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4. Refer You to Your Medical Doctor – When all oral causes of bad breath have been ruled out or repaired, we will work with your medical doctor to help you solve persistent bad breath. Some patients will need to see an ear, nose and throat specialist (ENT) to address chronic sinus or throat infections. Others need help from a gastroenterologist (GI specialist) for issues in the stomach and/or esophagus.

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Saliva usually washes away excess food particles and bacteria that build up on teeth. If you don’t have enough saliva to do this you will definitely suffer from an unpleasant smell. Common causes of decrease saliva are:
Building up too many ketones in the blood can be dangerous, but for most people on a low-carb diet, this isn’t a concern. .

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If you have dentures, take them out at night. Clean them completely before putting them back in your mouth. Talk with your dentist before using deodorizing sprays or tablets. Some only mask the odor for a short time.

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Maintaining good oral hygiene practices, such as brushing, flossing, and tongue scraping, is crucial in preventing halitosis. Natural remedies, dietary changes, probiotics, and oil pulling can also help freshen breath and improve oral health.
Smoking can dry out your mouth, resulting in bad breath, and make your mouth smell like an ashtray. Furthermore, smokers are more prone to gum disease, which is another source of bad breath.

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Diagnosing tonsil stones and halitosis typically involves a combination of physical examination, imaging tests, and breath tests.

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Although tonsil stones are rarely serious, they are be unsightly, uncomfortable, and cause secondary conditions such as halitosis so bad your friends and family may consider a restraining order....

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    Bad breath is just one reason why you’d want to treat heartburn or GERD. Acid reflux can be pretty uncomfortable and can cause long-lasting damage to the esophagus if untreated. Treatment options include avoiding certain foods, taking antacid, or, in the most severe cases, surgery.

    This condition is often a key part of halitosis. When your mouth doesn’t make enough saliva, your mouth can’t clean itself. It can’t remove debris and particles left behind by food. Dry mouth may be caused by certain medicines. It may also be caused by a salivary gland problem or by always breathing through the mouth instead of the nose.
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    Brushing and flossing after every meal helps remove these food particles, thus preventing the bacteria buildup that often leads to bad breath.

    Regular dental check-ups also provide an opportunity for education and guidance on proper oral hygiene practices. Dentists can provide personalized recommendations for preventing tonsil stones and bad breath based on an individual's specific needs.
    Both cavities and gum disease are bacterial infections of the oral tissues. Tooth decay is a bacterial infection of the hard tissues of a tooth, and gum disease is an infection of the hard and soft tissues surrounding a tooth (also called periodontal disease). Both of these conditions consist of the reproduction and proliferation of specific disease-causing bacteria, and they stink.

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    Likewise, dieters who don't eat often enough can have bad breath. When your body breaks down fat, the process releases chemicals that can give your breath an unpleasant smell.

    Using tobacco products will most certainly cause a bad breath and treatment would be to stop smoking when you are ready. Talk to your doctor for advice and support.
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    For stones that cannot be visualized, an MRI or CT scan can help make a definitive diagnosis. SLIDESHOW Mouth Problems: TMJ, Canker Sores, Painful Gums and More See Slideshow

    Building up too many ketones in the blood can be dangerous, but for most people on a low-carb diet, this isn’t a concern.
    Medical conditions that can cause bad breath

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[ii] Everything you need to know about bad breath, MedicalNewsToday https://www.medicalnewstoday.com/articles/166636.php

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If you are experiencing dry mouth that is causing bad breath, you’ll need to get a professional opinion or diagnosis from your dentist to pinpoint the correct treatment for you. Some medications can cause dry mouth, so it is best to consult your dentist so they can conduct tests and make adjustments to your dosages as needed. Your dentist may be able to recommend products that are specially formulated to help with dry mouth.

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Along with bad breath, other symptoms of tonsilloliths are ear pain, swollen tonsils, an accumulation of white-colored debris, as well as trouble swallowing.

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If you start feeling flu-like symptoms, you may be getting a sinus infection. Visit a medical professional as soon as possible so you can receive antibiotics if you need them. Nasal washes can also help reduce the mucus produced from the nose to the throat.

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