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Halitosis can also be caused by factors outside of the oral cavity, which are referred to as extraoral causes. While less common than intraoral causes, there are a number of non-oral diseases that can trigger bad breath.The following are some of the most common extraoral causes of halitosis:

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The Impact of Medications on Your Breath
I had several fillings replaced. Their office is welcoming and the front office staff is very warm from the moment you... walk in the door. The entire dental team really cares that you are comfortable throughout all of the procedures, including a regular checkup and cleaning as well as more involved procedures. Their numbing process is fantastic!!!read more .

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Saliva helps to control the levels of bacteria in your mouth. When your body doesn’t produce enough saliva, odor-causing bacteria can thrive.
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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Maintaining a healthy diet and exercising regularly can improve overall health and reduce the risk of certain medical conditions that can cause bad breath. Taking steps to manage stress and get enough sleep can also contribute to better oral health and fresher breath.
Improperly cleaned dentures can also harbor odor-causing bacteria and food particles. If you wear removable dentures, take them out at night and clean them thoroughly before replacing them.

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You can tell you have tonsil stones if you can see the white deposits trapped in the crevices of your tonsils. Other times, you might notice them when they come out, “appearing” suddenly in your throat or mouth. They are usually white and can be soft and/or gritty.

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What is halitosis and what causes it?

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    If a medicine you’re taking is contributing to bad breath, it’s a good idea to talk to the medical provider who prescribed it. It could be that there is another medicine available that will help you out, without causing bad breath. Your medical provider can also recommend ways, like over the counter mouth rinses, to cope with the breath problem if you can’t change medications.

    Overall, ignoring tonsil stones and halitosis can have a significant impact on both oral health and overall well-being.
    We’ve been looking for what we consider an honest dental practice, one that doesn’t continually try to “up sell” you.... You know, “you need this, you need that, and right now!” I was scheduled for a root canal and crown. As he prepped the tooth, Dr. Spring said, “you might not need the root canal after all, there’s a 50-50 chance you don’t. Let’s do the temporary crown, and see how it does while the permanent crown is being made.” He could have gone ahead with the root canal, but had my best interest as a priority. That’s an honest dentist. I think we found what we’ve been looking for.read more

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    Halitosis that is caused by a persistent dry mouth is due to a lack of saliva. Because your saliva washes away the leftover food particles that can make your breath smell, an inadequate amount of it can mean those particles stay put. Drinking water is an easy way of mimicking saliva, and will help to rinse away the debris that leads to bad breath. Keep a water bottle with you whenever possible so you can sip on water throughout the day to keep bad breath at bay

    Causes of halitosis can originate either inside or outside your mouth. A person with poor oral hygiene maintenance has a higher chance of halitosis than who regularly brushes. Common causes include gingivitis, periodontitis, dental caries, excessive plaque accumulation on teeth and tongue, pericoronitis, or oral ulcers. Food substances having a strong, pungent smell are another common cause. Frequent smoking, alcohol, or caffeine intake results in temporary bad breath. Any diseases or medications that cause dryness of the oral cavity are another contributing factor. Outside the oral cavity, inflammation of the tonsils or sinuses is another important factor that affects the quality of breath. Gastric diseases, especially gastroesophageal reflux, are another cause of halitosis.
    Probiotics can be consumed through supplements or certain foods like yogurt and kefir. Including these foods in your diet can help promote a healthy oral microbiome and reduce bad breath.

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    Managing chronic disease-related bad breath involves addressing the underlying condition. This may involve making lifestyle changes, such as managing blood sugar levels in diabetes or following a specific diet for kidney or liver disease. It is important to work closely with your healthcare provider to develop a comprehensive treatment plan.

    Love this office. The hygienists are always very nice and gentle. They don't push extra visits and procedures. My... appointment is always on time. If I'm there early, they often get me started early.read more
    The condition needs urgent medical attention as it can also be one of the symptoms of salivary glands-related diseases.

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    I have been using Premier Family Dental Care for approximately two years. Specifically, I see Dr. Spring. The best way... I can attest to his care is to simply say, "He is the man." In addition to providing superb dentistry, Dr. Spring is accommodating and pleasant to be around. The practice is impeccably organized and clean, and his staff is friendly and professional. If I haven't already made it clear, I highly recommend Premier Family Dental Care.read more
    Medical conditions that can cause bad breath

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[iii] Aylıkcı BU, Çolak H. Halitosis: From diagnosis to management. Journal of Natural Science, Biology, and Medicine. 2013;4(1):14-23. doi:10.4103/0976-9668.107255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633265/

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1. Oral Hygiene Education – Because plaque accumulation is a major contributor to bad breath, our dentists and dental hygienists will assess your current effectiveness in removing plaque. There may be areas you are missing, and we can recommend different strategies to help you successfully clean your teeth at home between your professional teeth cleanings.

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Is it OK to fly when you've got sinusitis? How about going to work? WebMD helps you decide what's right and wrong when you're all stuffed up.

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Natural remedies for halitosis, including herbs and essential oils

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