The month of Ramadan is when Muslims around the world observe the practice of fasting from sunrise to sunset. While its spiritual benefits are well emphasised and documented, there is certainly not as much information on the adverse effects of fasting on one’s oral health.
When not eating or drinking your mouth produces less saliva, which can lead to bad breath and other minor oral-health problems that can be managed.
Saliva is your natural “mouthwash”. It helps wash food and plaque from the mouth and contains antibacterial agents. Fasting reduces the amount of saliva you produce. As the mouth becomes drier the bacteria that cause bad breath flourish.
Stopping water intake during the day exacerbates the problem, as dead cells, plaque and debris are not being rinsed away. Fasting can also cause ketosis, when your body begins to break down fat cells for energy, which releases ketones that can also make breath smell.
Bad breath is a common concern for many Muslims during Ramadan, but simple steps can combat the problem.
Dr Ridhwaan Haffajee, specialist dental consultant, provides expert tips on how to maintain good oral health during Ramadan:. Regular oral hygiene and prophylaxis: Visit your oral hygienist regularly (every six months) or as advised, to reduce and prevent accumulation of calculus and professional management of gingivitis.. Brush your teeth correctly at least twice a day: Gently brush your teeth for at least two minutes after suhoor (the pre-dawn meal before fasting begins) and after iftar (the evening meal to break the day’s fast) to remove food debris and plaque as well as before bed.. Clean between the teeth before or after you brush; tooth brushing alone does not remove all plaque and food particles and those left behind will be a major cause of bad breath. Use floss or interdental brushes to remove plaque and food trapped between your teeth. There are many options available.. Clean your tongue: The tongue is one of the most common sources of bad breath.. Use alcohol-free mouthwash after you brush: Using an alcohol-free mouthwash is vital as alcohol can dry out the mouth even more.
In addition to the tips mentioned above, there are other things you can do to avoid bad breath during fasting in Ramadan, such as:. Avoid certain foods: When breaking your fast, avoid foods which can cause bad breath such as onions and garlic.. Drink plenty of water before and after your fast: During non-fasting hours, drink plenty of water to stay hydrated. Aim to drink at least 8-10 cups of water between iftar and suhoor.. Limit caffeine and sugary drinks: Try to avoid caffeinated drinks such as tea and coffee during non-fasting hours as they have diuretic effects, which can lead to dehydration.
“Following a meticulous oral-care routine during fasting can help you prevent bad breath and maintain a healthy mouth,” says Haffajee. “Remember your oral hygiene is a priority. If you have any concerns or questions consult your dentist or oral hygienist,”



