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Clinical Reference Systems: Pediatric Advisor 10.0
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Bad Breath (Halitosis)

DESCRIPTION

  • Exhaled breath has an unpleasant odor.
  • The problem can be a recent or long-standing one.
  • Bad breath that occurs only when a child awakens is normal and due to poor saliva flow at night.

CAUSE

The causes are numerous.

  • If your child has one of the following, see the appropriate guideline:

    Canker Sores (Mouth Ulcers)

    Colds

    Sinus Congestion

    Sore Throat

  • If your child has dental cavities, make a dental appointment.
  • If your child is forgetful about brushing his teeth, help him brush more frequently.
  • If your child sucks his thumb, a blanket, or other object, the bad breath will resolve when this habit is given up. If your child is over age 4 years, ask your child's physician about some ways to discourage this habit before the permanent teeth come in.

HOME CARE

More frequent toothbrushing improves most cases of mild bad breath. Also brush the surface of the tongue. Mouthwashes and chewable breath fresheners are heavily promoted in our society but provide temporary improvement at best. The complaint of bad breath is unusual in children, and the cause should be uncovered and dealt with directly.

CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:

  • The cause of your child's bad breath remains unclear.

Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
Copyright 1999 Clinical Reference Systems