From the Research
Tonsil stones can be managed expectantly, and small tonsilloliths are common clinical findings, rarely requiring surgical intervention if they become too large to pass on their own. The treatment for tonsil stones focuses on alleviating symptoms and preventing future formation. According to the most recent and highest quality study 1, supportive care is the primary approach for managing tonsil stones. This includes:
- Gargling with salt water to reduce swelling and kill bacteria
- Using a cotton swab to gently remove visible stones
- Using a water flosser on the lowest setting to flush out stones
- Practicing good oral hygiene, including regular brushing, flossing, and tongue scraping
- Staying hydrated to reduce mucus buildup that can lead to stone formation For persistent or problematic tonsil stones, a healthcare provider may recommend antibiotics if infection is present, as suggested by studies 2, 3, or, in severe cases, tonsillectomy (surgical removal of the tonsils). It's essential to note that tonsil stones form when food particles, bacteria, and dead cells become trapped in the crevices of the tonsils and calcify over time, and most are harmless but can cause bad breath, sore throat, or difficulty swallowing, emphasizing the importance of regular oral care for management.