April 22, 2025 • 38 mins
Host Dale Cooper and Dr. Steven Ghareeb discus dental hygiene, best practices, cutting edge procedures, and the history of the field.
Locations in Kanawha City, Poca, South Charleston, Cross Lanes, St. Albans, and Teays Valley.
Call 1-800-GreatCare or visit online at www.GhareebDentalGroup.com
Locations in Kanawha City, Poca, South Charleston, Cross Lanes, St. Albans, and Teays Valley.
Call 1-800-GreatCare or visit online at www.GhareebDentalGroup.com
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
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Speaker 2 (00:15):
The views and opinions expressed on this program do not
necessarily reflect the views and opinions of five eight WCCHS
it's employees or WVRC Media.
Speaker 3 (00:36):
And replus to Good morning to you. You're listening too,
ask the expert WCHS the Voice of Charleston. It's Tuesday morning,
and I was assured about the weatherman or at the
weather forecast coming in that today is going to be
a stunner. I have to admit, yesterday morning, what's better
than this morning. It was a gorgeous morning yesterday, and
then we've got some clouds and some rain and things
like that later on in the afternoon. Today's starting off
a little sunny, so hopefully that means that will burn
(00:56):
off and we're going to get some like mid seventies
temperature and it's going to be really nice. What a
great day to talk about teeth is what.
Speaker 4 (01:02):
I have to say. There always is.
Speaker 3 (01:04):
When when I hear there's going to be a great
when I hear that there's a lot of great weather
coming about, I'm like, we got to talk to we
got to talk about some dental hygiene this morning, and
that's what we're going to do. Joining us in studio
this morning, of course from Greed Dental Group. We have
doctor Stephen here and doctor Carson Henley, both from Greed
Dental Group, taking your calls in text this morning and
call us if you have any questions about your dental situation,
(01:26):
dental hygiene, anything else going on three zero four three
four two eight one three one. You can text three
zero four non three five five zero zero eight. We
want to talk about a lot of different things this morning.
The last time that that doctor's Carson and UH and
Stephen were on the program, we started talking about implants
and I think we got a couple of calls and
we didn't quite finish up our conversation. We're going to
talk a little bit more about implants beyond the I
(01:47):
think we got to like the anchor points with like
dentures and things like that. So we're going to talk
about implants a little bit more in depth and go
into fluoride in the news now, yea.
Speaker 4 (01:56):
And we were up for it.
Speaker 3 (01:58):
We were kind of warning people about this what's going
on with night here.
Speaker 4 (02:02):
We got a little reverb. What do we call that?
Speaker 3 (02:05):
There we go, that's sound.
Speaker 4 (02:06):
Oh, don't check.
Speaker 3 (02:09):
I don't know the thing. It's you. Let me see
what I can figure out here. Give me a second course.
But we have uh uh, we're going to talk about
those things and all kinds of other stuff. So if
you want to give just call this morning. You can
three zero four three four two eight one three one
threes are a four three four two eight one three one,
or you can text three z are four nine three
five five zero zero eight. And we appreciate that. So
picking up, of course, gree Dental Group. You can find online.
It's a Grievedentalgroup dot com, gh A R E B.
(02:30):
Grieve Dentalgroup dot com and their phone number one one
hundred Great Care onne hundred. Great Care will take you
to the closest location to you, which is playing of
them round here. We'll get the information out there a
little bit later on. So implants. We were talking about
that a little bit on the previous show, and we've
talked about implants before, but we always do tend to
get caught up on the uh uh no pun intended
on the on the dentrists and how we can anchor
(02:51):
on the dentriesants and things like that. So we need
to make sure everybody knows exactly all the different tools
that are available when it comes to implants.
Speaker 4 (02:57):
For sure. And that's what's uh, what's kind of difficult
is people you talk about dental implants have a different
idea or an idea in their head of what that means,
and that can mean to some people, I need implants
to hold my dentures, which is kind of like the
one of the first iterations of implant dentistry and what
it was used for. And that's what we discussed last
(03:18):
time about getting in at least two anchor points with
the implants to allow that to have your denture snap
into and hold in better. But then beyond that, once
you get into two or four implants that provide those
snaps for your dentures, then we can start transitioning if
we kind of upgrade from there using those four implants,
maybe up to six implants per arch, meaning on the
(03:41):
top or on the bottom. You put four to six
implants in and that's enough to hold what we call
an implant supported bridge now dental bridges. People kind of
aren't quite sure what that is sometimes, but it's effectively
linking teeth together all the way around, and so you
have one piece that glues and screws into these implants
(04:05):
into your mouth and then they do not come out
and you clean around them. We make you passages for
you to floss underneath them. But that's kind of the
Cadillac version of someone that comes in saying, you know what,
my teeth have broken down for one reason or another.
I've had dentures for a number of years, and I'm
sick of dealing with something coming in and out of
my mouth. I want something locked in that are like
(04:27):
natural teeth. And that's the best thing that we can
give them at this time, which is a fantastic option.
We put in bring in the patient, put in the
implants at the time. If they have teeth that we
remove the teeth many times, then put the implant in immediately,
and then they can walk out that day with temporary
teeth on those implants, which is a big game changer
(04:49):
and a life changing thing for many people. Now we
have to let those implants heal for a period of time,
for twelve weeks before we put the final bridge on.
That allows the gum to shoes to settle down to
kind of shrink and move to where they're going. And
then we make the final the final bridge a period
of time later after the implants have healed completely into
(05:12):
the bone. But the fact that we put in you know,
four to six implants at one time and link them
all together gives them the stability to allow us generally
to put in temporary teeth at that time of the
of the tooth removal. So it's it's a pretty pretty
amazing process that's been that's uh, that's been introduced by recently.
Speaker 3 (05:34):
So there are phases that are in this that does
there it is there will be some time that's taken
for for this to be proper for the patient. But
that's the that's the point of this is taking this
in the stages and and uh and making sure it's delivered.
I mean, this is uh, this is really pretty amazing.
For somebody on the on the I want to say
end to user, that seems a little it seems a
little techy sounding, but yeah, the patient, I guess is
(05:54):
a good way to put it. Right. It sounds it
sounds very Uh, the resolution at the end of this
sounds very good. It seems to have a very patient positive.
