Dental caries, dental decay,

Worms eat teeth! 10 risk factors for dental caries, causes and a sure way to deal with them

Dental caries and worms. I remember the general consensus that worms were the malevolent beings responsible for devouring our precious teeth, leaving behind unsightly holes. Even now, this notion continues to linger in the minds of many. However, it’s time to set the record straight.

Worms aren’t the culprits because the reality is more nuanced than that! In this article, we enlighten you about the true origins of cavities and equip you with the knowledge of caries to effectively address them. Let’s embark on this journey of understanding together. Dental caries, tooth decay or cavities, are permanently damaged areas in the hard surface of your teeth that develop into tiny openings or holes. This is a a step by step process of how dental caries develop

Origins of dental caries: a step by step

  1. Bacterial (“worm”) Activity: Within our mouths reside bacteria that thrive on the carbohydrates present in sugary and starchy foods and drinks. Indulgences like bread, sodas and juice provide a feast for these bacteria. They eat and excrete acids.
  2. Plaque Formation: The amalgamation of bacteria, acid, food particles, and saliva gives rise to a sticky substance known as plaque. It adheres to the surface of our teeth, providing a conducive environment for bacteria to flourish.
  3. Enamel Erosion: If we fail to practice proper brushing and flossing, the acids in plaque gradually erode the protective enamel of our teeth, resulting in the formation of cavities or small holes.
  4. Progression to Deeper Layers: Without timely intervention, cavities continue to grow, penetrating deeper layers of the teeth. This can lead to severe toothache, infection, and even tooth loss if left untreated.

Risk Factors for Dental Caries: 10 Factors to Consider

While cavities can affect anyone with teeth, certain risk factors increase the likelihood of their development. By understanding these factors, you can take proactive measures to safeguard your oral health:

  1. Dietary Habits: Foods that linger in the mouth for extended periods, such as sugary drinks, pose a higher risk of decay compared to those easily washed away by saliva.
  2. Frequent Snacking or Sipping: Regular snacking or continuous consumption of sugary drinks provides a constant supply of carbohydrates, fueling oral bacteria, and increasing acid production and tooth erosion.
  3. Bedtime Infant Feeding: Putting babies to bed with bottles containing sugary liquids like milk or formula contributes to baby bottle tooth decay.
  4. Inadequate Oral Hygiene: Failing to brush and floss adequately allows plaque to accumulate rapidly, initiating the early stages of decay.
  5. Insufficient Fluoride: A lack of exposure to fluoride, a key component in cavity prevention and the reversal of early tooth damage, raises the risk of developing caries. Fluoride is commonly found in public water supplies, toothpaste, and mouth rinses.
  6. Age: Cavities are prevalent in young children and teenagers, while older adults also face an elevated risk.
  7. Dry Mouth: Certain medications, medical conditions, radiation to the head or neck, or specific chemotherapy drugs can reduce saliva production, increasing the risk of cavities.
  8. Worn Fillings or Dental Devices: Over time, dental fillings can deteriorate, develop rough edges, or weaken, creating an environment conducive to plaque accumulation.
  9. Heartburn: Gastroesophageal reflux disease (GERD) or chronic heartburn can introduce stomach acid into the mouth, eroding tooth enamel and causing significant dental damage.
  10. Eating Disorders: Conditions like anorexia and bulimia can lead to tooth erosion and cavities due to frequent exposure to stomach acids.

These risk factors, along with other influences like diet, oral hygiene practices, saliva production, age, genetic predisposition, geographic location, and socioeconomic status, collectively contribute to the occurrence of cavities.

Signs and Complications out of dental caries: What to Watch Out For

Signs

Recognizing the signs of cavities is crucial for timely intervention. By staying vigilant, you can address the issue before it escalates. Here are some common indicators to watch out for:

  • Bad breath or unpleasant taste in the mouth
  • Bleeding gums
  • Facial swelling
  • Toothache
  • Sensitivity to hot or cold foods and beverages

Failure to address dental caries can result in various complications, including:

  1. Pain: Cavities can cause significant toothache, leading to discomfort and difficulties in daily activities.
  2. Tooth Abscess: Advanced decay can lead to the formation of an abscess, characterized by swelling and the presence of pus around the affected tooth.
  3. Damage or Broken Teeth: Untreated cavities can weaken the tooth structure, making them susceptible to fractures and breakage.
  4. Chewing Problems: Severe decay can impair the ability to chew properly, impacting overall nutrition and well-being.
  5. Shifting of Teeth: Tooth loss resulting from untreated cavities can cause neighboring teeth to shift, leading to bite misalignment and potential orthodontic issues.
  6. Negative Impact on Quality of Life: Persistent pain, tooth loss, and compromised appearance can affect confidence, self-esteem, and overall quality of life.
  7. Infection: In rare cases, a tooth abscess can lead to severe infections, including potentially life-threatening complications.

