Unusual Breath Odors and What They Mean

The most common causes of Malodor (Halitosis) In children:

1- Most often the result of mouth-breathing, which dries out the mouth and allows the bacteria to grow.

2- Children who consistently breathe through their mouths might have colds, sinus infections, allergies, or enlarged tonsils or adenoids blocking the nasal passages, so a visit to the pediatrician is in order.

3- Thumb sucking or sucking on a blanket can also dry out the mouth.

To check other causes of Halitosis

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Here is a list of some very uncommon, but telltale, odors Take a whiff:

● Acetone – diabetes or acetone, alcohol, phenol, or salicylate ingestion
● Ammonia – some types of urinary tract infections, or kidney failure
● Asparagus – eating asparagus (very unusual in children;>))
● Bitter almonds – cyanide poisoning
● Cat’s urine – odor of cats syndrome (beta-methyl-crotonyl-CoA-carboxylase deficiency)
● Celery – Oasthouse urine disease
● Dead fish – stale fish syndrome (trimethylamine oxidase deficiency)
● Fresh-baked bread – typhoid fever
● Foul – tonsillitis, sinusitis, gingivitis, lung abscess, or dental cavities (some of these are actually quite common)
● Garlic – arsenic, phosphorus, organic phosphate insecticides, or thallium poisoning
● Horse-like (also described as mouse-like or musty) – phenylketonuria
● Rancid butter – odor of rancid butter syndrome (hypermethionemia and hypertyrosinemia)
● Raw liver – liver failure
● Sweaty socks – odor of sweaty feet syndrome (Isovalryl CoA dehydrogenase deficiency)
● Sweaty socks – odor of sweaty feet syndrome II (Green acyldehydrogenase deficiency)Violets – turpentine poisoning

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Toothache After Restoration

- Toothache after dental filling is common for most cases and dentists.
- Filling helps prevent further tooth decay and brings the tooth back to its normal function and shape.
- Most people experience mild to severe toothache after a filling treatment.
- The affected tooth may experience sensitivity to air, pressure, sweet foods, cold foods, or temperature after the procedure.

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Remedies for Toothache:

1- Try to avoid things that can cause sensitivity in your tooth.
2- Follow the instructions given by your dentist.
3- It is better to stay away from very hot or very cold beverages.
4- You should avoid eating candy and any type of sticky items after such a dental treatment.
5- After a filling, it is best to eat soft foods for some days as specified by your dentist.
6- Avoid using the tooth that has been filled for chewing.
7- It is extremely important to follow a proper dental care routine ex."Extra brushing or mouth rinsing"
8- Clove oil is one of the most popular and effective toothache remedies.
9- Saltwater mouthwash is a quick remedy for toothache relief.

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Types of Toothache After Filling:

Pain around your fillings:
If you experience pain around the filling, you must consult your dentist again. This can be because the cavity was not filled properly.

Pain when you bite:
You will start feeling pain after the anesthesia wears off and it might continue for some time. If you experience immediate pain when you bite down, it could be because the filling was not shaped properly. When you bite, you put pressure on it. This usually happens when the filling is interfering with your bite, i.e. the filling is above your tooth level and touching the upper or lower teeth while you try to bite something. You must contact your dentist and have the filling reshaped.

Pain when your teeth touch each other:
This is a distinct pain that occurs when your teeth touch each other. The pain is caused because two different metal surfaces such as the silver amalgam in a newly filled tooth and a silver crown on another tooth touch each other. This pain usually resolves on its own within a short period, but if it's persistent, you must visit a dentist.

Referred toothache:
In this case, you will experience pain or sensitivity in teeth, besides the one that has been filled. If you have this type of pain, then probably there is nothing wrong with the treated tooth and the pain should go away on its own.

Constant toothache:
If the decay was very deep to the pulp of the tooth, then you might have constant toothache, especially while eating, that will last for some weeks even after the filling. This constant toothache indicates that the tissue is no longer healthy and you might have to get a root canal treatment for curing it.

Allergic symptoms after filling:
There might be an allergic reaction to the silver amalgam used in the filling. You will experience itching, skin rashes and other allergy symptoms in this case and the silver filling would have to be replaced with a composite filling. Allergic reactions to silver fillings are rare. The symptoms of amalgam allergy are much similar to those experienced in a skin allergy. These include skin rashes and itching. Getting the filling replaced with composite type of filling is the best solution in this case.

