To prevent tonsil stones, the most effective measures involve maintaining good oral hygiene. This includes brushing teeth at least twice a day with fluoride toothpaste, flossing daily, and using an alcohol-free mouthwash or gargling with warm salt water to reduce bacteria and remove debris. Staying hydrated is also helpful to keep the mouth moist and wash away particles that might contribute to stones. Additionally, avoiding smoking and excessive alcohol can reduce dryness that favors stone formation. For those prone to tonsil stones due to chronic tonsillitis or large tonsils, managing underlying conditions such as post-nasal drip or acid reflux may help prevent stones. In some cases, medical intervention like tonsillectomy (surgical removal of tonsils) is considered to completely prevent recurrence. A summary of practical steps to prevent tonsil stones:

• Brush teeth (and tongue) at least twice daily.
• Floss daily.
• Use alcohol-free mouthwash or gargle with warm salt water regularly.
• Drink plenty of water to stay hydrated.
• Avoid smoking and excessive alcohol consumption.
• Manage medical conditions that increase risk (like chronic tonsillitis or acid reflux).

If tonsil stones occur, gentle removal via gargling or a cotton swab can be done carefully, but persistent or large stones should be evaluated by a healthcare professional.