Management of dental caries: A Multifaceted Approach

Managing rampant caries necessitates a comprehensive approach that considers various goals, treatment strategies, and preventive measures. By adopting the following strategies, you can effectively address the issue:

  1. Detecting Initial Lesions: Early detection of carious lesions allows for prompt intervention and prevents further progression.
  2. Caries Activity and Risk Assessment: Determining the activity of carious lesions and assessing an individual’s risk factors for developing new caries helps tailor the treatment approach.
  3. Non-Invasive Procedures: Instead of removing dental tissue, non-invasive procedures such as remineralization, biofilm removal, and sealing should be employed initially to manage existing caries. These measures aim to arrest or control cavitated lesions through minimally invasive approaches.
  4. Invasive Treatments: Invasive treatments are recommended for cavitated lesions visible in the dentin

The prognosis for individuals with rampant caries depends on various factors, including the severity of decay, timely intervention, and adherence to preventive measures. By receiving regular dental checkups and appropriate treatments to stop tooth decay in its early stages, most people with cavities can avoid long-term problems. However, if tooth decay reaches the root, there is a risk of tooth loss or the development of a painful abscess. In this case, root canal therapy is needed to save the tooth.

Untreated tooth decay can lead to extensive tooth loss and the need for extraction. Advanced decay can cause severe infections inside the tooth and under the gums, which can spread throughout the body and, in rare cases, become fatal.

Prevention of dental caries: Safeguarding Your Oral Health

Preventing cavities is crucial for maintaining good oral health. Here are some general tips follow:

  1. Brush your teeth at least twice a day with fluoride-containing toothpaste, ideally after every meal. Use floss or an interdental cleaner to clean between your teeth.
  2. Rinse your mouth with a fluoride mouth rinse if your dentist thinks you’re at high risk of developing cavities.
  3. Visit your dentist regularly for professional teeth cleanings and oral exams.
  4. Consider dental sealants for your back teeth. These are plastic coatings that seal off grooves and crannies, protecting your teeth from plaque and acid.
  5. Drink tap water, which often contains fluoride that can significantly reduce tooth decay.
  6. Avoid frequent snacking and sipping, as this allows bacteria in your mouth to create acids that destroy tooth enamel.
  7. Eat tooth-healthy foods and avoid foods that get stuck in your teeth for long periods. Fresh fruits and vegetables increase saliva flow, while unsweetened coffee, tea, and sugar-free gum help wash away food particles.
  8. Consider fluoride treatments or custom trays if you aren’t getting enough fluoride through your drinking water and other sources.
  9. Ask your dentist about antibacterial treatments if you’re especially vulnerable to tooth decay.
  10. Chewing xylitol-based gum, prescription fluoride, and an antibacterial rinse can help reduce the risk of cavities.

In conclusion, managing caries requires a comprehensive approach that involves accurate diagnosis, appropriate treatment strategies, and preventive measures. Remember to consult your dentist for personalized advice and guidance tailored to your specific needs. Together, we can pave the way for a future of healthier, happier smiles.

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oral health month

Tips for your oral health – World Oral Health Month

Every year in March, oral health care providers commemorate oral health and its promotion. This year was no different and was running with a theme, “Mind your mouth.” At Ezza Dental Care, we would like to remind you about how to be mindful of our mouths and oral health through the three important facets of tooth brushing, diet, and dental visits.

Brushing your teeth

Brushing one’s teeth is a form of oral hygiene practice which involves the removal of food debris and plaque from the teeth and the other oral structures.

It has obvious benefits such as

  • Preventing tooth decay
  • Reducing halitosis (bad breath)
  • Preventing gum disease

Any of the above can have detrimental effects on one’s psychosocial wellbeing and can also be a gateway to other illnesses.

