Patient Education
Whether you are 80 or 8, maintaining good oral health is crucial. Here are some frequently asked questions about visiting the dentist.
Q: Why are regular dental visits important?
A: Regular dental visits are essential because they can help detect oral health issues early on, when treatment is often simpler and more cost-effective. They also prevent many oral problems from developing in the first place. Additionally, regular dental check-ups are important because certain diseases or medical conditions have symptoms that can appear in the mouth.
Q: How frequently should I visit the dentist?
A: There’s no one-size-fits-all dental treatment schedule. Some individuals may need occasional visits, while others may require more frequent checkups. Your unique smile and specific needs when it comes to maintaining oral health make each visit tailored to you.
Q: How do I best look after my teeth?
A: In between your preventive care appointment to have your teeth professionally cleaned and checked, you must clean your teeth properly. Brush your teeth and floss them morning and night after meals. If you have bad breath an antiseptic mouthwash is useful to reduce bacteria when needed. Brushing at lunchtime is not always convenient but if you get the opportunity it will make your mouth feel much fresher. The benefits of good home cleaning means less plaque build up to remove at your next hygiene appointment.
Q: What’s the best way to prevent gum disease?
A: Conscientious removal of plaque by flossing, brushing and regular professional cleanings will minimise your risk of gum disease. However, there are other factors that can affect the health of your gums, such as stress, diabetes, genetics and pregnancy.
Q: How can I help my children to look after their teeth?
A: Try to limit how much sugary food your children are eating and make sure they are brushing their teeth well. To ensure they are brushing well use an electric toothbrush. As well as regular brushing, bring your children in for a regular preventive care appointment with our amazing oral health therapists to ensure their teeth are in their best condition. This combination of correct brushing, eating good healthy food and regular cleaning at the dentist will give your children the teeth they will want as adults.
Q: When should my child first see a dentist?
A: The ideal time for your child to meet the dentist is six months after their first teeth arrive. This gives your dentist a perfect opportunity to carefully examine the development of their mouth and catch problems such as baby bottle tooth decay, teething irritations and prolonged thumb-sucking early.
Q: My tooth was knocked out, how soon should I see a dentist?
A: Immediately. Getting to a dentist within the hour can make the difference between saving and losing a tooth. When a tooth is knocked out you should immediately call your dentist for an emergency appointment. Handle the tooth by the crown, not the root. Touching the root (the part of the tooth below the gum) can damage cells necessary for bone reattachment. Gently rinse the tooth in water to remove dirt. Do not scrub.
Place the clean tooth in your mouth between the cheek and the gum to keep it moist. It is important not to let the tooth dry out. It is not possible to store the tooth in the mouth of the injured person, wrap the tooth in a clean cloth or gauze and immerse in milk.
If you have a dental emergency, we thoroughly recommend you contact us so we can help you.
Here are some additional tips to help you maintain a healthy smile:
- Brush and floss regularly.
- Maintain a balanced diet.
- Drink plenty of water.
- Quit smoking.
- Regular dental checkups and cleanings.
Healthy habits, such as brushing twice a day for two minutes and flossing daily, are crucial for everyone, regardless of their unique mouth. These habits are the most effective way to combat tooth decay and gum disease.
Building a relationship with your dentist is equally important. Regular check-ups allow your dentist to identify oral problems early on, such as gum disease in its reversible stage or cavities in their early, treatable stages.
Maintaining good oral hygiene is essential for overall health. It’s crucial to keep your dentist informed about any changes in your overall health.
Lastly, don’t hesitate to discuss your oral health concerns or questions with your dentist. They are the experts in this field and can provide personalised treatment plans based on your individual needs.
Emergency Dentist
For all dental emergencies, it’s crucial to seek immediate dental attention. Most dentists allocate time in their daily schedules for emergency patients. Therefore, promptly call your dentist and provide as much detailed information as possible about your condition. If the accident happens when your dental office is closed, visit your nearest emergency room.
Q: What do I do if I knock out my tooth?
A: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away.
Q: What if I crack my tooth?
A: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.
We encourage you to visit our dentist practice immediately if you notice that your tooth has become chipped and you are also bleeding. This could be an indication that you have suffered more dental damage than you are currently aware of. Rinse your mouth out with warm salt water, and if the bleeding persists, come on in.
Q: How do I treat a toothache?
A:To relieve toothaches, rinse your mouth with warm water to cleanse it. Gently use dental floss to remove any food particles trapped between your teeth. Avoid applying aspirin to your aching tooth or gums, as it may burn the gum tissue. If the pain persists, consult your dentist for further assistance.
Q: What if I think my jaw is broken?
A: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency department immediately.
Q: How do I remove an object that’s stuck in my mouth or teeth?
A: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. See your dentist or go to the emergency room as soon as possible.
Q: How can I avoid a dental emergency?
A: There are a number of simple precautions you can take to avoid accident and injury to the teeth.
- Wear a mouthguard when participating in sports or recreational activities.
- Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.
- Use scissors, NEVER your teeth, to cut things.
Dental Conditions and Treatments
Bleeding Gums
If your gums are bleeding, visit our Byron Dental clinic to have your teeth examined. At Byron Dental we can examine you and determine whether they are bleeding due to simple irritation or if there is a greater health concern.
There are many reasons your gums could bleed:
- In some cases, bleeding gums can indicate gingivitis, the early stage of periodontal disease. If your gums bleed easily or when you brush, it’s advisable to consult your dentist regarding your oral health. Gingivitis is a reversible and preventable condition.
- If you’ve recently begun a new flossing routine, for instance, your gums may bleed initially as they adapt to cleaning between the teeth. This typically resolves on its own within a week. Some pregnant women may develop a condition called “pregnancy gingivitis,” which is an inflammation of the gums that can lead to swelling and tenderness.
- Additionally, gums may bleed slightly during brushing or flossing. If you’re taking blood thinners, these medications may cause your gums to bleed. If the bleeding persists, it’s advisable to consult your physician. Furthermore, brushing too hard can cause bleeding. To minimise this, use an extra-soft or soft-bristled toothbrush when brushing your teeth.
Always remember to brush your teeth twice a day, floss once a day and schedule regular dental visits.