Speaker 4 (06:03):
Experience, absolutely, And that's that's what really patients are very
excited about and interested in, is getting the that that
product that you can kind of walk out with at
that time and there is some period of healing. But
with this this other procedure, with the fixed bridge option,
(06:23):
you're not going a period of time without teeth, you know.
So that's what everyone's concerned about. Oh well, I'm going
to be, you know, walking around toothless. No, that's kind
of our policy. We don't want to send people out
without teeth, out of our office without any teeth. So
I'm going to find a temporary solution. And in that scenario,
that temporary solution is still a fixed option, something that
(06:44):
does not come in and out of your mouth, unless
there's an issue with the bone and we have to
kind of slow walk it a little bit more. But
in that case, then we'll provide you with a temporary
venture of some sort, some type of tooth replacement option.
Speaker 3 (06:57):
The choices that that someone has. Of course, you you
lay out the plants for him when when a patient
would come in. So there's there when you get to
the point that someone is a good candidate for this
type of implant and being able to take that that
next step with them. That's something that that helps out
with the patients quite a bit. Is there is there
any particular, like almost a perfect patient scenario that you're
(07:18):
looking for that that would match up with with having
this type of implant?
Speaker 4 (07:22):
Yeah? Sure, yeah. Do you have anything comes to mind
doctor Hendler Rut's.
Speaker 3 (07:26):
Test, like almost a perfect patient scenario that you're looking
for that that would match up with with having this
type of implant?
Speaker 4 (07:33):
Yeah? Sure, yeah, do you have anything that comes to
mind doctor Hendler.
Speaker 3 (07:36):
Rut's test, Baby, I'll just speak over here, all right, Yeah,
sorry about that.
Speaker 4 (07:43):
DoD Steve and I are very close.
Speaker 2 (07:47):
For sure.
Speaker 5 (07:48):
For sure. The perfect patient is the patient that what
that that that really desires something that does not come
in and out, because a top denture can provide a
very comprehensive way to chew and bite, although it does
come in and out. And so if you want that
permanent replacement, that fixed bridge that attaches to the implants.
(08:10):
You have to know that you will not be too
happy with dentures. So that's the first thing. Second thing
is the cost. It's gonna be a little more or
considerably more expensive to go with a fixed bridge as
opposed to a denture, and so we need to, I
don't know, just kind of have those discussions and make
sure that the patient understands that before we kind of
(08:31):
proceed with the treatment. Because once you kind of start
there are some caveats you can kind of change a
little bit the path, but once you kind of start
down one of these pathways, it's hard to go back.
And so there's a lot of informed consent. There's a
lot of discussion that goes with and that's I think
what makes us so I guess we're special. I'll say
we're special special. We talk a lot, and we listen,
(08:52):
and we want to make sure that the patient understands
those options and understands that maybe the option that they
want when they walked in, it's not the option that
they need whenever they walked out.
Speaker 4 (09:02):
And so there's a lot of that involved.
Speaker 3 (09:04):
That sounds good, that's uh, And that's what we always
love about when we do this program and we talk
about these types of things. That's what we always like
is the patient experience. You guys are are very patient experience.
Forward want to make sure they have a great experience
starting from your very starting from the from the office
experience that you have that that's actually at your individual offices,
all the way up until the choices that you're giving
(09:25):
on things like this, I mean having that been on
to be customized and taking uh and given the person
the results that they're looking for. Is exactly what you're looking.
Speaker 4 (09:33):
For there, that's right. Yeah, we want to make sure
the patients are happy with what they're what they're getting
for and the expectations are fulfilled for sure.
Speaker 3 (09:39):
Does that work? Now, let's try it.
Speaker 4 (09:42):
Yeah, that's good.
Speaker 3 (09:45):
It still doesn't work. I don't know what. So this
is something that's not uh, that's not Mike mic problem.
This is something else. Okay, Well we'll figure it out.
We'll figure out in a misus.
Speaker 4 (09:53):
That's right, we can we can alternate on.
Speaker 3 (09:55):
Yeah, I guess that might be something we have to do.
The good thing that we're getting all these new studios
because I think the old ones are on their last
that might be on our.
Speaker 4 (10:02):
Last line time utterly. It sounds like it's time.
Speaker 3 (10:04):
That's a good point. Let's do this. Let's uh, let's reset,
Let's take a break, and then when we come back
we will have more things we're gonna talk about. We're
going to talk about fluoride a little bit. Is it
good four year?
Speaker 5 (10:14):
Is it not?
Speaker 3 (10:14):
Is there any danger behind it? We've talked about this before, unfortunately,
this is something that we need to talk about again now.
And then we're also going to talk a little bit
about over the counterproducts. You know, what works, what doesn't,
what should you avoid? What's really a good idea for
you to get. We're going to talk about those things
and more. You're welcome to join in the conversation as well.
You can text three zero four non three five fives
years zero eight three eser a four none three five
fives years zero eight, or you can call three zero
(10:36):
four three four two eight one three one. We'll be
back after this. You're listening to ask the expert and
from from GREEB Dental Group, we have doctor Stephen here
and doctor Carson. You can give us a call this
morning at three zero four three four two eight one
three one, and you can also find out more about
Greed Dental Group one line Greed Dentalgroup dot com. We'll
be backgra after this on five adw c HS The
Voice of Charleston.
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Speaker 9 (12:34):
Good morning, here's your traffic update. In Canall County, debris
and the roadway on I sixty four West at mile
marker fifty five. In Fayette County, maintenance on I seventy
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Speaker 3 (13:06):
You are listening to as the expert w c HS
the Voice of Charles, and I'm Del Cooper in studio
with me this morning. Doctor Steven is here and doctor
Carson is here from GREEB Dental Group. We have a
little bit of a mic issue this morning, so we're
(13:26):
having to share a mic between doctor Stephen and doctor Carson.
Sorry about that, that is uh yeah, yeah, well we've
done the show a long time together, but it's still
kind of unusual on why that one doesn't work out.
