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Bad Breath and Bacterial Interference

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Discover how bacteria communicate in your mouth and why it matters for your smile and well-being.

Person testing their breath.

Hello, everyone! Today, let’s talk about a topic we often avoid but that affects millions of people worldwide: bad breath.

Bad breath, scientifically known as halitosis, goes far beyond just a social discomfort. As a mother and a dentist, I know how much this condition can affect self-esteem and personal relationships, even for our little ones.

What really causes bad breath?

Do you know that “heavy mouth” feeling in the morning? This happens because our mouth is a true ecosystem, where trillions of bacteria live and interact with each other. When we sleep, saliva production decreases, creating the perfect environment for some of these bacteria to produce volatile sulfur compounds, such as hydrogen sulfide (H₂S) and methyl mercaptan (CH₃SH) – the real culprits behind bad breath.

Revolutionary Discoveries: How Bacteria “Communicate” in Your Mouth

Recently, researchers from Osaka University in Japan made a fascinating discovery that changed our understanding of bad breath. Unlike previous studies that analyzed isolated bacteria, these scientists developed a system that simulates the actual conditions in our mouth to understand how bacteria interact with each other.

And what did they discover? A true “bacterial conversation”!

Researcher Takeshi Hara and his team observed that two common bacteria in our mouths – Fusobacterium nucleatum and Streptococcus gordonii – have a special relationship. When they are together, the first begins to produce more foul-smelling compounds in response to the presence of the second. It’s as if one bacterium “encourages” the other to produce bad odor!

Masae Kuboniwa, the senior author of the study, explained that these findings pave the way for more effective and personalized treatments. Instead of simply eliminating all bacteria (which wouldn’t be healthy), we could interrupt these specific “bacterial conversations” that lead to bad breath.

Why is this important for you and your family?

As a mother and dentist, I always strive to translate these scientific discoveries into practical benefits for our families. Understanding how bacteria interact means we can develop smarter strategies for taking care of oral health.

In the near future, we may see new products that not only mask bad breath but actually interrupt these bacterial communications, offering more lasting and natural solutions.


Loving tips from Mamãe Sorriso to fight bad breath:

While these new therapies are being developed, I’d like to share some practical tips that I recommend for all families in my office:

  1. Brushing with care and attention: Brush your teeth at least twice a day, spending at least two minutes on each brushing session. Remind your little ones that it’s not a race – every corner deserves attention!
  2. The tongue also needs care: Most of the bacteria that cause bad breath hide on the tongue. Use a tongue scraper or your toothbrush gently to remove the “tongue coating” (that whitish layer).
  3. Dental floss- the forgotten great ally: Use it daily to remove food particles and bacteria from areas that the toothbrush can’t reach. Make this moment a fun routine for the kids!
  4. Hydration is key: Stay well hydrated throughout the day. Water stimulates saliva production, our natural defense against bacteria. A special tip for moms and dads: colorful water bottles can encourage kids to drink more water!
  5. Alcohol-free mouthwashes: Always prefer alcohol-free versions, especially for little ones, as alcohol can dry out the mouth and worsen the problem. There are special options for children with fun flavors!
  6. Crispy fruits and vegetables: Besides being nutritious, foods like apples, carrots, and celery act as “natural toothbrushes,” helping to remove debris while stimulating saliva production.
  7. Pay attention to odor-causing foods: Garlic, onions, and some spices can intensify bad breath. There’s no need to eliminate them (they’re healthy!), but make sure to brush your teeth after consuming them.
  8. Regular visits to your dentist: Check-ups every six months help identify problems early. Turn these visits into positive experiences, especially for children!

Special care for our little ones

Children can also suffer from bad breath, especially in the morning or when their immunity is low. If you notice persistent bad breath in your child, even with good oral hygiene, it could be a sign of issues like mouth breathing, throat infections, or sinusitis. In these cases, a consultation with a pediatric dentist is essential.

Recommended products by Mamãe Sorriso.

