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Accumulation of food debris in the oral cavityDental malpositionsPeriodontal diseases, such as gingivitis or periodontitisPhlegmonTooth decayFixed dentures or orthodontic appliancesXerostomia, commonly known as dry mouthIngestion of coffee, alcohol and tobacco

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Regular dental check-ups and good oral hygiene practices are essential for preventing gum disease and tooth decay. Brushing your teeth twice a day, flossing daily, and using mouthwash can help remove bacteria and food particles from the mouth and prevent bad breath.
Over-the-counter products for combating bad breath .

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If you have persistent bad breath that doesn’t go away with brushing and flossing alone, your bad breath could be caused by something other than a plaque or the foods you consume. Bad breath or halitosis has many causes, including dry mouth, medications you may be taking, or a condition called tonsillitis. Tonsillitis is a condition of the lymph nodes known as your tonsils. The tonsils are located in your mouth, at the intersection of your throat and palate. Their primary function is to help your immune system by blocking germs from entering the throat. Tonsils are full of white blood cells that kill germs, too. The condition known as tonsillitis occurs when the tonsils become inflamed and infected. Sometimes, tonsillitis can be caused by a condition called tonsil stones, where the tonsils become full of ‘stones’ or hardened calcium deposits that get stuck in the pits and crevices of the tonsils. These calcium deposits are caused by oral plaque and bacteria and bits of swallowed food. Though tonsil stones are usually harmless, if they become infected your dentist may recommend they be removed, especially if your tonsillitis is recurring. Though tonsillitis is more common in children, it can still affect adults. Dr. Martin Abelar is a dentist practicing in San Diego, California. He says that tonsillitis is a common cause of bad breath because of the inflammation it causes. “Tonsilitis can be a major contributor of bad breath because it inflames the mucous membranes of the tonsils, making them cause a foul odor. Also, the bits of food and plaque stuck in the tonsils may cause foul odor as they decompose.” Abelar says that if you have difficulty swallowing or a persistent sore throat you may have tonsillitis and should be seen by a dentist for an evaluation. Bad breath is another symptom you may want to be on the lookout for. “If you do have bad breath, try the traditional means of eliminating it first. Brush your teeth at least twice per day, floss your teeth, and if you don’t already add steps to your routines such as mouthwash and tongue scraping.” As for tonsil stones, Abelar says they are usually harmless and unless they are causing pain can usually be left alone and can clear up on their own, but if you are concerned about bad breath or infection, you should speak to your dentist about having them removed. Artificial Intelligence Could Soon Diagnose Osteoarthritis Of The Temporomandibular Joint How To Prevent White Spots On Your Teeth During Orthodontic Treatment September 30, 2023 Denstistry, Orthodontics Artificial Intelligence Could Soon Diagnose Osteoarthritis Of The Temporomandibular Joint September 30, 2023 Denstistry, Temporomandibular Joint Dysfunction Autism Could Increase The Risk Of TMJ Dysfunction September 30, 2023 Denstistry, Temporomandibular Joint Dysfunction
Certain prescription medications can also cause dry mouth, so if you believe this may be a possibility, check with the prescribing physician.

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On the other hand, foods that are high in fiber, such as fruits and vegetables, can help prevent the formation of tonsil stones. Fiber-rich foods promote saliva production, which helps flush out debris and bacteria from the mouth.
Along with bad breath, DKA can result in frequent urination, high blood glucose levels, abdominal pain or vomiting, difficulty breathing, or confusion. DKA can be highly dangerous for diabetic individuals, and if these symptoms are present, you should seek medical help immediately.

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The team from the BBC TV series 'Trust me I’m a doctor' spoke to dentists about how to spot and avoid bad breath. Watch the video below for their tips: All content within this column is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The BBC is not responsible or liable for any diagnosis made by a user based on the content of this site. The BBC is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites. Always consult your own GP if you're in any way concerned about your health.

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Acid reflux is caused by an overly relaxed lower esophageal sphincter (LES). It is a muscle that acts as a barrier to the stomach and operates similarly to a valve. When it is working correctly, it will open to allow food to pass through the esophagus into the stomach, but when it is too relaxed or faulty, it will remain open, allowing the contents in the stomach to flow back upwards.

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    Making an appointment with a dentist like Dr. Edwards twice a year will give him the chance to learn what’s normal and what’s not when it comes to your oral health. He’ll also be able to detect any potential issues early, so that they can be treated before becoming more serious.

    One the most common causes of bad breath is food buildup in your mouth. Whenever you eat, tiny particles of food can stick to your teeth and sometimes become lodged between them. This can cause bacteria to build up inside your mouth and emit an unpleasant odor. Now you know why your coworkers make that face when you greet them in the morning.
    This particular cause may not be very surprising, though, as not brushing your teeth even for a day can send people scurrying in the opposite direction when they see you. Experts at Kirkland Family Dentistry emphasize how this is a leading factor of halitosis.

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    Using a mouthwash can be an effective way to freshen your breath and kill bacteria in your mouth. There are many mouthwashes available on the market, but not all are created equal. Here are five top-rated mouthwashes for fresh breath:

    Certain medical conditions, such as sinus infections, respiratory tract infections, and gastrointestinal issues, can cause chronic bad breath. A healthcare professional can help identify the underlying cause of bad breath and recommend appropriate treatment.
    The Connection Between Smoking and Bad Breath

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    There are many causes of bad breath, just as there are many sources of bacteria in the mouth. Halitosis may be caused by the following.
    Foods to Avoid for Fresher Breath

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    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.

    Dentures that are not cleaned correctly may be collecting bacteria, fungi, and remaining food particles. All of these cause bad breath.
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Drinking green tea can also be beneficial for combating bad breath. Green tea contains polyphenols, which have been shown to have antimicrobial properties that can help kill bacteria in the mouth.

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Those who have bad breath and have just started a new medication or who have had recent dental surgery should consult their healthcare provider.

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If you are taking medications and experiencing chronic bad breath, it is important to speak with your healthcare provider. They may be able to adjust your medication or recommend strategies to alleviate dry mouth and improve your breath.

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