1st. German Practise for Halitosis Treatment (Bad Breath Therapeutics), Partner of the "Breath Clinic" Stockholm

5th Anniversary in halitosis practise

- what to do?

Bad breath, Halitosis oder in German"Mundgeruch" is a problem of every 3rd person in Europe and ist also in present tabulous theme in our Countries, allthoug many people have a problem with this disease and they suffer psychic on it. During you can find many Clinics of Halitosis Treatment in USA, a search in Europe will bring small results. These pages will help (so i hope), to understand the problem and to find ways to help.

1. Casual factors

Many people think, bad breath is caused only from the stomach.

So some patients got one or more Gastroskopies, before they came to a Bad Breath Clinic. But the fact is, that the stomach plays only a small role by this problem. The main factors for halitosis are to search in the oral area in 80% of the cases . Bad Breath is caused by anaerobical bacterias, which use organic substances from food, saliva, blood and rests of food to produce in consequnce special chemical substances. A key role play ere so called fleeting sulfuric bonds. The reinducing germs can domicile in "hiding places"hlupfwinkeln" of the mouth, for insance interdental and parodontal cases und and non correct Fillings and crowns. But in the most cases of oral induced Halitosis films of the back part of the tongue play an important role. Other promoting factors are reduced saliva flow, smoking, mouth respiration, snore, stresss und also periods of fasting. Beside oral causales we find on the second place deseases of the NNE- Part (Neck,Nose, Ear). In rarely cases a general disease can burrow behind halitosis.

Possible Causales of Halitosis (simplified from Seemann 1999)

Oral Area	Tongue films , Unreadiness of mouth care, Parodontitis, akutely Gingivitis, Perikoronitis, "open" root channels, inflammation of gums, which are caused from herpes virusses
NNE - Area	Tonsillitis, Sinusitis, Angina (Plaut-Vincenti), foreign substances, Diphteria
others	Lung abscess, Lungen gangraena, Non treated dibaetics, Liver diseases, Speiseröhrenausbuchtungen, Refluxoesophagitis (often heartburning) Food and semiluxury food (smoking, alcoholics, garlic) Drugs (Disulfiram, Dimethylsulfoxid)

Diagnostics

Allthough oral causales are esy to detect, the diagnostics of Halitosis is not easy, surely also as the topic is relatively intimate. Stricked persons will be not accosted to their problem ans the strickeds themselve have problems to ask for their problem at physician or dental practises. And exactly here is the problem, frankness is the first way to sucess! Because chemical tests and halimetric measurations show most of all only quantitative results, an organoleptic (only with sense of smell tested) exploration is in that time the easiest and nearest diagnostic meansl, to find out if there is bad breath or not and where it comes from. So we can estimate the odor during speaking, breathing through nose and mouth, from tonge films and plaque smears. Such explorations have their own problems, becaus the classification of odour is especially tho "Beginners of therapeutics" not so easy. Thats why it was tryed to characterize bad breath with objective measurations. Easy to use are devices, which allow to measure the concentration of sulfuric coppounds directly in practise, how for instance the HalimeterÒ . For the stricked themselves there is the pssibility of helf testing with the CitMed^TM test at home. In this case a tonge film will be taken to see the timely change of colour. Because of the limited colour change not in every case you can find out the degree of bad breath, but after the test it is easier for the stricked to speak about the problem. After that the causales of bad breath can find out togeher with the therapist. Halimetrtic explorations bring complemental the possibility, to control the effort of treatment and to give back insecured patients their security in every day life, because right the psychzic component of halitosis s very important!

Treatment

The Treatment of Halitosis is in the first part causal determined. At first there's to find out if there's a bad breath or not because we also know cases in whch the stricked thinked tohave bad breath but there was no halitosis (halitophobia). These patients the dentist cannot help because it is psychic determined. If there's bad breath so the problem will be eliminated in most cases through parodontal treatment, individual prophylaxis and tongue cleaning by special methods. To get best results the patients have to clean the tongue every day, noit only the teeth. There are various tonge cleaners but the swedish ones are after my meaning the easyest and best in treatment.

If there is only small degree of Halitosis often it is enough to clean the tongue with tooth brush. The tongue cleaning schould made after the daily mouth cleaning. The effect of tonge cleaning can be estimated immediately. In addition can be used chemical solutions, but good means are heavy not to get in germany or a long time use is not indicated( hexetidine...) Normal mouthwashes have here no effect, because they only overcover bad breath and the effect is only short timed. Zinc compounds are able to neutralize sulfuric solutions, what their good effect shows, these Products are to get in for instance sweden, Germany, Slovenija, Holland ( asks for - dr.koch@bnv-son.de ). The therapeutic prosperity of home made hygiene should be controlled by bad breath hygienists. Only so it is possible to find out which methods are sucessful to eraze bad breath.

Dr.Koch

Bad breath must not be!

In Germany to this time are only some Dentists or physicians which work in this area. In the USA oder in Sweden this problem is handled more intensive. Very sucessful in halitosis treatment works the"Breath Clinic" in Stockholm, to which we have good connections. Dr. Gunnar Wahab works very intensive on halitosis treatment for 6 years. Beside extensive anamnestic programs he developed a complete concept for treatment, which is also used in our practice.


Tongue brushs	Tongue Cleaners	Tongue Cleaner (USA)	new Tongue Cleaner	electronic Halitosis tester

How bad breath is to eraze every time?? A every time eraze of bad breath with one treatment is impossible! After anamnestic Questions, an oral Examination and a first halitosis degree test the tongue will be coated with a cleansing gel and then cleaning more times with a special dental tongue cleaner. The Patient gets a tongue cleaner for home, a tongue spray and a special mouth rinse for home hygiene. After 6 weeks a control treatment will follow, which is todo more or less times per year depending on the heavyness of the disease . That may be connected with a professional tongue cleaning. The success rate of such an halitosis treatment is up to 80%. and more.

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Bad breath must not be - ask for treatment !