Apex NC Dentist

Dentist Apex NC

There are four primary kinds of dentistry services that North Carolina’s Alliance Dentistry provides. First, there is preventative dentistry. Preventive dentistry seeks to preserve healthy teeth and gums and prevent oral injuries, as well as the development of oral diseases and cavities. Everyone, regardless of the state of their oral health, requires regular preventative dentistry services. These services primarily consist of cleanings and fluoride treatments. However, they may also include sealants, mouth guards, and other preventative measures. Patients of every age benefit from regular preventative care. Oftentimes, with proper attention to preventative needs, patients can avoid having to connect with our Apex, NC dentist team for alternative services.

Second, there is diagnostic dentistry. Evaluating the state of your oral health can reveal issues in need of attention. Most commonly, our team discovers that our patients have developed cavities and/or have developed gum disease. However, these are only two of the many conditions that may be diagnosed after a patient has undergone an oral health evaluation. Our team takes whatever time is needed in order to complete a comprehensive assessment of our patients’ hard and soft tissue. Once our evaluation is complete, we will use the objective findings of that evaluation as the foundation upon which we will build a patient’s treatment plan.

Third, there is restorative dentistry. When a patient’s mouth is injured as a result of an accident, illness, or other trauma, restorative dentistry can help to ensure that patient’s oral health is addressed and they can return to smiling confidently. There are a host of restorative dental procedures that may benefit any particular patient. From crowns and implants to addressing the dental consequences of broken jaw bones and tissue damage, when our patients get injured, ill, or suffer from trauma, our Apex, NC dentist team can help.

Finally, there is cosmetic dentistry. Having confidence in one’s smile can do wonders for mind and spirit. Veneers, bonding, whitening and other cosmetic procedures often aid our patients in achieving this consequential form of confidence. Smiles are as unique as the people that wear them. If you are not confident in how your smile has developed, our team can evaluate which cosmetic dentistry options may assist you in achieving the smile that you desire.

We Are Accepting New Patients

Our General Dentistry Services

As a leading comprehensive dentist, we offer a broad range of services including general dentistry. This ranges from standard dental exams to deep cleanings and root canals. Our staff offers preventative and restorative work to anyone who may need it. 

Your First Visit

When you schedule an appointment at our Apex NC clinic, we may perform a dental cleaning and an oral exam. Regardless of your age, we care about your oral health and will make sure to conduct a very thorough exam. Rest assured we understand that some people have a fear of dentists, but we are no one to fear. Rather, we are careful, gentle, and will try to make your visit as comfortable as possible. 

As soon as you come to our office, we strive to make you feel relaxed and welcomed. Our clinical environment is cozy and is liked by adults and children. It is our goal that you will leave your dental exam, smiling. 

General Dental Exams

As a dental clinic, routine examination procedures can be scheduled at your earliest convenience. At your first visit, we may take radiographs and conduct preliminary tests to gauge your dental health and diagnose you with suggested treatment. This is followed by a dental cleaning. Our friendly team of dental technicians may ask you about your dental history and how often you brush and floss your teeth. It is useful to know as much a possible, especially about any challenges or concerns. This will help us to provide you with the best dental care. 

Examining Your X-Rays

At your dental exam, X-rays will likely be taken and reviewed by your Apex NC dentist. These are the best ways to screen for potential cavities, problems with the teeth, gum issues, and issues near the jaw bone. Radiographs are very important to have done during a dental exam as they are able to show the dentist a lot of invisible  issues, or those that cannot be seen with the naked eye. 

In children, radiographs can help a dentist assess whether or not their teeth are coming in correctly. In adolescents they can show impacted wisdom teeth or whether removal is necessary. If you are missing teeth, these X-rays can help us to determine whether there is healthy bone for a dental implant.  If not, a bone graft may be recommended. 

Radiographs are routine procedures and help your dentist to understand the current health of your teeth and mouth as a whole. Once they have been taken, your dentist will review the findings, make a diagnosis, and suggest recommended treatment. 

Patients who go to dentists in Apex, North Carolina on an annual basis can help ensure that their teeth are healthy. If you go too long between visits, it may result in bacteria known as plaque buildup on the surface of the teeth. When plaque multiplies, it not only continues to coat teeth, but it also makes its way to the gum line, causing even more problems.

