Dentist Questions Halitosis

What can I do for my bad breath?

I have a serious bad breath problem which exists even though I rinse my mouth with a mouthwash and floss after brushing. Why is this and what can I do for it?

9 Answers

There can be many reasons for bad breath both dental and sometimes medical. But more often than not it’s related to periodontal disease requiring diagnosis and treatment
This is an oral hygiene issue, in spite of your efforts. Talk to your dentist about how to resolve it.
It happens with mucous secretion retention around pharyngeal wall or laryngeal wall or post nasal drip or retained secretion of upper trachea. Sometimes it is exacerbated with infection. There is no treatment, but you can control by symptomatic treatment like drink enough water to wash out retained mucous, try different kinds of antibiotics, antiallergic, food habits vegetables & fruits, nuts, no beverages but lemon water, no cold drinks but warm ones, etc. Check mouth for any dental abscess, sinusitis, etc.
There are three main causes of halitosis, i.e., bad breath: sinusitis, unclean teeth, and reflux. You need to see each specialist depending on where you suspect the issue is.
You likely need to see a dentist first. Then you should consider testing for a bacteria in the stomach with your Gastroenterologist, known as Helicobacter Pylori.
You want to follow up with your routine dental exam for further evaluation as in most case the result may leads to gingivitis or gym and bone disease of the mouth.
Make sure you get your regular check ups and cleanings done with your dentist for possible gum or tooth problems, and try to brush your tongue as well. Not all cases directly related to your oral cavity, sometimes your GI track could be the reason too. 

Fariba Aslemand, DDS
When was your last cleaning? You likey you have a build up of plaque and tartar, you need a cleaning to help. A tongue scarper can help remove bacteria
Bad breath is most often caused by post nasal drip. This means it is a problem for an allergist more than for a dentist. You seem to be doing all the right things from a dental perspective. Have a physician check you for allergies.