Bad Breath (Halitosis)

Understanding Bad Breath (Halitosis)

Bad breath, also known as halitosis, is a common yet embarrassing issue that affects millions of people worldwide. It can impact social interactions, self-confidence, and even professional relationships. While occasional bad breath is normal, persistent halitosis can indicate underlying oral health problems that require professional attention.


Many people attempt to mask bad breath with chewing gum, mints, or mouthwash, but these solutions are often temporary fixes rather than long-term treatments. Chronic halitosis may stem from deeper dental issues, such as periodontal disease, dry mouth, or even systemic health conditions. Identifying and addressing the root cause is essential for effective treatment.


At Starbrite Dental, Dr. Maryam Seifi and her team specialize in diagnosing and treating bad breath at its source. With state-of-the-art technology and a patient-focused approach, they help individuals achieve long-lasting fresh breath and improved oral health. Whether it’s a professional cleaning, gum disease treatment, or personalized recommendations for home care, Starbrite Dental offers tailored solutions for every patient.

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What Causes Bad Breath?

Bad breath can stem from a variety of factors, ranging from diet choices to serious medical conditions. Understanding these causes can help in effective treatment and prevention.

  • 1. Bacteria in the Mouth

    Your mouth is home to millions of bacteria, and when food particles are left behind, bacteria break them down, releasing foul-smelling gases. Plaque buildup on teeth and gums also contributes to bad breath.

  • 2. Dry Mouth (Xerostomia)

    Saliva plays a crucial role in washing away food debris and bacteria. A lack of saliva due to dehydration, medications, or medical conditions can allow bacteria to thrive, leading to bad breath.

  • 3. Diet Choices

    Certain foods like garlic, onions, and coffee contain strong-smelling compounds that linger in the mouth and bloodstream, affecting breath even hours after consumption.

  • 4. Poor Oral Hygiene

    Pregnancy, puberty, and menopause can cause hormonal fluctuations that make gums more sensitive and prone to bleeding. This condition, often called pregnancy gingivitis, is common and requires extra attention to oral hygiene.

  • 5. Gum Disease and Infection

    Certain medications, such as blood thinners, aspirin, and some anti-inflammatory drugs, can increase the likelihood of gum bleeding. If you’re experiencing this side effect, consult Dr. Seifi about potential solutions to protect your gum health.

  • 6. Medical Conditions

    Health issues such as GERD (acid reflux), diabetes, sinus infections, and liver disease can result in chronic bad breath. Identifying these conditions early can lead to better treatment outcomes.

How a Dentist Diagnoses Bad Breath

At Starbrite Dental, Dr. Seifi takes a comprehensive approach to diagnosing halitosis, ensuring that the underlying cause is properly identified and addressed. Diagnosis involves multiple steps, including:

  • Comprehensive Oral Examination & Health History

    A thorough oral exam is the first step in determining the cause of bad breath. Dr. Seifi will check for cavities, gum disease, oral infections, and other potential issues contributing to halitosis.

  • Professional Breath Tests

    Halimeter tests may be conducted to measure the severity of halitosis. A Halimeter is a device that detects volatile sulfur compounds (VSCs), which are responsible for foul-smelling breath.


  • Salivary Gland Function Assessment

    Since dry mouth (xerostomia) is a common cause of bad breath, saliva production is evaluated to determine if dehydration, medication, or other factors are reducing saliva flow.

  • Tongue and Tonsil Examination

    Tonsils are the two oval-shaped masses at the back of the throat. As part of the immune system, they help protect the body from infections. Tonsils also harbor bacteria. This bacteria can help contribute to bad breath and can also get mixed together with food particles that then get stuck inside the tonsils’ crater-like formations. These particles then calcify and turn into tonsil stones. These stones are rarely harmful, but they can help cause bad breath, earaches, sore throats, and other symptoms. 


    The tongue is home to a significant portion of the bacteria that cause bad breath, particularly toward the back. This is why brushing your tongue and using a tongue scraper are important parts of your daily oral hygiene routine. 


    Dr. Seifi will assess the tongue’s coating and bacteria buildup during your consultation and your regular visits.  


  • Identifying Underlying Conditions

    If the cause of bad breath extends beyond oral hygiene, Dr. Seifi may refer patients for additional medical evaluations.

  • Patient Discussion and Customized Treatment Plan
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Treatment Options for Bad Breath

At Starbrite Dental, we offer advanced, patient-focused solutions to address bleeding gums and restore your oral health.

  • Professional Dental Cleanings

    Regular cleanings remove plaque and tartar that harbor bacteria, reducing bad breath and improving oral health. A deep cleaning (scaling and root planing) may be recommended for those with significant buildup.

  • Gum Disease Treatment

    We utilize advanced laser dentistry to target infected tissue while preserving healthy gums. Laser treatment promotes faster healing, reduces discomfort, and enhances gum regeneration.

