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If you are experiencing chronic bad breath despite practicing good oral hygiene and making lifestyle changes, it is important to see a healthcare professional. They can help identify any underlying medical conditions or medications that may be contributing to your bad breath and recommend appropriate treatment options.

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Saliva keeps your mouth clean by removing food particles that can be a cause of bad breath. When you’re not producing enough saliva and your mouth is consistently dry, it will often cause bad breath. This happens for a lot of people when they sleep, but if it’s happening often during the day, talk to Dr. Scott Edwards to determine is treatment is a necessary step for you.
Tonsil stones may be a warning sign that you have high levels of bacteria in your mouth and need to improve your oral hygiene or adjust your diet. .

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Tonsil stones are an embarrassing problem. They can cause tons of discomfort, and they are hard to get rid of. It's also difficult to find tonsil stones treatments that will actually work for... link to How Quickly Tonsil Stones Can Form (and How To Prevent Them)
Tonsil Stones and Halitosis: How to Freshen Your Breath for Good

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Even if food isn’t naturally smelly, it can become smelly if it’s left in your mouth too long. If you’re not cleaning your mouth well enough, food residue can rot in your mouth, causing very bad breath. This is particularly common for people who don’t floss and have residue stuck between their teeth.
Tonsil stones can come out in a cough. Persistent coughing may help in losing some of the stones.

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The benefits of oil pulling for fresh breath are twofold. Firstly, it helps to remove the bacteria that cause bad breath. The oil acts as a natural cleanser, pulling the bacteria away from the teeth and gums. Secondly, oil pulling helps to moisturize the mouth, reducing the risk of dry mouth, which can contribute to bad breath.

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Chronic sinus issues can also increase the risk of tonsil stones. When you have sinus problems, your sinuses produce more mucus, which can drip down the back of your throat and contribute to the formation of tonsil stones.

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    A large number of ketones in the body can cause bad breath that may smell sweet, or similar to acetone (a type of ketone) which is commonly found in nail polish remover. Diabetics are at risk of diabetic ketoacidosis (DKA), which is when ketones rise to unsafe levels.

    If your tonsil stones keep coming back, if they’re large, or if your tonsils seem overly irritated or swollen, it might be time to visit your doctor.
    UPMC: “What Are Tonsil Stones (Tonsilloliths)? Tonsil Stone Symptoms and Treatment.”

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    There are several natural remedies that can help combat bad breath. Chewing on herbs such as parsley, mint, or cilantro can help freshen your breath. These herbs contain natural compounds that can neutralize odors and leave your breath smelling fresh.

    Tongue scraping is a practice that involves using a tongue scraper to remove bacteria and debris from the surface of the tongue. The tongue harbors a significant amount of bacteria, which can contribute to bad breath. Tongue scraping helps remove this bacteria and can improve breath odor.
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    The first stop when you have halitosis is usually your dentist. If your dentist determines you have a healthy mouth, you will likely be referred to a physician to look for an underlying health problem. If you have periodontal disease, you may see a periodontist, a dentist who specializes in gum disease and dental implants. If you have braces, it's like your bad breath is caused by food getting stuck in them. You may see your orthodontist for an adjustment. Bad breath in babies or young children may be a sign of infection or undiagnosed medical problems. Consult a child's pediatrician or dentist if an infant or young child has bad breath.

    Looking for a tonsil stone removal kit that has everything for under $20? Check out my review here!
    Antiseptic mouthwashes contain ingredients such as chlorhexidine or cetylpyridinium chloride, which help reduce the amount of bacteria in the mouth. These mouthwashes can be effective in freshening breath and preventing gum disease. Fluoride mouthwashes help strengthen tooth enamel and prevent tooth decay. Cosmetic mouthwashes contain ingredients such as mint or cinnamon to temporarily mask bad breath.

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    Carrots, onions, and apples are also great for removing tonsil stones and reducing the bad smell since they kill the anaerobic bacteria that grow around the stones. Vinegar also breaks down and softens tonsil stones, making them easier to remove.

    Say Goodbye to Embarrassing Odors: Tips for Fresh Breath
    These tiny abscesses are usually only a couple of millimeters wide, so it can be challenging to find them. Still, one of the most noticeable symptoms of tonsil stones is the rotten-egg smell of sulfur.

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When it comes to children, issues like poor oral health, dry mouth, tongue bacteria, medicines, oral infections, and mouth breathing can cause halitosis.

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Saliva is the body’s natural defense against disease-causing bacteria in the mouth. When medications inhibit the production of saliva, your mouth suffers, and so does your breath.

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[iii] Aylıkcı BU, Çolak H. Halitosis: From diagnosis to management. Journal of Natural Science, Biology, and Medicine. 2013;4(1):14-23. doi:10.4103/0976-9668.107255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633265/

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