Bad Breath - Clinic Cases

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CASE 1: Celebrity Bad Breath

Here is an interesting case that really shows how Bad Breath can afflict anyone. A well known celebrity attended a consultation with Dr Speiser at Australian Breath Clinic Edgecliff Office to have a complete breath check.

The patient was worried that maybe they had halitosis as they had picked up signals from fellow co workers. Due to the high profile of the patient, dental checkups had been performed regularly, and the dental hygiene was adequate although not remarkable.

Our BreezeCare Clinic Tests

The initial HALICHECK readings confirmed the patient's worst fears. The patient was high for all three gases of bad breath, with before treatment readings of Hydrogen Sulphide (2058), Methyl Mercaptan (1889) and Dimethyl Sulphide (287).

Next a GC Saliva Test was performed to check the acid levels, saliva volume and buffering of the saliva. In other words we are checking just how healthy the patient's saliva is. The GC Saliva Test showed the saliva to have an acid pH. This was later found out to be due to constant snacking and soft drinks between public appearances.

BreezeCare Success Rate Is High

Finally a comprehensive lifestyle quiz was answered by the patient, and once again this picked up many issues that had increased the bad breath bacteria. The patient was found to be cleaning their teeth in the shower instead of in front of a mirror, where they could be exact in their cleaning methods. The patient also did not floss their teeth in the morning, and also constantly used mouthwash high in alcohol and acid. The poor cleaning technique and the alcohol and acid helped to mimic an anaerobic environment, perfect for the growth of bad breath bacteria.

The patient was placed on the Balance System, and full instructions were issued at the consultation. For 5 days the KForce Balance Rinse was used both morning and night. The rinse helps to balance the mouth pH by discouraging the growth of bad breath bacteria and also softening up mouth biofilms to make cleaning more effective. Also a Hypertonic Saline Flush was used twice daily to remove throat mucous.

After 5 days the patient then transferred to using the KForce Balance Rinse once every 4 days in the morning and using the KForce Breath Guard Probiotics for the non mouthwash days. Dr Speiser was aiming to use the KForce Probiotics to fight the bad breath bacteria, rather than continue to use strong antiseptics.

After three months the patient came in for a second set of mouth breath readings. As you can see all three readings were well in the normal range. Hydrogen Sulphide was (13), Methyl Mercaptan was (11) and Dimethyl Sulphide was (4).

The patient was asked to continue the treatment indefinitely and attend for further readings if ever they found the system "slipping". The patient reported a clean fresh taste in the mouth, no morning breath, better breathing through the nose due to the nasal spray. And most important, there were no reactions or hints from any co workers. All this was done with a few simple consultations at the clinic.

CASE 2: KForce BreathGuard System

Andy attended the Australian Breath Clinic extremely embarrassed about his bad breath problem. Andy is 24 years old and reports having suffered from bad breath since childhood. In fact he can remember instances when he was only 6 years old and family and friends made remarks to him about his bad breath.

Our BreezeCare Clinic Tests

On arriving at the clinic, Andy filled in a brief lifestyle quiz that enabled Dr Speiser to see if there were any obvious reasons for Andy's extreme breath readings. Whilst he is filling in this form an initial breath sample is allowed to incubate in Andy's mouth and then this sample is sucked into a disposable syringe. This sample is the first of three samples that are taken during Andy's appointment, so that his breath can be gauged both under stress, when relaxed and immediately after initial treatment. The gas sample is passed through an Oral Chroma Gas Chromagraph, which enables Dr Speiser to see an actual breakup of the three main gases of bad breath. These are Hydrogen Sulphide (rotten eggs), Methyl Mercaptan (faeces) and Dimethyl Sulphide (cabbage gasoline).

BreezeCare Success Rate Is High

Andy is well over the acceptable levels of all three gases, to the degree that his breath is extremely offensive. Clinical examination revealed the following: Thick tongue coating which is causing the high Hydrogen Sulphide reading. Moderate gingivitis which releases an exudate that increases Methyl Mercaptan. Sinus congestion that increases throat mucous and Dimethyl Sulphide.

Andy also had a number of lifestyle issues that were picked up during his detailed breath quiz which takes approximately one hour. The good news was that, Andy did not have any systemic problems and his saliva levels were normal for acidity, volume and buffering capacity.

Andy was given instructions in how to use the KForce Breath Guard Kit every day, as well as the simple lifestyle modifications he needed to make. He was asked to return in 6 weeks for a further assessment.

Andy's second set of readings his results were astounding. All three gases were well within acceptable levels. In fact he only presented an extremely low range Hydrogen sulphide level, and zero Methyl Mercaptan and zero Dimethyl Sulphide.

After so many years Andy's problem has been eradicated, and as long as Andy continues to use the KForce Breath Guard Program and be meticulous with his lifestyle choices, his problem will not return. As with all Australian Breath Clinic patients, Andy is welcome to return for as many breath readings as he feels necessary to convince himself that his nightmare is finally over.

