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Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version
Bad Breath (Halitosis)
DESCRIPTION
 | Exhaled breath has an unpleasant odor.
 | The problem can be a recent or long-standing one.
 | Bad breath that occurs only when a child awakens is
normal and due to poor saliva flow at night.
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CAUSE
The causes are numerous.
 | If your child has one of the following, see the
appropriate guideline:
Canker Sores (Mouth Ulcers)
Colds
Sinus Congestion
Sore Throat
 | If your child has dental cavities, make a dental
appointment.
 | If your child is forgetful about brushing his teeth, help
him brush more frequently.
 | If your child sucks his thumb, a blanket, or other
object, the bad breath will resolve when this habit is
given up. If your child is over age 4 years, ask your
child's physician about some ways to discourage this
habit before the permanent teeth come in.
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HOME CARE
More frequent toothbrushing improves most cases of mild bad
breath. Also brush the surface of the tongue. Mouthwashes
and chewable breath fresheners are heavily promoted in our
society but provide temporary improvement at best. The
complaint of bad breath is unusual in children, and the
cause should be uncovered and dealt with directly.
CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:
 | The cause of your child's bad breath remains unclear.
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Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
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Copyright 1999 Clinical Reference Systems
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