Pushing or Squeezing Out Stones “There is risk for injury to the tonsil and bleeding,” says Setlur. “There is a risk for vascular injury.” Even using a finger or toothbrush could scratch your tonsils, so if you do try this method of removal, try using a cotton swab.
Your tonsils are delicate, and you could cause bleeding or damage if you try to remove tonsil stones too aggressively. If the tonsil stones are causing significant pain or swelling, you should see your doctor.
When stones form, you can remove them either by gently pressing them out with a cotton swab or the back of your tooth brush, or by washing them out with a low-pressure water irrigator. You can use this device to aim a gentle stream of water at the tonsil craters and rinse out debris that may be caught in them.
Poor oral hygiene, as well as tobacco use, can increase the likelihood of tonsil stones. But in other individuals, it's the structure of the tonsils themselves that makes them more prone to developing tonsil stones.
Tonsil stones may last anywhere from several days to several years. Most tonsil stones clear up in 1-3 weeks on their own. Large stones may remain on the tonsils for many years if not removed by a doctor.
Tonsil stones
Smaller stones can often be dislodged by gargling salt water. If this does not work, a person may want to talk to their doctor who may use lasers or sound waves to dislodge the stones. A doctor may also suggest a simple surgical procedure if the stones are large and difficult to remove.
Using an object: If gargling and coughing don't dislodge the stones, it's tempting to use your finger or a toothbrush to get rid of tonsil stones. But you can easily scratch your delicate tonsils. They can get infected. Instead, if you want to use an object, try a cotton swab.
Because tonsils stones are composed primarily of bacteria, this is known to produce a foul-smelling sulfide. You will notice this both when the stone is in your tonsil and when it is dislodged and visible outside your body.
In most cases, removing a tonsil stone can be done at home. Using a cotton swab, gently push on the tonsil, behind the stone, to force the stone out. Vigorous coughing and gargling can dislodge stones, as well. Once the stone is out, gargle with salt water, to remove any remaining bacteria.
Tonsil stones are not harmful and may not need to be treated, but surgical options are available if they become a problem.
(1,2) Avoid gargling with mouthwashes that contain alcohol, which may cause irritation and lead to swelling in the area in which the tonsil stones occur.
Visible tonsil stones may look like a whitish lump on your tonsil. Some tonsil stones don't cause any symptoms. If you have symptoms, they may include: Bad breath — Tonsil stones can have a foul odor, making severe bad breath one of the main symptoms.
Anyone can develop tonsil stones, but recurring strep throat (tonsillitis), viral infections or sinus issues, poor oral hygiene, and the shape and size of your tonsils may put you at greater risk for developing them.
Literature review shows that the largest tonsillolith was reported in a 12-year-old female child in the left tonsil and measured 4.2 × 3.6 × 2.1 cm. A majority of the cases of giant tonsilloliths reported a left tonsil stone rather than the right. Two reported cases showed bilateral giant tonsilloliths.
Tonsil stones slowly increase in size over time and once large enough may be spit out or swallowed.
The crypts extend through the full thickness of the tonsil reaching almost to its hemicapsule. In healthy tonsils the openings of the crypts are fissure-like, and the walls of the lumina are in apposition.
Sometimes, tonsil stones dissolve or dislodge on their own in a short time. They may last for weeks if the bacteria continue to grow. If untreated, tonsil stones may last for years.
The only way to permanently prevent tonsil stones is to remove the tonsils via tonsillectomy. In very rare cases, tonsils have grown back following this procedure. A tonsillectomy is safe, but it can cause throat pain for several days after surgery.
Tonsil Stones Are Not Necessarily Caused by Poor Oral Hygiene, but Practicing Good Care Can Help. A common misconception is that tonsil stones are caused by not practicing good oral hygiene. But the truth is that people who brush, floss, and take good care of their teeth and gums can still develop tonsil stones.
Another common question someone might ask is, “If you have tonsil stones, does that mean you have to worry about passing it on to someone you love when you kiss them or share a cup or utensil?” The good news is that tonsil stones are not contagious.
Dental hygienists can offer relief for patients with tonsil stones, also known as tonsilloliths.
Tonsilloliths are foul smelling because they tend to contain high quantities of sulfur compounds. When crushed, they give off a characteristic rotten-egg smell and can cause bad breath. Tonsilloliths may also give a person the sense that something is caught in the back of the throat. Also known as tonsil stone.
cetylpyridinium chloride. chlorhexidine (only available with a prescription)
Typically, the smell is sulfuric, like rotten eggs. Bad taste in mouth: You may experience a metallic taste in the back of the throat due to tonsil stones. Difficulty or pain when swallowing: When tonsil stones form, they can be accompanied by inflammation.