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There are a few health conditions outside the mouth that can contribute to bad breath. Because dental problems are far more likely to be the culprit, we always rule them out first. If your dentist rules out any dental problems as the source of your bad breath, you then likely need to look outside the mouth. .

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To remove your tonsil stones, use a tonsil stone pick or water flosser on a very low setting, but never put too much pressure on your tonsils, even if you cannot get the stone out. Check out my article on the best tonsil stone removal tools.
From Mouthwash to Diet Changes: Halitosis Treatment Methods That Actually Work

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1. Listerine Cool Mint Antiseptic Mouthwash: This mouthwash contains essential oils that kill bacteria that cause bad breath. It has a refreshing mint flavor and leaves your mouth feeling clean and fresh.
When bacteria interact with the trapped debris in the tonsil crypts, they can produce volatile sulfur compounds, which have a strong odor. These compounds are responsible for the foul smell associated with bad breath. The presence of tonsil stones can exacerbate this process, leading to persistent bad breath.

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In turn, we can divide the causes of halitosis or bad breath into two categories: Non-pathological and pathological.

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To alleviate bad breath caused by food and beverages, it is essential to drink plenty of water throughout the day. Water helps wash away food particles and bacteria in the mouth and throat. Chewing sugar-free gum can also stimulate saliva production and freshen breath.

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    It's important to note that while lemon water can help freshen breath, it should not be used as a substitute for regular oral hygiene practices such as brushing and flossing.

    Proper brushing technique involves gently brushing all surfaces of the teeth, including the front, back, and chewing surfaces. It is also important to brush your tongue to remove bacteria that can contribute to bad breath. Flossing helps remove plaque and food particles from between the teeth and along the gumline.
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    In addition to not brushing and flossing regularly, other factors that can contribute to poor oral hygiene and bad breath include smoking, dry mouth, certain medications, and certain medical conditions like gum disease or tooth decay. It’s important to practice good oral hygiene habits, such as brushing twice a day, flossing daily, and regularly visiting a dentist for cleanings and checkups, to maintain fresh breath and a healthy mouth.

    It is important to consult with a healthcare professional to determine the most appropriate medical treatment for tonsil stones and halitosis.
    Bad breath in smokers is caused by the tobacco itself—the lungs retain a measure of the tobacco smoke for a while after the cigarette has been extinguished and these chemicals remain in the mouth, making a greater case for halitosis.

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    Alcohol causes excessive retching and burping, which lead to a reflux of acids and chemicals from inside your body that find their way to your mouth. So alcohol is one of the leading sources of bad breath, which is particularly common in the U.S.

    Halitosis is an oral health problem where the main symptom is bad smelling breath. In most cases, finding the cause of the bad breath is the first step toward treating this preventable condition.
    Physiological halitosis is caused by bacteria that accumulate on the upper back of the tongue, even when the person has good oral hygiene. Ingesting certain types of food, smoking, or drinking alcohol can worsen the condition and produce unpleasant odors in the mouth.

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    Products specifically for dry mouth like Biotene, can be used to help prevent bad breath in these cases.

    The best treatment for gum disease is to prevent it entirely by brushing twice a day and flossing once a day. However, if gingivitis begins to develop, the only way to let gums heal is to visit a professional to remove plaque and clear away bacteria.
    Other medical conditions that can cause bad breath include gastrointestinal issues like acid reflux or liver disease. These conditions can cause stomach acids or toxins to be released into the mouth, resulting in an unpleasant odor.

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When you experience heartburn or acid reflux, acid and some undigested food from the stomach can flow back up the esophagus, sometimes into the mouth. The combination of partially or undigested food and acid washing back into the mouth can lead to bad breath.

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Another way that alcohol can lead to bad breath is by changing the makeup of bacteria in your mouth. A study published in Microbiome found that people who drank the most were more likely to have bacteria in their mouths that contributed to bad breath.

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Keep your saliva flowing by eating healthy foods that make you chew. Carrots and apples need a lot of saliva. You can also chew sugar-free gum or suck on sugar-free candies. If you still don’t have enough saliva to keep your mouth moist, your dentist may suggest artificial saliva.

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