Bad Breath
Whether you call it bad breath or halitosis, it’s an unpleasant condition that can cause embarrassment. If you’re concerned about bad breath, it’s best to consult your dentist. Bad breath can have various causes, and your dentist can help identify the underlying issue and recommend the most appropriate treatment.
Here are some common causes of bad breath:
Food – certain foods like garlic and onions can leave particles in the mouth that attract bacteria and cause bad breath. If you don’t brush and floss daily, these particles can accumulate and contribute to bad breath. Additionally, dieters who skip meals may experience unpleasant breath due to infrequent eating.
Gum Disease – persistent bad breath or a bad taste in the mouth can be a warning sign of gum disease, which is caused by plaque buildup.
Dry Mouth- a decrease in saliva flow can lead to dry mouth, which can be caused by various factors such as medications, salivary gland issues, or mouth breathing. Without sufficient saliva, food particles remain in the mouth, accumulating bacteria and causing bad breath. If you have dry mouth, your dentist may prescribe artificial saliva or suggest using sugarless candy or increasing your fluid intake.
Smoking and Tobacco – In addition to staining teeth and negatively impacting overall health, tobacco can contribute to bad breath. It reduces your ability to taste foods and irritates gum tissues. Smokers are more prone to gum disease and at higher risk of developing oral cancer. If you smoke, your dentist can provide guidance and support to help you quit the habit.
Medical Conditions – certain medical conditions can cause bad breath. These include sinus or lung infections, bronchitis, diabetes, and some liver or kidney diseases.
If you’re concerned about the cause of your bad breath, it’s recommended to schedule an appointment with your dentist. Regular checkups allow your dentist to detect any potential issues, such as gum disease or dry mouth, and provide appropriate treatment. In some cases, bad breath may be a sign of an underlying medical condition, and your dentist may refer you to your primary care physician for further evaluation and treatment.
Maintaining good oral hygiene, eliminating gum disease, and scheduling regular professional cleanings are crucial in reducing bad breath. Brush your teeth twice a day and floss daily to clean between your teeth. Don’t forget to brush your tongue as well. If you wear dentures, make sure to remove them at night and clean them thoroughly before replacing them the next morning.
It’s important to remember that mouthwash will only temporarily mask the odour. Mouthwashes are usually cosmetic and don’t have a lasting effect on bad breath. If you find yourself constantly using a breath freshener to conceal unpleasant mouth odour, it’s advisable to consult your dentist.
Dry Mouth
Dry mouth also called xerostomia results from an inadequate flow of saliva. It is not a disease, but a symptom of a medical disorder or a side effect of certain medications, such as antihistamines, decongestants, pain killers, diuretics and many others.
Saliva is the mouth’s primary defence against tooth decay and maintains the health of the soft and hard tissues in the mouth. Saliva washes away food and other debris, neutralises acids produced by bacteria in the mouth and provides disease-fighting substances throughout the mouth, offering first-line protection against microbial invasion or overgrowth that might lead to disease.
Some of the common problems associated with dry mouth include a constant sore throat, burning sensation, trouble speaking, difficulty swallowing, hoarseness or dry nasal passages. In some cases, dry mouth can be an indicator of Sjögren’s (pronounced SHOW-grins) syndrome. Sjögren’s syndrome is a chronic autoimmune disorder in which the body’s immune system mistakenly attacks its own moisture-producing glands, the tear-secreting and salivary glands as well as other organs.
Without saliva, extensive tooth decay can also occur. Your dentist can recommend various methods to restore moisture. Sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.
For more information, visit the Sjögren’s Syndrome Foundation.
Dental Crowns
A crown can help strengthen a tooth with a large filling when there isn’t enough tooth remaining to hold the filling. Crowns can also be used to attach bridges, protect a weak tooth from breaking or restore a broken tooth. A crown is also used to cover a dental implant.
If your dentist recommends a crown, it is probably to correct one of these conditions. Your dentist’s primary concern, like yours, is helping you keep your teeth healthy and your smile bright.
Cavities
Tooth decay, the destruction of your tooth enamel, the hard outer layer of your teeth, can affect children, teens, and adults. Plaque, a sticky film of bacteria, constantly forms on your teeth. When you consume foods with sugars, the bacteria in plaque produce acids that attack tooth enamel. The stickiness of plaque keeps these acids in contact with your teeth, leading to enamel breakdown over time and the formation of cavities. Cavities are small holes in your teeth.
Cavities are more common among children, but as we age, they can also become a concern for adults. Recession of the gums away from the teeth, combined with an increased incidence of gum disease, can expose tooth roots to plaque. Unlike enamel, tooth roots are covered in cementum, a softer tissue that makes them susceptible to decay and more sensitive to touch, heat, and cold. It’s common for individuals over the age of 50 to experience tooth-root decay.
Decay around the edges, or a margin, of fillings is also common for older adults. Over the years, these fillings may weaken and tend to fracture and leak around the edges. Bacteria accumulate in these tiny crevices causing acid to build up which leads to decay.
You can help prevent tooth decay by following these tips:
- Brush twice a day with a fluoride toothpaste.
- Clean between your teeth daily with floss or interdental cleaner.
- Eat nutritious and balanced meals and limit snacking.
- Check with your dentist about the use of supplemental fluoride, which strengthens your teeth, and about use of dental sealants (a plastic protective coating) applied to the chewing surfaces of the back teeth (where decay often starts) to protect them from decay.
- Visit your dentist regularly for professional cleanings and oral examination.
Diabetes
Diabetes, a chronic condition that impairs your body’s ability to process sugar, can lead to complications affecting various organs, including the eyes, nerves, kidneys, heart, and other parts of the body. It can also diminish your resistance to infections and slow down the healing process.
Individuals with diabetes are at a higher risk of developing certain oral health issues. The most prevalent oral health problems linked to diabetes are:
Gum disease. Recent research suggests that the connection between gum disease and diabetes goes both ways. On the one hand, individuals with diabetes tend to experience more frequent and severe gum disease due to reduced resistance and a prolonged healing process. Conversely, it appears that treating gum disease in people with diabetes can help improve blood sugar control.
Fungal infections. Since diabetes weakens your immune system, you might be more susceptible to developing fungal infections. These infections can cause painful sores and difficulty swallowing. If you suspect a fungal infection, it’s best to consult your dentist for proper diagnosis and treatment.
