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16 / 08 / 2021

What is Halitosis? Causes, Treatments, and How to Get Rid of Bad Breath

Written by Dr Dimitri Mantazis

When bad breath becomes a regular problem, it can affect your confidence and leave you wondering what’s causing it.

Known medically as halitosis, bad breath can develop for several reasons, from everyday habits to underlying dental conditions. 

Fortunately, many bad breath causes can be managed with good oral hygiene and appropriate professional care.

In this guide, we’ll explain what halitosis is, why it happens, how to get rid of bad breath, and when it may be worth visiting your local dentist or dental hygienist.

What is Halitosis?

an open mouth with visible teeth and tongue, representing halitosis or bad breath

Halitosis is the medical term for bad breath, describing an unpleasant smell coming from the mouth. It commonly occurs when bacteria break down food particles, proteins, and other substances in the mouth, releasing compounds that produce noticeable odours.

Although halitosis is often associated with poor oral hygiene, this isn’t always the cause. Certain foods, dry mouth, smoking, dental conditions, and other health problems can all contribute to bad breath.

Temporary Bad Breath vs Chronic Halitosis

Temporary bad breath usually develops after eating certain foods, drinking coffee, or waking up in the morning. It generally improves naturally or after cleaning your teeth and mouth.

Chronic or persistent halitosis, on the other hand, is bad breath that continues or repeatedly returns, even when you maintain a good oral hygiene routine. This may indicate an underlying problem, such as gum disease, that requires professional attention.

Understanding the difference can help you decide whether simple lifestyle changes are likely to help or whether it’s time to seek dental advice.

Why Does My Breath Smell? Common Causes of Halitosis

If you’ve been wondering why your breath smells unpleasant, there are several possible explanations. Some are easily managed at home, while others may require treatment from a dental professional.

Poor Oral Hygiene

When teeth and gums aren’t cleaned thoroughly, food particles and plaque can accumulate around the mouth. Bacteria feed on this material and release unpleasant-smelling compounds. Bacteria can also collect on the surface of your tongue, particularly towards the back, making tongue cleaning an important part of preventing bad breath.

Gum Disease, Tooth Decay, and Dental Infections

Persistent bad breath can sometimes be a symptom of an underlying dental problem.  Gum disease, including gingivitis and periodontitis, develops when plaque bacteria contribute to inflammation around the gums. Alongside symptoms such as bleeding or swollen gums, it can cause unpleasant breath. Untreated tooth decay and dental infections may also contribute to halitosis, particularly when bacteria and food particles accumulate in damaged areas. 

These conditions cannot always be resolved through brushing and mouthwash alone, making professional dental assessment important.

Food, Drinks, and Smoking

Strong-smelling foods, including garlic, onions and certain spices, can temporarily affect your breath. Some odour-producing compounds are absorbed into your bloodstream and released through your lungs, meaning brushing alone may not immediately eliminate the smell.

Coffee and alcohol can also contribute to unpleasant breath, partly by encouraging dry mouth.

Smoking is another common cause. Tobacco leaves an unpleasant smell in the mouth and increases the risk of gum disease, which can make bad breath more persistent.

Dry Mouth and Morning Breath

Saliva helps wash away food particles and neutralise acids in your mouth. When saliva production decreases, bacteria and odour-producing substances can accumulate more easily. This is why bad morning breath is so common, because your mouth naturally produces less saliva while you sleep.

Other causes of dry mouth include dehydration, mouth breathing, and certain medications.

Other Medical Conditions

Although most cases of persistent bad breath originate in the mouth, some can be associated with other health conditions. Sinus infections, tonsil stones, acid reflux, and certain medical conditions can occasionally contribute to unpleasant breath. If your dentist cannot identify an oral cause, they may recommend speaking to your GP.

How to Get Rid of Bad Breath at Home

Toothbrush innovation

If you’re looking for bad breath remedies, the good news is that several straightforward changes to your daily routine can help. The most effective way to get rid of bad breath is to address its underlying cause, but these practical steps are a useful starting point for improving oral hygiene and reducing unpleasant odours.

