Bad Breath and Gingivitis

Does this sound familiar to you? My dentist and hygienist mentioned that I had irritated gums as they cleaned my teeth. This is a symptom of gingivitis.

Gingivitis can be a stepping stone to major problems in the mouth and gum line. It can lead to periodontal disease, which is a much more serious problem with the potential for actual bone loss.

Halitosis (bad breath) could be related to a gingivitis infection as both are caused by bacteria. Red, swollen and/or bleeding gums characterize gingivitis. These symptoms are most evident upon flossing and sometimes from brushing.

Bacteria cause gingivitis. And bacteria are considered to be responsible for bad breath.

Sometimes, I could even see the bloodstains that the hygienist quietly wiped away with a towel. It was embarrassing enough to know that I wasn't controlling my gingivitis problem, but to know that she was actually trying not to make a big deal out of it was troubling.

I knew my dentist was concerned because she gave me a bottle of alcohol based mouthwash to try and mentioned that she wanted to see how I looked next time. I don't like using it; there is too much alcohol and the taste is not very pleasant. Alcohol may also dry the mucous membranes in the mouth.

The Problem

Bacteria can stick to your teeth and secrete acid onto them contributing to cavity formation. They can also infect the gums, particularly around the gum line, causing gingivitis. This can manifest initially as bleeding and irritated gums.

Having a lot of uncontrolled bacteria multiplying in the mouth may also lead to bad breath, but there is a natural and normal amount of bacteria in the mouth, and you will never completely get rid of them all, nor would you want to.

Theory has it that it is actually the anaerobic bacteria that live in the tongue and throat that produce sulfur that in turn produce hard to get rid of bad breath. These anaerobes create VSCs or volatile sulfur compounds. One type is the familiar rotten egg smell. There are other odors coming from VSCs as well. These sulfur-producing bacteria may feed on certain foods, like coffee, alcohol and meats.

A gingivitis problem can offer a way for bacteria to easily enter your blood stream and that can lead to additional problems. Systemic infections could come from this. Gingivitis can be something that makes your gums bleed easily in a mild case or it can be the root of deep gum recession, leading to bone loss in the worse case scenarios. (Periodontal disease)

Loss of gum line can be discouraging. A friend of mind once described the process as, "getting long in the tooth". Sometimes, people experience this problem by brushing too hard. TIP: Using a soft bristled toothbrush with the type of motion that your hygienist recommends may help prevent eroded gum lines.

Treatment and Prevention

Had you ever heard of under-the-gum cleanings? This could be part of the protocol your dentist might invoke, should you develop periodontal disease. If you know people that have had an under-the-gum cleaning; they may tell you that it is not very pleasant.

Your dentist can deal with this problem in a variety of ways. However, prevention probably is the best option. Include good flossing and brushing habits - see your dentist for details. And you could add a non-alcohol based mouthwash alternative to your regimen.

I'm currently using a special toothbrush that uses vibration to clean the teeth. This device does a better job than a regular toothbrush in keeping my teeth clean. It does take a little while to get used to because of the vibration. It makes many, many vibrations per second. This helps to give it such wonderful cleaning abilities.

Don't feel sad if you have excellent oral health habits but you still have bad breath. This is common and many people experience this same situation. Oral health products that don't contain sodium lauryl sulfates or artificial flavors that can still kill the bacteria that cause bad breath without using harsh alcohol or tough chemicals may be helpful.

I am not a dentist. This article is for information purposes only. This article is not meant for diagnosis, treatment or prevention nor is it meant to give advice. If you have or suspect you have gingivitis, periodontal disease or any other dental problems, visit your dentist for a consultation.

Dave Snape is a health, fitness and wellness enthusiast. His website is http://tobeinformed.com

In The News:

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President-elect Barack Obama introduces, Nancy Killefer, not shown, to the newly created position of chief performance officer, Wednesday, Jan. 7, 2009, at his transition office in Washington. (AP Photo/Lawrence Jackson)AP - President-elect Barack Obama said Thursday the recession could "linger for years" unless Congress pumps unprecedented sums from Washington into the economy, making his highest-profile case yet on an issue certain to define and dominate his early presidency.



