{"id":17177,"date":"2025-03-03T12:40:46","date_gmt":"2025-03-03T12:40:46","guid":{"rendered":"https:\/\/www.ionzabalegui.com\/treatments-in-dental-implants-and-periodontics\/bad-breath\/"},"modified":"2025-10-27T15:49:45","modified_gmt":"2025-10-27T15:49:45","slug":"bad-breath","status":"publish","type":"page","link":"https:\/\/www.ionzabalegui.com\/en\/periodontics\/bad-breath\/","title":{"rendered":"Zabalegui &#8211; Bad breath"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(27,45,71,0.16)&#8221; background_image=&#8221;https:\/\/www.ionzabalegui.com\/wp-content\/uploads\/2025\/03\/fiorj_Mesa-de-trabajo-1.webp&#8221; background_position=&#8221;bottom_center&#8221; background_blend=&#8221;multiply&#8221; custom_padding=&#8221;205px||105px|||&#8221; border_radii=&#8221;off|||40px|40px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Spectral||||||||&#8221; header_text_align=&#8221;center&#8221; header_text_color=&#8221;#d9e3c5&#8243; header_font_size=&#8221;80px&#8221; width=&#8221;88%&#8221; module_alignment=&#8221;center&#8221; header_font_size_tablet=&#8221;80px&#8221; header_font_size_phone=&#8221;60px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Bad breath<\/h1>\n<p>[\/et_pb_text][et_pb_button button_text=&#8221;Make an appointment&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_text_color=&#8221;#1b2d47&#8243; button_bg_color=&#8221;#d9e3c5&#8243; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;50px&#8221; button_font=&#8221;Spectral|700||on|||||&#8221; button_use_icon=&#8221;off&#8221; custom_padding=&#8221;10px|30px|10px|30px|true|true&#8221; global_colors_info=&#8221;{}&#8221; button_bg_color__hover_enabled=&#8221;on|hover&#8221; button_bg_color__hover=&#8221;#FFFFFF&#8221; button_bg_enable_color__hover=&#8221;on&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||-50px||false|false&#8221; custom_padding=&#8221;||110px|||&#8221; border_radii=&#8221;off|||50px|50px&#8221; box_shadow_style=&#8221;preset3&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1600px&#8221; custom_margin=&#8221;89px|auto||auto||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;left&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.ionzabalegui.com\/wp-content\/uploads\/2020\/08\/halitosis.jpg&#8221; title_text=&#8221;halitosis&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|41px||||&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; global_colors_info=&#8221;{}&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_margin_phone=&#8221;|-44px|||false|false&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;right&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans|600||on|||||&#8221; text_text_color=&#8221;#909266&#8243; text_font_size=&#8221;20px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;31px||13px||false|false&#8221; hover_enabled=&#8221;0&#8243; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; content_last_edited=&#8221;on|phone&#8221; content_phone=&#8221;<\/p>\n<p style=%22text-align: left;%22>Periodontics in Bilbao<\/p>\n<p>&#8221; sticky_enabled=&#8221;0&#8243; content_tablet=&#8221;<\/p>\n<p>Periodontics in Bilbao<\/p>\n<p>&#8220;]<\/p>\n<p>Periodontics in Bilbao<\/p>\n<p>[\/et_pb_text][et_pb_text content_tablet=&#8221;<\/p>\n<h2 style=%22text-align: left;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_phone=&#8221;<\/p>\n<h2 style=%22text-align: center;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Spectral||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;45px&#8221; header_2_text_align=&#8221;left&#8221; header_2_text_color=&#8221;#1b2d47&#8243; header_2_font_size=&#8221;45px&#8221; custom_margin=&#8221;||11px|||&#8221; header_2_text_align_tablet=&#8221;left&#8221; header_2_text_align_phone=&#8221;center&#8221; header_2_text_align_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;45px&#8221; header_2_font_size_phone=&#8221;35px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: left;\">Halitosis and its treatment<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;16px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||11px|||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Bad breath and oral hygiene are directly related. Most cases are of <strong>oral origin<\/strong>, due to gum disorders such as gingivitis or periodontitis. <\/p>\n<p>Bad breath is still a difficult topic for patients and healthcare professionals to address. On the one hand, there is the stigma associated with halitosis and, on the other, <strong>those who suffer from it are rarely aware of it. <\/strong>The sense of smell, due to its tolerance capacity, adapts and stops perceiving bad breath. In addition, there is <strong>halitophobia<\/strong>, which causes some people to become obsessed with bad breath even when the problem is not present.   <\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#e5e5e5&#8243; custom_padding=&#8221;110px||56px|||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1600px&#8221; custom_margin=&#8221;63px|auto||auto||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;left&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans|600||on|||||&#8221; text_text_color=&#8221;#909266&#8243; text_font_size=&#8221;20px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||13px|||&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Gum disease<\/p>\n<p>[\/et_pb_text][et_pb_text content_tablet=&#8221;<\/p>\n<h2 style=%22text-align: left;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_phone=&#8221;<\/p>\n<h2 style=%22text-align: center;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Spectral||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;45px&#8221; header_2_text_align=&#8221;left&#8221; header_2_text_color=&#8221;#1b2d47&#8243; header_2_font_size=&#8221;45px&#8221; custom_margin=&#8221;||11px|||&#8221; header_2_text_align_tablet=&#8221;left&#8221; header_2_text_align_phone=&#8221;center&#8221; header_2_text_align_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;45px&#8221; header_2_font_size_phone=&#8221;35px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: left;\">Causes of bad breath<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;16px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||50px|||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>After many years of experience, at our dental clinic in Bilbao we have seen that <strong>around 85% of cases of halitosis are due to an oral cause, 8% to ENT pathologies and the remainder to systemic pathologies<\/strong>. Oral causes are due to the accumulation of volatile sulphur compounds. These contain sulphur which, when mixed with other gases, generate bad odour. They originate from cellular metabolism, either bacterial or from the individual&#8217;s own epithelial cells in the oral mucosa, the gingival sulcus, and especially on the back of the tongue. \u2018The tongue has a very complex microanatomy in which small crypts form, where bacterial communities nest and produce volatile sulphur compounds through their metabolism,\u2019 explains Ion Zabalegui, a specialist in periodontics and implantology at Zabalegui Dental and Facial Medicine.    <\/p>\n<p>Halitosis and oral hygiene are directly related. <strong>Most cases of oral origin are due to gum infections such as gingivitis and\/or periodontitis,<\/strong> which are caused by bacteria and develop due to inadequate hygiene. Bad breath is also related to a decrease in salivation, known as xerostomia, associated with certain types of drugs, mainly antidepressants. Halitosis can also occur during pregnancy and menstrual cycles. This is because hormonal changes can alter the oral flora and promote the growth of certain bacteria. This means that if there is an underlying problem, bad breath will occur, although in many cases it is temporary. <strong>A diet too high in protein also promotes halitosis.<\/strong>    <\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;right&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.ionzabalegui.com\/wp-content\/uploads\/&#8221; title_text=&#8221;causas-de-la-halitosis&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;|||147px||&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; global_colors_info=&#8221;{}&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_margin_phone=&#8221;|||-12px|false|false&#8221; sticky_enabled=&#8221;0&#8243; custom_margin_tablet=&#8221;|||147px||&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1600px&#8221; custom_margin=&#8221;89px|auto||auto||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;left&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.ionzabalegui.com\/wp-content\/uploads\/2014\/07\/halitosis1.jpg&#8221; title_text=&#8221;halitosis&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; min_height=&#8221;441px&#8221; custom_margin=&#8221;|-2px||||&#8221; custom_padding=&#8221;||75px|||&#8221; border_radii=&#8221;on|15px|15px|15px|15px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;right&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans|600||on|||||&#8221; text_text_color=&#8221;#909266&#8243; text_font_size=&#8221;20px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||13px|||&#8221; hover_enabled=&#8221;0&#8243; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; content_last_edited=&#8221;on|phone&#8221; content_phone=&#8221;<\/p>\n<p