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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.

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At Capital Dental, we treat halitosis with a professional cleaning and oral cleanse to reach crevices not normally accessed through regular brushing and flossing. Occasionally, a deep cleaning, consisting of scaling and root planing, is needed to remove bacteria trapped below the gum line. We also can perform tongue scraping, if the tongue is the source of the smell.
We hope to never have to get to this point since prevention is much better than cure, but sometimes tonsil stones can form on their own and need to be removed before they start to stink. .

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I cannot say enough about this office. Dr. Birch is amazing, the whole office is caring, friendly and very... professional. I got my upper partials today and when I looked in the mirror, I’m not gonna lie, I had a couple of tears in there. Everything matches well with them, you can barely tell that I have partials in. I am a person who loves to smile and Dr. Birch and his staff gave me my smile back! When I say they went above and beyond for me, I truly mean they went above and beyond! I would recommend this office to anyone and everyone! Thank you Dr. Birch and his amazing staff! I will be back for my bottom partials for sure!read more
The team from the BBC TV series 'Trust me I’m a doctor' spoke to dentists about how to spot and avoid bad breath. Watch the video below for their tips: All content within this column is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The BBC is not responsible or liable for any diagnosis made by a user based on the content of this site. The BBC is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites. Always consult your own GP if you're in any way concerned about your health.

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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.
DIY Remedy #1: Oil Pulling

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Tonsil stones are risk-free buildup that will go away on their own. However, the duration of tonsil stones can vary from person to person. They may go away or melt on their own in a short period, or they can also stay for weeks if they are deep in the throat and bacteria continue to grow on them. Besides, if proper oral hygiene is not performed, it may last for years and lead to a more serious problem, such as tonsillitis.

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Understanding Tonsil Stones and Halitosis: Causes and Symptoms

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    In extreme cases, your doctor may recommend a tonsillectomy or laser cryptolysis, which reduces the number of crevices and folds in your tonsils.

    Besides stomach ulcers, even gastroesophageal reflux disease can result in foul odor. In this medical condition, the acid from the stomach travels back into the mouth resulting in a burning sensation in the chest as well as throat. The acid also damages the teeth and triggers the growth of bacteria in the mouth. Doctors conduct tests and prescribe medicines after confirming reflux disease symptoms.
    The Stinky Truth: Why Your Breath Smells Like Poop and How to Fix It

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    To use apple cider vinegar for fresh breath, dilute one tablespoon of apple cider vinegar in a glass of water. Gargle with this mixture for 30 seconds to one minute, then spit it out. Rinse your mouth with plain water afterward to remove any residual vinegar taste. Repeat this process once or twice a day for best results.

    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
    Ear, Nose and Throat Journal: “Coblation Cryptolysis to Treat Tonsil Stones: A Retrospective Case Series.”

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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

    The benefits of oil pulling for fresh breath are twofold. Firstly, it helps to remove the bacteria that cause bad breath. The oil acts as a natural cleanser, pulling the bacteria away from the teeth and gums. Secondly, oil pulling helps to moisturize the mouth, reducing the risk of dry mouth, which can contribute to bad breath.
    In addition to regular brushing and flossing, it is important to visit your dentist regularly for check-ups and professional cleanings. Your dentist can identify any underlying dental issues that may be causing bad breath and provide appropriate treatment. They can also offer guidance on proper oral hygiene techniques and recommend products that can help freshen your breath.

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    Daily brushing and flossing, and regular professional cleanings, will normally take care of unpleasant breath. And don't forget your often overlooked tongue as a culprit for bad breath. Bacterial plaque and food debris also can accumulate on the back of the tongue. The tongue's surface is extremely rough and bacteria can accumulate easily in the cracks and crevices.

    Oil pulling is an ancient Ayurvedic practice that involves swishing oil, such as coconut oil or sesame oil, in your mouth for several minutes. This practice helps remove bacteria and toxins from your mouth, promoting fresher breath. It's best to do oil pulling first thing in the morning before brushing your teeth.
    The most obvious symptom of halitosis is persistent bad breath that does not go away even after brushing or using mouthwash. Other symptoms may include a sour taste in the mouth or a white coating on the tongue.

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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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Many people do brush and floss consistently, but their techniques are incorrect. This means that even though they are going through the motions, they are leaving plaque on the teeth. Others do not maintain a consistent routine of brushing and flossing every single day. Obviously, this also allows plaque to remain on the teeth.

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If your dentist has ruled out any oral problems that might cause a chronic bad breath, it is best to see you doctor for an evaluation too. This may indicate infection somewhere else in your body and can be a sign of a range of conditions like diabetes, strep throat, tonsilitis, respiratory tract infections, bronchitis, chronic sinusitis, HIV, digestive system ailments such as ref-lux or liver and kidney problems.

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Smoking and tobacco use can have a detrimental effect on oral health and can cause bad breath. The chemicals in tobacco products can irritate the gums, leading to gum disease. Additionally, smoking can dry out the mouth and reduce saliva production, which can contribute to bad breath.

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