About the American Board of Wound Management (ABWM) The American Board of Wound Management (ABWM), is a voluntary, not-for-profit organization established for the purpose of credentialing multidisciplinary professionals in the field of wound management. ABWM offers three certifications that are nationally accredited by the National Commission for Certifying Agencies (NCCA):
Thanks for putting up your question on Just Answer. Since your dental hygienist has ruled out any dental/ periodontal issues, I strongly suspect am underlying sytemic problem. About 85% of bad breath cases result from oral conditions. A variety of systemic and extra-oral conditions account for the remainder. Bad breath is caused by volatile sulfur compounds or VSCâs that are produced by anaerobic bacteria in your mouth.
Some serious illnesses can cause your breath to have a strange chemical odor. The smell is different from halitosis, or bad breath caused by poor oral hygiene. The breath of someone with uncontrolled diabetes, for example, may have a sweet or fruity odor. It's a sign of a life-threatening condition called ketoacidosis. Liver disease may cause breath with a musty, ammonia-like smell. An intestinal blockage may cause the breath to smell like feces. Breath that has a fishy or urine smell could mean kidney failure. Other possible causes of unusual breath odors include sinusitis, lung abscess, and esophageal cancer.