Many times, we brush the same way we walk; just going through the motions. It is however important that we are mindful of each step of brushing our teeth in order to reap full benefits from the act. One must brush their teeth for a minimum of two minutes, taking care to clean all the tooth surfaces, palate, and tongue.

Below is a suggested sequence for brushing your teeth;

  1. Place a pea-sized amount of toothpaste on the toothbrush.
  2. Slightly wet the toothbrush using clean water.
  3. Brush your teeth using rotary movements as opposed to the horizontal or vertical scrubbing motions that we often use. Your dentist may recommend otherwise depending on the condition available but this is the baseline and most protective movement.
  4. Spit out as much foam as you can.
  5. Do not rinse your mouth after.
  6. The thin layer of toothpaste provides a fluoride-releasing mechanism and also acts as a protective barrier.
  7. Rinse your toothbrush with clean running water and then store it in a clean and dry space, away from other people’s toothbrushes.

The minimum number of times one must brush their teeth is twice, the night after they are done eating for the day and on one other occasion.

It is wise to change one’s toothbrush once it is not efficiently cleaning anymore and that is often between 3-6 months after the index use. In addition, it is advisable to change one’s toothbrush after recovery from a respiratory illness to avoid reinfection.

The option of whether to use a manual toothbrush or an automated one comes down to preference. Care must be taken to assist those less capable of brushing their own teeth for example the invalid, the disabled and the children since their oral health matters just like anyone else’s.

Remember to be mindful of your mouth by brushing your teeth.

Diet

Be mindful of your mouth by paying attention to your diet. Our diet consists of everything we consume as food. As much as we may enjoy eating the numerous things available, not everything that we indulge in is good for our health. Food contains a number of nutrients that play different roles in our bodies for example proteins are important for growth, carbohydrates are important for energy, vitamins are important for natural immunity, and so on.

Just like the rest of the body, our mouths benefit or suffer from the kind of diet we choose to indulge in. If we eat healthy nutritious food, we have healthy mouths and the reverse is true if we choose to eat unhealthily.

Some of the nutrients that are important for the health of our teeth include

  • Calcium
  • Phosphate
  • Magnesium
  • Iron

These are micronutrients that the tooth comprises and so including them in the diet in form of foods like

  • Milk
  • Vegetables
  • Fish, can strengthen the teeth and keep them healthy.

Vitamin C plays a big role in maintaining the integrity of our gums. Fruits and vegetables are a rich source and consumption of these are therefore vital in preventing gum disease.

On the other side of the coin, there exist foods that are bad for the teeth and the related oral structures. Foods rich in processed sugars like cakes, biscuits, white bread, and so on are bad for the teeth. This is because when one does not brush, they are broken down by the bacteria present in the mouth to form acids which in time break down the tooth structure causing decay.

Foods that contain a lot of acids like lemon juice and some soft drinks can also cause erosion of the tooth structure and thus cause sensitivity and tooth decay.

The latter groups of foods must be consumed in utter moderation and with rigorous oral hygiene measures to accompany them while the former must be included more in the diet for stronger teeth.

Dental visits

For many people, visiting the dentist is reserved for when they have teeth that are paining or when they are in some discomfort pertaining to their mouth. This is a mindset that should be changed considering that the earlier a disease is recognized and diagnosed, the easier and cheaper it is to treat it.

Routine dental visits are those where the mouth is examined and x-rays are taken in a bid to identify any present pathologies so as to plan treatment for them. They are commonly referred to as dental check-ups.

During these visits, the dentist can observe any abnormalities such as caries, calculus, gingivitis, and food impaction areas among others. This then enables them to put in place interventions to treat or prevent the disease from worsening. Often, the cost of treatment is thus less and the quality of life is improved as most can be caught before they begin to inflict pain.

At routine dental visits, tooth cleaning is also often offered. This is a professional dental cleaning done to remove the plaque and calculus that are difficult to remove when using a toothbrush or flossing. Extrinsic chromogenic stains are also removed and so one leaves with a clean mouth which minimizes the conditions necessary for the disease to develop.

Routine dental visits also alleviate the anxiety that comes with visiting a dentist as one gets psychologically conditioned to the environment of a dental office and the instruments used there and so they are more likely to seek treatment early for themselves and their loved ones.

It is advisable to have a routine dental visit at least twice a year, coinciding with the appointments for the dental cleaning.