Even if you do attend your annual checkup, you may still have issues crop up. Learn to spot the signs of dental trouble so Apex NC dentists can provide you with treatment sooner rather than later.

• Tooth Pain

The first symptom of a dental problem is tooth pain. While not all tooth pain is serious, it does warrant checking by Apex NC dentists. There may be something stuck between teeth causing irritation, you may have a crack from biting something hard, or a cavity may have formed.

• Gums Recede

Plaque that is not eradicated early on may infect adjacent teeth and gums. When bacteria makes its way to gums, you may not notice it. It does not start with discomfort or pain. However, over time, the bacteria eat will away at the gums, causing them to deteriorate. You may notice gums pulling away from gums, either leaving gaps or exposing more of the tooth. Once this is evident, you may want to make a trip to our dentist in Apex NC as it signals more trouble to come if left unchecked.

• Bleeding Gums

As the gums continue to break down under the onslaught of bacteria, they become red and tender. You may still not notice any pain, but you may start to see blood on your toothbrush after you brush. Gums become sensitive as they wear down, and the bleeding is a further signal that serious dental issues may be developing.

• Swelling or Bumps

When gums become compromised, they allow germs and bacteria under the gum line, which may require treatment from an Apex NC dentist. If the body’s immune system is not successful in beating back the invader, you may develop an infection. Signs of this may start to manifest as swelling around the affected area. The spot may become tender, and a bump known as an abscess may form. This may signal a more serious problem. The root of the tooth may have become infected. A root canal may be necessary to remove the infection. This procedure requires your Apex NC dentist to clean out the contaminated area, removing the infected root and pulp of the tooth. A crown is affixed to the tooth to seal the hole and protect what remains of the tooth.

By the time you notice one of these signs, there may be a problem that needs fixing. The best course of action may be more frequent trips to a dentistry practice to help monitor your oral health. To meet with one of the compassionate dentists Apex NC patients recommend, call Alliance Dentistry today.

• Toothaches and Mild Sensitivity

Mild toothaches or sensitivity to hot or cold usually indicate that your tooth has a cavity or is experiencing some decay. You should mention it to your Apex NC dentist on your next visit. You might want to use a toothpaste for sensitive teeth. Be gentle when brushing your teeth. A cold compress or over-the-counter pain medications may ease the discomfort. If the toothache lasts more than a day or you experience a fever, you’ll want to get to your dentist as soon as possible.

• Chipped or Cracked Teeth

If you break a tooth, it’s considered a dental emergency. You should call the best Apex NC dentist right away. If the tooth was knocked out completely, salvage the tooth if you can. Keep it clean and place it in a clean container. You don’t want it to dry. If the tooth breaks into pieces, you should get to the dentist quickly, like within the next 30 minutes to an hour. A small, chipped tooth isn’t as serious, but don’t put off dealing with it. It could lead to an infection. Your dentist has many options to repair broken teeth to keep your mouth healthy.

Don’t Wait for Symptoms or Problems

Ideally, you should make an appointment with your dentist every six months for an examination and cleaning. These appointments will help you avoid many serious issues. If you do have an injury to your tooth, you are more likely to get quick and proper treatment. Schedule your appointment with your dentist today for preventative care.

If you are having dental issues, you may be asking, “Who is the best dentist Apex NC patients recommend?” If you would like to meet the dental professionals at Alliance Dentistry, call our office today. 

Relaxing in the dental chair is seemingly an impossibility for some. Certain individuals become nervous and tense when they need to have their teeth checked or cleaned. If this sounds like you, you need to know you’re not alone. Many people in North Carolina struggle with anxiety about seeing an Apex, NC dentist. 

How to Get the Most Out of Your Dental Visit

Regular dental checkups are essential for maintaining optimal oral health. It’s important to make these visits a top priority and get everything you can out of them. Here are some tips for getting the most out of your next dental visit.

