What helps with the smell of a rotting tooth, also known as halitosis (bad breath) associated with dental caries (tooth decay)?

From the Guidelines

To address the smell of a rotting tooth, you should prioritize professional dental treatment as soon as possible, as it indicates serious decay or infection that can lead to severe complications if left untreated. The smell of a rotting tooth, also known as halitosis or bad breath, is often caused by bacteria breaking down tissue and releasing sulfur compounds. While temporary relief can be achieved through various measures, it is essential to address the underlying cause of the problem. Some temporary relief measures include:

• Rinsing with a mixture of warm salt water (1/2 teaspoon salt in 8 ounces of water) several times daily 1
• Using over-the-counter options like clove oil applied directly to the affected area with a cotton ball, which provides both antimicrobial properties and pain relief
• Using hydrogen peroxide mouthwash (diluted 50/50 with water) to help kill bacteria causing the odor, but avoiding swallowing it
• Using over-the-counter medications like Orajel for pain and antiseptic mouthwashes containing chlorhexidine However, these measures only mask symptoms temporarily and do not address the underlying cause of the problem. It is crucial to schedule a dental appointment immediately, as only a dentist can properly treat the underlying cause through procedures like fillings, root canals, or extractions. Additionally, maintaining good oral hygiene practices, such as brushing teeth twice a day with a soft toothbrush and mild fluoride-containing toothpaste, and rinsing the mouth with an alcohol-free mouthwash, can help prevent further complications 1. Recent studies have also shown that polyherbal products, such as Arimedadi oil, can be effective in reducing plaque levels and gingival inflammation, and may be a useful adjunct to traditional treatments 1. However, it is essential to consult with a dentist before using any new products or treatments, especially if you have a rotting tooth or other underlying oral health issues. Ultimately, prioritizing professional dental treatment and maintaining good oral hygiene practices are the most effective ways to address the smell of a rotting tooth and prevent further complications.

From the FDA Drug Label

For patients having coexisting gingivitis and periodontitis, the presence or absence of gingival inflammation following treatment with Paroex ® should not be used as a major indicator of underlying periodontitis. Paroex ® can cause staining of oral surfaces, such as tooth surfaces, restorations, and the dorsum of the tongue Some patients may experience an alteration in taste perception while undergoing treatment with Paroex ® (Chlorhexidine Gluconate Oral Rinse USP, 0. 12%).

The use of chlorhexidine gluconate oral rinse may help reduce the bacteria that can contribute to halitosis (bad breath) associated with dental caries (tooth decay), as it is used to treat gingivitis and periodontitis. However, the label does not directly address the treatment of halitosis.

• Chlorhexidine gluconate oral rinse can cause staining and alteration in taste perception, which may be a consideration for patients with halitosis. 2

From the Research

Halitosis (Bad Breath) Associated with Dental Caries (Tooth Decay)

To address the issue of halitosis associated with dental caries, several factors and interventions can be considered:

• Regular oral hygiene practices are crucial in preventing dental caries and subsequently reducing the risk of halitosis. According to 3, tooth brushing once per day is sufficient to maintain oral health, but most dentists recommend brushing twice daily for improved plaque control.
• The use of fluoridated toothpaste is recommended, as stated in 4, to help keep teeth healthy and prevent caries. Fluoride varnishes on primary teeth and fluoride supplementation can also be beneficial when community water supply fluoride levels are inadequate.
• Dietary factors, such as consuming diets high in sugar, can increase the risk of poor dental health, including dental caries and halitosis, as mentioned in 4.
• Avoidance or cessation of tobacco use is also recommended, as stated in 4, to improve oral health and reduce the risk of halitosis.
• While the provided studies do not directly address the smell of a rotting tooth, maintaining good oral health through regular dental care visits, as recommended in 4, can help prevent and mitigate dental disease, including halitosis associated with dental caries.
• There is no direct evidence in the provided studies on the specific management of halitosis associated with a rotting tooth. However, general oral health practices and preventive measures can contribute to reducing the incidence of halitosis.