Halitosis Treatment

What is Halitosis?

If more than one person, at any time of the day, is detecting an unpleasant odor in the mouth of the same individual, without the need for close contact, and if this condition persists for at least a few months without interruption or uninterrupted, even if the individual does not hear this unpleasant smell This clinical picture is called the halitosis.

Are there how many types of halitosis?

Type 1 halitosis:

Only in the morning, the smell is normal when it wakes up. In each individual, there is always a small or a large amount. It’s not treatable. Even if treated, it will emerge again

Type 2 halitosis:

The surface of the tongue is indented and protruding. Bacteria, which are placed in deep pits of the cryptalum, fragment proteins from saliva and nutrients into volatile sulphurous compounds.

The cause of halitosis is volatile sulphurous compounds. There are dozens of vsb gases that cause halitosis. The most common is described here. Make sure you don’t want to smell any of these.

Type 3 halitosis:

This group of Halitosis also comes largely from the tongue, but the source of the bacteria is not in the mouth, sinuses, tonsils, throat or neighboring tissues. It is especially seen in children with type 1.

It is a cause of halitosis in the community to be amazed by too many.

Type 4 halitosis:

When digestive enzymes or organs are not digesting the nutrients, the nutrients are left to disprove bacteria. The gases exposed in the digestive tract rise to the mouth outside the individual’s request and knowledge. The individual does not need to burp. The gases formed here are 0.68 ml/min while seated and rise to the mouth at a rate of 0.12 ml/min while lying down. The individual doesn’t know that. In this type of halitosis, if the gastroesophageal valve is loose between the stomach and the esophagus, more ugly smelling gas will be added to the mouth. Especially in proportion to the advancing age, this type of mouth smells increases.

Type 5 halitosis:

It comes from the lungs. It’s not halitosis. It’s breath odor. Occurs in two ways. First: If an infection (pneumonia, pleuritis, adenit, bronchitis, etc…) is found in the lung parenptal or lower respiratory tract, the ugly-smelling gases exposed here are directly involved in the exhalation air. The second way is the chemistry of changing blood gases into aromatic compounds in the atmosphere of the excisation. The most vivid example of this is the halitosis that is seen during pregnancy, immediately after leaving the narcosis in patients with diabetes or gout. This type of breath odor patients never respond to the treatment of halitosis, what is done in the mouth does not show any improvement. Because the source of smell is in the mouth, and neither the reason is in the mouth.

Type 6 halitosis:

They think your mouth stinks. In fact, there is no measurable pathological odor in the mouth. “I think my mouth stinks” is dominated by the way they keep away from me. They usually carry sensitive, delicate, disciplined and introverted personality. They are diagnosed with trick questions. They’re very difficult to diagnose and treat. The psychiatrist should be treated with cooperation. You never say to these patients, “your mouth doesn’t smell.

Why does a mouth smell bad?

” If there is dry mouth, type 1 halitosis is found. (Night mouth open to sleep, lack of saliva, after radiotherapy and alcohol fields etc…)

If there is any germ source for bacteria in the mouth, type1 odor is found. These germ sources can be in order of frequency, as follows:

-Under the bridge body


-Rotten Cavity

-20-year-old female my hoodie

-All retantive surfaces and uncleansed prostheses in the network

Pharyngitis, tonsillitis, sinusitis and type 2 halitosis can be found in individuals undergoing sinus. The individual may not be aware of this disease.

Allergic individuals with postnasal discharge include type 2 halitosis. The individual may not be aware of the current.

In gastroesophageal shfinkter dilatations, patients with reflux and gastritis have Type 3 halitosis.

There is type 3 halitosis in digestive enzyme deficiencies. The individual may be accustomed to the disease with simple (heartburn, indigestion, gas) complaints.

Acidosis is found in all metabolic disorders (including sugar, gout, nephropathies), which may be the cause of alkalosis, which can change blood gases and blood biochemistry.

The Type 3 halitosis can be found continuously when eating the same food every day. Such patients can only be identified by their history

There are type 4 halitosis in the pregnant women.

Type 4 halitosis can be found in continuous drug users

Type 4 halitosis is found in individuals with fasting

Lung infections include type 4 halitosis increase the oral hygiene of your hospital

How is it treated?

Keep every rough surface that can hold bacteria in the mouth. All surfaces in the mouth should be not able to hold the bacteria, should be polished. The most common problem is the bridge body.

Give your language brush training. Tell him to brush his tongue every day without hurting the wings.

Prevent the patient from using alcohol or give up the treatment of halitosis.! Because alcohol alone is a cause of halitosis.

Give your language brush training. Tell him to brush his tongue every day without hurting the wings.

RIP the bridges. Countless halitosis cases are lost by removing the bridges in the mouth.!!

Every night before sleeping and every morning after breakfast, the teeth should be brushed.


1-Rare Hairy

2-Medium hard

3-Should be small

The halitosis patients should use toothpaste containing zinc. There are 4 zinc paste in our market.

Antiseptic mouthwash can be used with no longer than 1 week after brushing the tongue

. After each tooth brushing, the tongue should be brushed. The toothbrush should be made by sweeping the back of the tongue without pushing it forward.

Antiseptic mouthwash should be non-alcoholic.

Antiseptic mouthwash should be anti-inflammatory.

There are only 1 (one) mouthwash in our pharmastores that conform to these characteristics. Other mouthwashes do not appear to be suitable for the treatment of halitosis.

Instead of antiseptic mouthwash, salt water gargle can be used. Do not give the salt water mouthwash to hypertension and kidney patients.

For 1-8 weeks, you can recommend chewing gum to your patient. There are 2 choral gum in our market

The above treatment completely improves type 1 cases. In type 2 cases, partial recovery happens, other cases of halitosis do not improve with the above treatment.

Note: In some parts of this article, Dr. Murat Aydın has been benefits from.