• Write down a list of concerns. If you have any concerns about your dental health, your next dental visit is the perfect place to bring them up. For example, you might experience sensitivity when you eat cold foods or bleeding when you brush your teeth. Your dentist may have helpful suggestions for these problems. Write down your concerns on a notepad so that you don’t forget them.
• List your current medications. If you have started taking new medication, it is a good idea to let your dentist know at your next appointment. Certain medications can affect your oral health. For instance, blood pressure medication can cause dry mouth, which can make you more susceptible to cavities and gum disease. The best dentist in Apex, NC can advise you on what to do.
• Be honest about dental anxiety. Many people get anxious about seeing the dentist, but may be too embarrassed to express their concerns. Don’t be afraid to discuss your anxiety with your dentist. It is likely that your dentist has treated many other patients with dental anxiety. He or she can make the necessary accommodations to help you feel more comfortable.
• Inform your dentist about any medical conditions. Certain health conditions can affect your oral health. For example, uncontrolled diabetes can increase the risk of gum disease. That’s why it’s important to let your dentist know about all of your medical attention.
• Ask how you can improve your dental health. It’s never too late to improve the health of your teeth and gums. During your next dental checkup, ask your dentist what you can do to step up your oral hygiene routine. Your dentist may have some great suggestions, such as switching to an electric toothbrush or avoiding snapping your floss between your teeth.
• Ask for clarifications. If you don’t understand something your dentist tells you, don’t be afraid to speak up. Whether it is related to a dental treatment or how you can take care of your teeth and gums at home, there is nothing wrong with asking for clarification.

Tips For Your First Dentist Appointment

For many people, going to the dentist can be a stressful and nerve-wracking experience even when you go to the Apex, NC Best Dentist that the town has to offer. It’s understandable that you may feel anxious about your first appointment. But don’t worry! To help put your mind at ease, we’ve compiled five tips to help make your first visit go as smoothly as possible. Read on for more tips on how to prepare for your visit and make sure it’s a positive experience, and then contact Alliance Dentistry to confirm your first appointment!

1) Bring a List of Questions

It’s totally normal to be a little nervous when you’re heading to your first appointment with a dentist. One of the best ways to combat this is to come prepared with a list of questions. Writing down your questions in advance will help to ensure that nothing slips your mind when you’re in the chair. It’s easy to become flustered and forget something important if you don’t take the time to plan ahead. Consider writing down any questions you may have about your oral health or the procedures you’re planning on undergoing.

2) Tell the Dentist About Your Anxiety

By being open and honest with your dentist about your feelings, they can help make sure that your visit goes as smoothly as possible. For example, your dentist may be able to offer helpful advice such as taking deep breaths or using visualization techniques to help you relax. They may also be able to provide a mild sedative to help ease any anxiety you might have. Your dentist will also be better equipped to tailor your visit to fit your needs and make sure that you don’t feel overwhelmed or uncomfortable. If you need more breaks or extra time for certain procedures, make sure to let your dentist know. Ultimately, it’s important to remember that your Apex best dentist is there to help you and ensure that you are getting the best care possible. By communicating openly about any anxieties you may have, you can work together with your dentist to ensure that your experience is as comfortable as possible.

3) Take a Friend or Family Member

Having someone to support you during your first visit to the dentist can make the experience much more pleasant. Whether it’s a family member, friend, or partner, having someone there to talk to can help ease any anxiety or fear you may be feeling. Bringing a companion to your appointment also provides another set of eyes and ears to pay attention to the dentist’s instructions. This can be beneficial when it comes time to ask questions or gain a better understanding of what is being discussed. Additionally, this person can offer insight that you may not have considered and can provide a sounding board for any concerns you might have.

4) Ask About Sedation Options

Most dentists offer sedation options such as nitrous oxide (laughing gas) or oral sedatives. Both of these options can help relax you throughout your appointment and reduce anxiety. Nitrous oxide is inhaled through a small mask placed over your nose and mouth and the effects take place almost immediately. Oral sedatives are taken by mouth before your appointment and help you to remain relaxed throughout.

5) Choose a Dentist You Feel Comfortable With

Ask people in your network who they recommend, as well as what their experiences have been like. You can also find helpful information about dentists online by reading reviews from past patients. Research their educational background and any certifications or awards they may have received. Check out their website. Schedule an initial consultation.

By taking these steps and finding the Apex best dentist you feel comfortable with, you can rest assured that your first appointment will go smoothly and that you’ll receive the quality dental care you deserve; contact Alliance Dentistry to confirm your first appointment!

Modernized Dental Procedures

In the ever-evolving field of dental care, staying abreast of the latest technological advancements is crucial. At Alliance Dentistry in Apex, NC, we pride ourselves on integrating modernized dental procedures that enhance patient care, comfort, and outcomes. The dental industry has witnessed remarkable transformations, and we’re at the forefront, ensuring our patients benefit from these innovations.