Infection and delayed healing. If you’re undergoing extensive oral surgery, your dentist might prescribe antibiotics to reduce the risk of infection. To facilitate the healing process, ensure your blood glucose levels remain under control before, during, and after the surgery.
Good oral hygiene habits, including professional cleanings at the dental clinic, are crucial in controlling the progression of gum disease and other oral health issues. Regular dental checkups and periodontal screenings are essential for assessing overall dental health and promptly treating dental problems in their early stages. Your dentist may suggest more frequent evaluations and preventive measures like teeth cleaning to maintain optimal oral health.
Eating Disorders
Eating disorders can affect anyone, but they’re particularly common among teenagers and young adult women. Beyond their negative impact on physical health and well-being, eating disorders also affect self-image, relationships with family and friends, and academic or professional performance. If you’re struggling with an eating disorder, it’s crucial to seek professional help from your healthcare provider.
Eating disorders can also impact oral health. Without adequate nutrition, gums and other soft tissues within the mouth may bleed easily. Saliva-producing glands may swell, leading to chronic dry mouth. Frequent vomiting can also affect teeth. When stomach acid repeatedly flows over teeth, it can erode enamel, causing teeth to change colour, shape, and length. The edges of teeth become thin and prone to breaking off. Additionally, consuming hot or cold food or drink may become uncomfortable.
Types of eating disorders:
Anorexia – This usually involves an intense fear of gaining weight or a dread of becoming overweight. Even though these individuals may be very thin or even severely underweight, they perceive themselves as “fat.” They might try to achieve or maintain what they believe is their ideal body weight by literally starving themselves. They may also engage in excessive exercise. Others might consume large quantities of food in a single sitting and then attempt to eliminate the food and calories from their bodies by forcing themselves to “throw up” or by misusing laxatives or enemas.
Bulimia – Bulimia, like anorexia, also involves fears of being overweight. However, it also includes secret episodes of overeating (binge eating) that can happen multiple times a week or even several times a day. During these episodes, individuals may feel completely out of control. They might gulp down thousands of calories, often high in carbohydrates and fat, in amounts of food that would be more than what an average person would consume in a single sitting. After overeating, they try to “undo” the excess by forcing themselves to vomit or misusing laxatives or enemas. This cycle is often referred to as “binging and purging.”
Binge Eating or Compulsive Overeating – This condition may affect nearly as many men as women. In the past, these individuals were sometimes referred to as “food addicts.” They engage in binge eating, as mentioned in bulimia, but they don’t consistently attempt to eliminate the food by vomiting or misusing laxatives or enemas. Feelings of guilt may make it easier for the person to overeat again.
Prevention
Eating disorders arise from a variety of physical, emotional and social factors- all of which need to be addressed to help prevent and treat these disorders. Family and friends can play a vital role by setting positive examples regarding eating habits and offering encouraging feedback on healthy eating practices. Although eating disorders may seem to revolve around body image, food, and weight, they often intertwine with various other underlying issues. Seeking professional help and encouragement to undergo treatment is crucial, as early diagnosis and intervention significantly enhance the chances of recovery.
If you suffer from an eating disorder these practices can reduce oral health problems associated with it:
- Maintain meticulous oral health care related to toothbrushing and flossing.
Immediately after throwing up, do NOT brush but rinse with baking soda to help neutralise the effects of the stomach acid. - Consult with your dentist about your specific treatment needs.
See your dentist regularly.
Smoking and Tobacco
Cigarettes and chewing tobacco are harmful to your oral health. For one, tobacco products can cause bad breath, but that’s only the beginning.
Other possible oral health impacts of smoking and all tobacco products include:
- Stained teeth and tongue
- Dulled sense of taste and smell
- Slow healing after a tooth extraction or other surgery
- Difficulties in correcting cosmetic dental problems
- Gum disease
- Oral cancer
Quitting smoking is the only way to reduce your risk of these and other tobacco-related health issues. The addictive nature of nicotine, found in cigarettes, cigars, and chewing tobacco, can make this process particularly challenging. Therefore, it’s crucial to have a well-thought-out plan and a supportive network of individuals who can assist you in staying committed to your decision. Jot down your reasons for quitting. Engaging in physical activity, chewing gum, and keeping yourself occupied can also aid in the quitting process. Additionally, consult your dentist or doctor to explore the potential benefits of available medications in helping you overcome tobacco addiction.
Bottom line: A smoke-free environment is healthier for you and for those around you. Make a plan to quit, stick to it and start living a healthier life.
Jaw Pain
Many adults suffer from chronic jaw and facial pain. Common symptoms include pain in or around the ear, tenderness of the jaw, pain when biting, or headaches. Facial pain can have various causes, making diagnosis and treatment challenging. Your dentist will conduct a comprehensive examination, which may include X-rays, to identify the underlying cause of the pain.
Possible causes of jaw pain or facial pain include:
- Sinus problems
- Toothache
- Infections
- Arthritis
- Injury
- Tooth grinding
- Periodontal disease
- Problems with your jaw or the temporomandibular joint
Your dentist’s plan for treatment will depend on the source of your facial pain, but recommendations may include:
- Mouth protector
- Muscle relaxants
- Exercises
- Anti-inflammatory drugs
- Antibiotics
- Root canal therapy
- Periodontal treatment
- Extraction
If you suffer from jaw pain or facial pain, speak with your dentist or physician for diagnosis and treatment.
Oral Hygiene Basics
At Byron Dental, we’re dedicated to helping patients in Auckland maintain excellent oral health. With a focus on preventative care, we take the time to get to know each patient, developing a personalised plan for lifelong oral health. Since we only have one set of permanent adult teeth, it’s crucial to care for them diligently and proactively take steps to prevent cavities, infections, and gum disease. We strongly recommend visiting our dental office for a teeth cleaning session twice a year to effectively remove plaque buildup and tartar, ensuring your mouth remains healthy and clean.
Brushing Your Teeth
Brushing your teeth is an important part of your oral hygiene routine. However, how you brush your teeth is just as important as how often you brush them.