Palestinian demonstrators use sling-shots to hurl stones at Israeli soldiers during a demonstration against Israel's military operation in Gaza, in the West Bank village of Bilin, near Ramallah,Thursday, Jan. 8, 2009. Israel resumed its Gaza offensive Wednesday after a three-hour lull to allow delivery of humanitarian aid, bombing heavily around suspected smuggling tunnels near the border with Egypt. Despite the heavy fighting, strides appeared to be being made on the diplomatic front with the U.S. throwing its weight behind a deal being brokered by France and Egypt. (AP Photo/Muhammed Muheisen)AP - The United Nations halted aid deliveries to the besieged Gaza Strip on Thursday, citing Israeli attacks on its staff and installations hours after it said tank fire killed one of its drivers as he went to pick up a shipment.



Pedestrians walk past Generations Menswear on 8th Ave. in New York Wednesday, Jan. 7, 2009. Retailers are reporting dismal sales for December, confirming fears that the holiday season was the weakest in four decades.  (AP Photo/Craig Ruttle)AP - Retailers reported dismal sales figures for December on Thursday as even Wal-Mart Stores Inc., one of the bright spots in the industry, finally buckled under the pressures of the deteriorating economy.



Illinois Rep. Roger L. Eddy, R-Hutsonville, right, studies supplied documents requested during testimony at a Illinois House Impeachment Committee hearing at the Illinois State Capitol in Springfield, Ill., Wednesday, Jan. 7, 2009. By naming Roland Burris to the Senate, Illinois Gov. Rod Blagojevich has tied Washington in knots and diverted attention from his own problems. But he didn't make those problems go away. (AP Photo/Seth Perlman)AP - A draft report from the Illinois House panel investigating Governor Rod Blagojevich (bluh-GOY'-uh-vich) calls for the full chamber to vote on whether to impeach him.



A man works near a gas flow meter at a district heating plant in Skopje January 8, 2009. According to law, all companies in Macedonia must have an alternative power source secured for emergencies, and all heating plants across the country that usually operate on gas have already switched to oil derivatives. Two of Macedonia's biggest factories have been forced to halt their production due to gas shortages resulting from the Russia-Ukraine dispute. Experts say Macedonia is not that badly affected as gas is not widely used in households, but the shutdown in production of these major industrial units is impacting domestic growth already dampened by the global financial crisis, local media reported.    REUTERS/Ognen Teofilovski (MACEDONIA)AP - The number of people continuing to seek unemployment benefits has risen sharply, according to government data released Thursday, indicating that laid-off workers are having a harder time finding new jobs as the recession enters its second year.



President-elect Barack Obama, flanked by President George W. Bush, and former President George H.W. Bush, speaks in the Oval Office of the White House in Washington, Wednesday, Jan. 7, 2008, during a meeting, with former presidents Bill Clinton, and Jimmy Carter.  (AP Photo/J. Scott Applewhite)AP - The House and Senate are coming together in a centuries-old tradition to count the electoral votes from the November election and formally declare that Barack Obama will be the 44th president of the United States.



Buckshot the bull is corralled in front of the New York Stock Exchange, Thursday Jan. 8, 2009, in conjunction with opening bell ceremonies to be rung by the Professional Bull Riders, Inc. (AP Photo/Richard Drew)AP - Wall Street's worries about weak consumer spending revived Thursday, sending stocks lower as bad news from Wal-Mart Stores Inc. signaled that even the stronger U.S. retailers struggled during the holiday shopping season. The Dow Jones industrials fell by 100 points.



Microsoft Corp. CEO Steve Ballmer delivers the keynote address Wednesday, Jan. 7, 2009, at the International Consumer Electronics Show in Las Vegas. (AP Photo/Paul Sakuma)AP - Microsoft Corp.'s next version of the Windows operating system is almost ready for prime time. That's one message Chief Executive Steve Ballmer delivered on the eve of the official opening of the International Consumer Electronics Show.



Christian Bale accepts the favorite action movie award for 'The Dark Knight' at the 35th Annual People's Choice Awards on Wednesday Jan. 7, 2009 in Los Angeles. (AP Photo/Matt Sayles)AP - "The Dark Knight" soared away with every trophy it was nominated for Wednesday at the 35th annual fan-favorite CBS ceremony. The caped crusader flick won five awards, including favorite cast, superhero, action movie and on-screen matchup for Christian Bale's Batman and the late Heath Ledger's Joker.