And now now we're at the point where do I
put in an engineering ticket for them to fix the
studio or do I say if they fix the studio's
gonna be longer until they get the other studio ready,
which is you all saw it.
Speaker 4 (13:46):
It's so close for us to know in there, it's like, okay, guys,
the studio is broken, we need the other one.
Speaker 3 (13:51):
Yeah, right ready, but don't worry about it, just fix
the other exactly. That's what I'm thinking.
Speaker 4 (13:54):
Moves up to the top of the.
Speaker 3 (13:55):
List, right right, it's like, don't worry about fixing the
old one. Just get the new one ready and we
all have to worry about the old one. It'll be fune.
But anyway, I appreciate you guys working along with us,
and you can weigh in on the conversation as well.
Phone lines work just fine. Three zer are four three
four to eight one three one, or you can text
thre zero four non three five five zero zero eight
and dale.
Speaker 5 (14:10):
Before we go to Floride, I have a question for
doctor Stephen because I was actually on Reddit last night
and there was a question posed among It was a
dental thing, and so some dentists asking other dentists if
they're seeing a lot of other dentists maybe providing all
on four, all on X, whatever that procedure you want
to call it, because all on in four is the
(14:31):
brand whenever you place four to six implants and then
go to a full fixed bridge. Is that maybe happening
too often with patients? And is that maybe a maybe
it's being guaranteed as a lifetime solution to problems as
opposed to trying to save the teeth that you have.
And so there's that ven diagram of what's gonna work
(14:53):
for every patient or for each patient, and so I
think that's just a good question to kind of hit
on before we move on to Florida.
Speaker 4 (14:59):
Yeah, that's a great question. It's something very valid that
I've been seeing as well from kind of the industry
at large. This was even even whenever we in dentistry
started implementing this procedure and using dental implants more and more.
The statistics are true that dental implants have a very
(15:23):
high success rate. They are ninety plus percent successful. Now,
in the medical field, ninety plus percent is tough to gain,
tough to get. So whatever implant you put in, it's
making you know, it's performing very very well. But you
have to remember that all of these percentages and success
(15:44):
rates are based upon kind of the overall medical model
which you start Then you start thinking, okay, what about
like hip replacements, joint replacements, their success rate is based
on a five year forecast. So that's I think a
lot of the miscommunication that when you look at dental
implants after you put them in at five year mark, Yeah,
(16:07):
ninety plus percent, ninety four percent or more are successful
in the fact that they are still in the bone
and still working. But now if you start telling patients
and patients start thinking, oh, well, this is going to
be you know, once it's in my head's in there forever,
you know, and I don't have to worry about it
ever again, which was kind of the message that was
(16:28):
broadcast early on, then it's it's going to be great
for the rest of my life. Well, if you start
looking at these things not at the five year mark. Now,
let's look at them at ten year mark. Now they've
been in people's heads long enough that we can look
at them for thirty year marks. Then those success rates
go down a little bit because we're still putting something
in a mouth that has bacteria that has effects on
(16:52):
bones and on gums. So all that to say that
if you have lost your teeth due to very bad
periodonal disease and you're prone to this type of periodon
titis we call it, that's the kind of infection of
the gums around the tooth you put in dental implants.
Now we're finding that there's something called implant titis that
(17:14):
you can still succumb to some of these dangers, to
some of these bacteria that come in and can destroy
the bone around your implants. All that to say that
many times patients have these procedures done and they think
they're bulletproof, but you still have to have regular maintenance.
And that's why we harp on that all the time
on the show. Come in for your regular cleanings. Let's
(17:36):
take a look. Even if you have a mouthful of implants,
we still have to clean them. We have to monitor
them to make sure that nothing is kind of getting
out of control and we can address it before it
goes south. Now, the other question that doctor Henley was
asking is about are too many of these things maybe
being done When patients have natural teeth, you know that
(17:57):
maybe we can do something with And that's part of
that commerce station that we have with the patients. And
I've had that conversation probably in the past two months.
I feel like I've had it fifteen times, to say,
you know, your teeth aren't in great shape. We can
invest in your teeth and rehabilitate them, but then are
you going to maintain them? And we have to have
that honest conversation to say some patients come in saying,
(18:19):
you know what, I haven't maintained them my whole life.
I know I'm not going to maintain them, so I
need something different that isn't as as susceptible to decay.
But they're like we just discussed, they're still susceptible to
gum disease, but it's titanium and porcelain we're putting in there.
So yes, they won't decay and have cavities in them,
but they still need maintenance. So some patients make the choice, Yeah,
(18:42):
I know I can. I could invest in these teeth
and get a few more years out of them, but
then I'm going to be back here again in three
or four years, so they make the choice to go
to the implant option. Others say, and I've had this
multiple times, and this is probably more often than not.
They say, wow, I can save these teeth. I don't.
I don't have to get rid of them. You know
that's great. Let's do that, and then we train them,
(19:04):
educate them on what to do, and we just do
a couple on One patient had a bad tooth in
the front that he thought he's going to have all
his teeth out and said, no, you do have gum disease.
We need to treat that. Let's get teeth cleaned really well,
we'll do a crown and you're in great shape. And unfortunately,
had he gone elsewhere, I do believe that they some
places would say, no, we need to take them all out.
(19:26):
So you got to you gotta really have that conversation,
get second opinions if you need to. And uh, and
that's that's important.
Speaker 5 (19:32):
Yeah, And I think that goes to who we are
as general dentists, as comprehensive dentists. Uh, if you go
to a hammer shop, you're going to be sold a hammer.
But if you go to our okay that's a weird
and knowledge that makes sense.
Speaker 3 (19:47):
Right, But but if you go to a dental shoving
saddle lammer, you know.
Speaker 4 (19:49):
Yeah exactly, yeah, yeah.
Speaker 3 (19:50):
Uh.
Speaker 5 (19:51):
We can do the grounds, we can do the crowns,
we can do the Perredonald disease treatment.
Speaker 4 (19:55):
We can do implets as well if we need to.
Speaker 5 (19:57):
So we can do it all. We can offer that
and we can kind of give that nuance to the
conversation that maybe not all can or or or should
right when it comes to their to their abilities. And
so I think that's kind of another way that we're special,
is that we are able to do at all, and
we also know our limitations. We know that if something
is we call it herodontics, we will tell the patient
(20:19):
this is a hero dautics. We we will do it.
