While diabetes and other ailments may ultimately be the source of a chronic bad breath problem, the most common culprits are gram negative anaerobic bacteria. Poor oral hygiene will lead to an increase in the anaerobic population levels when plaque is not removed. Plaque is formed by bacteria and they reproduce rapidly behind this thin protective layer because it creates an environment that is low in oxygen. Anaerobic literally means “without oxygen” and this is particularly the kind of environment that these harmful microorganisms breed fastest.

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