Bad breath coming from within the mouth
As mentioned, in most people who have bad breath the bad smell is thought to come from bacteria within the mouth. As the bacteria break down proteins and other debris in the mouth, they release foul smelling gases. One or more of the following may contribute to the build up of bacteria and bad breath.
- Food stuck between teeth. Normal teeth brushing may not clear bits of food (particularly tiny bits of meat) which can get stuck between teeth. The food then rots and becomes riddled with bacteria. Regular flossing can clear and prevent this problem.
- Plaque, calculus and gum disease. Dental plaque is a soft whitish deposit that forms on the surface of teeth. It forms when bacteria combine with food and saliva. Plaque contains many types of bacteria. Calculus, sometimes called tartar, is hardened calcified plaque. It sticks firmly to teeth. Gum disease means infection or inflammation of the tissues that surround the teeth. If your gums look inflamed, or regularly bleed when you clean your teeth, you are likely to have gum disease. The severity can range form mild to severe.
- Coating on the back of the tongue. In some people, a 'coating' develops on the back part of the tongue. It is not clear why this occurs. It may be from mucus that drips down from the back of the nose ('post nasal drip'). The coating can contain many bacteria.
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