But I don't think we should. But just as long
as you understand that we advise you maybe not to
do this, and then usually the patient goes all right,
I understand I shouldn't be doing this. Maybe we should
take out this tooth as opposed to as opposed to
trying to save it. So we always give patients, you know,
so many different options, so many different treatment modalities, and
(20:39):
I think that's what probably sets us apart.
Speaker 3 (20:42):
One thing that that, first of all, I know for
a fact because we've done the show before and we've
talked about implants, you guys have always been on the
forefront of this isn't a lifetime solution where you can
set it and forget. You got to you got to
maintain the things. There's things that you have to do
to uh to uh keep them in your mouth and
to keep healthy and things like that. I mean, you
guys have always been on the on the leading edge
of that. And another thing that as you were talking
(21:03):
about that that it made me think of is you're
talking about ninety plus percent success rate. If more people
are finding ways to do the procedure, maybe without vetting
the patient as much when their want and the actual
need of the of the the implant, and that in
that way and the success that it could possibly be
if they're just you know, pushing it to push it, basically,
(21:24):
that's eventually going to affect the success rate, right. I mean,
people won't be as happy five years down the line
because maybe they didn't go through the proper vetting procedures,
wasn't giving all the options to begin with, so on
and so forth. So it's really important to have that
conversation with your with your dental hygiene professional, whoever it
might be, to make sure you're making the right decision
and maybe get a second opinion from someone who's not
like an implant specialist or something, because you know, that's
(21:45):
the tool that they favor, and maybe there's other tools
that are availble to you.
Speaker 4 (21:47):
Yeah, and that, And that's what we're seeing is that
now these restorations have been in people's mouths for so
long that we're starting to get more data on how
long they're lasting. And the facts are that they there
are many times when they have to be remade or
redone throughout their lifetime, depending on how young they were
when they had it. And that's why. Also, what we're
(22:08):
finding is that the more we can delay the aggressive,
the more aggressive treatments, the better off the patient is
for their lifetime. You know, if we can we can
do There was a school of thought, oh, don't do
any root canals, because you're just gonna have They're gonna
break and we're gonna have to have implants eventually. But
the fact of the matter. But the fact of the
(22:29):
matter is that not all of you know, many many
implants root canals succeed for a very very long time.
But even if it has to be replaced down the line,
it's better to hold that bone there for as many
years as we can because then once we put that
implant in, then the options after the implant aren't great
if the implant ends up giving us trouble. So the
(22:52):
longer we can delay these types of more extreme treatments,
the better it is.
Speaker 3 (22:57):
Now that's great information. And again, this can get so
complicated and there are different options that you could have,
and uh, the greeb dental officers have tons of tools
available that they can help you with there's not a
necessarily on one size fits all, so you need to
give them a call one hundred Great Care, one hundred
Great Care to get you to the closest location near
you that can help you out and determine, because it
could be a little bit of a journey to figure
out what's going to be the best solution for you
(23:18):
that's going to work out for you long term, and
it's best to talk to someone who's going to sort
of give you all the different options, all the different
tools that are available for you to do that. So
again that number is one hundred Great Care, one one
hundred Great Care, and the web address is GREEB Dentalgroup
dot com. That's g h A r e B. GREEB
Dentalgroup dot com is where you can get that information.
We'll be sure to get more information out there as
we go along the remainder of the program. If you
do have a question, you can give us a call
(23:39):
three zero four three four two eight one three one
three zero four three four two eight one three one
we uh. We mentioned that we would talk a little
bit about the fluoride situation, a little bit of background.
Of course, I'm not sure what the official where we
are officially on this, but I believe that uh uh
uh that uh. Director of Health and Human Services from
a from the HS from the country, Robert Kennedy Junior,
(24:04):
has talked about removing flooriud of the initiative a florid
from our public waters. It's really interesting because I remember
I can't remember the name of the book now I
read it. It's probably fifteen years ago, and it was
a book that had to do with using science to
make policy in the United States, and it had like
fifteen different what it called cessful programs that over the
course I think it started maybe in the early nineteen
(24:25):
hundreds or something like that, and it went up to
modern day at the time, which was probably the early
two thousands. And chapter four, that's the one thing I
can remember, was chapter four. Chapter four was floride. Was
the floridization of our water was considered a great scientific achievement,
great use of science with policy, and it showed the
data on how much it's helped dental hygiene in the
United States, showed the data showing no adverse results on it. Tons.
(24:49):
I mean, I'm not talking about a couple of studies.
There's just so many studies out there about that. So
it's a little surprising. It's a little surprising. What does
it mean? I mean is it? First of all, what
does Florida, Florida the water do. Ye oh bye, we
got doctor doctor Carson.
Speaker 5 (25:04):
The nerd, all right, So pretty much the importance of
fluoride is basically for our children. Whenever our teeth are
being formulated, what we want to do is have fluoride
in the body at a low level that is scientifically acceptable. Uh,
(25:24):
And that amount of florid in the body will actually
get soaked up into the development of your teeth and
actually make your teeth stronger and more susceptib or less
susceptible to acid decay and acid erosion, about ten times
stronger than if it were just made of the normal
tooth structure. And so by putting florid into the drinking water,
(25:46):
by having our children drink it, my children drink water
from the from the tap, they are developing their adult
teeth to be stronger and less susceptible to acid. So
basically it just creates stronger teeth. Now, how did we
find out that fluoride was something Florida is naturally produced?
(26:06):
It is a natural byproduct. It's a naturally produced, earthly product.
The reason we found out that floride was helpful or
can be helpful, is that there was a dentist that
moved out to Denver, Colorado. If I'm not getting this
perfectly correct, please help me, doctor Stephen. He moved out
to Denver, Colorado, and he found out he was looking
(26:27):
at these children because where he came from there was
a lot there are a lot of cavities with young children.
But when he moved out to Denver, there were no cavities,
and he's like, what the heck is going on? It
might have been Colorado springs if my memory starts me correct.
