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Introduction: The Social Stigma of Bad Breath

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Certain pathological diseases cause Pathologic Halitosis. Most of these occur inside the mouth, such as dental caries, gingivitis, periodontitis, etc. But some of these pathologies might arise from tonsils or sinuses. Tonsillitis, postnasal drip, sinusitis, etc., are typical examples.
An upper respiratory infection is a contagious infection of the structures of the upper respiratory tract, which includes the sinuses, nasal passages, pharynx, and larynx. Common causes of an upper respiratory infection include bacteria and viruses such as rhinoviruses, group A streptococci, influenza, respiratory syncytial, whooping cough, diphtheria, and Epstein-Barr. Examples of symptoms of upper respiratory infection include sneezing, sore throat, cough, fever, and nasal congestion. Treatment of upper respiratory infections are based upon the cause. Generally, viral infections are treated symptomatically with over-the-counter (OTC) medication and home remedies. .

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Halitosis is defined as a chronic bad breath that mint and mouthwash can’t solve, as mentioned above. Also known as fetor oris, halitosis can make an affected person subconscious and they feel reluctant to hang out with larger groups of people because they are embarrassed by their bad breath. It is estimated that 1 in 4 people have halitosis on a regular basis[i]. According to the latest statistics, an estimated 25% of the world population is having trouble with this annoying symptom. After tooth decay and gum disease, halitosis is the third most common reason people seek dental care[ii]. As should you if you ever notice that your toothpaste or mouthwash does not seem to win the fight over that awful bad breath.
The role of oral hygiene in preventing bad breath

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Tonsil stones often go away on their own. If they bother you, the only way to get rid of them is through surgical removal or tonsillectomy.
Finding and treating an existing health condition may get rid of the bad breath.

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[vi] 2015 kidney disease statistics, American Kidney Fund http://www.kidneyfund.org/assets/pdf/kidney-disease-statistics.pdf

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Medical Conditions and Bad Breath: A Closer Look at GERD, Sinusitis, and Other Culprits

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    Large tonsil stones can cause swollen tonsils and give you trouble swallowing. Tonsil stones can also sometimes trigger infections.

    This condition originates mainly inside the oral cavity, either due to the accumulation of bacteria on the tongue or due to periodontal diseases, tobacco consumption, dental cavities, among others.
    Tonsil stones are calcified deposits that form in the crevices of the tonsils. They are usually small, but can grow to the size of a pea in some cases. Tonsil stones can be yellow or white in color, and they often have an unpleasant odor.

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    If so, avoid foods like spinach, peppercorns, sesame seeds, popcorn, and other foods that can easily become stuck in your mouth. Check out my article on tonsil stone diet tips here.

    Halitosis itself is a symptom of an underlying problem. If you feel a foul odor on your breath when you exhale, look out for the possible causes inside and outside your oral cavity. Another way to check whether your breath has an odor or not is to lick your wrist and let the saliva dry. After a few minutes, smell your wrist to figure out if you have bad breath or not. Since most of the causes arise within the oral cavity, the patient might also present with plaque deposits on the tongue and around teeth, redness and bleeding from gums, and multiple carious lesions.
    It is a laser resurfacing that helps smooth crevices which trap debris. It is a procedure that doctors do with local anesthesia and takes less time in recovery.

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    Having tonsil stones once might mean you will have to deal with it again in the future. But specific preventive measures can be taken. These steps are:

    Gum disease is caused by plaque - the sticky, often colorless, film of bacteria that constantly forms on teeth. Dry mouth or xerostomia may also cause bad breath due to decreased salivary flow. Saliva cleans your mouth and removes particles that may cause odor. Tobacco products cause bad breath, stain teeth, reduce your ability to taste foods and irritate your gum tissues. Bad breath may also be a sign that you have a serious health problem, such as a respiratory tract infection, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.
    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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    If you are diabetic, visiting your dentist regularly will ensure any concerns are dealt with promptly and early signs of DKA or gum disease are caught before they can progress.

    Tonsil stones and halitosis can have a significant impact on oral health and overall well-being. Understanding the causes and symptoms of tonsil stones and bad breath is crucial for proper diagnosis and treatment. Natural remedies, medical treatments, lifestyle changes, and regular dental check-ups can all play a role in preventing and managing tonsil stones and halitosis. Seeking treatment and support is important in alleviating the physical and emotional impact of these conditions.
    Every individual has a slightly different community of between 100-200 microbes in their mouth. As we are coming to appreciate the human microbiome and the positive role that the millions of bacteria present in our bodies can play, instead of eliminating bacteria from the mouth altogether, scientists are trying to work out how to get the right combination, by targeting specific bacteria for elimination or using probiotics to encourage certain bacteria in the mouth.

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The complications related to tonsil stones are rare but possible. One of the main issues that it can cause is the deep infection of tonsils, known as an abscess.

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Chewing gum can help remedy bad breath until you are able to see your dentist for a deep cleaning. The best chewing gum is sugar-free chewing gum. The sweetness of this gum comes from sweeteners and not sugar, so it doesn’t cause tooth decay.

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Chronic diseases can also contribute to bad breath. Conditions such as diabetes, kidney disease, and liver disease can cause changes in the body's metabolism, leading to the production of certain chemicals that can cause halitosis. Additionally, dry mouth, which is a common symptom of many chronic diseases, can also contribute to bad breath.

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