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Let’s break down the ways of how to get rid of bad breath. The initial and crucial step to finding a treatment for bad breath is to consult a specialist who can identify the root cause of the issue and recommend the appropriate halitosis treatment.If the halitosis is caused by factors outside of the mouth, a general practitioner or specialist should be consulted to remedy the underlying cause and alleviate the bad breath. However, for most cases of intra-oral halitosis, a dentist will be the specialist who will evaluate and remedy the bad breath problem. The following are some suggestions for eliminating bad breath caused by intra-oral factors:

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Medical Conditions and Bad Breath: A Closer Look at GERD, Sinusitis, and Other Culprits
Oral Health Conditions: Gum Disease and Tooth Decay .

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Halitosis, also known as bad breath, can be caused by various factors, some of which originate in the mouth, while others may stem from elsewhere in the body. Here are some of the most common reasons and causes of bad breath or halitosis:
There are two types of halitosis or bad breath, which can vary depending on the cause. In the following sections, we will define each type and highlight their differences.

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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.
If bad breath persists despite practicing good oral hygiene and using over-the-counter products, it may be a sign of an underlying medical condition. It is important to seek the advice of a dentist or doctor if bad breath continues for an extended period of time.

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Bad breath may be a symptom of any of the following conditions. See your healthcare provider for a diagnosis.

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Dr. Benjamin Greene and Dr. Jonathan Everett at Kirkland Family Dentistry have been providing dental services in Kirkland, Washington for a better part of 25 years and are staunch supporters of effectively eliminating the causes of halitosis rather than aiming to cure them.

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    The most common cause of chronic severe bad breath is a dental infection. We do not mean a simple overgrowth of oral bacteria due to a buildup of plaque. That is what we discussed in the previous section. We mean an active dental disease, like decay (cavities) or gum disease.

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    Some foods, such as garlic, may cause temporary bad breath with no quick fixes. Garlic gets absorbed into your bloodstream and the odor remains until your body has process the food.

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    Most of the time, bad breath can be cured and prevented with proper oral hygiene. It is rarely life-threatening, and the prognosis is good. However, bad breath may be a complication of a medical disorder that needs to be treated. Rosenberg, Mel. "Bad Breath." UpToDate.com. September 2019. .

    Tonsil stones are formed when debris, such as food particles and dead cells, gets trapped in the tonsil crevices. The debris can become trapped in the crypts of the tonsils and harden, forming tonsil stones. Some people are more prone to tonsil stones than others, and there are several factors that can increase the risk of developing them.
    Diabetes – the CDC reports that 30.3 million people have diabetes, which is 9.4% of American population[vii]. Diabetes means you have too much glucose, but the body doesn’t produce enough insulin (or at all) to regulate it. Diabetes is a potentially life-threatening disease that requires early diagnosis, control upon the symptoms and proper treatment. People with diabetes are at a higher risk of periodontal disease and bad breath is one of its many symptoms. Diabetes also contributes to halitosis due to extra ketones it produces.

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    Rinsing with one or more of these liquids can also help you prevent developing tonsil stones in the future. So, you may want to gargle more frequently if you wish to avoid tonsil stones and bad breath in the future.

    A dentist can assess your oral health and identify any underlying issues that may be causing bad breath. They may recommend professional cleanings, treatment for gum disease, or further evaluation for any potential oral health problems.
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    Maintain good oral hygiene: brush your teeth after every meal, paying attention to the interproximal spaces and tongue, and complement brushing with flossing.Use mouthwash to kill bacteria and temporarily stop bad breath.Keep saliva flowing in the mouth by drinking plenty of water or stimulating saliva with foods that require a lot of chewing.Adjust your diet and avoid foods that cause bad breath or are very sugary, as these are closely linked to tooth decay, which can in turn lead to smelly breath.Reduce or eliminate tobacco and alcohol consumption.Visit the dentist once or twice a year to prevent the onset of oral conditions.Have a professional hygiene once or twice a year to remove plaque from your mouth that can lead to tooth decay or periodontal disease.

    2. Brush Up on Your Oral Hygiene – (Pun intended) You are the only one who can remove dental plaque on a daily basis. This takes both commitment and a great technique. Don’t’ rush through your oral hygiene routine. Ask your dentist or dental hygienist for tips on the best ways to brush and floss. Consider adding a flexible tongue cleaner to your routine to remove plaque from the tongue. As you consistently remove plaque, you reduce the bacterial count in your mouth, which lowers the risk for bad breath.
    During a physical examination, a healthcare professional may use a tongue depressor and a light to examine the back of the throat for the presence of tonsil stones. They may also gently palpate the neck to check for swollen lymph nodes.

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Halitosis caused by intraoral factors results from changes that occur within the mouth and is responsible for the majority of cases of bad breath. The following are the most common intraoral causes of halitosis:

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The only issue with antibiotics is that they will not deal with the stone’s underlying problem and may even have side effects of their own. They cannot be used for a more extended period, which means that the stone will return as soon as you stop taking the tablets.

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Digestive issues can also contribute to bad breath. When the digestive system is not functioning properly, it can lead to the buildup of gases in the stomach and intestines, which can then be released through the mouth, causing halitosis. Common gastrointestinal problems that can lead to bad breath include acid reflux, gastritis, and constipation.

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