Dear ones, as a dentist and mother, I often receive many questions about which products really work against bad breath. I don’t want to recommend specific brands, but I will share the characteristics you should look for when choosing your oral hygiene products:

Ideal Toothbrushes:

  • Soft to extra-soft bristles: They protect the enamel and gums while efficiently removing plaque.
  • Proper head size: It should comfortably reach the back teeth. For children, choose sizes specific to their age.
  • Comfortable grip: It makes it easier to brush correctly at all angles.
  • Replacement indicator: Some toothbrushes have bristles that change color when it’s time to replace them.
  • Tongue cleaning technology: Many modern toothbrushes have a specific surface on the opposite side of the bristles designed for tongue cleaning.

Dental floss and alternatives

  • Waxed dental floss: Slides more easily between the teeth, ideal for beginners.
  • Dental tape: Wider than traditional floss, covers a larger area, and is less likely to cut sensitive gums.
  • Floss threaders: Great for children or people with motor difficulties.
  • Interdental brushes: Perfect for larger spaces between teeth or for those who wear braces.
  • Oral irrigators (floss): An excellent option to complement (not replace) the use of traditional dental floss.

Mouthwash:

  • Alcohol-free: Alcohol dries out the oral mucosa and can worsen bad breath in the long run.
  • With cetylpyridinium chloride (CPC): An antimicrobial effective against the bacteria that cause bad breath.
  • With zinc: Helps neutralize volatile sulfur compounds.
  • With essential oils (such as thymol and eucalyptol): Have natural antimicrobial properties.
  • Specific for children: With a mild flavor and alcohol-free, ideal for introducing little ones to the rinsing habit.

Tongue cleaners:

  • Metal scrapers (stainless steel or copper): Durable and effective, allowing control of the pressure applied.
  • Plastic scrapers: More affordable and with an ergonomic design, great for beginners.
  • U-shaped design: Perfectly adapts to the shape of the tongue for a more thorough cleaning.
  • With rounded edges: Prevent injuries to the tongue.

Specific toothpaste types

  • With zinc or tin: Help neutralize sulfur compounds.
  • With antibacterial agents: Such as triclosan or chlorhexidine in low concentrations.
  • Without sodium lauryl sulfate (SLS): This detergent can irritate the mucosa in sensitive individuals.
  • With xylitol: In addition to being a natural sweetener, it has antibacterial properties.
  • For children with age-appropriate fluoride: Always choose the correct fluoride concentration for each age group.

Remember, dear ones: no product alone solves the problem of bad breath. A comprehensive approach includes good oral hygiene, proper hydration, healthy eating, and regular visits to the dentist. As I always tell families in the office: “The best products are the ones you use consistently and correctly every day!”


What does the future hold for us?

The research from Osaka University is just the beginning of a new era in the treatment of bad breath. As a professional closely following these innovations, I am excited about the possibilities of more effective and less invasive treatments.

As we await these advancements, remember: the best approach is still prevention with daily and loving care. After all, as I always tell moms and dads in the office: “A healthy and fragrant smile begins with small daily habits full of love.”


How to know if you have bad breath?

Bad breath, or halitosis, is a common issue that can affect the confidence and social interactions of many people. While it’s natural to experience an odor in the mouth after eating certain foods, like garlic or onion, persistent bad breath may indicate other factors that deserve attention.

Here are some signs and tips to help you determine if you might have bad breath:

  1. Bad taste in the mouth: If you frequently experience an unpleasant taste, especially after waking up, it could be a sign that something is wrong with your breath.
  2. Dry mouth: Dry mouth is one of the main causes of bad breath. It happens when saliva production decreases, creating a favorable environment for the bacteria that cause the odor.
  3. Gum problems: Inflamed gums, bleeding during brushing, or persistent bad breath can be signs that you have a periodontal issue.
  4. Strong-smelling foods: Foods like garlic, onion, coffee, and processed foods can contribute to temporary bad breath. However, if the problem persists after brushing, it may be necessary to investigate further.
  5. Cavities and dirty teeth: Poorly brushed teeth or teeth with cavities can trap food particles, leading to unwanted odors.

Pay Attention to the Signs!

