From the Research
Tonsil stones, also known as tonsilloliths, are best managed by gargling with salt water and practicing good oral hygiene, with over-the-counter pain relievers like acetaminophen or ibuprofen used for discomfort, as recommended by the most recent and highest quality study 1.
Management of Tonsil Stones
To manage tonsil stones, several strategies can be employed:
- Gargle with salt water (1/2 teaspoon salt in 8 ounces warm water) several times daily to help dislodge them.
- Try gentle removal using a cotton swab, soft toothbrush, or water flosser on the lowest setting.
- Practice good oral hygiene - brush twice daily, floss once daily, and use an alcohol-free mouthwash to reduce bacteria that contribute to stone formation.
- Staying hydrated helps prevent dry mouth that can worsen the condition.
Pain Management
For persistent or particularly bothersome stones, over-the-counter pain relievers like acetaminophen or ibuprofen can help with discomfort, as shown in studies comparing the effectiveness of these medications for post-tonsillectomy pain management 2, 3, 4, 5.
When to Consult a Healthcare Provider
If you experience severe pain, difficulty swallowing, or recurring large stones despite good hygiene, consult a healthcare provider as tonsillectomy might be considered in severe cases, as discussed in the context of tonsillitis and tonsilloliths management 1.