style=%22text-align: left;%22>Periodontic treatments<\/p>\n<p>&#8221; sticky_enabled=&#8221;0&#8243; content_tablet=&#8221;<\/p>\n<p>Periodontic treatments<\/p>\n<p>&#8220;]<\/p>\n<p>Periodontic treatments<\/p>\n<p>[\/et_pb_text][et_pb_text content_tablet=&#8221;<\/p>\n<h2 style=%22text-align: left;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_phone=&#8221;<\/p>\n<h2 style=%22text-align: center;%22>Dental implant placement process<\/h2>\n<p>&#8221; content_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Spectral||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;45px&#8221; header_2_text_align=&#8221;left&#8221; header_2_text_color=&#8221;#1b2d47&#8243; header_2_font_size=&#8221;45px&#8221; custom_margin=&#8221;||11px|||&#8221; header_2_text_align_tablet=&#8221;left&#8221; header_2_text_align_phone=&#8221;center&#8221; header_2_text_align_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;45px&#8221; header_2_font_size_phone=&#8221;35px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: left;\">How is halitosis diagnosed?<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Open Sans||||||||&#8221; text_text_color=&#8221;#1b2d47&#8243; text_font_size=&#8221;16px&#8221; width=&#8221;100%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||11px|||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>For diagnosis, <\/span><strong>an organoleptic analysis is initially performed.<\/strong><span>. \u2018The explorer places their nose about ten centimetres from the patient&#8217;s exhaled air and uses their scale of values to measure the degree of bad odour. It is a subjective way of guiding specialists,\u2019 explains Ion Zabalegui. In addition, the appearance of  <\/span><strong>a portable gas chromatograph has helped detect the presence of three gases closely associated with halitosis.<\/strong><span> in an objective manner. It calculates the quantity and concentrations of these volatile sulphur gases very accurately. Of these three gases, two are directly associated with oral origin. \u2018It is very useful in halitophobic patients to show them objectively that they do not have halitosis,\u2019 adds Zabalegui.   <\/span><\/p>\n<p><span>Nuestro tratamiento desde la <a href=\"https:\/\/www.ionzabalegui.com\/en\/periodontics\/\">periodoncia<\/a> en Bilbao, busca restaurar la correcta situaci\u00f3n bucal mediante la eliminaci\u00f3n de la causa que provoca el mal aliento.<br \/>\nEl uso de cepillos interdentales, hilo dental, limpiadores linguales y colutorios espec\u00edficos con antis\u00e9pticos para eliminar el mal aliento, se debe complementar con un <strong>tratamiento inicial para eliminar los dep\u00f3sitos bacterianos<\/strong> que est\u00e1n depositados <strong>en las enc\u00edas y en el dorso de la lengua<\/strong> de manera profesional.<br \/>\n\u00danicamente los casos m\u00e1s destacados suelen requerir tambi\u00e9n tratamiento farmacol\u00f3gico  <\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bad breathPeriodontics in BilbaoHalitosis and its treatmentBad breath and oral hygiene are directly related. Most cases are of oral origin, due to gum disorders such as gingivitis or periodontitis. Bad breath is still a difficult topic for patients and healthcare professionals to address. On the one hand, there is the stigma associated with halitosis and, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":17103,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-17177","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bad breath | Halitosis treatment in Bilbao<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ionzabalegui.com\/en\/periodontics\/bad-breath\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bad breath | Halitosis treatment in Bilbao\" \/>\n<meta property=\"og:description\" content=\"Bad breathPeriodontics in BilbaoHalitosis and its treatmentBad breath and oral hygiene are directly related. Most cases are of oral origin, due to gum disorders such as gingivitis or periodontitis. Bad breath is still a difficult topic for patients and healthcare professionals to address. 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