Halitosis, or bad breath, affects nearly everyone at some point. For some people, it becomes a persistent concern that impacts confidence and social interactions.

At Dr. Gessell’s dental practice in Southern Pines, NC, we know the embarrassment that chronic bad breath can cause and offer effective solutions to help you achieve fresh breath and renewed confidence.

Understanding Halitosis

Bad breath often originates in the mouth, though it can sometimes indicate other health conditions. In most cases, halitosis occurs when bacteria break down food particles, producing sulfur compounds that create unpleasant odors. These bacteria thrive on the tongue’s surface, between teeth, below the gumline, and in areas where food becomes trapped.

Morning breath is a common, temporary form of halitosis that develops overnight when decreased saliva production allows bacteria to multiply. This typically resolves after brushing and eating breakfast. Persistent halitosis, however, requires more targeted intervention and may signal underlying issues.

Common Causes of Bad Breath

Oral health issues represent the most frequent causes of chronic bad breath. Poor oral hygiene allows food particles to remain in the mouth, creating ideal conditions for odor-producing bacteria. Gum disease, with its bacterial infection below the gumline, commonly produces distinctive bad breath. Dry mouth (xerostomia) reduces saliva that normally washes away bacteria, increasing odor risk. Ill-fitting dental appliances can trap food and bacteria, while cavities create spaces where bacteria thrive.

Certain foods and habits also contribute to breath odors. Foods like garlic, onions, and spicy dishes contain compounds that enter the bloodstream and are eventually released through the lungs. Tobacco products create unpleasant odors and increase the risk of gum disease and dry mouth. Crash diets can trigger ketosis, a metabolic state producing breath that smells fruity or like acetone.

Sometimes, bad breath originates beyond the mouth. Sinus infections, postnasal drip, respiratory infections, and certain digestive conditions can all contribute to halitosis. Some medications cause dry mouth as a side effect. Serious conditions like diabetes, liver or kidney disease can sometimes manifest with distinctive breath odors, making it important not to ignore persistent halitosis.

How Dr. Gessell Diagnoses Halitosis

Dr. Conor Gessell approaches halitosis diagnosis with sensitivity and thoroughness. During your consultation, he’ll discuss your medical history, dietary habits, and oral hygiene routines to identify potential contributing factors. A comprehensive oral examination follows, with Dr. Gessell checking for signs of gum disease, decay, dry mouth, tongue coating, and other oral conditions that might cause odor. In some cases, he may recommend additional tests to evaluate the severity or to rule out non-oral causes.

Treatment Options at Southern Pines Family & Cosmetic Dentistry

Treating halitosis begins with addressing underlying dental issues. Professional dental cleaning removes built-up plaque and tartar that harbor bacteria. If gum disease is present, Dr. Gessell may recommend scaling and root planing to clean below the gumline. Cavities and defective restorations will be repaired to eliminate spaces where food and bacteria hide. For patients with dry mouth, Dr. Gessell can recommend saliva substitutes or medications that stimulate saliva production. He may also suggest adjustments to current medications in consultation with your physician.

Specialized mouth rinses containing antibacterial agents can help control odor-causing bacteria, while tongue cleaning tools effectively remove bacteria from the tongue’s surface. For patients with ill-fitting dental appliances, adjustments or replacements may be necessary. If Dr. Gessell suspects that your halitosis stems from non-dental causes, he’ll refer you to appropriate medical professionals for further evaluation.

Preventing Halitosis

Maintaining fresh breath requires consistent oral hygiene. Dr. Gessell recommends brushing teeth thoroughly twice daily, with special attention to the gumline and tongue. Daily flossing removes food particles and bacteria from between teeth. Using an antimicrobial mouthwash after brushing can further reduce bacteria that cause odor. Staying well-hydrated keeps your mouth moist, helping wash away food particles throughout the day. Limiting foods known to cause bad breath, particularly before social situations, can help manage temporary odors. If you wear dentures or other removable appliances, cleaning them thoroughly each day prevents bacterial buildup.

Regular dental check-ups and cleanings with Dr. Gessell ensure that potential problems are caught early before they can affect your breath or overall oral health.

Your Partner in Fresh Breath Confidence

We understand the social impact of halitosis. Through professional treatment and personalized home care guidance, we can help you overcome bad breath and smile with confidence again. Contact our office at 910-390-1259​ or request an appointment online to schedule a consultation about your halitosis concerns. Dr. Gessell’s compassionate, non-judgmental approach ensures you’ll receive effective care in a comfortable environment.