Brush your teeth twice a day with a soft-bristled brush that will not irritate your gums or cause the enamel on your teeth to erode. Many people make the mistake of thinking that a hard toothbrush is necessary for keeping teeth clean, but this is not the case. As long as you brush correctly a soft toothbrush will work equally well without damaging your teeth. Be sure to brush your teeth in a circular pattern, starting at the gum line and working your way towards the centre of your mouth.
Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
The proper brushing technique is to:
- Place your toothbrush at a 45-degree angle to the gums.
- Gently move the brush back and forth in short (tooth-wide) strokes.
- Brush the outer surfaces, the inner surfaces, and the chewing surfaces of the teeth.
- To clean the inside surfaces of the front teeth, tilt the brush vertically and make several up-and-down strokes.
- Brush your tongue to remove bacteria and keep your breath fresh.
Of course, brushing your teeth is only a part of a complete oral care routine. You should also make sure to:
Clean between teeth daily with floss or an interdental cleaner. Tooth decay-causing bacteria still linger between teeth where toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.
Eat a balanced diet and limit between-meal snacks.
Visit your dentist regularly for professional cleanings and oral exams.
Talk to your dentist about what types of oral care products will be most effective for you.
Flossing
Flossing is an essential part of any oral health care routine. We recommend flossing at least once a day to achieve optimal oral health. By flossing daily, you help remove plaque from the areas between your teeth where the toothbrush can’t reach. This is important because plaque that is not removed by brushing and flossing can eventually harden into calculus or tartar. Flossing also helps prevent gum disease and cavities. Gum disease occurs when plaque forms underneath the gum line and not flossing can lead to this. If you do not particularly enjoy flossing, buy a plastic flossing tool that you can hold and throw away once done. This makes it easier to get the job done.
Don’t forget, children need to floss as well! You should start flossing your child’s teeth as soon as they have two teeth that touch. Flossing requires more manual dexterity than very young children possess, so they usually can’t floss effectively on their own until they’re around 10 or 11 years old.
Keep in mind that flossing should not be painful. You may feel discomfort when you first start flossing, but don’t give up. With daily brushing and flossing, that discomfort should ease within a week or two. If your pain persists, talk to your dentist.
If you find flossing difficult, consider alternative flossing methods. People who have difficulty handling dental floss may find wooden plaque removers, dental picks or pre-threaded flossers more suitable. You might need to experiment with different types of dental floss, such as waxed, unwaxed, thick, or comfortable floss. Stick with it and you’ll have adopted a healthy hobby for life.
Mouthwash
When you use mouthwash, it is important to be sure that it is sugar-free. Carry a bottle of mouthwash with you and rinse your mouth with it after meals, drinking a soda, or consuming coffee. Taking this simple step can help to reduce your risk of cavities and gum disease.
How to prevent tooth decay
Our team at Byron Dental prevents tooth decay every day by helping our patients to have clean and healthy teeth. Tooth decay starts when plaque is left on the teeth, and the acid inside of it starts to eat away at the enamel. Keeping teeth clean by removing plaque, therefore, prevents tooth decay. Simultaneously, at home you can continue to brush your teeth and floss after meals. If you do not have anything with you, rinse your mouth with water to remove loose food particles or sugar from your teeth. Eating a healthy diet is also important, as everything you eat directly affects your teeth.
How to select the right toothbrush
Patients of our general dentist office are given a toothbrush at each visit. We recommend that you use it for three months and then replace it. When purchasing a toothbrush, look for a soft one that will not irritate your gums or erode your enamel. Otherwise, we suggest a battery operated or electric toothbrush since they can give you the best clean. The toothbrush head rotates while you are moving the brush around, helping you to break up more plaque for the cleanest possible teeth.
Food and drinks that you should avoid
As family dentists, we recommend that you avoid drinking too much soda, juice, coffee or anything that contains a lot of sugar. You should also avoid candy, desserts, and particularly sour candy, as they can contribute to tooth decay. Acidic fruits, such as citrus fruits, can also harm your teeth. A diet high in sugar and starch provides a favourable environment for bacteria on your teeth, leading to enamel erosion. To maintain healthy teeth, we recommend incorporating a diet rich in green leafy vegetables, lean protein, dairy, and nuts, which can help remineralise and strengthen your teeth.
Sensitive Teeth
Is the taste of ice cream or a sip of hot coffee sometimes a painful experience for you? Do you occasionally wince when brushing or flossing? If so, you might have sensitive teeth.
Possible causes include:
- Tooth decay (cavities)
- Fractured teeth
- Worn fillings
- Gum disease
- Worn tooth enamel
- Exposed tooth root
In healthy teeth, a layer of enamel protects the crowns, which are the parts above the gum line. Below the gum line, a layer called cementum protects the tooth root. Beneath both enamel and cementum lies dentin.
Dentin is less dense than enamel and cementum and contains microscopic tubules, which are small hollow tubes or canals. When dentin loses its protective covering of enamel or cementum, these tubules allow heat, cold, acidic, or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede, which can lead to hypersensitivity.
Sensitive teeth can be treated. The type of treatment will depend on what is causing the sensitivity. Your dentist may suggest one of a variety of treatments:
Desensitising toothpaste – This contains compounds that help block transmission of sensation from the tooth surface to the nerve. It usually requires multiple applications before the sensitivity is reduced.
Fluoride gel – An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
A crown, inlay or bonding – These may be used to correct a flaw or decay that results in sensitivity.
Surgical gum graft – If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
Root canal – If sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.
Proper oral hygiene is the key to preventing sensitive-tooth pain. Ask your dentist if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.
Gum Disease
Gum disease, also known as periodontal disease, is an infection of the tissues that surround and support your teeth. It’s a significant contributor to tooth loss in adults. Since it’s often painless, you might not be aware of its presence. Plaque, a sticky film of bacteria constantly forming on our teeth, is the primary cause of gum disease.
New dentures may feel awkward for a few weeks until you you get used to them. The dentures might feel loose while your cheek and tongue muscles learn to keep them in place. It’s normal to experience minor irritation or soreness. You might also notice a temporary increase in saliva flow. As your mouth adjusts to the dentures, these issues should resolve. Regular follow-up appointments with your dentist are usually necessary to check and adjust the fit of the dentures. If any problems persist, especially irritation or soreness, don’t hesitate to consult your dentist.