He's like, why are these children have no cavities? What's
going on? And they also have some something that their
teeth are a little discolored a little bit as well.
So he did some digging. He kind of did some
(26:48):
research and found out that there's a lot of fluoride
naturally in their drinking water in the wells that were
being dug to to to provide nourishment to the valley
in that area. And so he discovered that fluoride can
actually produce stronger teeth. Now, what he was seeing is
called fluorosis. Some of that discoloration of the teeth, and
(27:10):
that's at higher levels of fluoride. We don't want, We
don't really push that level of fluoride. The actual level
that we adhere to that scientifically, I would say proven
is zero point seven to one part per million. That
(27:30):
keeps it at a low enough level that we don't
have fluorosis, but high enough to where it actually helps
produce stronger teeth. And so, after years and years of
that scientific discovery, it has been kind of the consensus
of the dental community and the health communities at large
that fluoridation community fluoridation at a zero point seven part
per million to one part per million is a good
(27:52):
way to prevent young children from having cavities and actually
produce healthy teeth.
Speaker 4 (27:57):
Into their adulthood.
Speaker 5 (27:58):
And so it kind of came out of a natural
source of natural drinking water, and then we kind of
took that across the nation and said, well, how about
we produce this at a lower level and introduced it
to our community drinking level.
Speaker 3 (28:11):
Honestly, and the explanation sounds like a brilliant achievement of
happenstance research and deployment of what was a pretty good policy,
it seemed like to me. So what does that mean?
As far as I mean downstream, it seems like it's
going to mean more tooth deca in ten to fifteen years,
whatever it might be. I mean that you want to
see more tooth kae of children that are born. But
(28:34):
as far as a parent looking out for this sort
of thing, what should you do? How can you incorporate
more floord in your life? Then if this becomes a
thing where you need to start looking at and I
guess the same argument would go for parents that don't
use any public water in their mixes and stuff too.
Speaker 4 (28:46):
Yeah, so this is where it kind of gets interesting.
First of all, I have a floor white crystal in
my office. I think many of our offices gifted to
a bunch of the doctors before.
Speaker 3 (28:54):
I don't have one.
Speaker 4 (28:55):
Where's my gift? Well, you left me, so you're I
had it in our office.
Speaker 3 (29:00):
To iterate here, Floorhead's not a chemical, Well, let me
take it back. Everything's a chemical. Everything everything's a chemic
water is a chemical. So so yes, but floorhead's naturally occurring.
It's not something that's not something that they're manufacturing in
a lab somewhere and inserting into the water. It's naturally so.
Speaker 4 (29:13):
It's a natural crystal that was in in that that
water in natural source, and that the water interacts with
the fluorite and creating fluoride in the water you ingested
and it and it strengthens your teeth. So with that
in the past, it was lauded as the number one
public health initiative of the twentieth century, if I'm not
(29:37):
if I'm not mistaken, so it was. It created a
lot of improvement for public health across the nation, across
the world wherever it's been implemented. Because childhood carries childhood
cavities can create very poor outcomes. That something that's very preventable,
(29:57):
and it's yes, the number one, as doctor Henley's point out,
it is the number one, Like childhood disease is our cavities,
you know, so we have one decrease that because it
is really a bacterial type of a situation. There and
then as doctor Henley is saying, once that is in
your body and helps you build your stronger adult teeth,
than they're less susceptible to that decay. So that is
(30:19):
kind of the basis. Now, this was when it was implemented.
It worked out very well, and you say, well, what
do we do now. Let's say that somehow we get
water fluoridation taken away completely, Like let's say that we
have some type of a water crisis in our Kanau
Valley which has happened and no one is drinking public water. Well,
(30:41):
the good news is that we do live in a
different time and that we have a lot of different
adjunctive materials so in the past, and that truly I'm
speaking from experience through that water crisis, because I was
very concerned that you know, we'd see a big uptick
in cavities. But what's happened and what I've seen to
happen is that if someone is not drinking from the
(31:06):
tap and getting that water fluoridation, what we do have
are very good, predictable fluoridated toothpastes, to mouth rinses and
treatments at the office that we can help. And then
also for some patients that maybe live way out and
don't have access to the water fluoridation and they aren't
using you know, maybe the Florida toothpaste as much, we
(31:27):
can also prescribe fluoridated tablets that you can give to
your children that do provide that mineral to them to
help their adult teeth grow stronger. And you need to
give it just as they're younger than their adult teeth
are developing. That's the biggest issue there is trying to
get those adult teeth strengthened. So we do have kind
(31:48):
of adjunctive measures if we do have the scenario in
which we don't have that public water fluoridation anymore. And
now also personally i'm seeing that for patients that come
in that really I know that that family is trying
to stay very natural and stay away from any type
of additives, and that can also mean and it's a
(32:10):
big it's a big product, a big initiative now for
a lot of people to go to all natural toothpastes too,
you know. And so that is not only they're not
getting their their water fluoridation, but they're not getting the
topical aspect of the toothpaste either. And their kids are
coming in with more cavities and so fortunately for them,
they're being regular to their dentist and we can still
(32:33):
catch those cavities when they're small. But then we're doing
fillings on patients you know, maybe that could have avoided it. However,
we're staying on top of it, the concern of our
patients that aren't being regular to their dentists, and then
if that gets out of control, the decay can accelerate
very quickly, and then we have absessed those hospital stays,
things that could definitely be avoided.
Speaker 3 (32:53):
One of the things. Only a couple of minutes left here.
But the first thing I think about when I think,
when I'm thinking about something like this is dental hygiene
is a process in this country that we've struggled with
for a long time. I mean, I think our dental
hygiene is better than what most countries are in this state,
maybe not quite as much, but I remember when I
was a kid and maybe you guys, well let me
just ask you, do you know of or are you
(33:15):
guys asked to like elementary schools to give presentations and
how to brush and stuff like that. Is that something
that still happens.
Speaker 4 (33:21):
Not as frequently because now we do have the public
health element that wasn't there when we were younger, and
we have a dentist and hygienis that work within the
public school systems to help provide those services, but they
are many times giving that education to patients. And we
still have some of our staff go into some schools,
(33:41):
but there are some schools that say, you know, we've
got that covered.