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baby teeth

Ebinyo/Ebiino: why you should not take your child to a traditional healer to extract their unerupted teeth.

In some cultures in Uganda, when a child is 4 to 8 months old, there’s a norm where they are taken to a traditional healer who extracts their unerupted teeth. This is done because it is believed that these tooth buds are a cause of the illness that commonly ails infants this age. This however is a form of Infant Oral Mutilation and has a number of disadvantages which will be elucidated later in this article.

When a child reaches 4 to 6 months, the immunity which was inherited from the mother starts to wear out and the child’s own immunity begins to take over. This may leave a gap during which the child can have a range of symptoms for example fever, diarrhea, rashes, irritability. This is a normal occurrence and can be easily managed by supportive treatment as prescribed by a pediatrician.

Unfortunately in many cultures when this happens, the baby is taken to a traditional healer who rubs the gums with some herbs and then later extracts the tooth bud. This is dangerous and has even resulted in fatalities in a number of incidents.

The dangers that an infant is exposed to include;

  • Excessive bleeding.
  • Infection.
  • Missing milk teeth,
  • Damage to the permanent teeth.
  • Malocclusion.

The effects of these are profound on the life of the child as they grow up. This is done out of ignorance and misinformation and superstition and it falls upon each of us to educate those who are less fortunate than us in that regard so that this practice can be fully eliminated from our communities.

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tonsilitis

Tonsillitis and oral health

Tonsilitis is an inflammation of the tonsils which are two masses of lymphoid tissue on either side of the throat. They play a role in fighting infection that may use the oral cavity as a gateway into the airways. In some cases, they can get overwhelmed and henceforth get infected and inflamed resulting in the plethora of symptoms that characterize tonsillitis.

Signs and symptoms

These include;

  • Sore throat
  • Red tonsils
  • Headache
  • Loss of appetite
  • Ear-ache
  • Fever and chills
  • Difficult swallowing

What causes tonsilitis

Tonsilitis is caused by both bacterial and viral infections which are not ordinarily pathogenic in the mouth for example Streptococcus family of bacteria, adenoviruses, influenza viruses, herpes simplex viruses, and so on.

The disease can be either acute where it lasts for less than seven days, recurrent where it keeps coming back up to several times in a year or chronic where an episode can go on for months at a time.

Due to the highly contaminating nature of the causative agent, tonsillitis can be easily spread and contracted through airdrops, sharing toothbrushes or utensils with infected people, or through kissing an infected person.

Managing tonsilitis

When one has tonsillitis, it is important that they maintain a rigorous oral health regimen to prevent episodes from recurring. They should brush their teeth a minimum of twice a day, floss, and also use a prescribed mouth wash.

It is also important that they address any oral diseases they may have for example gingivitis as these can trigger the disease and prevent it from healing.

Tonsillitis is best managed by an Ear Nose and Throat specialist who will prescribe medication and further definitive treatment. For symptomatic relief, you can use warm saline rinses three times a day.

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dental flossing

Flossing: Why you should do it and How you should do it

Flossing is a form of interdental cleaning in which the debris in the area between two teeth is removed using a dental cord also known as dental floss.  It is a habit that should be taken up as part of one’s oral care routine because of its importance. Toothbrushes are effective when cleaning tooth surfaces but due to their nature, they cannot effectively clean the area between teeth as this is usually small. Dental floss is small and flexible enough to remove interdental plaque without causing undue damage to the teeth or to the gum.

There are various types of floss on the market, for example, the string floss which has a long cord, or the floss picks that have a handle. The choice comes down to personal preference and ease. If you have braces or bridgework in your mouth you may need to use some special types of floss which are dental tape and super floss respectively. It is recommended that you floss your teeth before brushing them so that all the debris can be eliminated from your mouth after you finish brushing.

How do you floss?

 The string floss is the more commonly used and so it will be our case study.

  1. Break off a piece of floss, about 20 inches long. Wind it around your middle fingers such that there is about 1 to 2 inches free.
  2. Hold the string tight with your thumb and forefingers.
  3. Place the floss between two teeth, gently gliding down the side of one and then switching to the side of the proximal tooth. Gently slide the floss up and down so you don’t bruise your gum.
  4. Gently remove the floss by pulling it out and then reorient it to clean the next tooth using a fresh segment.
  5. Rinse your mouth after and then brush your teeth.