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Toothache after a filling usually subsides after a week or two. Mild toothache is common and you don't even need to opt for an over-the-counter painkiller. However, it is best to avoid eating whatever that causes pain. If toothache doesn't subside within two weeks after the filling or if your teeth have become extremely sensitive, you need to contact your dentist. Most probably your dentist will first recommend a toothpaste for sensitivity or apply a desensitizing agent to the tooth for pain relief. If this does not work, then a root canal treatment might be the solution to eliminate severe toothache.

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:: World Of Dentistry :: TEAM

Wisdom Teeth Pain and Other Common Symptoms

Why Do We Get Problems With Wisdom Teeth ?

Wisdom teeth pain symptoms, caused by their ‘impaction’, are a common problem. These ‘third molars’ are the last teeth to erupt into the mouth. There are usually four, one in each corner of the mouth at the back. They most commonly appear between the ages of 17 and 24, but can also erupt much later.

Symptoms are common here as they are the last molars to enter the mouth, there is often not enough space for them to fully come through. Therefore they may only partially erupt into the mouth or not come through at all.

When there is enough room, they will come through into the mouth normally and act as any other tooth. There may be some problems including dental pain as they are growing in, (you may thus occasionally need some mild pain relief – such as acetaminophen, paracetamol) but this will clear up once the tooth finds its final position.
Pain and other symptoms can arise when there is not sufficient room in the mouth. The tooth may become impacted ...

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What is an Impacted Wisdom Tooth ?

A tooth is described as impacted if it is blocked from erupting into the mouth fully. 

Thus it will lie at an angle instead of being upright, remaining tipped against the tooth in front of it.

Technically, any tooth can become impacted but it is wisdom teeth that are the most often affected, owing to their late eruption.
Impacted teeth can cause a range of problems, but it should also be noted that they may cause no problems at all.

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What Symptoms Might I Get ?

Minor Symptoms:

When a wisdom tooth is problematic symptoms may include:

- Pain and swelling of the gum overlying the impaction – this is due either infection of this operculum or trauma from the tooth above hitting into it, or a combination of both. For example, a swelling that arises from infection may make the upper tooth impinge onto the gum – traumatizing it more and causing a vicious cycle.

- Bad breath, due to infection and/or debris building up in the area.
- A bad taste in the mouth, for the same reasons.
- Pus coming out from the swollen gum area.
- Aches when you open your mouth, as you are stretching the inflamed tissues.
- Difficulty on opening your mouth.
- Tenderness when chewing or biting as this hurts the swollen gum area.
- Pain/ulcers on the inner cheek, where the pointy parts (cusps) of the impacted teeth may be digging into the soft tissues of the cheeks.
- Ear-ache, as pain can spread outward from the area.

The symptoms can occur for a few days and then clear up. It can then come back at any time, often with weeks or months between occurrences.

More Serious Symptoms:

More serious symptoms can develop:
Watch out for these signs, and note that they may develop quite quickly:
- Swollen glands under the chin (‘lymph nodes’).
- Swelling of the face and jaw, may indicate cellulitis.
- Muscle spasms in the jaw.
- Fever and general malaise.
- Such symptoms may indicate a severe, spreading infection which can be very serious if left untreated. - - --- Immediate advice should be sought from your dentist.

The cause of these problems is that when a wisdom tooth is impacted, a flap of gum will lie over it. As it is difficult to clean effectively under the gum flap, bacteria will proliferate here and the gum will become inflamed. This inflammation is known as ‘pericoronitis’.
Pericoronitis is usually relatively easy to remedy, as it usually remains localized. It is when it becomes a recurring problem (or if it ever gives rise to dangerous symptoms like those above) that extraction must be considered.

An impacted tooth can also be present in the mouth without you even knowing about it, because it may not be causing any symptoms. 

However other problems can also be associated with impacted wisdom teeth.
They are prone to decay. This is because food can trap around them and they are difficult to clean. 

The tooth lying beside will also be at increased risk of decay for the same reason.

The tooth may become sensitive and/or painful.
Likewise, the area is more prone to gum disease for similar reasons: it is difficult to clean.
Rarely, cysts and other such growths may form around an impacted tooth.
Therefore even when they aren't causing pain, or other noticeable symptoms, they should be checked regularly. 

Your dentist can make sure that all is well in the area, or if any damage begins to occur then the situation can be remedied sooner rather than later.

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Prevention of Symptoms:

The cleaner the area and your mouth in general is kept, the less likely that pericoronitis and other problems will occur.
Therefore general oral hygiene measures should be adhered to, including flossing in the area of the wisdom tooth and regular use of mouthwashes.

Your dentist can guide you on this.

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