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If bad breath persists despite good oral hygiene and lifestyle changes, it may be a sign of an underlying medical condition. In such cases, it is important to seek professional help from a dentist or doctor. They can perform a thorough examination and diagnose the underlying cause of bad breath from the throat.
Probiotics are beneficial bacteria that can help improve oral health and combat halitosis. These bacteria can help restore the natural balance of bacteria in the mouth, reducing the growth of odor-causing bacteria. .

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Brush your tongue, cheeks, and the roof of your mouth. Most bad breath bacteria live on the tongue. So brushing or scraping the tongue can make a big difference in your breath.
When to see a dentist or doctor for halitosis treatment

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Doctors may recommend antibiotics. It helps lower the bacteria count, leading to tonsil stones development. However, the biofilms or hardened structures of the stones can resist antibiotics.
Chewing gum can help remedy bad breath until you are able to see your dentist for a deep cleaning. The best chewing gum is sugar-free chewing gum. The sweetness of this gum comes from sweeteners and not sugar, so it doesn’t cause tooth decay.

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In addition to brushing and flossing, tongue scraping is an often overlooked step in oral hygiene. The tongue harbors bacteria that can contribute to bad breath. Using a tongue scraper or gently brushing your tongue with your toothbrush can help remove these bacteria and freshen your breath.

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On the other hand, there are foods that can actually help freshen breath. Fruits and vegetables, such as apples, carrots, and celery, can help stimulate saliva production and wash away bacteria and food particles that can cause bad breath. Additionally, drinking plenty of water throughout the day can help prevent dry mouth, which is another common cause of bad breath.

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    Chewing on herbs such as parsley and mint can also help freshen breath. These herbs contain natural compounds that can neutralize odors and provide a refreshing scent.
    Chronic acid reflux – a digestive disorder, also known as GERD, is a condition that affects lower esophageal sphincter, the ring of muscle between stomach and esophagus. A burning sensation in the chest (heartburn), chest pain, difficulty swallowing and regurgitation of food in the mouth are the most common symptoms of GERD. Risk factors include pregnancy, obesity, smoking, eating certain foods etc. The influx of acids and other partially digested particles into the esophagus and mouth cavity can lead to halitosis.

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    Chewing sugar-free gum can help stimulate saliva production and promote fresher breath. Saliva plays a crucial role in washing away bacteria and food particles, so an increase in saliva can help reduce the likelihood of bad breath.

    If you don't brush and floss your teeth everyday, food particles remain on your teeth and cause bad breath. In addition, if you wear dentures, food can become lodged underneath your dentures, creating an unpleasant smell. Odor-causing bacteria can also collect on the tongue, which many people fail to clean as part their oral health routine.
    With proper treatment and prevention methods, halitosis can be cured within a short period. For bad breath associated with pathologic diseases, the prognosis depends on the severity and treatment of the underlying condition.

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    Oil pulling is an ancient Ayurvedic practice that has gained popularity in recent years for its numerous health benefits, including fresh breath. It involves swishing oil around in your mouth for a few minutes to remove bacteria and toxins.

    Drinking plenty of water can also help prevent tonsil stones and bad breath. Staying hydrated helps keep the mouth moist, reducing the risk of bacterial overgrowth and the formation of tonsil stones.
    Lifestyle changes for maintaining fresh breath

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    Good oral hygiene and fresh breath are important for maintaining a healthy mouth and overall well-being. Understanding the causes of bad breath and taking steps to prevent it can help us maintain fresh breath and improve our oral health. By practicing good oral hygiene, being mindful of our diet and lifestyle choices, and seeking medical attention when necessary, we can ensure that our breath remains fresh and our smiles stay bright.

    Tonsil stones can last for weeks or even months if left untreated. However, they can be removed at home or by a doctor.
    To use these natural remedies, dilute the essential oils in water and use them as a mouthwash. You can also add a few drops to your toothpaste. Chewing on fresh herbs like parsley or cloves can also help freshen your breath.

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Whether you have a tonsil stone, have already removed it, or just want to avoid them, adding a drop of these essential oils to your toothbrush when you brush your teeth can help fight the anaerobic bacteria that give tonsil stones their foul smell.

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Managing the psychological effects of halitosis involves addressing both the physical symptoms and the emotional impact. Seeking support from friends, family, or a mental health professional can be helpful in managing feelings of self-consciousness and building self-confidence. Additionally, practicing good oral hygiene and seeking treatment for underlying causes of bad breath can help alleviate the physical symptoms and improve overall well-being.

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Bad breath that is due to simple causes such as foods may be more easily masked or eliminated than bad breath due to medical conditions, infections, or medication side effects.

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[vi] 2015 kidney disease statistics, American Kidney Fund http://www.kidneyfund.org/assets/pdf/kidney-disease-statistics.pdf

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