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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Patients should be investigated and managed for any systemic (non-oral) cause of halitosis (1)

In patients with no underlying systemic cause t he most effective management of halitosis is aimed at reducing the bacterial flora of the mouth, especially the anaerobes.

  • give advice on good oral hygiene - brushing teeth, interdental flossing, tongue brushing
  • eating regularly, avoiding foods and drinks which may cause transient halitosis
  • use of antimicrobial toothpastes and mouthwashes
    • 0.2% aqueous chlorhexidine gluconate mouthwash
    • oil-water rinse
    • triclosan/co-polymer/sodium fluoride toothpaste
    • hydrogen peroxide mouthwash - especially in cases of gingivitis (1,2)

Antibiotics are rarely used except in cases of post- operative halitosis.

Psychological evaluation and treatment may be necessary in patients with halitophobia (1).

Reference:

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