My Child Has Bad Breath: What Do I Do?

“Morning Breath” is a term often used for the malodor that occurs when we wake up each day.  But what if that bad breath (halitosis) persists?  In children, there can be a number of reasons why that unwanted odor lingers.Of course the first culprit of halitosis can be from poor oral hygiene.  Plaque can easily and gradually accumulate on the teeth and tongue and produce odor.  However, if good oral hygiene practices take place each morning and night, additional factors could be the culprit.

Salivary flow can play an important part in keeping the oral cavity clean so HYDRATION IS KEY! Dehydration or dry mouth can contribute to bad breath.  It is important to drink plenty of plain water throughout the day.  Dry mouth can result from many medications (prescription or over the counter).  These include antihistamines, other allergy medications, and ADHD medications.

Illnesses can also add to that undesirable oral stench.  Upper respiratory infections, sinus infections, or seasonal allergies often lead to nasal congestion and mouth breathing. This is usually resolves itself overtime. Lastly, ENT (Ear, Nose, and Throat) issues can cause bad breath.  Children or teens with enlarged tonsils or tonsil stones can experience recurrent halitosis. Post nasal drip and constant mucus in the back of the nose and mouth may also cause malodor.  After a thorough medical and dental evaluation is completed, an ENT referral may be given.