Flossing takes a short period of time once it has been mastered and is invaluable in preventing interdental/proximal caries.

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baby teeth

Taking Care of your Baby’s Teeth

Most babies are born with no teeth much to the delight of their mothers in light of a comfortable experience when breastfeeding. Some babies are born with teeth and although this is rare, it can be disheartening and we shall look at it further ahead. Caring for our babies’ teeth right from the onset is important as it ingrains oral health habits that continue into adulthood but also prevents tooth diseases in the children which can be a very uncomfortable experience for them.

Before Eruption

Even prior to the appearance of the first tooth, the parents should ensure oral hygiene of the baby is kept at the best status possible. After feeding, gently use a soft damp clean cloth to wipe the mouth of the baby to remove the food residues.

During Teething

This is one of the most uncomfortable periods for a baby as it can be accompanied by a number of symptoms for example fevers, rash, diarrhea and they are fretful. The parent should recognize this as it is and provide supportive treatment like ensuring proper nutrition and sufficient hydration, providing clean and safe teething toys among others.

After Eruption

When the first teeth appear in the mouth, the parents should begin brushing them right away using a very soft toothbrush and a small amount of toothpaste. This will condition them to the habit and they are more likely to adapt to brushing their teeth on their own when they are older. This should continue until all the milk teeth erupt and the baby can brush the teeth on their own.

When they begin brushing on their own, they should do it under supervision at least twice a week to ensure that it is done well. It helps to have a particular routine that involves brushing teeth in the morning after breakfast, and after they are done eating for the day. It can be made a fun activity for the entire family to encourage the younger ones even when they are bored or tired of it.

Pay attention to your child’s mouth and report any abnormal lesions to their dentist so that they can be addressed as early as possible. It is also important that you take them for routine dental visits to have their dental cleaning done so that they do not have a phobia for dentists in the future.

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dental fillings

Are amalgam dental fillings safe?

You may have been to the dentist before and told them that you don’t want the black filling. This might have been due to a number of reasons that you honestly believed in, for example, the filling contains mercury which accumulates in the blood, the filling has an effect on your health, and so on.

These validate why you may request a different dental filling. However, there are even more reasons why your dentist may choose to use the black filling or as it is scientifically known, amalgam. Amalgam is an alloy of majorly silver and mercury and has many properties that make it a perfect material for filling a tooth cavity. These include;

  • strength
  • inertness
  • wear resistance
  • longevity.

These influence the common decision to use it to fill the back teeth which need more strength and do not require as much attention to aesthetics.

Before a material is approved for use by the different monitoring bodies, its safety has to be proven and so amalgam is safe. The mercury released from the fillings is less than that taken up from the environment and both these are minuscule and the effects are negligible if the amounts remain constant. This makes it a safe material in addition to the other qualities mentioned above. There are protocols for handling dental amalgam which ar followed by dentists to even further minimize the exposure to mercury when they are placing an amalgam filling or even when they are disposing of the waste.

The next time you visit a dentist and they recommend that the tooth is filled with amalgam, do not be anxious because dentists like all other healthcare providers have your best interests at heart.

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toothbrushes

How to Choose the Right Toothbrush

A toothbrush is one of the staple household objects that everyone uses. With the multiple choices in the supermarkets, one might wonder if there is such a thing as a bad toothbrush and if so then what is a good toothbrush? There are a number of factors to take into consideration when choosing the right toothbrush and these include:

  • Hardness of bristles; for the average person, their toothbrush should have bristles that are neither too hard nor too soft. If they are too hard, they will destroy the tooth structure and if they are too soft, they will not effectively remove the plaque.
  • Shape of the bristles; on the market, the two common shapes are the rounded bristles and the square bristles. The rounded ones are the better option because of how gentle they are on the rest of the tissues which minimizes trauma to them.
  • Size of the toothbrush head: this is dependent on the size of one’s mouth which often correlates with their chronological age. For those with small mouths or children, the toothbrushes with smaller heads are more effective as they induce minimal trauma and are easier to control. The head shouldn’t be too big or too small.
  • The size and shape of the handle; toothbrush handle designs have evolved over time and this has resulted in a wide range of options. Your toothbrush handle should be easy to grip and comfortable to ensure that the brushing process is as smooth as possible.
  • Approval by a quality control body e.g. UNBS; is important as these bodies ensure that you get quality that is as good as advertised. Always check for the official seal and preferably, choose toothbrushes that have it on.
  • Manual or electric toothbrushes; the end goal of both these types is the same and that is good oral hygiene. Both can give stellar results if used correctly and both can be disastrous if used inappropriately. The choice between these often comes down to personal preference, however, there can be instances for example in individuals with poor manual dexterity where the electric toothbrush would be the preferred option.

