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Can't find where the awful smell is coming from!

User Level:
Patient
Posted by: solome  (9 years ago)
Dear everyone,

I have been battling bad breath for several months now. The doctors cannot tell where the smell could be coming from. I have consulted a stomach specialist, a liver specialist, a nose-ear-throat specialist but all my checkups were fine. I've been to different dentists and they all tell me there is no problem with my teeth. I have a good habit of brushing, flossing and using mouth washes. I have a tooth that had a root canal, filling and a crown 20 years ago and I'm wondering if it could be giving off a bad smell. This tooth is not giving me any problem like pain, sensitivity,etc. Please advise me of what to do because I think I have tried everything. The problem is, I cannot pin point where it is coming from so I don't know where to start to treat it. My social life is at stake and it is really embarrassing. I would be grateful for any tips or suggestions you can give me to deal with this.
User Level:
Student
Posted by: ghnane  (9 years ago)
Hello Solome,
BAD BREATH is the big concern that everyone has and most often too embarrassed to even admit it to their dentist. Although gastrointestinal problems, such as ulcers and acid reflux disorders may contribute to bad breath we are beginning to realize that our mouth plays an even bigger role. Our tongue occupies 90% of our mouth and very often is the source of bad breath. I recommend you getting a tongue brush with bristles on one end and a scraper on the other, Oral B sells them. Put some toothpaste on the bristles and go as far back as possible and clean your tongue then scrape it all off, brush twice daily, also try the SmartMouth oral rinse solution. It contains zinc which kills gram negative bacteria that cause bad breath. It is sold in many chain drug stores and comes in two bottles that you mix in a measuring cup provided. Rinse twice a day. I would not touch those restoration that give you no pain or trouble. Let's try these first!
User Level:
Patient
Posted by: solome  (9 years ago)
That's a good and informative answer. I hope these work for me!
User Level:
Dentist
Hi Solome,
Flossing has a major impact on how your breath smells too. The person that responded was correct; however the long term affect would be to floss daily. The food compacted below your gum line starts to rot, and leave a putrid odor if not removed. Try getting floss that has fluoride in it and looks like it is as thick as yarn. I believe it is called Woven floss by Johnson and Johnson. Hope this helps too!
Posted 8 years ago
User Level:
Dentist
I have a tooth that had a root canal, filling and a crown 20 years ago and I'm wondering if it could be giving off a bad smell. This tooth is not giving me any problem like pain, sensitivity,etc. Please advise me of what to do because I think I have tried everything.

Hi there,
The most common diagnosis of halitosis are either gastric or oral hygiene related. I can only comment on dental related issues. Most of the times crowns are problematic especially the old once. Brushing is not enough. You have to find oral hygiene tools to clean the sides of your teeth ( where teeth contact each other) those are the most problematic areas. See for redness or inflammation around the crown margins. Those are signs that you are not doing a good job at flossing that area.
Do you use a tongue scraper? Often this is the best solution to eliminate halitosis. Don not use mouth rinse especially the ones that contain alcohol like Listerine. Those dry your mouth decrease saliva and increase the risk of decay.

 
 
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Posted 8 years ago
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