CASE 3: Wrong Diagnosis

Here is an interesting case that we often see at The BreezeCare Clinic. Sandy has always complained about her bad breath, but apparently no one else was able to smell it at the same intense level that she could. Feeling stupid about the situation she tried self treatment first by using store bought mouthwash and toothpaste that was advertised on television and widely accepted around the world as being a good treatment for bad breath.

However this method of treatment made her problem worse as the mouthwash was high in alcohol and acid, two known causes of bad breath, and the toothpaste contained a surfactant that can cause allergies in 5% of the female population. Sandy was later to report to our clinic that using these commercially bought products only gave her relief for 30 minutes from her bad breath problem.

BreezeCare Correctly Diagnosed Her Condition

Sandy feeling very frustrated then visited her local doctor who also could not smell any breath problem. After hearing Sandy's story the doctor felt that there was a deeper psychological problem and prescribed a course of anti depressant medication. Again Sandy's problem took a turn for the worse as medicines often increase the dryness in the mouth and thus the bad breath problem.

In desperation Sandy attended our BreezeCare Clinic in a very depressed state. Her initial readings were quite normal for hydrogen sulphide but were above acceptable levels for methyl mercaptan and Dimethyl sulphide. This characteristic pattern allowed us to diagnose an ongoing periodontal (gum) condition as well as thickened nasal mucous. Actually intense quizzing of Sandy's complaint brought out that Sandy had a continual bad taste in her mouth and occasionally she could smell her own breath whilst talking. Both these symptoms are synonymous with moderate levels of nose and gum gases.

The gum condition was further confirmed by checking for a specific enzyme that lives in the gum pockets of periodontal patients. This is a chair side test that involves taking a scraping from the gums and tongue surface and incubating the samples for 15 minutes in a special test mixture. The three main bacteria in gum disease all possess a specific enzyme that is not found in other mouth bacteria, so a positive result is indicative of diseased tissue.

Once again Sandy was placed on the KForce Breath Guard Starter Kit as well as isotonic saline nasal sprays for both morning and night. A thorough clean by her dentist was also recommended. When Sandy returned in 4 weeks her new readings were an amazing improvement. All three gases were now within normal limits, and Sandy's awful mouth taste had disappeared. Also Sandy now reports she no longer smells her breath whilst she talks.

It is important to remember, that readings just above average or just below average can give mixed signals to a healthcare professional. Only readings taken with Gas Chromography are able to accurately track the gas levels of bad breath so that accurate treatment can be undertaken.

CASE 4: BreezeCare Overall Results

Dr Speiser's BreezeCare Clinic in Australia sees many varied patients throughout the week. In fact we have patients who fly in from as far away as UK, to patients that travel down from Queensland and over from Western Australia. They all have one thing in common - bad breath. Since we began keeping records at our clinic we have tracked the average Volatile Sulphur Compound readings of before treatment and after treatment. The results are presented to you below and are very interesting.

Throat Mucous Is The Main Complaint

If we look further into these patients we see that more than half the patients have nasal or mucous problems that are adding to their breath. But these mucous problems are the most common source of bad breath in halitophobic patients. These are people who believe they have bad breath, but other people cannot smell it. Interestingly these patients usually have higher than normal Dimethyl sulphide readings. This particular compound, is the hardest of all three compounds to pick up by another person, but because it usually comes from mucous at the back of the throat, the patient can smell this compound 24/7. Simply, the patient is pulling air out of the lungs, over the mucous and bacteria. The sulphur compounds trapped in the expired air, travel up to the nasal passages and the smell is picked up by the olfactory nerve. The olfactory nerve can begin to smell this gas at levels over 8ppb, but other people would be hard pressed to smell the gas unless it got over 40ppb.

BreezeCare Success Rate Is High

The average breath patient has a halitosis reading of 684ppb. This is a combined total of all the volatile sulphur compounds being hydrogen sulphide, methyl mercaptan and dimethyl sulphide. Science has stated that a reading above 150ppb of volatile sulphur compounds is able to be smelt by another person. This means the average halitosis patient to come to the clinic is four times higher than a level of offensive breath.

Our success rate of patients attending our clinic is virtually 100%, and this happens simply because we are able to talk to the patient and review them over a number of weeks to see how they are interpreting our instructions and how they are cleaning the biofilms. I am constantly amazed at the percentage of patients that do not understand the importance of lifestyle and a regimented cleaning program. Or patients that continually believe that bad breath begins in the stomach or bowel.

A normal consultation takes about 1hour 15 min, and allows us to fully analyse the patients habits and mouth condition, as well as start them on the KForce Balance Program. Whenever a patient begins the Balance program at the clinic, we do another Halicheck level to see how much improvement there actually is. Patients are continually amazed at the new super low reading achieved when they do just the first treatment.