{"id":118900,"date":"2020-02-12T10:33:06","date_gmt":"2020-02-12T09:33:06","guid":{"rendered":"https:\/\/zahnzentrum-kronberg.de\/halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach\/"},"modified":"2026-03-05T10:53:21","modified_gmt":"2026-03-05T09:53:21","slug":"halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach","status":"publish","type":"post","link":"https:\/\/zahnzentrum-kronberg.de\/en\/halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach\/","title":{"rendered":"Halitosis or foetor ex ore? Why bad breath almost never comes &#8220;from the stomach&#8221;"},"content":{"rendered":"\n<p>It may be the last major taboo in interpersonal interaction: bad breath. Paradoxically, it is often not those affected who notice the problem\u2014our sense of smell quickly adapts to our own stimuli\u2014but rather the social environment. The result is often a shame-driven withdrawal.  <\/p>\n\n\n\n<p>Bad breath is not a question of \u201cfault\u201d, but usually a clear medical symptom with a biological cause. As dental professionals, we would like to help you tackle the problem at its root. The first step is the correct diagnosis: where does the odour really come from?  <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The \u201cnose test\u201d: the medical distinction<\/h2>\n\n\n\n<p>In technical terminology, we differentiate very precisely which route the exhaled air is affected. This gives us the decisive clue to the cause. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Foetor ex ore (the local origin)<\/h3>\n\n\n\n<p>This is by far the most common form (approx. 90% of cases).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The symptom:<\/strong> The odour is only noticeable when you exhale through the <strong>mouth<\/strong> or speak. If you exhale through your nose with your mouth closed, there is no smell. <\/li>\n\n\n\n<li><strong>The cause:<\/strong> The problem is local in the oral cavity or the throat (more on this below).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2. Halitosis (the systemic origin)<\/h3>\n\n\n\n<p>This form is significantly rarer (approx. 10% of cases).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The symptom:<\/strong> The odour is also noticeable when you exhale through the <strong>nose<\/strong> with your mouth closed.<\/li>\n\n\n\n<li><strong>The cause:<\/strong> Because the exhaled air comes from the lungs and the sinuses, the causes here are often in the ENT area (chronic sinusitis), in the airways, or rarely in the metabolism. <em>Note: The stomach, which is often suspected, is extremely rarely the cause.<\/em><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">The biochemistry of the odour: what is actually happening?<\/h2>\n\n\n\n<p>Let us focus on the most common case, <em>foetor ex ore<\/em>. Billions of microorganisms live in our mouths\u2014an entirely normal ecosystem. Among these inhabitants are specialised bacteria (anaerobes) that live without oxygen. They process proteins from food residues, saliva or dead cells. This decomposition process produces gases known as <strong>volatile sulphur compounds (VSC)<\/strong>. Put simply: it is precisely these sulphur compounds that create the unpleasant odour.     <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The bacteria\u2019s hiding places<\/h2>\n\n\n\n<p>For these bacteria to become active, they need niches where they are protected from oxygen and the toothbrush. The most common \u201codour factories\u201d are: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The tongue:<\/strong> The back third of the tongue in particular is heavily fissured and difficult to clean. This is where 60\u201380% of the bacteria responsible are often found. <\/li>\n\n\n\n<li><strong>Periodontal pockets:<\/strong> With periodontitis (inflammation of the supporting structures of the teeth), deep pockets form that you cannot clean at home.<\/li>\n\n\n\n<li><strong>Leaky margins:<\/strong> Overhanging crown margins or old fillings provide perfect niches for putrefaction processes.<\/li>\n\n\n\n<li><strong>Dentures:<\/strong> The rough underside of dental prostheses is an ideal surface for biofilm to adhere to.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Saliva: your natural mouthwash<\/h2>\n\n\n\n<p>Your saliva is far more than just water. It is rich in oxygen and enzymes that inhibit bacterial growth and neutralise sulphur compounds. If saliva production decreases, bacteria have an easy time of it. This also explains the typical \u201cmorning breath\u201d: at night, saliva production drops to almost zero. <strong>Caution with dry mouth (xerostomia):<\/strong> Certain medications (e.g. for high blood pressure or depression), stress or drinking too little can lead to persistent bad breath because the natural rinsing function is missing.   <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Our conclusion<\/h2>\n\n\n\n<p>Bad breath is almost always a local, oral problem\u2014and therefore treatable. You do not have to accept it or cover it up with peppermint sweets. A precise diagnosis in our halitosis consultation clarifies whether it is <em>foetor ex ore<\/em> or <em>halitosis<\/em>, and which <a href=\"https:\/\/zahnzentrum-kronberg.de\/en\/tips-and-strategies-for-addressing-the-taboo-of-bad-breath\/\">treatment<\/a> will give you lasting fresh breath.  <\/p>\n\n\n\n<p>We will be happy to advise you personally at our dental practice.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It may be the last major taboo in interpersonal interaction: bad breath. Paradoxically, it is often not those affected who notice the problem\u2014our sense of smell quickly adapts to our own stimuli\u2014but rather the social environment. The result is often a shame-driven withdrawal. Bad breath is not a question of \u201cfault\u201d, but usually a clear [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":118903,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":2,"footnotes":""},"categories":[187,190,193,202],"tags":[],"post_folder":[],"class_list":["post-118900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-fit","category-informative","category-prophylaxis","category-halitosis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The causes of bad breath<\/title>\n<meta name=\"description\" content=\"Read here how bad breath develops &amp; what causes it. 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Bad breath, or halitosis, is a topic people prefer not to talk about.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/zahnzentrum-kronberg.de\/en\/halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach\/\" \/>\n<meta property=\"og:site_name\" content=\"Baumstark Zahn\u00e4rzte\" \/>\n<meta property=\"article:published_time\" content=\"2020-02-12T09:33:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-05T09:53:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zahnzentrum-kronberg.de\/wp-content\/uploads\/2019\/01\/mundgeruch_blog3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"919\" \/>\n\t<meta property=\"og:image:height\" content=\"704\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Praxiszugang\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Praxiszugang\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/zahnzentrum-kronberg.de\\\/en\\\/halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/zahnzentrum-kronberg.de\\\/en\\\/halitosis-or-foetor-ex-ore-why-bad-breath-almost-never-comes-from-the-stomach\\\/\"},\"author\":{\"name\":\"Praxiszugang\",\"@id\":\"https:\\\/\\\/zahnzentrum-kronberg.de\\\/en\\\/#\\\/schema\\\/person\\\/9bd37645c2f6206d3faef6ca7b901264\"},\"headline\":\"Halitosis or foetor ex ore? 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