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Bad breath (a.k.a. oral malodor/fetor oris/halitosis) is a very
common but insidious human predicament, in that it is rarely experienced
by the offender. Since it is so personal, the one having it may
never get a clue from those affected by it.
Studies indicate that this condition arises
directly from either exhaled digestive gases, various conditions
within the mouth, or a combination of both. Dental plaque bacteria
that reside between the teeth and gums, tongue, and cheeks can absorb
certain foods that have a high content of volatile sulfur compounds
(VSC's). This alone can be offensive, especially the morning after
a meal high in VSC's. Aside from the foods that have a high content
of VSC's, the plaque by itself that causes gum disease (periodontal
disease or pyorrhea), is definitely the most common cause of bad
breath. Add to this, high VSC foods such as garlic, etc., and you
have a walking halitosis factory - an offender usually not "in
the know".
A dental marketing tool that has recently come
into vogue is the "Breath Center". Breath Centers today
are marketed as entry points into some dental practices for persons
who suspect that they may have a breath problem. The "Center"
is usually managed by a dental hygienist or assistant. They may
use devices such as a Halometer, which measures certain offending
elements such as VSC's, taken from a breath sample of the patient.
The hygienist will assess the state of their gum
health, perhaps with the Halometer to legitimize the problem. It
is usually found that the person has unhealthy gums, and teeth cleanings
and home care instructions are given. This is borne out by American
Dental Association statistics indicate that 85 - 90 percent of all
adults will have some form of gum disease during their lifetime.
Our Dental Wellness Center has been a breath center
for over 25 years. Dr. McBride's study of oral microbiology led
to the use of laboratory microscopes in our office. It is well-known
that bacteria enter the blood stream through "leaky gums"
and are contributing factors in coronary disease, diabetes and low
birth weight babies (See "Oral Health and Your Heart"
and "Getting to The Heart of Dental Disease").
In our office, the source of the problem is identified
for each patient by assessing the types and numbers of oral bacteria.
Our hygienist has a scholastic background in microbiology and the
use of the microscope. Appropriate regimens are prescribed for each
patient based upon individual microscopic and periodontal assessments.
Gum infection is eliminated or controlled, healthy gums are developed
with an added benefit - the person now has sweet breath and knows
how to keep it that way.
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