Digital Dentistry: Revolutionizing Dental Care

One of the significant advancements in modern dentistry is digital technology. At Alliance Dentistry, we utilize digital imaging systems that provide clearer, more accurate images of your teeth and gums. This technology is pivotal in diagnosing issues with precision and planning treatments effectively. Digital impressions also replace the uncomfortable traditional molds, making the experience more pleasant for our patients.

Laser Dentistry: Precision and Comfort

Laser technology has been a game-changer in dental treatments. At Alliance Dentistry, we use dental lasers for various procedures, from teeth whitening to gum reshaping. Lasers offer a level of precision that traditional methods can’t match, leading to better outcomes and quicker recovery times. The reduced need for anesthesia and less invasive procedures make laser dentistry a preferred choice for many of our patients.

3D Printing in Dentistry

The advent of 3D printing in dentistry has opened up new possibilities for customized care. Whether it’s creating precise dental crowns, bridges, or even orthodontic devices, 3D printing allows for faster, more accurate production of dental appliances. At Alliance Dentistry, we harness this technology to provide personalized solutions that fit perfectly and function flawlessly.

Painless Injections: Taking the Fear Out of Dentistry

Understanding that dental anxiety is a real concern for many, we’ve embraced technologies like painless injections. This technique ensures that our patients experience minimal discomfort during procedures, making their visit to our Apex, NC dentist office a more positive experience.

Tele-dentistry: Remote Dental Care

In an age where convenience and safety are paramount, teledentistry has become an essential aspect of dental care. At Alliance Dentistry, we offer virtual consultations and follow-ups, ensuring that you receive timely advice and care without always needing to visit our office in person.

Talk with You Dental Team

Talking helps overcome dental anxiety. Open communication and expectation setting can help to lower your stress levels. If you need your dentist to keep you informed of what’s being done and how much longer it’s going to take, make sure you ask him or her to share these things. Alliance Dentistry treats patients daily who are none too excited about sitting in the dental chair, and has the right tools and training to ensure you’re comfortable and at ease.

Also, if you’re in the chair having work done, it’s perfectly fine to signal the dental team to let them know you want to stop and take a break. Many people are uncomfortable with the lack of control they have while in the dental chair. Knowing you can signal a stop or pause in the procedure can help you regain some control. Consequently, remember to alert your Apex, NC dentist if you need to take a timeout for a few minutes.

See Your Apex, NC Dentist Regularly

Although it might seem a bit odd, one of the best ways to avoid additional visits to the dentist in Apex, NC is to see your dentist for cleanings and checkups regularly. If you can learn to overcome your anxiety and get through regular, routine checkups and cleanings, then there’s a substantial chance you’ll be avoiding more extensive, time-consuming, and potentially anxiety-producing procedures in the future.

Keep in mind that your dental visit is a necessary way to support your overall health, and skipping dental care is not a healthy option. Your Apex, NC dentist at Alliance Dentistry wants to help provide you relief from your dental anxiety and worries. Please don’t hesitate to reach out and explain your feelings to them. Schedule your next dental visit today.

Apex NC Dentist Infographic

Unlocking The Secrets To Lasting Dental Health

Maintaining good dental health is essential for overall well-being, and regular visits to a dentist play a crucial role in achieving this goal. In Apex, NC, dentists emphasize the importance of routine dental check-ups as a preventive measure against common dental problems. These professionals recommend that individuals should ideally see an Apex, NC dentist every six months. However, this frequency can vary based on individual needs and the dentist’s assessment.

Common dental problems can range from minor issues to more severe complications that require immediate attention. Tooth decay, also known as cavities, is one of the most prevalent dental problems. It occurs when plaque, a sticky film of bacteria, builds up on teeth and produces acids that erode the enamel. Gum disease, another common issue, begins as gingivitis, causing inflammation and bleeding of the gums. If left untreated, it can progress to periodontitis, leading to tooth loss.

Knowing when to see an Apex, NC dentist is crucial to addressing dental problems before they escalate. Any persistent pain, sensitivity to hot or cold temperatures, swollen gums, or unusual changes in the mouth should prompt a visit to the dentist. Regular check-ups help identify such problems early on, preventing further damage and reducing treatment costs.

