Treating and preventing bad breath

Treatment forbad breath (halitosis) will depend on its cause.

Usually, the most effective treatment is improving your dental hygiene. As part of your daily routine, you should:

• floss between your teeth
• brush your teeth and gums
• clean your tongue

You may want to consider investing in an electric toothbrush, which can make cleaning easier and more effective.

Cleaning your teeth

Your dentist will probably recommend that you brush your teeth at least twice a day using Fluoride toothpaste.

Below are some tips on how to brush your teeth and keep your mouth healthy. You should:

• use dental floss to clean between your teeth and remove trapped food that could cause tooth decay brushing on its own only cleans about 60% of the tooth's surface
• choose a small or medium-sized toothbrush with soft, multi-tufted synthetic bristles
• replace your toothbrush every three to four months
• brush your teethfor at least two minutes you could keep a toothbrush at work or school so you can brush your teeth after lunch
• brush all areas of your teeth, paying particular attention to where your teeth and gums meet your dentist or oral hygienist may recommend using a special single-tufted brush for specific problem areas of your mouth
• use a separate toothbrush or a tongue scraper to lightly brush your tongue some toothbrushes have a tongue cleaner on the back of the brush head
• avoid brushing your teeth for 30 minutes after drinking an acidic drink, such as fruit juice, or eating acidic fruit, such as oranges, to help prevent tooth abrasion

Your dentist may recommend that you rinse your mouth daily using an antibacterial or anti-odour mouthwash. This shouldn't replace brushing, but can be included as part of your daily routine.

Clean your dentures thoroughly before putting them in the next morning:

• don'tuse toothpaste to clean your dentures as it can scratch the surface and cause stains
• clean your dentures thoroughly using soap and lukewarm water, denture cream, or a denture-cleaning tablet
• use a separate toothbrush to clean your dentures

Your dentures should stay clean and fresh if you follow this routine. It will also help prevent the build-up of plaque, which can cause bad breath.

Fresh breath tips

To help keep your breath fresh, you should:

• give up smoking
• eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food
• cut down on sugary food and drinkas it can increase the amount of bacteria in your mouth
• reduce your alcohol consumption
• cut down on coffee
• drink plenty of water to help prevent your mouth becoming dry
• chew sugar-free gum after eating to stimulate the flow of saliva this will help clean away any remaining food particles

You should visit your dentist for regular check-ups. Having regular dental check-ups will ensure any plaque and calculus previously known as tartar is removed from your teeth, particularly in areas that are difficult to reach.

Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment.

Gastrointestinal problems

Bad breath can be caused by a gastrointestinal problem, such as an H. pylori infection or gastro-oesophageal reflux disease (GORD) . You may be referred to a gastroenterologist.

The treatment recommendedwill depend on the type of gastrointestinal condition you have. For example, if you have a stomach ulcer , you may need acombination of two or three different antibiotics and a proton pump inhibitor (PPI). This is known as eradication therapy.