Speaker 3 (33:43):
I fear with less kids going to school and with
less resources available to staff these types of positions that
like I remember, like being taught how to brush my teeth,
sent home with like that doe that you put in
your mouth so you could see where you miss brushing
your teeth, so you could taught yourself to brush your
teeth better. It wasn't just one time. It was like
a couple times. When I was in elementary school, we
had like the teeth Day, you know, the tooth day
where we would have to learn the stuff. Come home
(34:04):
with your little package. You'd have like a little workbook
you'd have to do as you were brushing your teeth.
Take it back to work the next day, just to
show that you were trying to learn about your dental
hygiene and stuff along those lines. If we lose any
part of that element and we lose fluoridation, I'm just
thinking that we're not great as a country, and in
this state, not great with our with our hygiene practices, anyway.
In a lot of ways, it just seems like that
a public health crisis at some point in the in
(34:26):
the relatively near future. That's what I'm concerned about.
Speaker 4 (34:29):
I don't know's I see that as a valid concern.
I mean, that's that puts the responsibility back on the parents, and.
Speaker 3 (34:37):
That's maybe that what's they want. Which if that's the case,
you know that's the case.
Speaker 4 (34:40):
Maybe, but but yeah, we have the good news is
that we have the options and the products available to
us now that weren't that weren't before, and it's something
that we can work together to make sure it doesn't
give us too much trouble.
Speaker 3 (34:53):
And you can consult with your dentist. Right. So, if
if this is something that either you're concerned about or
you do live a natural lifestyle, or if you if
you look around your house, you're like, I didn't even
think about that. But I use nothing but bottled water
for everything I do. You know, I use my distilled
water for the coffee. I have bottles of water here,
you know. I use mix my kids drinks or whatever
with bottled water. They don't get any of this anyway,
So what can I do? There? Are like you talked
(35:13):
about earlier over the counterproducts that we know work now,
So that's something you can ask your dentists about to ask, hey,
this is the situation that we're in. What would you
suggest that we use, either as an additive or whatever
it might be for for our lifestyle.
Speaker 4 (35:25):
I mean, not people think about toothpaste, but there are
some great fluoried mouth rinses as well that that work
well for kids, that kids kids like and they're fun
to use. And then there are some that also detect
that plaque, like you've talked about those rinses that showed
that light up your teeth blue or red, you know,
like we'll show you where you're missing. So yeah, I
use some of those products and make sure your kids
are getting instilled good oral hygiene from the beginning.
Speaker 5 (35:49):
But please warn your kids before you do it. Unlike me,
I had my girls do the tablets and they were like,
I'm bleeding right.
Speaker 3 (35:57):
I say that was me too when I was red,
and like when I put it in I got home,
I was like, is this right? Like I was a
real bloodshot kid too, so I was like, oh my gosh.
Speaker 5 (36:04):
It's just turning just turned you of red and stains
the plaque.
Speaker 3 (36:09):
And you know, it's so funny because when I had
my when I had my root canal done and I
had the bleeding problem that I had where I had
to call Metro to get some help on the thing
that I remembered, Like, the thing that I remember the
most was the time that I brought that stuff home
from school and I had those dyed in my mouth
and my mouth was just filled with what I thought
was blood. At the time, I was like, what happened?
(36:29):
What was this thing that my mom was like, are
you hurt? And I'm like no, She's like, it's probably
just the pilding dummy, yeah, and it was. It was
It was fine.
Speaker 4 (36:38):
Yeah, it's quite educational when you do that.
Speaker 3 (36:40):
Yeah, that's that's it's all kinds of stuff that was found.
And man, I was not doing a good job at
brushing my teeth.
Speaker 4 (36:46):
Incidental school, we had to do that and we had
like to pass a class. We had to like have
a ninety eight percent or plus better you know, plaque score,
you know, or point to whatever removed ninety eight percent.
That was hard hard.
Speaker 3 (36:59):
I can see it.
Speaker 4 (37:00):
Dental students and you're a guy, got this and you
put those tablets in. You're like, Wow, I'm missing a lot.
Speaker 5 (37:04):
I need to get that.
Speaker 3 (37:06):
Wrapping up the program, we make sure you have the
information for GREEB Dentzil Group one line, GREEB Dental Group
dot com. G H A R E E. GREEB Dentil
Group dot Com. The phone number is one hundred Great Care,
one hundred Great Care. You can call that number and
be routed to the closest office to you, Poka, South Charleston,
Cross Lane, Saint Albans Tays Valley, and Kanall City. Doctor
Stephen is in the South Charleston location and doctor Carson
is in the Kanall City location. We'll see you boys
back here next month. Next month sounds good.
Speaker 4 (37:28):
Thank you m You can't wait.
Speaker 3 (37:29):
Hopefully in the new studio in a working microphone. Then
we'll see what happens. This has been asked the expert
with Garreve Denzil Group. I'm Del Cooper. Thanks so much
for tuning in. Dave Allen five eighty Live is up
next follow about talk line. I'll be back this afternoon
the three six with Dave Weekly one hotline. Have a
great day everyone on five eighty Do you see HS
The Boys of Charleston.
Speaker 2 (37:49):
Fighting you hs A L six point five, Charleston one
oh four point five Cross Lay w u v RC
Media Station. We're proud to live here too,
Unlock your dream property with Meek's Realty Group, where Rich
the realtor makes real estate dreams a reality, whether it's
residential or commercial. We've got Charleston to Huntington covered. Your
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Realty Group. Contact us at Meeks dot us.
Speaker 2 (00:15):
The views and opinions expressed on this program do not
necessarily reflect the views and opinions of five eight WCCHS
it's employees or WVRC Media.
Speaker 3 (00:36):
And replus to Good morning to you. You're listening too,
ask the expert WCHS the Voice of Charleston. It's Tuesday morning,
and I was assured about the weatherman or at the
weather forecast coming in that today is going to be
a stunner. I have to admit, yesterday morning, what's better
than this morning. It was a gorgeous morning yesterday, and
then we've got some clouds and some rain and things
like that later on in the afternoon. Today's starting off
a little sunny, so hopefully that means that will burn
(00:56):
off and we're going to get some like mid seventies
temperature and it's going to be really nice. What a
great day to talk about teeth is what.
