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If you don't brush and floss teeth daily, food particles can remain in your mouth, promoting bacterial growth between teeth, around the gums, and on the tongue. This causes bad breath. Inflammation of the gums (gingivitis) from poor dental hygiene can also cause bad breath.

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What happens when you don’t brush and floss regularly? Lots of things, such as periodontal or gum and bone disease, tooth decay, toothaches and bad breath.
It is generally simple to tell if you have bad breath. Others may notice someone has halitosis before the person does, so another person may tell him or her about their bad breath or give them a larger-than-normal personal space. The most obvious sign or symptom of bad breath is noticing an unpleasant smell coming from the mouth. Unpleasant or sour taste or changes in taste Dry mouth A coating on the tongue .

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Bacteria is usually to cause of bad breath, but there are a number of health conditions that can be a culprit as well. Bad breath may be the first warning sign to more serious problems. Postnasal drip, respiratory and tonsil infections, sinus problems, diabetes, liver and kidney issues, and certain blood disorders can be causes of bad breath. It’s rare, but bad breath can be a sign of cancer or other serious conditions like metabolic disorders.
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When to Seek Professional Help for Persistent Bad Breath from the Throat

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Finding and treating an existing health condition may get rid of the bad breath.

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Tonsil stones smell so bad because they house anaerobic bacteria that produce volatile sulfur compounds which smell like rotten eggs. If you want the smell to go away, you can remove your tonsil stones by gargling a vinegar solution or peroxide and adding probiotic-rich foods like yogurt to your diet.

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    If your tonsil stones keep coming back, if they’re large, or if your tonsils seem overly irritated or swollen, it might be time to visit your doctor.
    International Dental Health Foundation: "Frequently Asked Questions: Bad Breath."

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    One of the main symptoms of this gum disease is bad-smelling breath and an unpleasant taste in the mouth. This condition needs care right away by an oral health provider.

    It is important to note that while natural remedies can be effective in freshening breath, they should not replace proper oral hygiene practices.
    Anyone who has ever had a tonsil stone can attest to the fact that they are not pleasant. It’s hard to breathe, it feels like there is something stuck in your throat, and they smell really, really bad.

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    Even more concerning to us, as dentists, are the potential health implications of chronic bad breath. Persistent bad breath that does not respond to home care may be the result of a serious health problem. Your bad breath could be a warning sign that you have a dental infection or other medical condition.

    Tonsil stones can last for weeks or even months if left untreated. However, they can be removed at home or by a doctor.
    The best treatment for gum disease is to prevent it entirely by brushing twice a day and flossing once a day. However, if gingivitis begins to develop, the only way to let gums heal is to visit a professional to remove plaque and clear away bacteria.

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    Choosing the right toothpaste is important in fighting halitosis. Here are some ingredients to look for in a toothpaste:

    Dry mouth, also known as xerostomia, occurs when there is not enough saliva in the mouth. Saliva plays a crucial role in maintaining oral health by washing away bacteria and food particles that can cause bad breath. When there is a lack of saliva, these bacteria and particles can accumulate in the mouth, leading to bad breath.
    Even with all of these causes of bad breath, most bad breath is due to a simple problem: poor oral hygiene. If you keep your teeth and mouth clean, food particles can stay in your mouth and allow a sticky buildup of bacteria known as plaque to form on your teeth. The uneven surfaces on your tongue and tonsils are especially good at trapping food and bacteria that can cause bad breath.

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If you have persistent bad breath that doesn’t go away with brushing and flossing alone, your bad breath could be caused by something other than a plaque or the foods you consume. Bad breath or halitosis has many causes, including dry mouth, medications you may be taking, or a condition called tonsillitis. Tonsillitis is a condition of the lymph nodes known as your tonsils. The tonsils are located in your mouth, at the intersection of your throat and palate. Their primary function is to help your immune system by blocking germs from entering the throat. Tonsils are full of white blood cells that kill germs, too. The condition known as tonsillitis occurs when the tonsils become inflamed and infected. Sometimes, tonsillitis can be caused by a condition called tonsil stones, where the tonsils become full of ‘stones’ or hardened calcium deposits that get stuck in the pits and crevices of the tonsils. These calcium deposits are caused by oral plaque and bacteria and bits of swallowed food. Though tonsil stones are usually harmless, if they become infected your dentist may recommend they be removed, especially if your tonsillitis is recurring. Though tonsillitis is more common in children, it can still affect adults. Dr. Martin Abelar is a dentist practicing in San Diego, California. He says that tonsillitis is a common cause of bad breath because of the inflammation it causes. “Tonsilitis can be a major contributor of bad breath because it inflames the mucous membranes of the tonsils, making them cause a foul odor. Also, the bits of food and plaque stuck in the tonsils may cause foul odor as they decompose.” Abelar says that if you have difficulty swallowing or a persistent sore throat you may have tonsillitis and should be seen by a dentist for an evaluation. Bad breath is another symptom you may want to be on the lookout for. “If you do have bad breath, try the traditional means of eliminating it first. Brush your teeth at least twice per day, floss your teeth, and if you don’t already add steps to your routines such as mouthwash and tongue scraping.” As for tonsil stones, Abelar says they are usually harmless and unless they are causing pain can usually be left alone and can clear up on their own, but if you are concerned about bad breath or infection, you should speak to your dentist about having them removed. Artificial Intelligence Could Soon Diagnose Osteoarthritis Of The Temporomandibular Joint How To Prevent White Spots On Your Teeth During Orthodontic Treatment September 30, 2023 Denstistry, Orthodontics Artificial Intelligence Could Soon Diagnose Osteoarthritis Of The Temporomandibular Joint September 30, 2023 Denstistry, Temporomandibular Joint Dysfunction Autism Could Increase The Risk Of TMJ Dysfunction September 30, 2023 Denstistry, Temporomandibular Joint Dysfunction

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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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