James sees a new patient in his dental practice. The 15-year-old boy has severe pain when he chews, according to his mother. When James examines his teeth, the reason behind the pain is clear. James informs the patient’s mother that her son will need to have at least seven teeth pulled because they are full of cavities that cannot be repaired. Considering how long it must have taken for the boy’s teeth to get in this condition, what will James MOST likely conclude about his mother?