Speaker 4 (01:02):
I have to say. There always is.
Speaker 3 (01:04):
When when I hear there's going to be a great
when I hear that there's a lot of great weather
coming about, I'm like, we got to talk to we
got to talk about some dental hygiene this morning, and
that's what we're going to do. Joining us in studio
this morning, of course from Greed Dental Group. We have
doctor Stephen here and doctor Carson Henley, both from Greed
Dental Group, taking your calls in text this morning and
call us if you have any questions about your dental situation,
(01:26):
dental hygiene, anything else going on three zero four three
four two eight one three one. You can text three
zero four non three five five zero zero eight. We
want to talk about a lot of different things this morning.
The last time that that doctor's Carson and UH and
Stephen were on the program, we started talking about implants
and I think we got a couple of calls and
we didn't quite finish up our conversation. We're going to
talk a little bit more about implants beyond the I
(01:47):
think we got to like the anchor points with like
dentures and things like that. So we're going to talk
about implants a little bit more in depth and go
into fluoride in the news now, yea.
Speaker 4 (01:56):
And we were up for it.
Speaker 3 (01:58):
We were kind of warning people about this what's going
on with night here.
Speaker 4 (02:02):
We got a little reverb. What do we call that?
Speaker 3 (02:05):
There we go, that's sound.
Speaker 4 (02:06):
Oh, don't check.
Speaker 3 (02:09):
I don't know the thing. It's you. Let me see
what I can figure out here. Give me a second course.
But we have uh uh, we're going to talk about
those things and all kinds of other stuff. So if
you want to give just call this morning. You can
three zero four three four two eight one three one
threes are a four three four two eight one three one,
or you can text three z are four nine three
five five zero zero eight. And we appreciate that. So
picking up, of course, gree Dental Group. You can find online.
It's a Grievedentalgroup dot com, gh A R E B.
(02:30):
Grieve Dentalgroup dot com and their phone number one one
hundred Great Care onne hundred. Great Care will take you
to the closest location to you, which is playing of
them round here. We'll get the information out there a
little bit later on. So implants. We were talking about
that a little bit on the previous show, and we've
talked about implants before, but we always do tend to
get caught up on the uh uh no pun intended
on the on the dentrists and how we can anchor
(02:51):
on the dentriesants and things like that. So we need
to make sure everybody knows exactly all the different tools
that are available when it comes to implants.
Speaker 4 (02:57):
For sure. And that's what's uh, what's kind of difficult
is people you talk about dental implants have a different
idea or an idea in their head of what that means,
and that can mean to some people, I need implants
to hold my dentures, which is kind of like the
one of the first iterations of implant dentistry and what
it was used for. And that's what we discussed last
(03:18):
time about getting in at least two anchor points with
the implants to allow that to have your denture snap
into and hold in better. But then beyond that, once
you get into two or four implants that provide those
snaps for your dentures, then we can start transitioning if
we kind of upgrade from there using those four implants,
maybe up to six implants per arch, meaning on the
(03:41):
top or on the bottom. You put four to six
implants in and that's enough to hold what we call
an implant supported bridge now dental bridges. People kind of
aren't quite sure what that is sometimes, but it's effectively
linking teeth together all the way around, and so you
have one piece that glues and screws into these implants
(04:05):
into your mouth and then they do not come out
and you clean around them. We make you passages for
you to floss underneath them. But that's kind of the
Cadillac version of someone that comes in saying, you know what,
my teeth have broken down for one reason or another.
I've had dentures for a number of years, and I'm
sick of dealing with something coming in and out of
my mouth. I want something locked in that are like
(04:27):
natural teeth. And that's the best thing that we can
give them at this time, which is a fantastic option.
We put in bring in the patient, put in the
implants at the time. If they have teeth that we
remove the teeth many times, then put the implant in immediately,
and then they can walk out that day with temporary
teeth on those implants, which is a big game changer
(04:49):
and a life changing thing for many people. Now we
have to let those implants heal for a period of time,
for twelve weeks before we put the final bridge on.
That allows the gum to shoes to settle down to
kind of shrink and move to where they're going. And
then we make the final the final bridge a period
of time later after the implants have healed completely into
(05:12):
the bone. But the fact that we put in you know,
four to six implants at one time and link them
all together gives them the stability to allow us generally
to put in temporary teeth at that time of the
of the tooth removal. So it's it's a pretty pretty
amazing process that's been that's uh, that's been introduced by recently.
Speaker 3 (05:34):
So there are phases that are in this that does
there it is there will be some time that's taken
for for this to be proper for the patient. But
that's the that's the point of this is taking this
in the stages and and uh and making sure it's delivered.
I mean, this is uh, this is really pretty amazing.
For somebody on the on the I want to say
end to user, that seems a little it seems a
little techy sounding, but yeah, the patient, I guess is
(05:54):
a good way to put it. Right. It sounds it
sounds very Uh, the resolution at the end of this
sounds very good. It seems to have a very patient positive.
Speaker 4 (06:03):
Experience, absolutely, And that's that's what really patients are very
excited about and interested in, is getting the that that
product that you can kind of walk out with at
that time and there is some period of healing. But
with this this other procedure, with the fixed bridge option,
(06:23):
you're not going a period of time without teeth, you know.
So that's what everyone's concerned about. Oh well, I'm going
to be, you know, walking around toothless. No, that's kind
of our policy. We don't want to send people out
without teeth, out of our office without any teeth. So
I'm going to find a temporary solution. And in that scenario,
that temporary solution is still a fixed option, something that
(06:44):
does not come in and out of your mouth, unless
there's an issue with the bone and we have to
kind of slow walk it a little bit more. But
in that case, then we'll provide you with a temporary
venture of some sort, some type of tooth replacement option.
Speaker 3 (06:57):
The choices that that someone has. Of course, you you
lay out the plants for him when when a patient
would come in. So there's there when you get to
the point that someone is a good candidate for this
type of implant and being able to take that that
next step with them. That's something that that helps out
with the patients quite a bit. Is there is there
any particular, like almost a perfect patient scenario that you're
(07:18):
looking for that that would match up with with having
this type of implant?