Oklahoma head coach Bob Stoops poses with the BCS championship trophy during a press conference in Ft. Lauderdale, Fla., Wednesday, Jan. 7, 2009. Oklahoma will play Florida for the NCAA BCS football championship Thursday, Jan. 8. (AP Photo/Lynne Sladky)AP - The Oklahoma Sooners and the Florida Gators meet tonight for the BCS championship. It's a matchup that includes a pair of Heisman Trophy winners, an SEC vs. Big 12 debate and more than its share of trash talk.



President-elect Barack Obama arrives with Nancy Killefer, his appointee as White House Chief Performance Officer, during a news conference at his transition office in Washington, January 7, 2009. (Jason Reed/Reuters)Reuters - President-elect Barack Obama will seek Thursday to rally support for a massive fiscal stimulus package by warning that the United States could remain mired in recession for years without bold action.



A Palestinian girl, who fled her house with her family during Israel's offensive, looks out of a window at a U.N. school in Jabalya in the northern Gaza Strip January 7, 2009. (Mohammed Salem/Reuters)Reuters - Israel pressed its offensive against Hamas militants in the Gaza Strip on Thursday amid sharp Red Cross criticism that it was delaying access to casualties.



A worker brings carts back into a Walmart store in Westminster, Colorado in this August 14, 2008 file photograph. (Rick Wilking/Reuters)Reuters - Wal-Mart Stores Inc led U.S. retailers in posting disappointing December same-store sales on Thursday, and it cut its quarterly earnings forecast despite being the store of choice in a recession.



Reuters - The incoming administration of President-elect Barack Obama will name Cass Sunstein, a Harvard Law School professor who pioneered efforts to design regulation around the ways people behave, as regulatory czar, the Wall Street Journal reported.

Senator Charles Schumer on Capitol Hill in a file photo. (Jason Reed/Reuters)Reuters - Citigroup Inc is leading other lenders in advanced talks with key U.S. senators on legislation that would allow judges to set new repayment terms for millions of mortgage holders who wind up in bankruptcy court, the Wall Street Journal said, citing people involved in the talks.



People walk past the Bank of England in central London, January 8, 2009. (Rob Bodman/Reuters)Reuters - Bleak economic data in Europe and disappointing December retail sales figures in the United States unsettled financial markets on Thursday, strengthening the case for more government stimulus and encouraging rate cuts.



A man looks at a large screen displaying India's benchmark share index on the facade of the Bombay Stock Exchange building in Mumbai, January 7, 2009. (Punit Paranjpe/Reuters)Reuters - India's Satyam Computer faces a crisis of "unimaginable proportions," its interim chief executive said a day after the chairman revealed profits had been falsely inflated for years.



Oleh Dubyna, the head of Ukrainian state energy firm Naftogaz, arrives at the European parliament Foreign Affairs Committee in Brussels January 8, 2009. (Francois Lenoir/Reuters)Reuters - Russia's state-controlled gas monopoly said on Thursday it would restore supplies to Europe through Ukraine, cut off after a dispute between Moscow and Kiev, as soon as international monitors are in place.



Italian soldiers serving with the United Nations Interim Force in Lebanon (UNIFIL) patrol the village of Tayr Harfa. Rockets fired into northern Israel from Lebanon have sparked a new military alert as Israeli jets carried out mass strikes on smuggling tunnels in Gaza.(AFP/Mahmoud Zayat)AFP - Rockets fired into northern Israel from Lebanon on Thursday sparked a new military alert as Israeli jets carried out mass strikes on smuggling tunnels in Gaza.



A Palestinian protestor flashes the V for 'victory' sign in front of an Israeli soldier near Damascus Gate in Jerusalem's old city. Israeli warplanes bombed suspected arms-smuggling tunnels in southern Gaza early Thursday, as diplomats worked to secure a ceasefire in an offensive that has killed 700 Palestinians.(AFP/Ahmad Gharabli)AFP - Israeli warplanes bombed suspected arms-smuggling tunnels in southern Gaza early Thursday, as diplomats worked to secure a ceasefire in an offensive that has killed 700 Palestinians.




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