Even if you wear full dentures, maintaining good dental hygiene is crucial. Brush your gums, tongue, and roof of your mouth every morning with a soft-bristled brush before inserting your dentures. This helps stimulate circulation in your tissues and removes plaque.
Like your teeth, your dentures should be brushed daily to remove food particles and plaque. Brushing also helps prevent teeth staining.
Before brushing, rinse your dentures to remove any loose food or debris.
Use a soft-bristled toothbrush and a non-abrasive cleanser to gently brush all denture surfaces to avoid scratching.
During brushing, thoroughly clean your mouth, including your gums, cheeks, roof of your mouth, and tongue, to remove plaque. This helps reduce the risk of oral irritation and bad breath.
When not wearing your dentures, store them in a safe, water-covered container to prevent warping.
Occasionally, denture wearers may use adhesives, which come in various forms such as creams, powders, pads/wafers, strips, or liquids. If you use any of these products, read and follow the instructions carefully. Your dentist can recommend suitable cleansers and adhesives.
If you have any questions about your dentures, or if they no longer fit well or become damaged, contact your dentist. Regular dental checkups are also essential; your dentist will examine your mouth to ensure your dentures continue to fit properly.
If you suspect gum disease, visit your dentist promptly for treatment. Early-stage gum disease, called gingivitis, causes red, swollen, and easily bleeding gums. At this stage, the disease is reversible and can be eliminated with professional cleaning, daily brushing, and flossing.
Advanced gum disease, called periodontitis, can lead to tissue and bone loss that support the teeth, worsening over time. Teeth may feel loose and move. This is the most common form in adults but can occur at any age. It usually progresses slowly but can have rapid periods.
Aggressive periodontitis is a highly destructive form in otherwise healthy patients. It involves rapid tissue and bone loss, occurring in specific areas or the entire mouth.
Ongoing research suggests a link between systemic diseases and periodontal diseases. While conclusive, some studies indicate severe gum disease may be associated with conditions like diabetes or stroke.
Gum disease may have no warning signs, making regular dental checkups and periodontal examinations very important. Treatment methods depend on the disease type and progression. Good dental care at home is essential to prevent further progression or recurrence.
Remember: You don’t have to lose teeth to gum disease. Brush your teeth twice a day, clean between your teeth daily, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
Dentures
Dentures are removable appliances that can replace missing teeth and help restore your smile. If you’ve lost all of your natural teeth due to gum disease, tooth decay or injury, replacing them can significantly enhance your appearance and overall well-being. Dentures make it easier to eat and speak more effectively than without teeth, which are often taken for granted.
When you lose all of your teeth, facial muscles can sag, making you look an older appearance. Dentures can help fill out the contours of your face and profile, providing a more youthful look. They can be made to closely resemble your natural teeth so that your appearance does not change much. Dentures may even improve the overall look of your smile.
Types of dentures:
- Conventional – This full removable denture is made and placed in your mouth after the remaining teeth are removed and tissues have healed, which may take several months.
- Immediate – This removable denture is inserted on the same day that the remaining teeth are removed. Your dentist will take measurements and make models of your jaw during a preliminary visit. You don’t have to be without teeth during the healing period, but may need to have the denture relined or remade after your jaw has healed.
- Overdenture – Sometimes some of your teeth can be saved to preserve your jawbone and provide stability and support for the denture. An overdenture fits over a small number of remaining natural teeth after they have been prepared by your dentist. Implants can serve the same function, too.
New dentures may feel awkward for a few weeks until you you get used to them. The dentures might feel loose while your cheek and tongue muscles learn to keep them in place. It’s normal to experience minor irritation or soreness. You might also notice a temporary increase in saliva flow. As your mouth adjusts to the dentures, these issues should resolve. Regular follow-up appointments with your dentist are usually necessary to check and adjust the fit of the dentures. If any problems persist, especially irritation or soreness, don’t hesitate to consult your dentist.
Even if you wear full dentures, maintaining good dental hygiene is crucial. Brush your gums, tongue, and roof of your mouth every morning with a soft-bristled brush before inserting your dentures. This helps stimulate circulation in your tissues and removes plaque.
Like your teeth, your dentures should be brushed daily to remove food particles and plaque. Brushing also helps prevent teeth staining.
- Before brushing, rinse your dentures to remove any loose food or debris.
- Use a soft-bristled toothbrush and a non-abrasive cleanser to gently brush all denture surfaces to avoid scratching.
- During brushing, thoroughly clean your mouth, including your gums, cheeks, roof of your mouth, and tongue, to remove plaque. This helps reduce the risk of oral irritation and bad breath.
- When not wearing your dentures, store them in a safe, water-covered container to prevent warping.
- Occasionally, denture wearers may use adhesives, which come in various forms such as creams, powders, pads/wafers, strips, or liquids. If you use any of these products, read and follow the instructions carefully. Your dentist can recommend suitable cleansers and adhesives.
- If you have any questions about your dentures, or if they no longer fit well or become damaged, contact your dentist. Regular dental checkups are also essential; your dentist will examine your mouth to ensure your dentures continue to fit properly.
Root Canal
Root canal treatment becomes necessary when the soft tissue inside your teeth, called pulp, becomes inflamed or diseased. During this procedure, your dentist or endodontist, a specialist in treating the inner structures of teeth, removes the infected pulp. The pulp chamber and root canal(s) of the tooth are then thoroughly cleaned and sealed. If the infected pulp is left untreated, pain and swelling can occur, potentially leading to tooth extraction.
Several factors can cause an infected pulp, including deep cavities, repeated dental procedures, cracked or broken teeth, or even minor injuries that may not be immediately apparent.
By maintaining proper oral hygiene and regular checkups, your restored tooth can last a lifetime. However, it’s crucial to remember that a tooth without its nerve can still develop cavities or gum disease. In most cases, root canal treatment is a relatively straightforward procedure that involves one to three visits, with minimal discomfort. The best part is that it can save your tooth and preserve your smile.