1. Brush Your Teeth Twice a Day

Brush your teeth for approximately two minutes, twice daily, using fluoride toothpaste. Pay particular attention to the areas where your teeth meet your gums, as plaque can accumulate here.

After brushing, spit out excess toothpaste rather than rinsing immediately with water. This allows the fluoride to remain on your teeth for longer.

2. Clean Between Your Teeth Daily

A toothbrush cannot effectively reach every space between your teeth, which means food particles and plaque may remain even after brushing. Use dental floss or appropriately sized interdental brushes daily to clean these areas.

Your dental hygienist can demonstrate the most effective techniques and recommend suitable products for your teeth.

3. Clean Your Tongue

Your tongue can harbour bacteria that contribute to unpleasant breath, particularly towards the back. Gently cleaning your tongue once a day with a tongue scraper or soft toothbrush can help remove this build-up.

Avoid scraping too firmly, as this may cause irritation.

4. Stay Hydrated

Drinking water regularly helps prevent dry mouth and supports normal saliva production. If your mouth frequently feels dry, try sipping water throughout the day and limiting drinks that seem to worsen the problem.

Persistent dry mouth is worth discussing with your dentist, particularly if you take medication that may affect saliva production.

5. Try Sugar-Free Chewing Gum

Chewing sugar-free gum after meals can stimulate saliva production, helping your mouth naturally clear food particles and reduce dryness. This can be particularly useful when brushing isn’t immediately possible, although it shouldn’t replace your normal oral hygiene routine.

6. Consider Using Mouthwash

Some antibacterial mouthwashes can help reduce the bacteria responsible for unpleasant breath. However, mouthwash should complement brushing and interdental cleaning rather than replace them. Certain products may also be unsuitable for long-term use.

Ask your dentist or dental hygienist which mouthwash is appropriate for your needs. If you use one, consider doing so at a different time from brushing to avoid washing away the concentrated fluoride left by your toothpaste.

7. Keep Dentures and Dental Appliances Clean

Dentures, removable retainers, and other dental appliances can collect bacteria and food particles if they aren’t cleaned regularly. Follow your dentist’s instructions for cleaning and storing your appliances, and ensure dentures are removed and cleaned as recommended.

8. Make Small Lifestyle Changes

Reducing tobacco use, limiting alcohol, and being mindful of foods that trigger bad breath can make a noticeable difference. You don’t necessarily need to avoid your favourite foods entirely, but understanding which habits affect your breath can help you manage the problem.

Remember that the best remedy for bad breath depends on its cause. If these changes don’t help, professional dental advice may be necessary.

How to Get Rid of Bad Breath Quickly

Sometimes, you need a quick solution for unpleasant breath before a meeting, social occasion, or important conversation.

If you’re wondering how to get rid of bad breath quickly, try:

  • Drinking a glass of water to help rinse away food particles and relieve dryness
  • Brushing your teeth and gently cleaning your tongue (if possible) to remove bacteria and debris
  • Chewing sugar-free gum to stimulate saliva and temporarily freshen your breath
  • Using an appropriate mouthwash (if possible) to help reduce unpleasant odours
  • Avoiding strong-smelling foods and smoking beforehand

These methods can provide short-term relief, but they won’t necessarily eliminate persistent halitosis caused by gum disease, tooth decay, or other underlying conditions.

How to Stop Bad Morning Breath

Waking up with unpleasant breath is normal because saliva production decreases overnight, allowing bacteria and odours to accumulate. However, there are ways to reduce bad morning breath and help your mouth feel fresher when you wake up:

  • Start by establishing a consistent evening oral hygiene routine. Brush your teeth thoroughly, clean between them and gently clean your tongue before bed.
  • Drinking enough water throughout the day can also help prevent dehydration, while avoiding smoking and excessive alcohol may reduce dryness.
  • If you regularly wake up with an extremely dry mouth, consider whether you breathe through your mouth while sleeping.

Although occasional morning breath is common, persistent unpleasant breath throughout the day may indicate another problem worth discussing with your dentist.

When Should You See a Dentist or Dental Hygienist About Bad Breath?

