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Know how you can contact your healthcare provider if you have questions, especially after office hours or on weekends. Online Medical Reviewer: Jessica Gotwals RN BSN MPH © 2000-2023 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. Find a location Find a provider Make an appointment Login to MyChart patient portal Refer a patient Diseases and Conditions Bad Breath (Halitosis) StayWell Disclaimer | Manage Cookie Preferences | Do Not Sell My Personal Information Online Privacy Statement Policies and Notices Copyright And Healthcare Disclaimer Website Terms And Conditions Of Use Halitosis Can Be a Symptom of a Serious Disease Home Blog Halitosis Can Be A Symptom Of A Serious Disease

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However, improper oral hygiene is not the only cause of halitosis formation. This troublesome condition may also occur as a result of using dentures or braces. The hard-to-reach areas around these fillings are difficult to reach with a toothbrush or dental floss, which is why bacteria that cause bad breath thrive there. Other common causes of halitosis include: diabetes, kidney disease and thyroid disease, infections of the sinuses, throat or tonsils, dry mouth, improper eating habits (drinking large amounts of alcohol, smoking, starving oneself), taking certain medications (mainly antidepressants, painkillers and diuretics).
If so, avoid foods like spinach, peppercorns, sesame seeds, popcorn, and other foods that can easily become stuck in your mouth. Check out my article on tonsil stone diet tips here. .

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Parsley is another herb that can help freshen breath. Chewing on a sprig of parsley after a meal can help neutralize odors and promote saliva production, which helps wash away bacteria. Other natural remedies for halitosis include chewing on cloves or cinnamon sticks, which have antimicrobial properties.
In some cases, bad breath may be a symptom of an underlying medical condition. Conditions such as gum disease, sinus infections, respiratory infections, and acid reflux can all cause bad breath. If you have persistent bad breath despite practicing good oral hygiene, it's important to consult with a healthcare professional to rule out any underlying health issues.

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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.
Your tonsils are filled with nooks and crannies where bacteria and other things, including dead cells and mucus, can get trapped. When this happens, the debris can bond together.

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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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Terms of UseAbout the BBCPrivacy PolicyPrivacy PolicyCookiesCookiesAccessibility HelpParental GuidanceContact the BBCMake an editorial complaintBBC emails for youAdvertise with usCopyright © 2023 BBC. The BBC is not responsible for the content of external sites. Read about our approach to external linking. oral health center/oral health a-z list/tonsil stones article Medical Author: John P. Cunha, DO, FACOEP Medical Editor: Charles Patrick Davis, MD, PhD Introduction What are tonsil stones? Causes & Risk Factors What are causes and risk factors of tonsil stones? Symptoms What are the symptoms of tonsil stones? Diagnosis How are tonsil stones diagnosed? Treatment What are the treatments for tonsil stones? Home Remedies How do you get rid of tonsil stones at home? Prognosis How long do tonsil stones last? Prevention How to prevent tonsil stones Tonsil stones can form when food, mucus, and bacteria get stuck in the craters of the tonsils.

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    Drinking green tea can also help prevent tonsil stones and bad breath. Green tea contains polyphenols, which have antimicrobial properties that can help kill bacteria in the mouth.

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    Staying hydrated is essential for maintaining fresh breath. When we don't drink enough water, our mouths can become dry, leading to a condition known as dry mouth or xerostomia. Dry mouth reduces saliva production, which is crucial for washing away bacteria and food particles.

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    Diagnosing tonsil stones and halitosis typically involves a combination of physical examination, imaging tests, and breath tests.

    If the odor is due to gum disease, for example, your dentist can either treat the disease or refer you to a periodontist, a dentist who specializes in treating gum conditions.
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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.

    Some recommended toothpastes for fighting halitosis include Colgate Total Advanced Fresh + Whitening Toothpaste, Crest Pro-Health Advanced Deep Clean Toothpaste, and Sensodyne Pronamel Fresh Breath Enamel Toothpaste. These toothpastes contain a combination of fluoride, antimicrobial agents, tartar control ingredients, and freshening agents to combat bad breath.
    Tobacco products, such as cigarettes, cigars, smokeless tobacco, and snuff, stain the teeth and put the body at risk for many diseases. But they also help cause bad breath. Tobacco users also are at higher risk for:

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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

    Halitosis in Children: Causes and Prevention
    Ignoring tonsil stones and halitosis can have several potential complications. Untreated tonsil stones can lead to chronic bad breath, which can have a negative impact on social interactions and self-esteem. The persistent presence of tonsil stones can also contribute to recurrent infections in the throat and tonsils.

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Certain strains of probiotics, such as Streptococcus salivarius K12 and Lactobacillus salivarius, have been shown to reduce the levels of harmful bacteria in the mouth and improve breath odor. These probiotics can be found in certain oral health products, such as lozenges or mouthwashes.

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1. Removes plaque: Plaque is a sticky film of bacteria that forms on the surfaces of your teeth. If not removed, it can harden into tartar, which can contribute to bad breath. Flossing helps remove plaque from areas that a toothbrush cannot reach.

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Surgery for tonsil stones is often controversial. Dental care services suggest the surgery only when the case is severe, chronic, and other methods have failed.

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Baking soda is another natural remedy that can help fight bad breath. It has antibacterial properties that can kill the bacteria responsible for causing bad breath. You can mix a teaspoon of baking soda with water to create a mouth rinse or sprinkle a small amount on your toothbrush before brushing.

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