Effects of Baking-Soda—Containing
Dentifrices on Oral Malodor
oad M. Brant PD
Departnet of Oral Bioogy
Facey of Dentistry
‘The Unies o British Columbia
Veneouoe, iti Columbia
Conade
concem and intr n 1582 Ie
trae estimated tha: Americans
{pent dos to billion dallas on
Products to overcoms bad breath
‘Rare ofthis natural
tracts inventor 4? patents wes
‘ented In a recet LEXPAT>
Search using the angle search
term mouth oder” These patents
provide dives formulations for
Tbothpats and mouthwashes 3
well a wide vay of leaning
Procedures and devs
“The extent of pute intern is
sleoindieatd by wice newspaper
Coverage ofthe fple A survey of
the Nes database forthe yene
1995 reves rough 70 ares
innewspapers ane magazines
swhorbad breath orbltse
Learning Objectives
Alter reading ths article the reader shouldbe able to:
‘dese the shemiea basi of oral malodor
Ist he conditions that lead to malodor production,
liste aspect of edor perception thatae mos relevant to oa malodor.
+ explain the najor approaches to contralling orl malodor i terms of
‘their lationship to the mechanism of oral malodor production.
+ report the eect of baking-soda-containing denies.
mentioned Many ethestrisece- tee that had lodged in es
ported anecdote auch a the 1 when ahe was an infant (Care
Jyearold who was cured of ton Daily Mat, December 15,1985,
"éragon-breath” when she ex- pA) or the bad breath of fll
pelea twig from a Christmas beth Ut bed Cusds Hank Stan
1118 Speman 2
sesamiae taseto redesign the Kanses City
Chief" huddles (The New York
Tones, December A985, p39 —geontrsrelingthobresih out
[Nevertheless there ware many re
ports of clinics being set up to
treat bad breath; mush informs:
tion as well as dsilermation has
been distributed: and homespun
approaches to dealing with the
Problem abound. I safe oa
Sume that consumes are co
fused about what fo about bad
breath partially when they are
faced with such a plethore of Cone
flcting advice, such ae einsing
wth water or taking Farsley seed
find sunflower sed a, drinking
freen fea, or using charcoal of
‘hloropyl ables
Bad breath is an exceedingly
‘common conor. i found in
treasingly afte inthe elderly,
Who, as Baby boomers age, will
form an even greater proportion
ofthe population then they do
‘ow. In contrast wo public and ke
ventor intrest, nd cespite the
prevalnce ofthe prolem of bod
Ereath, dental school curricula
typially devote litle tne to orl
ralodot. There would appear to
‘bea need to provide nore infor
mation to dental peactionets on
thistopias dentists encounter the
problem more frequent. This at
ficle briefly reviews what is
known about oral malodor and
‘what approaches have ben used
{o suppress i, and ilastates 8
‘quantitative approach studying
the effect oF restmen's on oral
tmalodor using sium biesrbon-
ate-contaning dentifeis,
Sources of Bad Breath
Breath odor can arise from
many sources in the tody. The
ntist evaluating patio whos
‘complaining of bad breth should
begin by taking a thorough case
Iisory: Abscess, cardinoma of
the mouth, drug use, frign bod
feslodged inthe respirsory toc,
Aavoring ingredients (rch = gar.
lic), as well a8 other conditions
‘could account for bad beet:
thas been recognized sirce ang.
WL 1 Sapam 28
ty thatthe breath an be used to
Slagnose disease but, subse
Of favor asa dagnostc method,
Recently, more rophistlcated
methods and tools for breath
Sralsishave been developed and
Bre being used, for example, in
[asteroenterology to diagnose
‘malabsorption syndrome? Biff
nfl sampling is ured fo distin:
{ulsh between possible sources of
bral malodor. Lung si, for ex:
ample, can be sampled afer the
‘expiration ofthe frst 180 mL of
Characteristics of
Individuals With Bad
Breath
Spouge! stated thatthe general
fncidence of halitosis is 30 com
‘on that iti difficult to decide
‘hat is normal the people with
falltoss or the people without. A
‘umber of condition are cond
‘ve to bad breath, An unhygienic
‘mouth i always a source of mal-
‘dor because the combination of
thundantboctera and substates
favor VSC production. Indiidu
als with periodontitis and/or gn-
vis are prime candidates for
YYSC produston because itroral
bleeding contsbutes blood cls,
‘which can serve a substrates for
bacterial action, and crevices it
‘which leukocytes, and other cls,
tnd bacteria are sequestered un-
er reducing (poorly oxygenated)
‘contons tht favor VSC precy
ton. A numberof corlative id
Jeshave associated VSC wih pert
‘Kowal Therapetc Teco,
{OL 18 Spsement No. 21
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