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Health Topics Symptoms and Signs Slideshows Images Quizzes Medical Author: Jerry R. Balentine, DO, FACEP Medical Editor: Melissa Conrad Stöppler, MD Facts Facts on Bad Breath (Halitosis) Causes What Causes Bad Breath? Symptoms What Are the Symptoms of Bad Breath?When to See a Doctor for Bad Breath Diagnosis Diagnosis of Bad Breath 6 Home Remedies What Are 6 Home Remedies for Bad Breath? Treatment What Is the Treatment for Bad Breath?Follow-Up for Bad Breath Prevention How Do I Prevent Bad Breath? Prognosis What Is the Prognosis for Bad Breath? Bad breath (halitosis) can be caused by a variety of things, including diet, medication, poor oral hygiene, and diseases or conditions.

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Oil pulling is an ancient Ayurvedic practice that involves swishing oil in the mouth for several minutes. This practice is believed to help remove bacteria and toxins from the mouth, improving oral health and combating bad breath.
Tooth decay, also known as cavities, can also cause bad breath. When bacteria in the mouth break down sugars and carbohydrates from food, they produce acids that can erode tooth enamel and lead to cavities. These cavities can harbor bacteria and food particles, resulting in bad breath. .

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Halitosis can often be the result of tooth decay and gum disease. Gingivitis and periodontal disease can create cavities or pockets around the gums, giving bacteria a place to hide and multiply. This bacteria can produce foul-smelling breath which short-term freshening methods only mask.
Know what to expect if you do not take the medicine or have the test or procedure.

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Doctors have three methods for testing for bad breath. They can assess it themselves by sniffing one of the following: the patient’s breath just 5cm (2in) from the nose of the doctor, the contents of a spoon which has been scraped across the top of the tongue, unwaxed floss which has been passed between the back teeth or a petri dish containing the patient’s saliva that’s been left in an incubator at 37C (99F) for five minutes.
Halitosis, or bad breath, is a common symptom of tonsil stones. The stones themselves do not have a strong odor, but they can release volatile sulfur compounds when they interact with bacteria in the mouth. These compounds have a foul smell and can cause persistent bad breath.

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Keeping an eye on your oral health for signs of cavities is important to prevent further tooth decay. Regular visits to the dentist can ensure any early signs are caught and teeth are receiving professional cleaning.

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    There are several factors that can contribute to dry mouth. Certain medications, such as antihistamines and antidepressants, can reduce saliva production. Medical conditions like Sjogren's syndrome and diabetes can also cause dry mouth. Additionally, lifestyle habits like breathing through the mouth instead of the nose or excessive alcohol consumption can contribute to dry mouth.
    It's important to note that mouthwash should not be used as a substitute for brushing and flossing. It should be used as an adjunct to your regular oral hygiene routine. Mouthwash can help freshen your breath temporarily, but it does not address the underlying causes of bad breath.

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    The alternative is to scrape your tongue with a special tongue cleaner. This method is also under assessment in the newest Cochrane review. Their last report found just two small trials looking at this method. They showed it can work, but that the effect is short-lived. They also highlight the risk of damaging the tongue by pressing too hard and to ensure that if you want to use a toothbrush to clean your tongue, you make sure that it’s a soft one.

    Manual tonsil stone removal at home is generally not recommended. Tonsils are delicate tissues, and removing them on your own may cause bleeding and infection. Salt-water gargle: This may help dislodge tonsil stones and get rid of the odor and bad breath they cause. Coughing: Tonsil stones are often coughed up inadvertently. In some cases, a hard cough may help dislodge them. Oral irrigation: Oral irrigators can sometimes be used to gently shoot water into the back of the mouth in an attempt to dislodge the tonsil stones. Follow instructions and use caution because it is possible to injure the tonsils if it is not done gently. Tonsil stones may dislodge or dissolve on their own in a short time. Tonsil stones may last for weeks if bacteria continue to grow on the tonsils due to tonsil stones deep in the throat. If tonsil stones are ignored and left in place without lifestyle changes, they may last for years. The only surefire way to cure tonsil stones and prevent any recurrence is to have the tonsils removed (tonsillectomy). Maintain good oral hygiene: Brush and floss regularly; consider using a tongue scraper to remove bacteria. Gargle regularly with mouthwash or saltwater solution. Drink plenty of water. Quit smoking. Avoid excess alcohol. Reduce consumption of carbonated beverages such as sodas. Treat sinus infections or allergy symptoms promptly. Limit dairy products. American Academy of Otolaryngology. Tonsils and Adenoids. 2019. October 2019. Busaba, Nicholas and Shira Doron. Tonsillectomy in adults: Indications. Sept. 24, 2019. October 2019.
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    The dental hygienist was very good. She did a nice job cleaning my teeth and was not hurried. I think their fees are... very reasonable and they do not pressure you to have work done.read more

    A physician may recommend antibiotics, tonsillectomy, or other surgical ways to remove the debris. Drinking plenty of water, gargling with salt water, and controlling the urge to smoke are the necessary steps that the patient cannot avoid.
    Poor dental hygieneLack of saliva in the mouthPoor lifestyle choices such as smoking and alcohol

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    Another side effect of smoking is dry mouth, caused by bacteria in the mouth from tobacco. Dry mouth has a significant correlation to smoking, which is also a leading cause of halitosis. Dry mouth not only affects breath, but also affects gingivitis, making an even bigger case for the importance of regular dental checkups if you are a smoker.

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2. Dental Treatment of Active Diseases – You cannot win the fight against bad breath if you have cavities and/or gum disease. Both of these bacterial infections continue to worsen and grow over time without intervention. Stop them by undergoing any recommended dental treatment.

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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.

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Bad breath, also called halitosis, can be an embarrassing problem. It can be caused by the foods one eats, dry mouth, tobacco products, or a medical disorder. Maintaining proper oral health can help reduce or eliminate bad breath. Causes of bad breath include diet, medication, poor oral hygiene, and diseases such as diabetes, GERD, gum disease, and more. Signs and symptoms may only be temporary. See a doctor for bad breath if you have: persistent dry mouth, bad sores in the mouth, pain with chewing or swallowing, white spots on the tonsils, fever, and more. There are 6 home remedy tips. Treatment for bad breath depends upon the cause. The prognosis for bad breath is generally good as bad breath is usually more of a nuisance rather than a serious medical condition.

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Maintaining good oral hygiene is crucial in preventing halitosis. This includes brushing your teeth at least twice a day, flossing daily, and using a tongue scraper to remove bacteria from the surface of the tongue.

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