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Infections in the mouth, including gum and bone disease, can contribute to bad breath. The bacteria that causes gum and bone disease or infections, like a dental abscess, often has a very strong odor.

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The buildup of plaque and bacteria that causes infection and disease also causes the unpleasant odour that goes along with halitosis. Your dentist will check for early signs of gum disease at every exam and cleaning as beginning stages often go undetected.
The Risks of Ignoring Tonsil Stones and Halitosis .

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If you are experiencing symptoms of tonsil stones, there are several treatment options available.
[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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The buildup of plaque and bacteria that causes infection and disease also causes the unpleasant odour that goes along with halitosis. Your dentist will check for early signs of gum disease at every exam and cleaning as beginning stages often go undetected.

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    Bleeding or dry sockets after extractions (like wisdom tooth removal) can cause bad breath until the wound heals. An infection from a dental implant can also cause bad breath, thus, good oral hygiene is crucial to prevent unpleasant complications.

    Respiratory issues can also be a cause of bad breath. Sinus infections, for example, can lead to post-nasal drip, where mucus from the sinuses drips down the back of the throat and contributes to bad breath. Other respiratory conditions such as bronchitis or lung infections can also cause halitosis.
    Even if yours came out painlessly, tonsil stones might leave traces of bacteria in your mouth or open, sore areas on your tonsils that need to be kept clean if you don’t want to develop more tonsil stones down the road.

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    In most cases, bad breath can be effectively treated with proper oral hygiene practices and lifestyle changes. However, there are instances where bad breath may be a sign of an underlying medical condition. If bad breath persists despite practicing good oral hygiene and making lifestyle changes, it is important to see a dentist or doctor for further evaluation.

    Oral health, especially dental issues happen to be the main troublemaker when it comes to halitosis.
    An infected tooth needs to be treated with root canal therapy or extracted right away. Signs of an infected tooth include a tooth that becomes discoloured, sores on the gums, local warmth, and fever.

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    During a physical examination, a healthcare professional may use a tongue depressor and a light to examine the back of the throat for the presence of tonsil stones. They may also gently palpate the neck to check for swollen lymph nodes.

    Using a tongue scraper can be an effective way to remove bacteria from the surface of the tongue. This can help reduce bad breath and prevent the formation of tonsil stones.
    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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    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:

    Americans spend more than $1 billion a year on over the counter halitosis products, many of which are ineffective because they only mask the problem.
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The UK health research body Cochrane is currently assembling a review of the scientific literature on interventions for bad breath. In their previous review of mouthwashes in 2008, the five best trials showed that if they contained anti-bacterials such as chlorhexidine and cetylpyridinium chloride, chlorine dioxide or zinc, they could reduce unpleasant smells to an extent. But the authors did call for more trials to be done. Hopefully this next review will be able to give more information about which mouthwashes to choose.

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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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Not everyone who thinks they have bad breath, does. They misinterpret people stepping back or turning away when in real cases of halitosis this isn’t the way people tend to react. One study put this proportion at 27%.

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