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Certain pathological diseases cause Pathologic Halitosis. Most of these occur inside the mouth, such as dental caries, gingivitis, periodontitis, etc. But some of these pathologies might arise from tonsils or sinuses. Tonsillitis, postnasal drip, sinusitis, etc., are typical examples.

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Causes of halitosis can originate either inside or outside your mouth. A person with poor oral hygiene maintenance has a higher chance of halitosis than who regularly brushes. Common causes include gingivitis, periodontitis, dental caries, excessive plaque accumulation on teeth and tongue, pericoronitis, or oral ulcers. Food substances having a strong, pungent smell are another common cause. Frequent smoking, alcohol, or caffeine intake results in temporary bad breath. Any diseases or medications that cause dryness of the oral cavity are another contributing factor. Outside the oral cavity, inflammation of the tonsils or sinuses is another important factor that affects the quality of breath. Gastric diseases, especially gastroesophageal reflux, are another cause of halitosis.
Our clinical experts continually monitor the health and medical content posted on CURA4U, and we update our blogs and articles when new information becomes available. Last reviewed by Dr.Saad Zia on April 29th, 2023. .

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To make lemon water for fresh breath, simply squeeze the juice of half a lemon into a glass of warm water. Drink this mixture first thing in the morning on an empty stomach. You can also add a teaspoon of honey for added flavor and additional antibacterial benefits.
Oil pulling is an ancient Ayurvedic practice that involves swishing oil, such as coconut oil or sesame oil, in your mouth for several minutes. This practice helps remove bacteria and toxins from your mouth, promoting fresher breath. It's best to do oil pulling first thing in the morning before brushing your teeth.

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Millions of Americans take multiple prescription medications every day, and the combinations of medications can cause severe dry mouth. A dry mouth does not smell good. In a dry mouth, bacteria can proliferate more readily, leading to heavier plaque buildup and a higher risk for dental diseases.

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There is no agreement on what proportion of the whole population does actually have halitosis, with rates varying from 22 to 50%. The people who can’t go numb at the dentists Do you really need to floss? How often do you need to see the dentist?

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4. Refer You to Your Medical Doctor – When all oral causes of bad breath have been ruled out or repaired, we will work with your medical doctor to help you solve persistent bad breath. Some patients will need to see an ear, nose and throat specialist (ENT) to address chronic sinus or throat infections. Others need help from a gastroenterologist (GI specialist) for issues in the stomach and/or esophagus.

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    Eventually this sludge will turn hard enough to calcify – so if you want them gone then you’re going to have to be proactive!

    Many smokers suffer from bad breath from time-to-time. Heavy smokers are usually more frequently affected, but occasional smokers also get bad breath. Studies suggest that smokers experience a deterioration in sensitivity, so you may not even realize you have bad breath or be able to smell it on yourself.
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    People with larger tonsils are more prone to developing tonsil stones. The larger tonsils have more crevices and crypts, which can trap debris and lead to tonsil stone formation.

    Eating a balanced diet that is rich in fruits and vegetables promotes good oral health. Avoiding foods that are known to cause bad breath, such as garlic and onions, can also be beneficial. Staying hydrated by drinking plenty of water throughout the day helps prevent dry mouth and reduces the risk of bad breath.
    Bad breath wasn’t perceived as a medical condition until one company realized that it could help them sell mouthwash Walter Zerla/Blend Images/Corbis

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    Postnasal drip is the secretion of mucus from the nose and throat. This mucus is full of bacteria and easily breeds more, which can cause infection and bad breath. Additionally, dairy products can increase mucus production, making it thicker and worsening post-nasal drip or congestion.

    If you have large tonsil stones or are experiencing severe symptoms, your doctor may recommend surgical removal of the tonsils. This is a last resort treatment option and is only recommended in severe cases.
    Conclusion: Tips for Preventing Chronic Bad Breath and Maintaining Good Oral Health

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    The link between diet and bad breath, and how to make dietary changes

    Saliva plays a crucial role in the functioning of the mouth. It acts as a lubricant and helps in flushing food as well as bacteria. Lack of saliva results in a medical condition called a dry mouth. It promotes bacteria growth, further creating an unpleasant smell. There are several reasons behind the reduction in saliva flow. Allergy to certain medicines, dehydration, consumption too much of alcohol, and mouth breathing may cause dry mouth.
    No one wants their breath to smell like raw sulfur, and if you have tonsil stones, it may feel impossible to get rid of the foul smell and taste in your throat.

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The reasons for bad breath range from the not-so-bad (you had a slice of garlic pizza) to the more urgent (you’ve got an infection). Understanding some of the most common causes of bad breath can help you work with your dentist and hygienist to put together a plan to keep unpleasant mouth odors away.

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Choosing the right mouthwash can help freshen your breath and promote good oral hygiene. Look for a mouthwash that contains antibacterial ingredients such as chlorhexidine or cetylpyridinium chloride. These ingredients can help kill the bacteria responsible for causing bad breath.

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What are tonsil stones and how do you get rid of them? Learn more about tonsil stone problems and what you can do about tonsil stones.

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