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2. What Causes Tonsil Stones?

Oral anaerobic bacteria flourish in low-oxygen conditions, such as the environment in and around tonsil crypts. When combined with a chronically dry mouth or poor oral hygiene, anaerobic bacteria reproduce rapidly without the antibacterial properties of saliva to stop them. This lack of sufficient saliva, combined with the presence of food debris, dead skin cells, and oral mucous, directly contributes to tonsil stone formation.

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