Transcript Bad Breath--Setting the record straight

Bad Breath
Setting the Record Straight
for the
Good Health & Beauty Show
17th to 19th June
Darling Harbour
Dr Geoffrey Speiser
Australian Bad Breath Clinic
breezecare.com.au
What is Bad Breath?
• Bad Breath is caused by bacteria that
make smelly compounds we exhale
through our mouth and nose.
• It is not caused by indigestion or
stomach problems
Old Wives’ Tales
•
•
•
•
•
•
You are not cleaning your teeth
You have digestion problems
You have liver problems
You have worms
I caught it from kissing someone
Bad Breath comes from a Thrush
infection
Who has Bad Breath?
A study in Israel has shown that
50% of middle aged people have
socially unacceptable bad breath.
Who has Bad Breath?
Another study just released in the UK showed:
Secretaries have the freshest breath
Lawyers & Teachers have the worst breath
Acclimatization
Our bodies are designed to not smell
our own odour. This is thought to date
back to prehistoric days to assist with
the hunting of prey.
Typical Bad Breath
Sufferer
Typical Bad Breath
Sufferer
“I have suffered from chronic bad breath for several
years and after many visits to GPs, ENT specialists,
and dentists who gave little help, I am praying this
could be the solution to my problems.
I have found that my bad breath has been very
debilitating and depressing. It has been hard to even
get out of bed in the morning, knowing that no matter
how much cleaning and mouth washing I did, I still had
to talk to people in my job all day with bad breath.
I find it hard to make eye contact, look away from the
person when talking, and panic if they stand too close
to me. Sometimes I don't talk at all for fear I will offend
someone with my breath. I can't go out without at least
a few packets of gum or lozenges on me, and am
constantly chewing or sucking which also offends
people.
I dread sitting next to someone on a plane or bus. I
have even heard so called friends at work snickering
about me and know they must think I don't clean my
teeth. I hope one day to become the outgoing people
person I used to be.”
Bacteria cause Bad
Breath Smells
Virtually all bad breath is due to the activity
of bacteria going about their daily business.
These bacteria can be found in large
numbers on our tongues, teeth, gums,
throat, tonsils, and nasal passages.
Exceptions – Hunger Breath, Diabetes
A Different
Smell – Hunger
Breath
•
•
•
•
•
The smell is due to ketones
Caused by breakdown of body fats
Increasing problem due to fad diets
Worsens during the day
Cleaning teeth will not stop smell
The Smells
Bacteria Make
Mouth Compound
The Smell Made
Hydrogen Sulphide
Rotten Eggs
Methyl Mercaptan
Faeces
Skatole
Mothball
Cadaverine
Urine
Putrescine
Decaying Flesh
Isovaleric Acid
Sweat, Off-Milk
Dimethyl Sulphide
Cabbage, Gasoline
What Starts
Bad Breath?
• Sticky film called “biofilm” builds up
daily on our teeth, tongue & throat.
• Biofilm that is not removed becomes
invaded with bacteria.
• Biofilm can contain up to 800 types of
bacteria.
Where do Bad Breath
Bacteria Live?
•
•
•
•
Below the surface of the tongue
Below the gums around the teeth
In the back of the throat
In the nasal passages
Illness Causes
Bad Breath
• Chronic Nasal Problems – thickens nasal
mucous, stops the nasal hairs from doing their
cleaning action.
• Periodontal (Gum) Disease – promotes the
growth of hardy bacteria and increases the
available surface area for biofilm, below the gum
line.
• Dry Mouth (Sjögren’s Syndrome) – affects
the quality and quantity of saliva. Saliva is
nature’s cleaning solution that stops mouth
disease and helps reduce bad breath.
Medicines Cause
Bad Breath
7 of the top 10 prescription
medicines cause dry mouth
•
•
•
•
•
Blood Pressure
Allergy & Sinus
Anti Depressant
Heartburn & Indigestion
Sedatives and Relaxants
Lifestyle Causes
Bad Breath
• Alcohol – dries the mouth, decreases saliva.
• Dairy Products – provide a food source for
bad breath bacteria. Thicken nasal mucous.
• Smoking – removes oxygen from the mouth,
promoting bad breath bacteria.
• Coffee & Other drinks – increase acid in
the mouth, directly affecting saliva content.
Acid Level (pH)
5
3
0
Type of Drink
apricot yoghurt
soda water
gatorade
apple juice
orange juice
sparkling mineral water
beer & wine
diet coke
coca cola & pepsi
powerade
sprite & fanta
stomach acid
lemon juice
swimming pool acid
1
car battery acid
2
ribena
milk
flavoured milk
flat mineral water
4
water & sugar
7
vinegar
6
water
All Drinks Below pH5 are
& Affect Saliva
ACID
What Else About
Bad Breath?
Once bad breath is chronic, it is
extremely difficult to eliminate!
Never use large doses of Antibiotics
Follow a program specifically
developed to tackle all the issues of
bad breath, not just mouthwash and
toothpaste