Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

I have persistent bad breath and have had it for at least 40

Customer Question
years (I am 70 years...
I have persistent bad breath and have had it for at least 40 years (I am 70 years old). For the first 30 of those years I complained to every dentist about my problem (and I went regularly for my cleanings as often as every 4 months) and they always found something to fix but never told me that I had gingivitis or referred me to a specialist. Finally a dentist sent me to see a peridontist who had just moved to our small town. I have always lived at least 75 miles from a big city but currently live in a town with 3 periodontist. My first visit to the periodontist was 17 years ago and my problems were severe by that time. Had to have two teeth pulled and had severe periodontitist. Since then I still have severe bad breath and have been to at least 8 different periodontist who continue to tell me that I do not have a periodontal problems. I have also been to doctors and have seen an ENT at least three time over the past two years just to rule out everything else. I know the smell is originating from my teeth. Please tell me what to do. I brush my teeth 4 times a day, use mouthwash, floss and use the mini toothbrushes between my teeth. Please help me. Thanks so much, Barbara
Submitted: 7 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 4 hours by:
10/20/2010
Health Professional: Mark Bornfeld, Dentist (DDS) replied 7 years ago
Mark Bornfeld
Mark Bornfeld, Dentist (DDS)
Category: Health
Satisfied Customers: 6,025
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine
Verified
Dear JACUSTOMER-g1h8edou,

With due respect to your assertion that your bad breath is originating in your teeth, the consensus among your periodontists that you do not have periodontitis is difficult to dismiss, and casts doubt on whether your bad breath is truly dental in origin. That is not to say that it can't be from some oral source-- for example, tooth decay can cause malodor, as well as any inflammatory condition in the mouth, such as a mucositis due to a muco-cutaneous disorder such as lichen planus, pemphigoid, candidiasis, and a plethora of others. Fixed bridgework and removable denture prostheses are common oral contributors to bad breath, as are spaces between the teeth that may harbor impacted food or other organic debris.

I would like to dismiss the possibility of upper respiratory catarrh, sinusitis, or other respiratory tract disorder, based on your prior consultations with ENT specialists. Nonetheless, these possibilities should possibly be re-explored if you believe that sufficient attention was not expended in this area.

Be advised that the warm, moist environment of the mouth, in combination with the ample supply of organic fermentable material that is often present, always creates some degree of odor, whether conspicuous or not. This inescapable fact is compounded if the normal cleansing of the mouth is impaired by diminished muscle function or diminished salivary flow, as often occurs in your age group. Commonly prescribed medications often suppress salivary production, and this may exacerbate a borderline halitosis to a degree that makes it more offensive.

Other issues may also contribute to bad breath. Some are obvious (dietary factors, such as garlic, onion, and related herbs of the allium genus, or beverages, such as coffee or tea); recreational drugs, such as tobacco and alcohol, even certain diets, especially those that restrict carbohydrate consumption, can elicit bad breath.

Metabolic issues, such as diabetes, diminished kidney function, occult digestive tract bleeding, trimethylaminuria, and other less common disorders contribute their own unique odors. It is also becoming increasingly appreciated that gastroesophageal reflux disease is a common culprit in oral malodor.

In short, the medical exploration should be broadened if a thorough examination of your mouth proves to be unproductive. However, you may wish to have your dentist have one more look, just to rule out some of the peripheral oral issues, such as mucous membrane disorders, before you set out on another round of visits to various medical specialists.