If you’re wondering, “My tooth hurts. Do I need a root canal?” The answer is, “Not necessarily”. Several reasons can cause tooth pain, including:
- Food stuck between teeth or chewing surfaces
- Cavity
- Chipped or cracked tooth
- Enamel erosion
In these cases, we can treat the problem without a root canal. For instance, we can clean your teeth and remove any food particles causing discomfort. If you have a cavity, we can remove the decay and place a filling at our family dentist office. This is a quick and less invasive procedure compared to a root canal. If your tooth is chipped or cracked, we can restore it using dental bonding or dental veneers. If you’re dealing with erosion, you may need dental crowns to protect your teeth. We also perform daily tooth restorations and have various methods to achieve this.
When to Call Our Emergency Dentist Office
If you experience any of these symptoms, contact our emergency dentist office at 09 489 8226 to schedule an immediate appointment:
- Swollen face: A swollen face could indicate a severe infection that requires an immediate root canal. As a North Shore dentist near you, we can swiftly examine and treat you.
- Difficulty swallowing: Delaying treatment for this symptom could lead to a dental abscess, an infection that can spread from the root canal to the floor of your mouth and even into your neck. Urgent care is essential.
- Pain when biting down: An infected tooth may cause pain when biting down. In such cases, a standard root canal procedure can be performed quickly.
- Tooth discolouration: Another sign of an infection is tooth discolouration, which may appear grey or dull. Performing a root canal may be necessary to restore the tooth’s health.
Pregnancy
Congratulations on this exciting phase of your life! During pregnancy, you have many things to consider, but don’t forget about your teeth and gums. It’s easy to overlook your mouth, but the hormonal changes that occur during pregnancy can actually worsen dental problems. Brushing and flossing are essential for your overall health, and a healthy mouth is more likely to be passed on to your baby.
It’s crucial to continue seeing your dentist during pregnancy for oral examinations and professional teeth cleanings. Be sure to inform your dentist that you’re pregnant and mention any changes you’ve noticed in your oral health. Maintaining good daily care is vital.
This includes brushing your teeth twice a day, cleaning between your teeth once a day, eating a balanced diet, and limiting between-meal snacks.
Oral Cancer Screening
If you haven’t taken this life-saving measure yet, you should. Oral cancer is a disease rarely discussed. There are few, if any, advertising campaigns, walks, or fundraisers supporting its treatment. The high mortality rate stems from the fact that most people don’t seek medical help until the cancer has advanced. As with all forms of cancer, early detection and treatment are crucial for curing it. Therefore, the sooner you discover you’re at risk for cancer or notice signs of it, the better your chances of beating it.
Is it common to get an oral cancer screening?
Unfortunately, it’s not. Most people never get an oral cancer screening, which is why it’s often not detected at an early stage. We strongly recommend that you visit us for a screening as soon as possible if you haven’t had one before. Alternatively, you can generally get this done every two years.
What does an oral cancer screening entail?
At Byron Dental, we will look for signs of abnormal tissue. Usually, we will notice visible symptoms like red and white bumps, hard lumps, rough patches, or changes in the position of your teeth. Much of the screening is done visually. However, we will also feel your cheeks and the inside of your mouth while wearing gloves to detect any unusual or hard lumps. Remember, oral cancer can affect various areas of the mouth, so the examination must be thorough. As technology advances, we may utilise other testing resources when you visit our dental office. We’ll happily discuss the process with you during your appointment. Rest assured, the test is gentle, and you should feel comfortable throughout.
How frequently should I have an oral cancer screening?
Based on your risk factors and our observations, we’ll determine the frequency of your examinations. If you’re a high-risk patient, we might recommend annual screenings.
Babies and Kids
Teaching your child good oral hygiene habits early can lead to a lifelong healthy smile. However, did you know that even though babies don’t have any visible teeth, they can still develop cavities? Babies’ 20 primary teeth are already present in their jaws at birth. And the baby teeth that start emerging through the gums around 6 months help prepare the jaw for future smiles by creating space for adult teeth.
Baby teeth matter
When a baby tooth falls out prematurely, the permanent teeth can shift into the vacant space, hindering the development of other adult teeth. This can result in crooked or crowded teeth. Therefore, initiating infants with proper oral hygiene practices can safeguard their teeth for years to come. It is recommended that parents schedule dental visits for children by their first birthday and thereafter at intervals suggested by their dentist.
Your teeth are made up of four dental tissues. Three of them—enamel, dentin, and cementum—are hard tissues. The fourth tissue, pulp, or the tooth’s centre that contains nerves, blood vessels, and connective tissue—is soft or non-calcified.
Cavities
Tooth decay, the destruction of your tooth enamel, the hard outer layer of your teeth, can affect children, teens, and adults. Plaque, a sticky film of bacteria, constantly forms on your teeth. When you consume foods with sugars, the bacteria in plaque produce acids that attack tooth enamel. The stickiness of plaque ensures these acids remain in contact with your teeth, leading to enamel breakdown over time and the formation of cavities. Cavities are small holes in your teeth.
While cavities are more prevalent among children, aging-related changes make them an adult concern as well. Receding gums and an increased risk of gum disease expose tooth roots to plaque. Tooth roots are covered in cementum, a softer tissue than enamel, making them susceptible to decay and more sensitive to touch, heat, and cold. It’s common for individuals over the age of 50 to experience tooth-root decay.
You can help prevent tooth decay by following these tips:
- Brush twice a day.
- Clean between your teeth daily with floss or interdental cleaner.
- Eat nutritious and balanced meals and limit snacking.
- Visit your dentist regularly for professional cleanings and oral examination.
Baby Teeth
Primary teeth, also known as “baby teeth,” are equally important as permanent adult teeth. They usually start appearing between 6 months and 1 year of age. Primary teeth aid in chewing and speech, and they also create space in the jaws for permanent teeth to grow beneath the gums.
It is recommended that a dentist examine a child within six months of the first tooth erupting and no later than the first birthday. These early dental visits serve as “well-baby checkups” for the teeth. In addition to checking for tooth decay and other issues, dentists can demonstrate proper toothbrushing techniques and identify any adverse habits, such as thumb sucking.
When primary teeth first emerge, some babies may experience sore or tender gums. Gently rubbing your child’s gums with a clean finger, a small, cool spoon, or a wet gauze pad can provide relief. You can also offer your baby a clean teething ring to chew on. If your child continues to be fussy and in pain, it’s advisable to consult your dentist or physician. Most children have a complete set of 20 primary teeth by the time they reach 3 years of age.
