What is the treatment for tonsilloliths (tonsil stones)?

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From the Research

Tonsil stones can be effectively treated with Coblation tonsil cryptolysis, a procedure that can be performed in adult patients without sedation using only local anesthesia, as it has been shown to significantly decrease and even eliminate tonsil stones after a single session 1. To treat tonsil stones, you can start with gentle removal at home using a cotton swab, water flosser, or the back of a toothbrush to dislodge them. Gargling with salt water (1/2 teaspoon salt in 8 ounces of warm water) several times daily helps loosen stones and reduce inflammation. Antibacterial mouthwashes containing chlorhexidine can help prevent new formations by reducing bacteria. Staying well-hydrated and practicing good oral hygiene, including brushing twice daily, flossing, and brushing your tongue, are essential preventive measures. For persistent or painful tonsil stones, seeing a healthcare provider is recommended, as they may suggest alternative treatments such as tonsillotomy, which has been found to have similar efficacy to tonsillectomy in adults, with advantages including less pain, reduced use of analgesics, and shorter operation time 2. Key considerations for treatment include:

  • Reducing symptoms such as bad breath, sore throat, and discomfort when swallowing
  • Preventing new stone formations through good oral hygiene and antibacterial mouthwashes
  • Exploring alternative treatments like Coblation tonsil cryptolysis or tonsillotomy for severe or recurring cases
  • Weighing the benefits and risks of each treatment option, including potential complications and recovery time.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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