  • Saliva-Stimulating Therapies

    For patients suffering from dry mouth (xerostomia), Starbrite Dental offers saliva-stimulating solutions, including specialized mouth rinses, medications, and hydration techniques to restore moisture balance in the mouth.

  • Prescription Mouthwashes and Toothpastes

    Unlike over-the-counter mouthwashes that only mask odors, prescription antibacterial mouthwashes and fluoride toothpaste help eliminate odor-causing bacteria at the source.

  • Lifestyle and Dietary Adjustments

    Patients receive expert advice on making small but effective changes to their diet and lifestyle. This includes reducing acidic foods, sugary snacks, and strong-smelling foods while incorporating more water, fresh produce, and probiotics.

  • Tongue Cleaning and Specialized Oral Hygiene

    Since a large percentage of bacteria causing bad breath live on the tongue, tongue scraping and targeted oral hygiene practices are incorporated into treatment plans.

At-Home Remedies & Prevention

  • Brushing & Flossing Techniques

    Brush twice daily and floss at least once a day to remove food particles and plaque.

  • Tongue Scraping

    Use a tongue scraper to remove bacteria and food residue from the tongue’s surface.

  • Hydration & Saliva Stimulation

    Drink plenty of water and chew sugar-free gum to keep saliva production up.

  • Probiotics for Oral Health

    Oral probiotics help balance bacteria in the mouth, reducing odors and promoting a healthier oral microbiome.

  • Avoiding Certain Foods & Habits

    Quit smoking and limit alcohol intake to prevent dry mouth and bacterial overgrowth.

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When to See a Dentist

If you experience persistent bad breath despite good hygiene or notice symptoms such as bleeding gums, dry mouth, or frequent throat infections, it’s time to schedule an appointment.

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Starbrite Dental’s Approach to Treating Bad Breath

At Starbrite Dental, Dr. Maryam Seifi and her team take a comprehensive, patient-centered approach to treating bad breath. Their goal is to eliminate halitosis by addressing its root cause, not to mask it.

  • Comprehensive Exams and Diagnosis

    Advanced gum disease can damage the bone structure that supports teeth.

  • Personalized Treatment Plans

    Every patient is unique, and so is their treatment plan. Depending on the cause of bad breath, treatments may include:

    • Professional deep cleaning to remove plaque and bacteria
    • Gum disease treatment if periodontal infection is contributing to bad breath
    • Saliva-stimulating therapies for patients experiencing dry mouth
    • Nutritional and lifestyle advice to reduce odor-causing food intake
  • Advanced Technology for Breath Analysis

    To measure the severity of bad breath, Starbrite Dental utilizes tools such as Halimeter testing, which detects volatile sulfur compounds (VSCs) responsible for halitosis. This ensures an accurate diagnosis and targeted treatment.

  • Ongoing Support and Maintenance

    Patients receive guidance on maintaining fresh breath, including personalized home-care routines and regular follow-up visits to monitor progress.

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Frequently Asked Questions (FAQ)

  • What causes bad breath even after brushing?

    Bad breath can persist due to bacteria on the tongue, gum disease, dry mouth, or underlying medical conditions. Regular brushing may not be enough without tongue cleaning and flossing.

  • Can bad breath indicate a serious health condition?

    Yes! Early-stage gingivitis can be reversed with improved oral hygiene, professional cleanings, and proper home care. However, advanced periodontitis requires more intensive treatment.

  • What’s the fastest way to eliminate bad breath?

    Maintaining good oral hygiene, using a soft-bristled toothbrush, rinsing with salt water, and increasing vitamin C intake can help reduce gum inflammation. However, professional treatment is necessary if bleeding persists.

  • How does smoking affect breath odor?

    Patients with gum disease should visit every three to four months for specialized periodontal care rather than the standard six-month checkup.

  • What foods help prevent bad breath?

    Yes, stress can weaken the immune system and increase inflammation, making the gums more susceptible to infections and bleeding.

  • Can stress cause bad breath?

    Yes, smoking and excessive alcohol consumption can dry out the mouth, reduce blood flow to the gums, and increase the risk of gum disease.

  • How can I test my own breath?

    Try the lick test: Lick the back of your wrist, let it dry, and then smell it. Alternatively, use dental floss and check for any lingering odors.

Get Expert Bad Breath Treatment in Rockville, MD

If you struggle with chronic bad breath, Starbrite Dental is here to help. Book an appointment with Dr. Maryam Seifi today and take the first step toward fresher breath and a healthier smile.

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*We DO NOT ACCEPT HMO Insurance, State Insurance, Medicaid/Medicare, or discount plans. Fees apply for services. 

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Office (301) 770-1070

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(301) 377-2186

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(240) 832 1606

5936 Hubbard Dr, Rockville, MD 20852