I Brush and I Floss, but I Still Have Bad Breath!

I Brush and I Floss, but I Still Have Bad Breath!

By Mina Levi, DDS, 09/18/2015

Bad breath is not something that anyone wants to suffer from, but sometimes no matter how often you brush and floss your teeth, your breath is still bad. In this week’s article, San Francisco Dentist Mina Levi, DDS discusses causes of bad breath, what bad breath could mean, and how we can treat it.

What are some of the causes of bad breath?

1. Food particles in the mouth. The first cause is simple, which is a buildup of old food/drink residue still left on the teeth. If you are brushing and flossing well every day, this shouldn’t be the problem causing the bad breath for you.

2. Bacteria build up on the tongue. While brushing and flossing your teeth is great and definitely necessary to clean the bacteria and food debris from the teeth, sometimes the tongue is ignored and can be a place where bacteria builds up into a film over the tongue and can cause bad breath.

3. Using tobacco. Smoking or chewing tobacco-based products can cause bad breath and stain the teeth.

4. Something’s wrong somewhere else in the body. Bad breath can be a sign that there is something going wrong or needs attention from somewhere else in the body, no matter how clean your mouth is. For instance, diabetes and acid reflux tend to have a specific breath odor associated with them.

What health problems are associated with bad breath?

1. Gum disease. Bad breath could mean that you are in the beginning stages of gum disease. Gum disease is caused by build up of plaque and bacteria in between the teeth and gums. If the gum disease goes untreated, it will advance to periodontitis and can cause tooth loss and jaw bone damage.

2. Dental decay. Decay of the teeth and especially the roots of the teeth can cause bad breath.

3. Dry mouth. Dry mouth is an underproduction of saliva, a necessary substance in the mouth to moisten and neutralize acids. Dry mouth can cause bad breath when dead cells are not washed away and the acids in the mouth build up.

4. Disease. Pneumonia, sinus infections, diabetes, acid reflux and liver or kidney failure all have associated bad breath odors.

What can we do to treat bad breath?

1. Brush your tongue too!

2. Drink lots of water

3. Quit using tobacco products

4. See the dentist and general health practitioner regularly

If you have concerns about your bad breath, visit Dentist San Francisco Mina Levi, DDS on the web at www.minalevidds.com or give us a call at (415) 513-5066.

Topics: San Francisco Dentist, bad breath, bad breath even when flossing, bad breath even when brushing, good oral hygiene, oral hygiene, dental hygiene, brushing the tongue, mouthwash, halitosis, breath, causes of bad breath, treatment of bad breath, get rid of bad breath 

Mouthwash: Do I Need to Use It?

Mouthwash: Do I Need to Use it?

By Mina Levi, DDS 01/30/2014

Many of us are aware that brushing and flossing should be a part of our daily hygiene regimen, but mouthwash seems to have always been optional. This leaves us with questions regarding whether or not it is actually necessary, what kinds we should be using, and how often. The only thing we know to be true is that it usually burns our mouths when we use it. In this article, we discuss the history of mouthwash and how to use it in our daily dental care routines.

Where did mouthwash come from?

People have been using mouthwash-like recipes for cleaning teeth and freshening breath since ancient times, in Greek, Egyptian, Chinese and Roman cultures. The mouthwash that we know and use today was developed and mass-produced in the later 1800’s. Then, most of the mouthwash formulas used alcohol to kill off germs. With improvements in science and research, we are now able to develop mouthwash formulas without alcohol and instead with products like cetylpyridium chloride. There are even developments of mouthwash formulas for sensitive mouths or with more natural products that work to kill germs, too.

Is mouthwash a necessary part of the oral hygiene regimen?

If a person has optimal oral health and keeps up with flossing and brushing regularly, then mouthwash is optional, but still good to use. However, for those who have gingivitis, periodontitis, easily bleeding gums, halitosis, or other oral health-related ailments, then mouthwash is absolutely a necessary part of the daily dental care routine. Mouthwash works with brushing and flossing (and should for no reason act as a substitute for either) to keep the mouth healthy. Mouthwash can be helpful in ensuring that the maximum amount of germs are destroyed, especially those that the brushing and flossing may have missed.

How do I know if I am using mouthwash properly?

There are a few factors to consider when using mouthwash, which is how much you should use, how much you should dilute it, and how long you should swish it in your mouth.

You want to have enough mouthwash in your mouth to be able to run it throughout the mouth and through all of the crevices of the teeth and gums, but you do not want so much that you are not able to move it around in your mouth easily. One way to ensure that you are using a good amount is to use amouthwash dispenser. This also helps with over-filling and wasting the mouthwash.

Depending on the brand or type of mouthwash you choose to use, each may have different recommendations on dilution. With alcoholic mouthwashes, it is good to dilute them with water so that the burning sensation is not so intense. However, if the label on the mouthwash does not recommend diluting, then diluting it may cause the germ-killing benefits to decrease.

Normally, a good amount of time to have mouthwash in the mouth each time is about thirty seconds to one minute. However, this time will also depend on the brand or type of mouthwash that you choose to use.

The most important factor in the proper use of mouthwash is to remember that mouthwash is not a replacement or substitute for brushing or flossing.

What type should I be using?

The office of Dr. Mina Levi suggests using a non-alcoholic mouthwash with a medium concentration that does not stain the teeth. Oxyfresh is a good option – it has hydrogen peroxide and Xylitol, which adds antibacterial and mechanical properties from the foam to push plaque out of the periodontal pockets. Xylitol has antibacterial properties and inhibits the growth of oral bacteria. Oxyfresh also has mouthwashes with peppermint oil or lemon-mint scent.  

If you have any questions about what type of mouthwash you should be using or if you are including mouthwash in your daily dental hygiene routine correctly, visit Dentist San Francisco Mina Levi DDS on the web at www.minalevidds.com, or give us a call at (415) 513-5066.

Topics: natural mouthwash, natural toothpaste, mouthwash, oral hygiene, teeth brushing, flossing, daily dental care routine, germs, Dentist San Francisco,gingivitis, heavy bleeding, periodontitis