque as effectively as dental floss. Removes food, reduces tooth decay and fights bad breath. Scrubbing floss, textured pick and tongue cleaner. With advanced fluoride coating.

    Denture Cleanser

    HerbsPro: Polident 3-Minute Antibacterial Denture Cleanser, Abreva, 40 Tabs
    Dentures are a lot softer than teeth. Toothpaste contains abrasives that can scratch dentures. Bacteria can grow in scratches, which can cause bad breath. This microclean formula kills odor-causing bacteria in just 3 minutes and kills other microorganisms in 5 minutes. Denture hygiene is an important part of good oral health. Use this every day for a clean denture and healthy mouth. Kills 99.9-percent of odor-causing bacteria. Removes stains and plaque fast. Triple mint freshness.

    Oral Care Kit

    HerbsPro: Professional Oral Care Kit, DenTek, 1 Each
    Fights bad breath, whitens teeth, stimulates gums, removes plaque and tartar.

    AMAZON PRODUCTS

    Amazon: Bad Breath Mouthwash Products
    Amazon: Bad Breath Pills Products
    Amazon: Bad Breath Toothpaste Products
    Amazon: Bad Breath Spray Products
    Amazon: Bad Breath Tester Products
    Amazon: Bad Breath Detector Products
    Amazon: Bad Breath Gum Products
    Amazon: Halitosis Treatment Products
    Amazon: Halitosis Meter Products

  • Nutrition Basics: Dental Care Information






  • MoonDragon's Womens Health Index

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    Health & Wellness Index





    AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES


    Allspice Leaf Oil
    Angelica Oil
    Anise Oil
    Baobab Oil
    Basil Oil
    Bay Laurel Oil
    Bay Oil
    Benzoin Oil
    Bergamot Oil
    Black Pepper Oil
    Chamomile (German) Oil
    Cajuput Oil
    Calamus Oil
    Camphor (White) Oil
    Caraway Oil
    Cardamom Oil
    Carrot Seed Oil
    Catnip Oil
    Cedarwood Oil
    Chamomile Oil
    Cinnamon Oil
    Citronella Oil
    Clary-Sage Oil
    Clove Oil
    Coriander Oil
    Cypress Oil
    Dill Oil
    Eucalyptus Oil
    Fennel Oil
    Fir Needle Oil
    Frankincense Oil
    Geranium Oil
    German Chamomile Oil
    Ginger Oil
    Grapefruit Oil
    Helichrysum Oil
    Hyssop Oil
    Iris-Root Oil
    Jasmine Oil
    Juniper Oil
    Labdanum Oil
    Lavender Oil
    Lemon-Balm Oil
    Lemongrass Oil
    Lemon Oil
    Lime Oil
    Longleaf-Pine Oil
    Mandarin Oil
    Marjoram Oil
    Mimosa Oil
    Myrrh Oil
    Myrtle Oil
    Neroli Oil
    Niaouli Oil
    Nutmeg Oil
    Orange Oil
    Oregano Oil
    Palmarosa Oil
    Patchouli Oil
    Peppermint Oil
    Peru-Balsam Oil
    Petitgrain Oil
    Pine-Long Leaf Oil
    Pine-Needle Oil
    Pine-Swiss Oil
    Rosemary Oil
    Rose Oil
    Rosewood Oil
    Sage Oil
    Sandalwood Oil
    Savory Oil
    Spearmint Oil
    Spikenard Oil
    Swiss-Pine Oil
    Tangerine Oil
    Tea-Tree Oil
    Thyme Oil
    Vanilla Oil
    Verbena Oil
    Vetiver Oil
    Violet Oil
    White-Camphor Oil
    Yarrow Oil
    Ylang-Ylang Oil
    Aromatherapy
    Healing Baths For Colds
    Aromatherapy
    Herbal Cleansers
    Using Essential Oils


    AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES


    Almond, Sweet Oil
    Apricot Kernel Oil
    Argan Oil
    Arnica Oil
    Avocado Oil
    Baobab Oil
    Black Cumin Oil
    Black Currant Oil
    Black Seed Oil
    Borage Seed Oil
    Calendula Oil
    Camelina Oil
    Castor Oil
    Coconut Oil
    Comfrey Oil
    Evening Primrose Oil
    Flaxseed Oil
    Grapeseed Oil
    Hazelnut Oil
    Hemp Seed Oil
    Jojoba Oil
    Kukui Nut Oil
    Macadamia Nut Oil
    Meadowfoam Seed Oil
    Mullein Oil
    Neem Oil
    Olive Oil
    Palm Oil
    Plantain Oil
    Plum Kernel Oil
    Poke Root Oil
    Pomegranate Seed Oil
    Pumpkin Seed Oil
    Rosehip Seed Oil
    Safflower Oil
    Sea Buckthorn Oil
    Sesame Seed Oil
    Shea Nut Oil
    Soybean Oil
    St. Johns Wort Oil
    Sunflower Oil
    Tamanu Oil
    Vitamin E Oil
    Wheat Germ Oil





    HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS

  • MoonDragon's Nutrition Basics Index
  • MoonDragon's Nutrition Basics: Amino Acids Index
  • MoonDragon's Nutrition Basics: Antioxidants Index
  • MoonDragon's Nutrition Basics: Enzymes Information
  • MoonDragon's Nutrition Basics: Herbs Index
  • MoonDragon's Nutrition Basics: Homeopathics Index
  • MoonDragon's Nutrition Basics: Hydrosols Index
  • MoonDragon's Nutrition Basics: Minerals Index
  • MoonDragon's Nutrition Basics: Mineral Introduction
  • MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index
  • MoonDragon's Nutrition Basics: Dietary Supplements Introduction
  • MoonDragon's Nutrition Basics: Specialty Supplements
  • MoonDragon's Nutrition Basics: Vitamins Index
  • MoonDragon's Nutrition Basics: Vitamins Introduction


  • NUTRITION BASICS ARTICLES

  • MoonDragon's Nutrition Basics: 4 Basic Nutrients
  • MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients
  • MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute?
  • MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods
  • MoonDragon's Nutrition Basics: Foods That Destroy
  • MoonDragon's Nutrition Basics: Foods That Heal
  • MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals
  • MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods
  • MoonDragon's Nutrition Basics: Phytochemicals
  • MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce
  • MoonDragon's Nutrition Basics: Limit Your Use of Salt
  • MoonDragon's Nutrition Basics: Use Proper Cooking Utensils
  • MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water





  • RELATED MOONDRAGON HEALTH LINKS & INFORMATION

  • MoonDragon's Nutrition Information Index
  • MoonDragon's Nutritional Therapy Index
  • MoonDragon's Nutritional Analysis Index
  • MoonDragon's Nutritional Diet Index
  • MoonDragon's Nutritional Recipe Index
  • MoonDragon's Nutrition Therapy: Preparing Produce for Juicing
  • MoonDragon's Nutrition Information: Food Additives Index
  • MoonDragon's Nutrition Information: Food Safety Links
  • MoonDragon's Aromatherapy Index
  • MoonDragon's Aromatherapy Articles
  • MoonDragon's Aromatherapy For Back Pain
  • MoonDragon's Aromatherapy For Labor & Birth
  • MoonDragon's Aromatherapy Blending Chart
  • MoonDragon's Aromatherapy Essential Oil Details
  • MoonDragon's Aromatherapy Links
  • MoonDragon's Aromatherapy For Miscarriage
  • MoonDragon's Aromatherapy For Post Partum
  • MoonDragon's Aromatherapy For Childbearing
  • MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing
  • MoonDragon's Aromatherapy Chart of Essential Oils #1
  • MoonDragon's Aromatherapy Chart of Essential Oils #2
  • MoonDragon's Aromatherapy Tips
  • MoonDragon's Aromatherapy Uses
  • MoonDragon's Alternative Health Index
  • MoonDragon's Alternative Health Information Overview
  • MoonDragon's Alternative Health Therapy Index
  • MoonDragon's Alternative Health: Touch & Movement Therapies Index
  • MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy
  • MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy
  • MoonDragon's Alternative Health: Therapeutic Massage
  • MoonDragon's Holistic Health Links Page 1
  • MoonDragon's Holistic Health Links Page 2
  • MoonDragon's Health & Wellness: Nutrition Basics Index
  • MoonDragon's Health & Wellness: Therapy Index
  • MoonDragon's Health & Wellness: Massage Therapy
  • MoonDragon's Health & Wellness: Hydrotherapy
  • MoonDragon's Health & Wellness: Pain Control Therapy
  • MoonDragon's Health & Wellness: Relaxation Therapy
  • MoonDragon's Health & Wellness: Steam Inhalation Therapy
  • MoonDragon's Health & Wellness: Therapy - Herbal Oils Index







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    MOONDRAGON'S REALM - WEBSITE DIRECTORY


    A website map to help you find what you are looking for on MoonDragon.org's Website. Available pages have been listed under appropriate directory headings.




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