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Fresh Breath Treatments

Planetsmiles is excited to incorporate the Dr Speiser's breakthrough fresh breath treatments into their patient's oral health routines. Dr Lynette Wallace enjoys using computerised technology in many parts of her general dental practice to assist in offering state of the art treatment. Dental cat scans, digital radiographs, digital models provide high accuracy and efficiency while minimising patient's chair time. 

And the Halicheck can provide a thorough computerised breakdown of just how sweet your breath is. Something you don’t want to leave to chance in your work, rest and play … as your breath often precedes you. 

HALICHECK


HALICHECK - Gas Chromograph Mouth Air Measurement
The Gas Chromograph breath reading is such an amazing step in understanding bad breath and why you may have a smell issue A.  sample of air is taken from the mouth and put into the Halicheck machine. This air is broken down to over 50 different mouth gases and allows us to identify the volume of the main bad breath gases. The test takes 8 minutes and will give us a measurement of bad breath coming from the tongue surface, teeth and gums and from the back of the throat at the gag reflex line. HALICHECK is the Gold Standard in measuring Halitosis.

three main gases from bad breath


Bad Breath is the waste product of over 800 different species that inhabit our mouths. Broadly these species are divided into those that live with oxygen (can cause decay) and those bacteria that live without oxygen (can cause bad breath).

The "Twelve Hour Rule" means that the smells are not made till the bacteria have been in the mouth for more than 12hours. This is because before they can make smells they need to group together in a protein rich biofilm (coating). Once in the biofilm they will break down proteins to amino acids for energy and give off Volatile Sulphur Compounds as a waste smell.

There are three main smells of bad breath, rotten eggs, faeces and cabbage with gasoline. These smells are all due to the amino acids Cysteine and Methionine being broken down to energy These gases are all called Volatile Sulphur Compounds. This means they are unstable and unable to be collected for pathology screening.

Halicheck Gas Chromograph can  give me a reading of these gases in the mouth. We take an air sample of your breath and within 8minutes our Halicheck can give us a readout of all the gases as low as 1part per billion in normal mouth air. My Halitosis Clinics are the only dental offices in Australia to have this machinery.

   Mouth Compound The Smell Made   Hydrogen Sulphide (H2S) rotten eggs   Methyl Mercaptan (CH3SH) bowel and faeces   Dimethyl Sulphide (CH3SCH3) cabbage, sulphur, gasoline   Skatole(3-methyl-1H-indole) <mothball, faeces   Cadaverine C5H14N2 corpses, urine   Putrescine(NH2(CHH2)4NH2) decaying flesh   Isovaleric acid sweat, rancid-cheese, off-milk       

Bad Breath Smells Explained
Gas 1 - Rotten Eggs comes from the gas Hydrogen Sulphide, which comes from the amino acid Cysteine. Bacteria that break this amino acid down usually live on the tongue, in the depths of the tongue papillae. When I use my Halicheck Gas Chromograph, I use the level of this gas as my indicator of how well you clean your mouth in general. A high reading means to me that you are leaving bacteria rich biofilm in the mouth due to either haphazard cleaning or infrequent cleaning. I rarely see high levels of this gas in chronic halitosis sufferers as they are fastidious mouth cleaners.

Gas 2 - Faeces comes from Methyl Mercaptan, which comes from the amino acid Methionine. Bacteria that break this amino acid down can either live at the gag reflex or under the gums. So levels of this gas are extremely important. I use it to measure the level of mouth health. A low level usually means that you have protein rich coating on the gag reflex line at the back of the tongue, but a high reading generally means you also have a second colony under the gum. My research shows that specific gum bacteria "Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythensis, Porphyromonas endodontalis and Eubacterium Species" give off the faeces smell when they are active causing gum disease. This is an extremely predictable gas and probably the most common and offensive smell of halitosis.

Gas 3 - Cabbage & Gasoline comes from Dimethyl Sulphide, which also comes from the amino acid Methionine. This is the least understood of the bad breath gases. But years of seeing patients and clinically treating bad breath sufferers has proven to me that this gas is an indicator of post nasal drip. My research shows that bacteria accumulate in mucous that collects at the back of the throat can produce this smell. The only way to clear the protein rich biofilm away from the throat area is to include a hypertonic saline spray administered under pressure through the nose so that it can spray to the back of the throat. Sinoclear is such a nasal spray, and is effective when used asa part of the KFORCE PLUS Treatment.

Other Gases are usually in very small levels. For example Skatole is due to breakdown of the the amino acid Tryptophan. Cadaverine and Putrescine come from breakdown of the amino acid Lysine. Isovaleric Acid comes from the breakdown of the amino acid Leucine.

case study

Even Famous People Can Suffer From Bad Breath 

An Interesting Article That Shows The Effects Of 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 which are seen in Burgundy on the graph, 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.