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When you do not notice a drastic improvement in your breath after taking the above self-care steps, you need to seek professional help. Professional care for bad breath will include the following steps.
Tonsil stones (also called tonsilloliths) form when bacteria and mucus get trapped and calcify in your tonsils' nooks and crannies, leaving a hard piece of matter and a bad taste in your throat. See a picture of Tonsil Stones and learn more about the health topic. .

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Dentists usually diagnose bad breath. The diagnosis is based on your health history and mouth odor during the dental exam. The entire mouth is checked to see if a cause can be found, such as an infection. If the dentist can’t find the cause, they will refer you to your primary healthcare provider.
If we believe that your bad breath originates elsewhere in the body, we will work with your primary care physician to help you find the right solution for fresh breath.

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Diabetes can cause bad breath for two different reasons; periodontal disease, and high levels of ketones in the blood.
Salty water can be gargled several times a day to dislodge an existing stone. This is a preferred method of treatment for many people because the alternative of using a toothbrush or Q-tip to pick a stone out is usually met with intense gagging. Picking at tonsil stones is discouraged by doctors because the tissue at the back of the throat is delicate and could be damaged. Doctors recommend treatment such as tonsillectomy only in extreme cases of repeat stones and infection.

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Studies have pointed out that people suffering from anxiety often breathe using their mouths while asleep. Stress also results in dry mouth and acid reflux further causing halitosis. Thus, depending on the symptoms, the dentist or physician might recommend the patient to opt for an online anxiety severity test before starting the treatment for halitosis.

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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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    Brushing and flossing after every meal helps remove these food particles, thus preventing the bacteria buildup that often leads to bad breath.

    Understanding the Causes of Bad Breath
    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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    There are several factors that can contribute to bad breath. One of the most common causes is poor oral hygiene. When we don't brush and floss regularly, food particles can get stuck in between our teeth and gums, leading to the growth of bacteria. These bacteria release sulfur compounds that give off an unpleasant odor.

    You may be wondering what halitosis is. Halitosis refers to the presence of foul-smelling odors originating from the mouth, which can occur occasionally or persistently. The cause of this unpleasant and smelly breath is often attributed to the presence of bacteria on the tongue or in the crevices around the gums. When these bacteria break down, they release volatile sulphur compounds (VSCs), which produce the unpleasant smell in the mouth. The primary VSC responsible for halitosis is hydrogen sulphide, which is typically found at the back of the tongue.
    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.

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    Halitosis and Gum Disease: How to Treat and Prevent
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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.

    Herbal teas, such as peppermint, spearmint, and chamomile, can help freshen breath naturally. These teas have antimicrobial properties that can help kill the bacteria responsible for bad breath.
    Doctors have three methods for testing for bad breath. They can assess it themselves by sniffing one of the following: the patient’s breath just 5cm (2in) from the nose of the doctor, the contents of a spoon which has been scraped across the top of the tongue, unwaxed floss which has been passed between the back teeth or a petri dish containing the patient’s saliva that’s been left in an incubator at 37C (99F) for five minutes.

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If dental malposition is the cause of your halitosis, Impress can assist you in combatting bad breath and treating halitosis using our clear removable orthodontic treatments. With Impress aligners, we can rectify malpositions like crowding or crooked teeth, align your smile, and prevent the accumulation of food debris and bacteria in your mouth that lead to bad breath.We offer various types of orthodontic treatments at Impress, tailored to your needs and the complexity of your case, with transparent prices and no surprises. We also provide financing options if you prefer to pay for your orthodontic treatment in installments.

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Quitting smoking is not only beneficial for improving bad breath but also for overall health. By quitting smoking, you can reduce your risk of developing various health conditions, including oral cancer, gum disease, and respiratory problems.

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