If you identified with one or more of these symptoms, it’s possible that bad breath is an issue with your oral health. However, it can be easily treated with proper care, such as good oral hygiene, hydration, and regular visits to the dentist.

Do you want to know more accurately if you have bad breath? Take our interactive test to find out if you have signs of halitosis and learn what steps to take! It’s quick, easy, and can help you better understand your oral health.

Do you have bad breath? Take the test!

Do you often have a bad taste in your mouth?

yes
no

Has anyone ever mentioned that your breath doesn’t smell good?

yes
no

Do you usually drink little water throughout the day?

yes
no

Do you have issues with inflamed gums or bleeding when brushing your teeth?

yes
no

Do you often eat foods with strong odors (like garlic or onion)?

yes
no

Do you have a dry mouth sensation, especially in the morning?

yes
no

Do you have an unbalanced diet or consume little fiber?

yes
no

Have you ever had problems with cavities or recent dental treatments?

yes
no

Do you use dental floss regularly?

yes
no

Do you experience an unpleasant taste in your mouth upon waking up, even after brushing your teeth?

yes
no

Frequently Asked Questions About Bad Breath

1. Is morning breath normal?

A: Yes, it’s completely normal! During sleep, saliva production decreases significantly, allowing bacteria to multiply and produce sulfur compounds. A good brushing routine, including tongue cleaning in the morning, quickly solves the problem.

My 5-year-old son has bad breath. Should I be worried?

A: Bad breath in children can have various causes, ranging from poor oral hygiene to mouth breathing or throat infections. If it persists even with good hygiene, it is recommended to schedule a visit to the pediatric dentist to identify the specific cause.

Do chewing gum and candies really combat bad breath?

A: Sugar-free chewing gum and candies can provide temporary relief by stimulating saliva production. However, they only mask the problem without addressing the cause. Prefer gum with xylitol, which has antibacterial properties, but remember that they do not replace brushing and flossing.

Does diet influence bad breath?

A: Absolutely! Foods like garlic, onion, strong cheeses, and certain spices contain compounds that enter the bloodstream and are released through the lungs during breathing, causing odor. Additionally, high-protein and low-carbohydrate diets can intensify bad breath.

5. Can stomach problems cause bad breath?

A: Yes, although less frequently than commonly thought. Conditions like gastroesophageal reflux can contribute to bad breath. If you maintain good oral hygiene but still suffer from persistent halitosis, a medical consultation may be necessary to check for digestive causes.

Does wearing braces increase the risk of bad breath?

A: Braces create small spaces where food particles and bacteria can accumulate. Therefore, those who wear braces need to be extra careful with oral hygiene, including using interdental brushes and oral irrigators, as well as regular brushing and flossing.

7. What medical conditions can be related to persistent bad breath?

A: In addition to oral problems like gingivitis and periodontitis, persistent bad breath can be linked to conditions such as uncontrolled diabetes, kidney or liver problems, chronic sinusitis, and respiratory infections. Therefore, persistent cases should be evaluated by a healthcare professional.

8. Are homemade mouthwashes effective?

A: Some home remedies, such as rinsing with warm salt water or water with a few drops of peppermint essential oil, can help temporarily. However, for more effective and lasting results, I recommend mouthwashes with specific active ingredients, such as cetylpyridinium chloride or essential oils in appropriate formulations.

9. How often should I change my toothbrush to prevent bad breath?

R: I recommend changing it every 2-3 months or when the bristles start to wear out. Old toothbrushes accumulate bacteria and lose their cleaning efficiency, which can contribute to bad breath. A mom tip: create a fun color system for the whole family to know when it’s time to replace it!

10. Is it possible for very young children to have bad breath?

R: Yes, even babies and young children can have bad breath. The most common causes include dry mouth (especially in mouth breathers), throat infections, sinusitis, or inadequate oral hygiene. For babies, gently wiping the tongue and gums with a damp gauze after feedings can help.

Reading Tips:

7 Ways to Choose the Best Toothbrush and Toothpaste for Every Age Group

Mamãe Sorriso (@www.mamaesorriso.com) • Instagram photos and videos

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