From the Research
To remove a tonsil stone, you can try several at-home methods including gargling with salt water, using a cotton swab to gently press around the stone, or utilizing a water flosser on the lowest setting aimed at the stone. These methods work because tonsil stones are calcified debris that collect in the crevices of your tonsils, and physical pressure or irrigation can help dislodge them 1. Some key points to consider when trying to remove a tonsil stone include:
- Gargling with salt water (1/4 teaspoon salt in 8 ounces of warm water) for 30 seconds several times daily
- Using a cotton swab to gently press around the stone
- Utilizing a water flosser on the lowest setting aimed at the stone
- Using the back of your toothbrush to dislodge the stone
- Gargling with diluted apple cider vinegar (1 tablespoon in 8 ounces of warm water) If home remedies don't work or if you experience pain, bleeding, difficulty swallowing, or recurrent stones, consult a healthcare provider 2. They may remove the stone using professional tools or, in severe recurring cases, recommend tonsillectomy. To prevent future stones, maintain good oral hygiene by:
- Brushing twice daily
- Flossing
- Using alcohol-free mouthwash
- Staying hydrated
- Avoiding smoking It's also important to note that tonsil stones are not just simple stones, but rather living biofilms that can exhibit complex physiological activity 2. However, the most recent and highest quality study on the topic of tonsillitis and tonsilloliths recommends managing tonsilloliths expectantly, and only considering surgical intervention if they become too large to pass on their own 1.