Healthy Habits – Start Early
Your child’s baby teeth are at risk of decay as soon as they first appear, usually around 6 months of age. This condition is commonly known as Baby Bottle Tooth Decay, and it typically affects the upper front teeth, although other teeth may also be impacted. In severe cases, infants and toddlers may experience tooth decay so extensive that their teeth cannot be saved and require extraction.
However, there’s good news: tooth decay is preventable! Most children have a full set of 20 primary teeth by the time they reach 3 years of age. As your child grows, their jaws also expand, providing space for their permanent teeth.
Cleaning Your Child’s Teeth
- Begin cleaning your baby’s mouth during the first few days after birth by gently wiping the gums with a clean, moist gauze pad or washcloth. As soon as teeth appear, decay can set in.
- When your child’s teeth start coming in, use a child-sized toothbrush and water to brush them gently. Typically, the front four teeth erupt through the gums around 6 months of age, although some children may not get their first tooth until 12 or 14 months.
- For children over 2, use a pea-sized amount of toothpaste and ensure they spit it out.
- Continue brushing your child’s teeth twice a day with a child-sized toothbrush and a pea-sized amount of toothpaste until you feel confident they can brush independently. Once your child has two teeth that touch, start flossing their teeth daily.
Teething
Teething is one of life’s first rituals. Although newborns usually have no visible teeth, most baby teeth usually start appearing around six months after birth. During the first few years of your child’s life, all 20 baby teeth will erupt through the gums, and most children will have their full set by age 3. Typically, the front four teeth erupt or push through the gums at about six months, although some children don’t get their first tooth until 12 or 14 months. As their teeth erupt, some babies may become fussy, sleepless, and irritable, lose their appetite, or drool more than usual. However, diarrhoea, rashes, and a fever are not normal symptoms for a teething baby. If your infant has a fever or diarrhoea while teething or continues to be cranky and uncomfortable, it’s best to consult your physician.
First Dental Visit
As soon as your child’s first tooth erupts, it’s time to schedule a dental appointment. It is recommended that the first dental visit occur within six months of the tooth’s appearance, but no later than the child’s first birthday. Avoid waiting until your child starts school or until there’s an emergency. Instead, take the opportunity to establish good oral hygiene habits for your child today.
Although the primary purpose of the first visit is for the dentist to examine your child’s mouth, assess their growth and development, and ensure their comfort, it’s also an opportunity for you to create a positive experience. Here are some tips to make the visit enjoyable for both you and your child:
- Consider scheduling the appointment in the morning when children are usually more rested and cooperative.
- Keep any anxiety or concerns you may have about the visit to yourself. Children can sense their parents’ emotions, so focus on the positive aspects.
- Never use the dental visit as a form of punishment or threat.
- Refrain from bribing your child.
- Talk to your child about the importance of visiting the dentist and explain what to expect during the appointment.
During this visit, you can expect the dentist to:
- Inspect for oral injuries, cavities or other problems.
- Let you know if your child is at risk of developing tooth decay.
- Clean your child’s teeth and provide tips for daily care.
- Discuss teething, pacifier use, or finger/thumb sucking habits.
- Discuss treatment, if needed, and schedule the next check-up.
Pacifiers
Infants and young children may suck on their thumbs, other fingers, or pacifiers. Pacifiers dipped in sugar, honey, juice, or sweetened drinks can cause tooth decay. Cavity-causing bacteria can also begin to develop when these bacteria pass from the mother or caregiver’s mouth to the infant’s mouth. This can happen when the mother or caregiver puts the baby’s feeding spoon in her mouth or cleans a pacifier in her mouth.
Baby Bottle Tooth Decay
Baby Bottle Tooth Decay, most commonly affecting the upper front teeth, can also impact other teeth. Several factors contribute to tooth decay. One prevalent cause is the prolonged exposure of baby’s teeth to sugary beverages. Decay can occur when the baby is put to bed with a bottle or when a bottle is used as a pacifier for a fussy baby.
You can prevent your baby from getting cavities or developing what is called Baby Bottle Tooth Decay or Early Childhood Caries, by starting an oral hygiene routine soon after birth. Begin by gently wiping your baby’s gums with a clean gauze pad to remove plaque that can harm developing teeth. As your child’s teeth erupt, brush them with a child-sized toothbrush and water. For bottle feedings, use only formula, milk, or breast milk, avoiding sugary beverages like juice or soda. Ensure your infant finishes their bedtime and nap time bottle before going to bed.
When your child’s first tooth erupts, schedule the first dental visit with your dentist. Treat it like a well-baby checkup with your child’s paediatrician. Remember, early intervention is crucial for maintaining good dental health throughout life.
Dental Emergencies
Accidents can occur anywhere and anytime, making it crucial to be prepared for dental emergencies. Knowing how to handle such situations can significantly impact the chances of saving your child’s permanent tooth. In all dental emergencies, it’s essential to seek immediate medical attention, either at the dentist’s office or an emergency room.
Here are some helpful tips for managing common dental emergencies in children:
- For a knocked-out tooth, keep it moist at all times. If possible, gently place it back in the socket without touching the root. If that’s not feasible, place it between your child’s cheek and gum or in milk. Call your dentist immediately.
- For a cracked tooth, rinse the mouth with warm water to clean the area. Apply cold compresses to the face to reduce swelling.
- If your child bites his tongue or lip, gently clean the area and apply a cold compress.
- For toothaches, rinse the mouth with warm water to clean it. Use dental floss to remove any food stuck between the teeth. Avoid applying aspirin to the aching tooth or gum tissues.
- For objects stuck in the mouth, try gently removing them with floss, but avoid using sharp or pointed instruments.
Thumb sucking
Sucking is a natural reflex, and infants and young children often suck on their thumbs, fingers, pacifiers, or other objects. This behaviour can help them relax, feel safe, or happy. Young children may also suck to soothe themselves and help them fall asleep. Most children stop thumb-sucking by the age of four. However, if your child continues to thumb-suck after their permanent teeth have erupted, it can potentially cause issues with tooth alignment and your child’s bite. The frequency, duration, and intensity of the habit will determine whether or not dental problems may arise. Children who passively rest their thumbs in their mouths are less likely to experience difficulties compared to those who vigorously suck their thumbs. If you have concerns about your child’s sucking habits, it’s advisable to consult your dentist for guidance and support.
