Tooth decay can cause a bad odor in your mouth if it is left untreated and allowed to develop a hole in your tooth. A physical hole in your tooth becomes a food trap that allows food to be fermented by bacteria. An analogy would be making cheese in your mouth, where food is being fermented.
The smell from tooth decay is a result of a combination of fermented food and volatile sulphur compounds produced by bacteria.
Fermented food. Food which is exposed to bacteria will begin the fermentation process, where bacteria break down the food into alcohol and acids. Some common fermented foods include cheese, vinegar, and kimchee and a common trait among all of them is a particular odor. The fermentation is made possible because there are a LOT of bacteria in our mouths and a hole in your tooth provides trapped food for the bacteria to break down.
Volatile sulphur compounds. When bacteria break down carbohydrates and sugars in your mouth, some common by-products are volatile sulphur compounds (VSC). VSC are commonly associated with halitosis, which is bad breath. Another associated condition would be morning breath and they're all caused by the volatile sulphur compounds.
Therefore, if you're getting a bad odor that is coming from your mouth that doesn't seem to go away with brushing or flossing, you may have a cavity.
What does tooth decay smell like?
Since the smell from tooth decay is a result of bacterial activity and food fermentation, it would basically smell like something is rotting. Depending on what your diet is composed of, the decay would smell like the rotting version of your breakfast, lunch, and dinner.
If you wanted to know for certain what it smells like exactly, here is an experiment that you can try:
Take your lunch and leave it on the table.
Allow the lunch to sit out there for 2 weeks.
Smell the lunch.
Whatever that rotten lunch smells like would probably be pretty close to what a rotten tooth would smell like. Since you are what you eat, you are also what it would smell like.
How to get rid the decayed tooth smell
The only way to get rid of the rotten tooth smell is doing a cavity filling procedure with your dentist. The procedure involves removing the decayed part of your tooth and then filling it back in with a tooth filling material.
Here are the steps for a cavity filling procedure so you know what to expect at the dentist:
Numb the tooth with local anesthesia.
Drilled out the tooth decay.
Condition, prime, and bond the tooth.
Place tooth filling material.
Cure and harden the dental filling.
Adjust the filling so that the bite is even.
Polish and you're done!
Will home remedies get rid of the rotten tooth smell?
Unfortunately home remedies cannot fix the rotten tooth smell because they're unable to remove tooth decay. The only way to get rid of decay in a tooth is by drilling it out and only a dentist can do that.
However, home remedies may help you temporarily mask the smell such as making your breath smell fresher. It still wouldn't fix the problem permanently though because the source of the smell comes from the rotting tooth.
Nonetheless, here are some home remedies you may try to make your breath smell better:
Listerine - rinse for 30 seconds and then spit out; You can use any type of mouth wash
Oil pulling - most commonly uses coconut oil; Swish and gargle for 15-20 minutes and then spit out.
Tooth decay can cause a smell but only if the cavity is big enough to cause a hole in your tooth. The smell is a result of food being fermented in the hole as well as bacteria producing volatile sulphur compounds as a byproduct.
If you're getting a malodor from your mouth, you should go get a dental check up because it could very well be a cavity in one or more of your teeth.
Author: Written by Dr David Chen, a LIC dentist in NY.