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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 because the antibacterial properties of saliva do not prevent it. Food debris, dead skin cells, and oral mucous not removed through regularly brushing or flossing can further exacerbate the issue.

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