Good luck!
Mark Bornfeld
Mark Bornfeld, Dentist (DDS)
Category: Health
Satisfied Customers: 6,025
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine
Verified
Mark Bornfeld and 87 other Health Specialists are ready to help you
Ask your own question now
Ask Mark Bornfeld Your Own Question
Mark Bornfeld
Mark Bornfeld
Mark Bornfeld, Dentist (DDS)
Category: Health
Satisfied Customers: 6,025
6,025 Satisfied Customers
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Mark Bornfeld is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
Had a stomach bug yesterday and feeling better but am gasy
Had a stomach bug yesterday and feeling better but am gasy and have clay colored stool? … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,065 satisfied customers
I have two small red spots on either side of the door of the
I have two small red spots on either side of the door of the mouth. One has been around for a month or so. The other just showed up. The new one is darker in color. … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
I am a professional driver and need to pass my DOT physical.
Hello. I am a professional driver and need to pass my DOT physical. The problem lies in passing with a good blood pressure reading. I am under a doctors care and he has prescribed Lisinopril 20mg whic… read more
911DOC
911DOC
Emergency Medicine Physician
Doctoral Degree
2,792 satisfied customers
Ok so I had swallowed A lot of tobacco from a blue bugler
Hello. Ok so I had swallowed A lot of tobacco from a blue bugler pack I swallowed like half of it because I was trying to hide it from my husband. And now every time I have to go poop it's coming out … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
751 satisfied customers
Last week i was walking by someone throwing a cigarettr down
Last week i was walking by someone throwing a cigarettr down to the ground,it didnt hit me but i felt warm in the face for a second,i had something stuck on my cornea like an eyebrow mayne removed on … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have been having issues with allergies over the past two
I have been having issues with allergies over the past two weeks that haven't subsided. I went to the doctor and they ran a CBC. My WBC count was at 10.9 (range 4.4-11.0 k/mm3); my seg was 73 (normal … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
I'm getting for oral surgery here in the next few months
I'm getting for oral surgery here in the next few months today after eating lunch I noticed what felt a pimple on the inside of my mouth (lower lip) while shaving this evening I noticed a purple spot … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Anxiety, going out for a walk, i am overweight and suffered
i am overweight and suffered panic attacks previously… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
I have a problem witb eaying black and mild ashes and baby
I have a problem witb eaying black and mild ashes and baby powder what is wrong with me … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
791 satisfied customers
I think I may have kidney problems con I call to discuss?
I think I may have kidney problems con I call to discuss ? … read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
Like pearl have suffered from anxiety depression and panic
my name is ***** ***** like pearl have suffered from anxiety depression and panic attacks for many years my doctor also has written a lett … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
My 20 year old daughter was recently diagnosed with colitis.
My 20 year old daughter was recently diagnosed with colitis. She had blood work 4 months ago that showed an alkaline phospate level of 192 and AST level of 23 within the range and a ALT level of 56 wh… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
My friend has accidentally swallow tobacco and he feels sick
please. My friend has accidentally swallow tobacco and he feels sick and very nauseous. What should he do? Can she drink something or eat to make him feel better … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,065 satisfied customers
I am an exercise physiologist and I just landed an amazing
I am an exercise physiologist and I just landed an amazing job with a hospital I have always dreamed of working for. They do not hire tobacco users. Problem is that I use chewing tobacco. I stopped ch… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,091 satisfied customers
For almost 4 weeks Ive experienced pain/burning sensation in
Good evening, for almost 4 weeks Ive experienced pain/burning sensation in the middle of my tongue follwed by a sharp deep ear pain made worse at night. I also have weird marks on my tongue where its … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
A very contested nose was running all night, coughing is
a very contested nose was running all night, coughing is letting up some but my nose is till plugged up … read more
Dr. Scott
Dr. Scott
Doctor
1,016 satisfied customers
I have used chewing tobacco for 1.5 yrs not very and snuff
I have used chewing tobacco for 1.5 yrs not very long and snuff for 1 year and I have thin white lines on my bottom gums that are slightly raised and very thin and my dentist said that basically they … read more
Schuyler
Schuyler
1,944 satisfied customers
Im a smokless tobacco user a few days ago i dipped and under
im a smokless tobacco user a few days ago i dipped and under my jaw started buring the next day i had sore throat and lymph node swelled im 43 and have dipped on and off for 5 years … read more
Schuyler
Schuyler
1,944 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x