Proper dental care at home complements professional dental visits. Brushing teeth at least twice a day with fluoride toothpaste and using a soft-bristle toothbrush helps remove plaque and food particles. Flossing daily is equally important, as it cleans areas between teeth that a toothbrush can’t reach. Additionally, using an antimicrobial mouthwash can help control bacteria that cause bad breath and gum disease.

Preventing tooth decay is a primary concern, and several steps can be taken to minimize the risk. Limiting sugary and acidic foods and drinks can significantly reduce the likelihood of cavities. Opting for nutritious snacks and drinking water throughout the day can help maintain a healthy pH level in the mouth. Chewing sugar-free gum after meals can also stimulate saliva production, which aids in neutralizing acids and promoting oral health.

Fluoride, a natural mineral, plays a pivotal role in preventing tooth decay. It strengthens enamel and helps repair early stages of decay. Using fluoride toothpaste and drinking fluoridated water can contribute to maintaining strong teeth. For individuals with a higher risk of cavities, dentists might recommend additional fluoride treatments.

Prioritizing dental health is a multifaceted endeavor that involves a combination of regular professional care and consistent oral hygiene practices. Regular visits to an Apex, NC dentist offer proactive solutions, personalized advice, and professional cleanings that safeguard long-term dental health. The dentists at Alliance Dentistry recommend biannual visits to ensure early detection and prevention of common dental problems like cavities and gum disease. Being aware of signs that necessitate immediate attention is crucial for maintaining oral health, as is following proper oral hygiene practices at home. By brushing, flossing, and using fluoride products, individuals can effectively reduce the risk of tooth decay and other dental complications. Ultimately, a holistic approach that includes both professional care and personal commitment is the key to achieving and preserving a healthy smile.

Apex Dentist Statistics

According to the Centers for Disease Control and Prevention (CDC), a good portion of the U.S. population has untreated cavities:

• Children 5 – 19 years of age – 13 percent
• Adults 20 – 44 years of age – 26 percent
• Adults 45 – 64 years of age – 25 percent
• Adults 65 years of age or older – 20 percent

If you are suffering from dental disease, it is important to schedule an appointment with a qualified dentist.

Apex Dentist FAQs

What Should I Expect During My First Dental Appointment?

When you first have an appointment with your Apex, NC dentist from Alliance Dentistry, you can expect to have a detailed and comprehensive exam of your teeth and gums. This typically includes a thorough examination of your teeth, gums, and mouth. X-rays may be taken to assess any hidden issues. Your dentist will discuss any findings with you and create a treatment plan if necessary. You can also use this opportunity to discuss any concerns or questions you may have about your oral health, ensuring you feel comfortable and informed. Building a trusting relationship with your dentist is crucial for ongoing dental care.

How Often Should I Visit The Dentist For A Check-up?

For the majority of people, it is strongly advised to have a routine dental check-up appointment every six months to maintain your dental health. However, the frequency of your visits may vary based on your specific oral health needs. Your dentist will provide guidance on the ideal schedule for your check-ups. Regular dental check-ups not only help in maintaining your oral health but also enable early detection of any potential issues, saving you from more extensive and costly treatments down the road. Your dentist will work with you to establish a personalized preventive care plan.

What Can I Do To Maintain Good Oral Hygiene At Home?

To maintain excellent oral hygiene, be sure to brush your teeth at least twice a day using fluoride toothpaste. Floss daily to remove plaque and food particles from between your teeth. Consider using an antiseptic mouthwash and maintaining a balanced diet low in sugary snacks and drinks. Staying hydrated and eating certain foods that promote saliva production can also protect your teeth from decay and prevent issues like cavities, bad breath, and gum disease. Don’t forget to replace your toothbrush regularly and choose one with soft bristles to avoid damaging your gums and enamel.

What Are My Options If I Have A Dental Emergency?

Dental emergencies can happen unexpectedly. If you experience severe tooth pain, a knocked-out tooth, a broken crown, or any other urgent dental issue, contact your dentist immediately. They will advise you on the best course of action, which may include immediate treatment or a visit to an emergency dental clinic. Remember that quick action in a dental emergency can often mean the difference between saving a tooth and more extensive treatment, so don’t hesitate to seek help promptly. Be sure that you have your Apex dentist’s contact information available in case of any emergencies such as severe tooth pain.