While many cases of halitosis improve with better oral hygiene, persistent bad breath shouldn’t be ignored.

Consider arranging a dental appointment if:

  • Your bad breath continues despite regular brushing, interdental cleaning and tongue cleaning
  • Your gums frequently bleed when brushing or flossing
  • You notice swollen, red, or tender gums
  • You regularly experience an unpleasant taste in your mouth
  • You have visible plaque or tartar deposits around your teeth
  • You experience toothache, sensitivity, or other signs of dental problems

These symptoms may indicate an oral health condition that needs professional assessment.

If you experience severe toothache, facial swelling, or signs of a spreading dental infection, seek urgent dental advice rather than waiting for a routine hygiene appointment.

A dentist can assess your teeth and gums to identify possible causes of halitosis and recommend appropriate treatment. If there doesn’t appear to be a dental explanation, they may suggest further investigation through your GP.

How Can Professional Dental Hygiene Treatments Help Halitosis?

When bad breath is caused by plaque accumulation, tartar, or gum inflammation, professional dental hygiene appointments can play an important role in improving your oral health. Even with regular brushing, plaque can accumulate in difficult-to-reach areas. Over time, this can harden into tartar, which cannot be removed effectively with an ordinary toothbrush.

A dental hygienist can help by:

  • Removing plaque and tartar: Professional cleaning can remove deposits that contribute to gum inflammation and unpleasant breath.
  • Assessing your gum health: Your hygienist can identify signs of gum inflammation and advise when further dental assessment is necessary.
  • Improving your oral hygiene routine: Personalised brushing, flossing, and interdental cleaning advice can help you maintain healthier teeth and gums.
  • Recommending suitable products: Your hygienist can advise on toothbrushes, interdental brushes, and other oral hygiene products suited to your needs.
  • Supporting long-term prevention: Regular hygiene appointments, where appropriate, can help you maintain good oral health and manage factors contributing to recurring bad breath.

At Hove Dental Clinic, we understand that discussing bad breath can feel uncomfortable, particularly if you’re already nervous about visiting the dentist. Our friendly team takes a personalised approach to patient care, helping you feel comfortable while discussing your concerns and exploring suitable treatment options.

Although professional cleaning cannot resolve every possible cause of halitosis, it can be an effective part of managing bad breath associated with plaque and gum health.

Book a Dental Hygienist Appointment at Hove Dental Clinic

Persistent bad breath can be frustrating, but it’s a common concern, and there’s no reason to feel embarrassed about seeking help. Our experienced team provides personalised dental hygiene care in a welcoming, reassuring environment, with particular consideration for nervous patients. We can help you understand your oral health and take practical steps towards fresher breath and healthier gums.

If you’re experiencing recurring bad breath, get in touch with us to book a dental hygienist appointment at our Hove practice. We’re here to help patients throughout Brighton, Hove, and the surrounding Sussex area feel more confident about their dental health.

Frequently Asked Questions About Halitosis


Can Halitosis be Cured Permanently?

Many causes of halitosis can be successfully treated or managed once the underlying problem is identified. For example, bad breath caused by plaque accumulation may improve with professional cleaning and consistent oral hygiene. However, maintaining fresh breath often requires ongoing care, particularly when factors such as dry mouth or gum disease are involved.

What is the Best Remedy for Bad Breath?

There isn’t one remedy that works for everyone. Brushing twice daily, cleaning between your teeth, gently cleaning your tongue and staying hydrated are useful starting points.

If bad breath persists, a dental examination can help identify whether professional treatment is necessary.

Can You Have Bad Breath Even If You Brush Your Teeth?

Yes. Brushing alone may not remove bacteria from between your teeth or across your tongue. Dry mouth, gum disease, dental infections and certain non-dental conditions can also cause unpleasant breath, even if you brush regularly.

Is Halitosis a Sign of Gum Disease?

Persistent bad breath can be associated with gum disease, especially when accompanied by bleeding, swollen or tender gums. However, halitosis alone doesn’t mean you have gum disease. A dental professional can examine your gums and determine whether treatment is necessary.

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