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Bad Breath Setting the Record Straight for the Good Health & Beauty Show 17 Bad Breath Setting the Record Straight for the Good Health & Beauty Show 17 th to 19 th June Darling Harbour Dr Geoffrey Speiser Australian Bad Breath Clinic breezecare. com. au

What is Bad Breath? • Bad Breath is caused by bacteria that make smelly What is Bad Breath? • Bad Breath is caused by bacteria that make smelly compounds we exhale through our mouth and nose. • It is not caused by indigestion or stomach problems

Old Wives’ Tales • • • You are not cleaning your teeth You have Old Wives’ Tales • • • You are not cleaning your teeth You have digestion problems You have liver problems You have worms I caught it from kissing someone Bad Breath comes from a Thrush infection

Who has Bad Breath? A study in Israel has shown that 50% of middle Who has Bad Breath? A study in Israel has shown that 50% of middle aged people have socially unacceptable bad breath.

Who has Bad Breath? Another study just released in the UK showed: Secretaries have Who has Bad Breath? Another study just released in the UK showed: Secretaries have the freshest breath Lawyers & Teachers have the worst breath

Acclimatization Our bodies are designed to not smell our own odour. This is thought Acclimatization Our bodies are designed to not smell our own odour. This is thought to date back to prehistoric days to assist with the hunting of prey.

Typical Bad Breath Sufferer Typical Bad Breath Sufferer

Typical Bad Breath Sufferer Typical Bad Breath Sufferer

“I have suffered from chronic bad breath for several years and after many visits “I have suffered from chronic bad breath for several years and after many visits to GPs, ENT specialists, and dentists who gave little help, I am praying this could be the solution to my problems. I have found that my bad breath has been very debilitating and depressing. It has been hard to even get out of bed in the morning, knowing that no matter how much cleaning and mouth washing I did, I still had to talk to people in my job all day with bad breath. I find it hard to make eye contact, look away from the contact person when talking, and panic if they stand too close to me. Sometimes I don't talk at all for fear I will offend someone with my breath. I can't go out without at least a few packets of gum or lozenges on me, and am constantly chewing or sucking which also offends people. I dread sitting next to someone on a plane or bus. I have even heard so called friends at work snickering about me and know they must think I don't clean my teeth. I hope one day to become the outgoing people person I used to be. ”

Bacteria cause Bad Breath Smells Virtually all bad breath is due to the activity Bacteria cause Bad Breath Smells Virtually all bad breath is due to the activity of bacteria going about their daily business. These bacteria can be found in large numbers on our tongues, teeth, gums, throat, tonsils, and nasal passages. Exceptions – Hunger Breath, Diabetes

A Different Smell – Hunger Breath • • • The smell is due to A Different Smell – Hunger Breath • • • The smell is due to ketones Caused by breakdown of body fats Increasing problem due to fad diets Worsens during the day Cleaning teeth will not stop smell

The Smells Bacteria Make Mouth Compound The Smell Made Hydrogen Sulphide Rotten Eggs Methyl The Smells Bacteria Make Mouth Compound The Smell Made Hydrogen Sulphide Rotten Eggs Methyl Mercaptan Faeces Skatole Mothball Cadaverine Urine Putrescine Decaying Flesh Isovaleric Acid Sweat, Off-Milk Dimethyl Sulphide Cabbage, Gasoline

What Starts Bad Breath? • Sticky film called “biofilm” builds up daily on our What Starts Bad Breath? • Sticky film called “biofilm” builds up daily on our teeth, tongue & throat. • Biofilm that is not removed becomes invaded with bacteria. • Biofilm can contain up to 800 types of bacteria.

Where do Bad Breath Bacteria Live? • • Below the surface of the tongue Where do Bad Breath Bacteria Live? • • Below the surface of the tongue Below the gums around the teeth In the back of the throat In the nasal passages

Illness Causes Bad Breath • Chronic Nasal Problems – thickens nasal mucous, stops the Illness Causes Bad Breath • Chronic Nasal Problems – thickens nasal mucous, stops the nasal hairs from doing their cleaning action. • Periodontal (Gum) Disease – promotes the growth of hardy bacteria and increases the available surface area for biofilm, below the gum line. • Dry Mouth (Sjögren’s Syndrome) – affects the quality and quantity of saliva. Saliva is nature’s cleaning solution that stops mouth disease and helps reduce bad breath.

Medicines Cause Bad Breath 7 of the top 10 prescription medicines cause dry mouth Medicines Cause Bad Breath 7 of the top 10 prescription medicines cause dry mouth • • • Blood Pressure Allergy & Sinus Anti Depressant Heartburn & Indigestion Sedatives and Relaxants

Lifestyle Causes Bad Breath • Alcohol – dries the mouth, decreases saliva. • Dairy Lifestyle Causes Bad Breath • Alcohol – dries the mouth, decreases saliva. • Dairy Products – provide a food source for bad breath bacteria. Thicken nasal mucous. • Smoking – removes oxygen from the mouth, promoting bad breath bacteria. • Coffee & Other drinks – increase acid in the mouth, directly affecting saliva content.

sparkling mineral water apple juice diet coke coca cola & pepsi powerade sprite & sparkling mineral water apple juice diet coke coca cola & pepsi powerade sprite & fanta stomach acid lemon juice swimming pool acid car battery acid apricot yoghurt soda water beer & wine gatorade vinegar milk flavoured milk orange juice ribena water & sugar flat mineral water Acid Level (p. H) All Drinks Below p. H 5 are ACID & Affect Saliva

What Else About Bad Breath? Once bad breath is chronic, it is extremely difficult What Else About Bad Breath? Once bad breath is chronic, it is extremely difficult to eliminate! Never use large doses of Antibiotics Follow a program specifically developed to tackle all the issues of bad breath, not just mouthwash and toothpaste