Can A Dentist Help With Cosmetic Dental Issues?

Yes, dentists can address cosmetic dental concerns. Procedures like teeth whitening, dental bonding, veneers, and orthodontic treatments can enhance the appearance of your smile. Your dentist will discuss your specific cosmetic goals and recommend the most suitable options for you. Whether you want to brighten your smile or correct misaligned teeth, cosmetic dentistry offers a range of solutions to boost your confidence and achieve the smile you desire. Consult with your dentist to explore the best approach for your unique needs and preferences. Make an appointment with an experienced and trusted Apex dentist now if you want to maintain your oral health.

Why the Alliance name?

Simply put, Alliance reflects our shared core philosophy. As a husband and wife team, we are allies both at home in NC, and in our approach to providing exceptional oral care to our Apex, NC dental patients. We build collaborative relationships with our patients, we’ve developed a network of first-rate specialists, and we’re committed to facilitating optimal dental health.

Timothy C. Raczka, D.D.S.

Dr. Timothy C. Raczka received his dental degree from the State University of New York at Buffalo School of Dental Medicine in 1992. He completed a general practice residency at the Buffalo Veterans Administration Medical Center and spent two years as a staff dentist at the nationally recognized Cleveland Clinic Foundation in Cleveland, Ohio. Dr. Tim returned to Buffalo, where he practiced dentistry with his father for 11 years. At the same time, he was a clinical assistant professor at the State University of New York at Buffalo School of Dental Medicine and served as a consultant at the Veterans Administration Medical Center. Dr. Tim has also worked for the US Department of Justice as an expert witness in several cases. In addition, Dr. Tim is a former associate professor in the Department of Prosthodontics at the University of North Carolina at Chapel Hill School of Dentistry. He now serves Apex, NC. He is an avid golfer and runner and enjoys spending time with his three children, cooking, and collecting wine. Email Dr. Tim Raczka.

Maureen M. Raczka, D.D.S.

Dr. Maureen M. Raczka earned her undergraduate degree from the University of Notre Dame and her dental degree from the State University of New York at Buffalo School of Dental Medicine. After completing a dental oncology residency at Roswell Park Cancer Institute in Buffalo, she spent two years practicing dentistry in private practice and at St. Luke’s Hospital in Cleveland, Ohio, where she also served as assistant director of the dental residency program. At the same time, she was a member of the teaching faculty at Case Western Reserve University. Returning to Buffalo, she was appointed clinical assistant professor in the Department of Restorative Dentistry at the State University of New York at Buffalo School of Dental Medicine and also practiced in private practice. After 11 years, Dr. Maureen and her family relocated to Cary, NC, where she now serves Apex, NC. She served as an associate professor in the Department of Prosthodontics at the University of North Carolina at Chapel Hill School of Dentistry for three years. She enjoys running and spending time with her three children. Email Dr. Maureen Raczka.

Call a Dentist in Apex, NC From Alliance Dentistry!

When you are looking for a dentist Apex, NC relies on, you should call Alliance Dentistry to see how we can help you. We understand that you may have many questions when it comes to your oral care. You may know that you should brush, floss, and use mouthwash every day, but you may want to know why. What does this help prevent? Do you really need to floss? Is mouthwash really necessary?

Understanding the reasons why those habits are so important is crucial to dental health and preserving a bright and brilliant smile. Gum diseases, bad breath, and other conditions that relate to oral health are often overlooked by patients, and that is something we want to change. We care about making sure you are healthy and believe it or not, a large part of your overall health starts with your mouth. How you take care of your mouth can have an effect on the rest of your body, and making sure to practice good dental habits is a big part of preventing other health complications. If you would like to learn more about what you can be doing to have a healthy mouth or if you would like to set up an appointment to speak with our dentists, please give us a call. 

We at Alliance Dentistry are committed to offering exceptional dental care by integrating the latest advancements in the field. Our approach combines cutting-edge technology with compassionate, patient-centered service, ensuring that every visit to our clinic is a positive, reassuring experience. We take pride in our ability to provide the community of Apex with modernized dental solutions, and we invite you to join us in experiencing the pinnacle of dental care. At Alliance Dentistry, your oral health and comfort are our top priorities, and we are dedicated to delivering the highest standard of dental services to all our patients.