Dentist Questions Bad Breath

Why does my breath smell even after brushing my teeth and using mouthwash?

It seems that my breath always has a had smell/taste to it. I brush my teeth twice a day, floss daily, and also use mouthwash. What else can I be doing to correct this problem?

14 Answers

Use a tongue scraper, water pik, sonicare toothbrush, Peridex mouth rinse (Prescription daily for 2 weeks only), have a deep cleaning at your Dental office or a periodontist. Be tested for H. Pylori. Drink plenty of water throughout the day so you are not dehydrated.
People suffering from periodontal problems may suffer from this problem. A comprehensive exam and deep cleaning may help alleviate this problem.
It sounds like you are doing a lot of things right. There are still a few things that could be causing your bad breath. It could be as simple as brushing your tongue as well, as the tongue harbours bacteria and this could be one of the causes. There are tongue scrapers/cleaners available and your dentist may have a sample or they are available at most drug stores. Additionally, it could be your technique of brushing or flossing. If you are missing some of the door causing bacteria near the gum line or between your teeth, this can be one of the causes. Cavities also may cause bad breath due to the bacteria. Gum disease or deep pockets around the gums also traps bacteria (ie. tartar hardened underneath the gum line) leading to halitosis or bad breath. Check with your dentist to ensure that you don’t have any of these causes, and if you do, they can discuss possible solutions with you. If you know you are completely healthy, start with the first few items listed.
You might have post nasal drip. Try brushing your tongue and cheeks. If that doesn't help, then see an allergist.
Bad breath can come from the sinuses, throat as well as the stomach. First eliminate the presence of gum disease by seeing your dentist and then see your doctor.
Most causes of bad breath are a result of either bacterial material lodging in the tongue, or from an acid or substance coming up from the esophagus. Try to determine the source of the odor, and then remedies can be offered. Do you possibly have less than a normal salivary flow due to medications? Possibly try a different mouthwash rinse as well. Try to brush your tongue, and rinse with something that can destroy bacteria and their odors.
If you care having regular checkups with your dentist, they can find gum problems or decay that may attribute to your bad breath. It may help to brush your tongue and check your diet. Coffee causes bad breath for example. Have you checked with your General Practitioner for other health issues, ie, diabetes, GERD or acid reflux can cause these issues as well.
This is often due to bacteria within the gums. An examination and appropriate dental cleaning is recommended and should take care of your problem.
Bad breath, or halitosis, has many causative factors, and your dentist will the best person to address your specific issue. From foods (i.e., onion, garlic, etc.) to dry mouth, which can be caused by mouthwash with alcohol!! Periodontal (gum) issues may also be present and a deep scale may be required rather than a superficial brushing. Finally, even stomach problems can cause bad breath, i.e., VSCs (volatile sulphuric compounds).

Hope this brief and basic explanation helps!
You should floss as much as you brush. You should brush in the morning, before bed and after meals. Flossing eliminates food in between the teeth that sits there and rots (i.e., chicken, etc.) The foul odor and taste is rotten food that has changed to bacteria. It grows in a hot, moist, and dark place; it works along the same principle as not cleaning your underarms.
Many reasons:
 
1) Periodontal disease
2) Sinus infection
3) Damaged fillings which harbor decaying food
You may still have debris or food between teeth, faulty restorations, have dry mouth or sinus drainage. Brush tongue to ensure bacteria is not there and the culprit for bad breath.


Brush your tongue
Bad breath can come from old fillings or caps or can be systemic of GI issues.