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Bad breath is often evaluated by a dentist. In addition to patient history and physical examination of the mouth, tests may be needed to diagnose the cause of bad breath, such as: Organoleptic testing: assesses the strength of bad breath Sulfide monitors to measure mouth-air volatile sulfur compound (VSC) content, which are produced by anaerobic bacteria from food debris in the mouth that cause bad breath Gas chromatography to measure VSCs X-rays of the mouth Periodontal charting if gum disease is suspected Brush and floss twice daily Mouthwash Can help kill bacteria or neutralize and mask bad breath Mouthwash is only a temporary solution Clean dentures regularly and thoroughly Keep saliva flowing Chew sugar-free gum or suck on sugar-free hard candy Eat healthy foods that require a lot of chewing, such as carrots or apples Use artificial saliva if your dentist recommends it Don’t smoke See your dentist regularly https://www.mouthhealthy.org/en/az-topics/b/bad-breath https://www.uptodate.com/contents/bad-breath?search=bad%20breath&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2120250223 https://www.healthgrades.com/right-care/oral-health/6-surprising-causes-of-bad-breath#:~:text=A%20diet%20very%20high%20in,unpleasant%20odor%20from%20your%20mouth.&text=There%20are%20many%20types%20of,turn%20leads%20to%20bad%20breath

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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.
A large number of ketones in the body can cause bad breath that may smell sweet, or similar to acetone (a type of ketone) which is commonly found in nail polish remover. Diabetics are at risk of diabetic ketoacidosis (DKA), which is when ketones rise to unsafe levels. .

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To carry out a proper diagnosis to combat halitosis or bad breath, several fundamental aspects are taken into account: health status, lifestyle, oral situation and hygiene habits.

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The tonsils are lymph nodes located at the back of the throat. Tonsil stones (also called tonsilloliths or tonsil calculi) are small clusters of calcifications or stones that form in the craters (crypts) of the tonsils. Tonsil stones are hard and appear as white or yellowish formations on the tonsils. They usually smell bad (and make your breath smell bad) due to bacteria.
Dry mouth can also contribute to the formation of tonsil stones. When your mouth is dry, there is less saliva to help wash away bacteria and food particles. This can lead to the buildup of debris in the tonsil crevices.

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International Dental Health Foundation: "Frequently Asked Questions: Bad Breath."

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    If you start feeling flu-like symptoms, you may be getting a sinus infection. Visit a medical professional as soon as possible so you can receive antibiotics if you need them. Nasal washes can also help reduce the mucus produced from the nose to the throat.

    Controlling the intake of junk food and garlic-laden items can surely help in case halitosis is caused due to oral health issues. Patients are often urged to eat carbohydrate-rich foods rather than sugar-laden stuff.
    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.

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    The importance of hydration in preventing halitosis

    Now, what if the unfortunate happens? Or maybe you already have been dealing with these rocks filled with noxious gas. No matter how hard and precise you have been brushing your teeth, it seems like your breath just never gets better. You scrub your tongue relentlessly to no avail. The tonsil stones are the reason your breath still continues to be funky. There are many ways to go about removing them and returning your breath back to normal.
    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.

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    Serious cases of gingivitis may need to be treated with a periodontist, who are specialists in treating gum disease and restoring bone and tissue loss because of it.

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    The smell of tonsil stones can be quite unpleasant and can lead to bad breath. The odor is caused by the buildup of bacteria, food particles, and other debris that gets trapped in the tonsil crevices. The bacteria break down the particles, releasing a foul smell.

    This condition is often a key part of halitosis. When your mouth doesn’t make enough saliva, your mouth can’t clean itself. It can’t remove debris and particles left behind by food. Dry mouth may be caused by certain medicines. It may also be caused by a salivary gland problem or by always breathing through the mouth instead of the nose.
    Most of the time, you can remove your tonsil stone at home with ease. Still, it’s crucial to be careful with your tonsils since they’re extremely sensitive and prone to rupture.

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Chronic diseases can also contribute to bad breath. Conditions such as diabetes, kidney disease, and liver disease can cause changes in the body's metabolism, leading to the production of certain chemicals that can cause halitosis. Additionally, dry mouth, which is a common symptom of many chronic diseases, can also contribute to bad breath.

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The stomach ulcers caused by H. pylori bacteria, combined with other factors, result in the same. A physician can prescribe antibiotics to deal with the bacteria after checking the symptoms.

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2. Tea tree oil: Tea tree oil has powerful antimicrobial properties that can kill bacteria that cause bad breath. You can add a few drops of tea tree oil to water and use it as a mouthwash or add it to your toothpaste.

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Do you know what causes bad breath (halitosis)? Learn how drinking alcohol, gum disease, poor health, smoking, certain foods like garlic, and even dieting can lead to chronic bad breath. Find out how to get rid of bad breath as well, with information on brushing, mouth wash, and expert oral care.

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