In some cases, the dentist will recommend a specific type of toothbrush to fit the individual contextual needs and this is when they may also recommend a particular brand. Do not forget to change your toothbrush once every 3 months, not too often and not too far apart.

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teeth happy holidays

Happy Holidays!

,

Remember

The festive season is upon us and felicitations to us all. As we celebrate this joyous season and allow ourselves to indulge, it is important that we do not forget to take care of our mouths and teeth. Below are some reminders that you will benefit from if practiced and prevent suffering painful consequences as a result of enjoying yourself a little too much.

  • Do not forget to brush your teeth twice a day. After your last meal at night and at one other time during the day.
  • Use the extra time available to show the young ones how to brush their teeth and use this as a bonding activity.
  • If possible, floss your teeth. This will ensure that no food particles get stuck between your teeth.
  • Eat sweets and cakes in moderation and always rinse your mouth after so that tooth decay is prevented or slowed down.
  • Incorporate more fruits and vegetables into the meals as these contain nutrients that are important for strong teeth.
  • As you make your yearly plan, set up your routine dentist appointments for checkups and professional cleaning.

Happy holidays from Ezza Dental Care and a prosperous new year.

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image of nail-biting

How oral habits affect your oral health

A habit is a tendency towards an act that has become a repeated performance, it is relatively fixed and easy to perform by an individual. We all have habits, some are beneficial to us and some we would rather do away with. For example, laying one’s bed every morning or jogging three times every week are good habits and on the other hand, smoking is a habit that is considered bad.

What are some of the habits that affect your oral health?

  • Nail-biting
  • Tongue thrusting
  • Thumb sucking
  • Mouth breathing
  • Bruxism

How do they affect oral health?

Nail-biting; nails are made of a hard material called keratin and when it is repeatedly exerted on teeth, it can cause them (especially the front teeth) to chip and eventually tip or rotate which affects how one’s smile looks.

EZZA DENTAL CARE
Nail-biting causes tooth chipping

Tongue thrusting; this involves continually pushing your tongue forward. The tongue has one of the most efficient muscle systems in the body and henceforth continued exertion of the powerful forces generated can cause the teeth position to change. This in turn affects the appearance and function of the oral tissues negatively.

Tongue thrusting
The habit of tongue thrusting

Thumb-sucking; human babies resort to sucking their thumb or any other finger as a replacement or option to suckling. Beyond 5 years, however, this becomes a detrimental habit that is an indicator of deeper underlying issues. Thumb-sucking causes the teeth to be displaced anteriorly, resulting in someone having an open bite, and sometimes the lips close with difficulty.

oral habit of thumb sucking
thumb sucking affects oral health

Mouth breathing; individuals with respiratory problems especially in their early ages sometimes develop a tendency to breathe through their mouth instead of the nose. The continued mouth opening messes with the balance of the oral health structures and can lead to misalignment of teeth. It can also increase the risk of caries as the mouth is often dry.

EZZA DENTAL CARE
mouth breathing affects oral health structures

Bruxism; this involves grinding one’s teeth and it can either be done when one’s asleep or awake and sometimes even in both states. Grinding teeth leads to attrition of the teeth where they lose part of the tooth substance and this can lead to a number of problems for example; sensitivity, malocclusion, and muscular fatigue or pain.

How can these habits be managed?

Oral habits are effectively managed when the factors that cause them are managed. This lowers the chances of recurrence or relapse.

  1. Most are signs of psychological stress and so a consultation with a psychiatrist would benefit some of the patients.
  2. In children, the use of mechanical means for example habit breakers which are designed by the orthodontist or bandaging the fingers and chemical means like applying pepper on the preferred finger can also be effective.

Treatment of the effects of oral habits is important to restore the health-related quality of life of the individual and so it is important that if one has a habit such as these, or their child has or is developing one that they seek professional help as soon as possible. It is imperative that we try to unlearn some of these habits as their effects may not be immediate but are drastic and can be expensive to reverse.

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