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Because more than ninety percent of bad breath originates in the mouth, your dentist is your first line of defense. In many cases, bad breath is simply a symptom of a bigger problem. Seeing your dentist first is important to rule out dangerous dental infections as the cause of the unpleasant odor.

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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
Bad breath can also be caused by poor dental hygiene, as it enables the buildup of food particles in the mouth and creates an environment that fosters the growth of bacteria on the teeth and tongue, both of which can lead to bad breath. .

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Tonsil stones can be uncomfortable and cause bad breath, but they are generally not harmful. Maintaining good oral hygiene can help prevent tonsil stones, and there are several treatment options available if you are experiencing symptoms. If you are unsure whether you have tonsil stones or have any concerns, it's best to consult a doctor.
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. .

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Halitosis, or bad breath affects an estimated 65% of Americans. Over 40 million Americans have "chronic halitosis," which is persistent bad breath. 90% of all halitosis is of oral, not systemic, origin.
Other medical conditions such as tonsil stones and postnasal drip can also contribute to bad breath from the throat. Tonsil stones are small, hard deposits that form in the crevices of the tonsils. These stones can harbor bacteria and emit a foul odor. Postnasal drip occurs when excess mucus drips down the back of the throat, providing a breeding ground for bacteria.

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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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    Tonsil stones are generally harmless. But people still prefer to get it removed because it might cause them discomfort and make them smell bad—treatments for tonsil stones range from home remedies to medical procedures.

    The tonsils are relatively soft pieces of tissue at the back of the throat. Debris such as saliva, mucus, and food particles can collect at the back of the mouth and become trapped in a pocket of soft tissue. Over time, the debris can harden. The presence of the stone invites fungi and bacteria to feed. It is the accumulation of microorganisms around the stone that leads to bad breath.
    Avoiding tobacco and alcohol can also help prevent tonsil stones and bad breath. Both tobacco and alcohol can dry out the mouth, creating an environment that is conducive to bacterial growth.

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    If you’re wondering, “do braces cause bad breath,” we’re here to explain. Patients who wear fixed orthodontic appliances, such as braces, are at risk of developing bad breath due to the buildup of food particles on the teeth and poor dental hygiene. Therefore, it is crucial to maintain proper oral hygiene to prevent unpleasant mouth odors. Crooked teeth can cause bad breath as well—as it is more difficult to clean between the teeth. Alternatively, removable orthodontic appliances, such as aligners, may be a better option since they are easier to clean as they can be removed from the mouth.

    The role of oral hygiene in halitosis prevention
    In case the foul smell is caused due to poor oral hygiene or eating certain food items, it can be termed as manageable. Brushing twice a day and using floss, and interdental cleaner, to clean food particles, plaque, and other debris from various parts of the mouth can help. Such patients should ensure they do not sleep with dentures in their mouth and use antibacterial mouthwash along with regular brushing before wearing the dentures back in the morning. The patient needs to stop chewing tobacco and smoking cigarettes as well. Most importantly, cracked, infected teeth and gum diseases should be treated quickly.

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    Smoking and alcohol consumption are two habits that can contribute to bad breath. Smoking not only leaves a distinct odor on the breath but also dries out the mouth. This creates an ideal environment for bacteria to thrive and can lead to chronic bad breath.

    How to Diagnose Tonsil Stones and Halitosis
    Bad breath is just one reason why you’d want to treat heartburn or GERD. Acid reflux can be pretty uncomfortable and can cause long-lasting damage to the esophagus if untreated. Treatment options include avoiding certain foods, taking antacid, or, in the most severe cases, surgery.

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    Halitosis is the condition of having a bad breath. Some common causes of bad breath are-

    Antibiotics may be prescribed in cases where tonsil stones are accompanied by an infection. Antibiotics can help kill the bacteria causing the infection and reduce inflammation in the tonsils.
    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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Millions of people – an estimated 1 in 4 people globally – suffer from chronic bad breath/ halitosis. It can cause embarrassment and anxiety, but it’s relatively easy to remedy.

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Gargling strenuously with salt water may help in the removal of the stones and can ease the discomfort caused in the throat. It can also eliminate the constant lousy odor that comes with tonsil stones.

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The main symptom of bad breath is an unpleasant or foul smell emanating from the mouth.

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