Tips to help your child stop thumb-sucking:
- Praise your child for not sucking their thumb. Children often suck their thumbs when they feel insecure or need comfort. Instead of focusing solely on stopping the habit, try to address the underlying cause of the anxiety and provide your child with comfort and reassurance.
- For older children, involve them in choosing the method of stopping thumb-sucking.
- Encourage your child by involving your dentist or paediatrician. They can offer support and explain the potential consequences of continued thumb-sucking on your child’s teeth.
- If the above tips don’t work, consider using a reminder method. For example, you can bandage your child’s thumb at night or put a sock on their hand to prevent them from sucking it.
- In some cases, your dentist or paediatrician may recommend the use of a mouth appliance to help your child break the habit.
Space Maintainers
Space maintainers assist in “holding space” for permanent teeth. If a child loses a baby tooth prematurely before the permanent tooth is ready to erupt, a space maintainer may be necessary. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of their intended position. When more adult teeth are ready to enter the mouth, the available space may be insufficient due to the lost space. To prevent this from occurring, the dentist may recommend a space maintainer to keep the space open for the incoming teeth.
Sealants
Sealants are a quick and convenient way to safeguard your child’s teeth by creating barriers in cavity-prone areas. Typically applied to the chewing surfaces of back teeth, they can also be used to cover deep pits and grooves. Sealing a tooth is a quick and virtually painless process. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants are durable and can withstand the force of normal chewing, but they may need to be reapplied occasionally. Both primary and permanent teeth can benefit from sealants. Consult your dentist to determine if sealants would be beneficial for your child.
Mouthguards
Mouthguards can safeguard your child from dental emergencies. They should be worn whenever your child engages in sports or recreational activities. Mouthguards absorb blows that could otherwise result in broken teeth, lip and face injuries, and even jaw fractures. If your child participates in such activities, consult your dentist about custom-fitted mouthguards.
Malocclusion
Malocclusion, or an improper bite, occurs when teeth are crowded, crooked, or misaligned, or when the jaws don’t meet correctly. This condition may become more apparent between the ages of 6 and 12, as permanent teeth begin to erupt. If left untreated, a bad bite can make it challenging to maintain oral hygiene, increasing the risk of cavities and gum disease due to the difficulty in cleaning crooked or crowded teeth.
Additionally, malocclusion can have several other effects, including:- Impaired jaw development
- Increased risk of chips and fractures on protruding teeth
- Difficulties in eating and speaking
- Increased likelihood of abnormal or faster wear on misaligned teeth compared to properly aligned ones.
Nutrition
Children require robust and healthy teeth for chewing food, speaking, and maintaining a good-looking smile. Moreover, a nutritious diet is crucial for a child’s growth and development. Almost all foods, including milk and vegetables, contain some form of sugar, which can lead to tooth decay. To effectively manage the amount of sugar your child consumes, always make an effort to read food labels and opt for foods and beverages that are low in added sugars. Additionally, choose beverages like water that hydrate and support overall nutrition.
Dental Anxiety
At Byron Dental, we understand that dental anxiety can be a significant barrier to receiving necessary dental care. If you’re struggling with dental anxiety and avoid the dentist due to fear or simply don’t enjoy dental work, we’re here to help. We will ensure that you are comfortable and relaxed throughout the dental procedure, regardless of the type of work being done. When you visit our office, we will meet with you to discuss what treatments you need and hygiene while addressing any fears you may have about dentistry in general. We will keep you informed about the entire process, allowing you to make informed decisions about your dental care without feeling anxious.
How can I ease my fears about dental care without medication?
In addition to providing professional dental care, we are committed to helping you overcome your dental anxiety. We will discuss various strategies to manage your anxiety during dental appointments, ranging from playing music on headphones to using other techniques tailored to your specific needs.
How can I prepare for my dentist appointment?
Another easy way to calm your fears is to visit our Byron Dental clinic and meet with the dentist before your actual appointment. Take the time to tour our clinic, where you can sit in the dentist’s chair and have a conversation. This will help you become familiar with our staff and clinic environment. During your consultation, we can discuss what you can expect from a teeth cleaning or a specific procedure. This will help you mentally prepare for how long it will take, the dental tools we will use, what you may feel during the process, and what the recovery period will be, if any. After this meeting, when you do have your teeth cleaned or any other work done, you are doing so in an atmosphere that you feel comfortable in with friendly and familiar faces.
At Byron Dental, we believe that the more informed our patients are, the more comfortable and relaxed they feel. This one appointment can help alleviate the fear of dentists that you may be experiencing.
Wisdom Teeth
Wisdom teeth, also known as third molars, are the last teeth to erupt during young adulthood. During a dental examination, your dentist assesses the health and proper positioning of your wisdom teeth.
While each patient’s situation is unique, wisdom teeth may need to be removed if there are signs of changes in the mouth, such as pain, infection, cysts, tumours, damage to adjacent teeth, gum disease, or tooth decay (if restoration is not feasible or desirable). Your dentist or specialist may also recommend removal to prevent complications or for other reasons, like as part of an orthodontic, restorative, or periodontal treatment plan.
Over time, the condition of your mouth can change, so wisdom teeth that are not removed should continue to be monitored, as the potential for future problems still exists. As with many other health conditions, the risk of developing issues with wisdom teeth increases with age. Regular dental visits are crucial to allow your dentist to evaluate not only your wisdom teeth but also your overall oral health, enabling you to prevent and manage dental diseases and achieve optimal oral health.
Is a wisdom teeth extraction really necessary?
At Byron Dental, we recognise that each patient is unique, and so are their teeth. Whether or not you need to have your wisdom teeth removed by a dentist depends on the size of your palate. If you have ample space for all your teeth and your third molars, they can remain in place. There’s no point in removing a tooth that grows straight and is healthy. However, any impacted tooth needs to be removed because it poses a direct threat to your other teeth and roots, as well as being susceptible to infections.
