severe bad breath

[bebe460]

my breath is so severe that people talk to me at a distant or advoid   talking to me all together. i spont over 1000 dollar at the dentist i really need help i brush floss gargle everything what can i do.

[paramaria]

Hi,

This is what worked for me: I was at the end of my rope. I asked the Lord to help me find a solution and soon found a product called Profresh. It is a mouthrinse developed by a dr. that studies bad breath. It worked for me and my mom.

If you can't afford the profresh or want to get better breath tonight, here is what has worked for me since I stopped using the Profresh. I found out that for me, the solution was in keeping my tongue as clean as possible.

So, now I rinse with listerine or other mouthwash, then while still having mouthwash in mouth - take a toothbrush and brush all over mouth. Then spit out, scrape tongue with a good quality Tongue scraper (not toothrush). Be sure to go as far back as you can. The bacteria that cause bad breath are more concentrated in the back of tongue.

After scraping, floss, then brush, then rinse with mouthwash again. This works great. You may have to do it several times a day, especially the Tongue scraping. I think that is key.

One more thing, when you scrape, do a few scrapes, then rinse with water, then scrape again, and repeat a few times. Get that tongue as clean as you can.

I hope this helps. The Profresh solution is worth a try. I've prayed for you, I know what it's like to be in your shoes.

[National Jewish Health]

There is extensive medical literature on this problem  and you would do well to consult with an experienced Medical Librarian, to conduct that search for you.  Such persons can be found at almost any University Medical School Library in the country.  With that information, you could then determine where specialists working and publishing in this field of research are to be found and then contact one or more of them. For example, see the first (Proctor & Gamble) abstract.   I would send an E-mail to the lead author:  farrell.s.***@****

The other two illustrate approaches to this problem.

Good luck,


Authors Full Name Farrell, Svetlana. Barker, Matthew L. Walanski, Amy. Gerlach, Robert W.
Institution Procter & Gamble Oral Care Clinical Department. farrell.s.***@****
Title Short-term effects of a combination product night-time therapeutic regimen on breath malodor.
Source Journal of Contemporary Dental Practice [Electronic Resource]. 9(6):1-8, 2008.
Abstract AIM: To evaluate the malodor reduction benefits of a therapeutic night-time oral hygiene regimen that combined antibacterial toothpaste and mouthrinse with an oscillating-rotating rechargeable power toothbrush. METHODS AND MATERIALS: An independent clinical trial was conducted using a randomized, negative-controlled, single blind, two treatment, 4-period crossover design. After completing a 1-week acclimation period, subjects were randomly assigned to a treatment sequence consisting of the following two regimens: (1) a night-time regimen of Crest Pro-Health Night dentifrice, Crest Pro-Health Night rinse, and Oral-B Vitality Precision Clean power toothbrush and (2) a control regimen of Crest Cavity Protection dentifrice and an ADA manual toothbrush. Each treatment period started with an overnight baseline volatile sulfur compounds (VSCs) Halimeter measurement, followed by twice daily use of the assigned regimen. Post-treatment overnight malodor was assessed at 24 hours. There were 2-day washout periods between treatments. All procedures were repeated with the next assigned regimen, through four crossover periods. RESULTS: Twenty-five subjects completed the study. Twice daily use of the therapeutic night-time regimen resulted in a significant (p>0.001) 35% reduction of mean VSC levels in the overnight breath compared to the control regimen. CONCLUSION: One-day use of a night-time regimen consisting of a therapeutic paste, rinse, and an oscillating-rotating rechargeable power toothbrush provided a 35% reduction in overnight breath malodor compared to regular brushing. CLINICAL SIGNIFICANCE: Combining a proven therapeutic dentifrice, mouthrinse, and advanced design toothbrush in a single regimen is an efficient means of maximizing breath odor reductions.


Authors Full Name Tsai, C-C. Chou, H-H. Wu, T-L. Yang, Y-H. Ho, K-Y. Wu, Y-M. Ho, Y-P.
Institution Graduate Institute of Dental Sciences, College of Dental Medicine and Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. ***@****
Title The levels of volatile sulfur compounds in mouth air from patients with chronic periodontitis.
Source Journal of Periodontal Research. 43(2):186-93, 2008 Apr.
Abstract BACKGROUND AND OBJECTIVE: Volatile sulfur compounds may be the main source of oral malodor. The aim of this study was to clarify the relationship between periodontal parameters and volatile sulfur compounds and to evaluate the improvement of several halitosis-related outcomes by tongue scraping, nonsurgical periodontal treatment (including oral hygiene instruction) and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling. MATERIAL AND METHODS: Seventy-two chronic periodontitis patients with heavy tongue coating were assessed for oral malodor and periodontal status. Oral malodor was evaluated by measuring the levels of volatile sulfur compounds using OralChroma and the organoleptic test score. Thirty participants were selected for the subsequent experiments: tongue scraping; nonsurgical periodontal treatment; and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling. Twenty-five participants completed all experimental stages. RESULTS: Significant correlations were observed between the organoleptic test score and hydrogen sulfide (H2S), methyl mercapton (CH3SH), tongue coating score and volatile sulfur compounds, which was also significantly correlated with bleeding on probing percentage and tongue coating score. Tongue scraping significantly reduced the levels of volatile sulfur compounds. Further reduction of volatile sulfur compounds after nonsurgical periodontal treatment and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling were noted compared with baseline. CONCLUSION: Volatile sulfur compounds, with H2S and CH3SH as the main components, in mouth air are the prominent elements of malodor. Volatile sulfur compounds were decreased by more than 50% after tongue scraping. Nonsurgical periodontal treatment and oral hygiene instruction/chlorhexidine + cetyl pyridinium gargling maintained a significantly lower level of malodor compared with baseline.


Authors Full Name Kostka, E. Wittekindt, C. Guntinas-Lichius, O.
Institution Klinik und Poliklinik fur Hals-, Nasen- und Ohrenheilkunde der Friedrich-Schiller-Universitat Jena, Jena. Ellen.***@****-jena.de
Title [Tongue coating, mouth odor, gustatory sense disorder - earlier and new treatment options by means of tongue scraper]. [German]
Source Laryngo- Rhino- Otologie. 87(8):546-50, 2008 Aug.
Abstract The tongue is said to be the mirror of physical health. The tongue dorsum is most delicate regarding the sense of touch. Pathologic coating of the tongue accounts for paresthesia during chewing, swallowing, speaking, tasting, and also may result in mouth odor. Tongue coating can result from increased formation or decreased natural abrasion, and from xerostomia or dyschylia. In clinical otorhinolaryngology pathologic tongue coating often is idiopathic or present after surgery of the oral cavity or pharynx. Critical analysis of published studies reveals that effectivity and justification to administer xenobiotics or vitamins in that condition is doubtful. Recently, it has been shown that tongue fur was able to be reduced by an easy-to-handle mechanical tongue cleaner or tongue scraper. Due to its simple use, tongue scrapers could be a welcome supplement for the treatment of tongue fur, mouth odor, and in particular cases, to enhance gustatory sense. Preliminary results of an ongoing prospective trial showed that tongue scrapers can effectively be applied after surgery of the oral cavity or pharynx. After tonsillectomy, tongue fur seemed to be reduced and gustatory sense to be enhanced when tongue scrapers were applied during postoperative care. After confirming these promising results in further investigations, an inexpensive and simple option for the treatment of a large amount of patients in clinical otorhinolaryngology would exist.