A man flosses his teeth

Originally written December 14, 2018

While brushing your teeth one day, you notice some white and yellow formations on your tonsils. Could it be a tonsil infection, or something worse? 

As it turns out, what you most likely have are something called tonsil stones.

In This Article...

  1. What causes tonsil stones?
  2. What are symptoms of tonsil stones?
  3. How do I prevent tonsil stones?
  4. How do I remove tonsil stones?

What causes tonsil stones?

Tonsil stones form when debris such as mucus, dead cells, food, and even skin can get stuck in the crevices of your tonsils.  These stones can range in size from barely noticeable to the scale of a berry. 

Tonsil stones can be caused by a number of factors, including:

They are notably common in teenagers and people with large tonsils.

What are the symptoms of tonsil stones?

While some people don’t have any symptoms, others may experience:

  • White and yellow formations
  • Bad breath
  • Difficulty swallowing
  • A sore throat
  • Coughing
  • Tonsil swelling

How do I prevent tonsil stones?

To prevent tonsil stones, you can add the following to your routine:

Proper oral hygiene

This includes daily brushing and flossing, particularly after meals and at bedtime.

Gargling

Gargling with salt water can reduce the inflammation in your mouth while drawing out bacteria that can cause oral issues like tonsil stones. To supplement your regular brushing and flossing, you can also gargle mouthwash.

Staying hydrated

Keeping your mouth moist can reduce the likelihood of debris buildup. 

Refraining from tobacco and alcohol

On the other hand, smoking and drinking can make your mouth drier, which can increase bacteria growth in the mouth.

How do I remove tonsil stones?

In addition to prevention, gargling can be good for removing tonsil stones. Some people may also loosen tonsil stones by coughing. However, it is not recommended that you try to remove them manually. Antibiotics can be used to break down the bacteria that helped create the stones, while minor surgery may be needed in some cases.
“I generally recommend my patients try a Waterpik water flosser on a gentle setting to help flush the tonsils to remove the stones and debris,” CEENTA ENT physician Isaac Dingle, MD, said. “This can really improve the symptoms, especially the bad breath. In most cases, we can avoid surgery.”
Tonsil stones don’t need to be a cause for alarm, and with a bit of preventive action, you can keep your tonsils clean and your breath fresh. If you need additional support, schedule a same-day ENT appointment with Dr. Dingle at our Pineville office online or through myCEENTAchart.

This blog is for informational purposes only. For specific medical questions, please consult your physician.

 


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Comments

February 24, 2020

I have had canker sores in the back of my throat mainly right side and on tongue Ent dr said it’s just canker sores and to come back in 2 weeks if not better
- Carrie

February 25, 2020

Good morning. If you live in the Charlotte area and would like a CEENTA doctor to examine you, please call 704-295-3000. Thank you.
Reply From: CEENTA

December 09, 2019

I keep getting tonsil stones and they are driving me nuts. I do practice good dental hygiene. I floss every day, brush my teeth twice daily, and use a mouth rinse. I have purchased water syringes to help clean them out but that’s not working. I also bought a kit that is to help remove them but it’s painful. The best way is using a Q-tip to press on the tonsil to help dislodge the stones but that can be painful. I do have chronic sinusitis and use a steroid nasal spray. I’m wondering if the daily drainage is causing them to keep coming back. There has got to be a solution.
- Devin Kelley

December 09, 2019

Good morning. We highly recommend making an appointment with your doctor to discuss what your best treatment option might be. If you live in the Charlotte area and would like an appointment with a CEENTA doctor, call 704-295-3000. Thank you.
Reply From: CEENTA

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