Speaker 4 (07:22):
Yeah? Sure, yeah. Do you have anything comes to mind
doctor Hendler Rut's.
Speaker 3 (07:26):
Test, like almost a perfect patient scenario that you're looking
for that that would match up with with having this
type of implant?
Speaker 4 (07:33):
Yeah? Sure, yeah, do you have anything that comes to
mind doctor Hendler.
Speaker 3 (07:36):
Rut's test, Baby, I'll just speak over here, all right, Yeah,
sorry about that.
Speaker 4 (07:43):
DoD Steve and I are very close.
Speaker 2 (07:47):
For sure.
Speaker 5 (07:48):
For sure. The perfect patient is the patient that what
that that that really desires something that does not come
in and out, because a top denture can provide a
very comprehensive way to chew and bite, although it does
come in and out. And so if you want that
permanent replacement, that fixed bridge that attaches to the implants.
(08:10):
You have to know that you will not be too
happy with dentures. So that's the first thing. Second thing
is the cost. It's gonna be a little more or
considerably more expensive to go with a fixed bridge as
opposed to a denture, and so we need to, I
don't know, just kind of have those discussions and make
sure that the patient understands that before we kind of
(08:31):
proceed with the treatment. Because once you kind of start
there are some caveats you can kind of change a
little bit the path, but once you kind of start
down one of these pathways, it's hard to go back.
And so there's a lot of informed consent. There's a
lot of discussion that goes with and that's I think
what makes us so I guess we're special. I'll say
we're special special. We talk a lot, and we listen,
(08:52):
and we want to make sure that the patient understands
those options and understands that maybe the option that they
want when they walked in, it's not the option that
they need whenever they walked out.
Speaker 4 (09:02):
And so there's a lot of that involved.
Speaker 3 (09:04):
That sounds good, that's uh, And that's what we always
love about when we do this program and we talk
about these types of things. That's what we always like
is the patient experience. You guys are are very patient experience.
Forward want to make sure they have a great experience
starting from your very starting from the from the office
experience that you have that that's actually at your individual offices,
all the way up until the choices that you're giving
(09:25):
on things like this, I mean having that been on
to be customized and taking uh and given the person
the results that they're looking for. Is exactly what you're looking.
Speaker 4 (09:33):
For there, that's right. Yeah, we want to make sure
the patients are happy with what they're what they're getting
for and the expectations are fulfilled for sure.
Speaker 3 (09:39):
Does that work? Now, let's try it.
Speaker 4 (09:42):
Yeah, that's good.
Speaker 3 (09:45):
It still doesn't work. I don't know what. So this
is something that's not uh, that's not Mike mic problem.
This is something else. Okay, Well we'll figure it out.
We'll figure out in a misus.
Speaker 4 (09:53):
That's right, we can we can alternate on.
Speaker 3 (09:55):
Yeah, I guess that might be something we have to do.
The good thing that we're getting all these new studios
because I think the old ones are on their last
that might be on our.
Speaker 4 (10:02):
Last line time utterly. It sounds like it's time.
Speaker 3 (10:04):
That's a good point. Let's do this. Let's uh, let's reset,
Let's take a break, and then when we come back
we will have more things we're gonna talk about. We're
going to talk about fluoride a little bit. Is it
good four year?
Speaker 5 (10:14):
Is it not?
Speaker 3 (10:14):
Is there any danger behind it? We've talked about this before, unfortunately,
this is something that we need to talk about again now.
And then we're also going to talk a little bit
about over the counterproducts. You know, what works, what doesn't,
what should you avoid? What's really a good idea for
you to get. We're going to talk about those things
and more. You're welcome to join in the conversation as well.
You can text three zero four non three five fives
years zero eight three eser a four none three five
fives years zero eight, or you can call three zero
(10:36):
four three four two eight one three one. We'll be
back after this. You're listening to ask the expert and
from from GREEB Dental Group, we have doctor Stephen here
and doctor Carson. You can give us a call this
morning at three zero four three four two eight one
three one, and you can also find out more about
Greed Dental Group one line Greed Dentalgroup dot com. We'll
be backgra after this on five adw c HS The
Voice of Charleston.
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Speaker 9 (12:34):
Good morning, here's your traffic update. In Canall County, debris
and the roadway on I sixty four West at mile
marker fifty five. In Fayette County, maintenance on I seventy
seven South and north toll between mile marker fifty three
and mile marker fifty two ripe before packs. And in
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(12:57):
twenty five First Avenue, Drive Safely. I'm Chapel in the
w c HS Network Traffic studio.
Speaker 3 (13:06):
You are listening to as the expert w c HS
the Voice of Charles, and I'm Del Cooper in studio
with me this morning. Doctor Steven is here and doctor
Carson is here from GREEB Dental Group. We have a
little bit of a mic issue this morning, so we're
(13:26):
having to share a mic between doctor Stephen and doctor Carson.
Sorry about that, that is uh yeah, yeah, well we've
done the show a long time together, but it's still
kind of unusual on why that one doesn't work out.
And now now we're at the point where do I
put in an engineering ticket for them to fix the
studio or do I say if they fix the studio's
gonna be longer until they get the other studio ready,
which is you all saw it.
Speaker 4 (13:46):
It's so close for us to know in there, it's like, okay, guys,
the studio is broken, we need the other one.
Speaker 3 (13:51):
Yeah, right ready, but don't worry about it, just fix
the other exactly. That's what I'm thinking.
Speaker 4 (13:54):
Moves up to the top of the.
Speaker 3 (13:55):
List, right right, it's like, don't worry about fixing the
old one. Just get the new one ready and we
all have to worry about the old one. It'll be fune.
But anyway, I appreciate you guys working along with us,
and you can weigh in on the conversation as well.
Phone lines work just fine. Three zer are four three
four to eight one three one, or you can text
thre zero four non three five five zero zero eight
and dale.
Speaker 5 (14:10):
Before we go to Floride, I have a question for
doctor Stephen because I was actually on Reddit last night
and there was a question posed among It was a
dental thing, and so some dentists asking other dentists if
they're seeing a lot of other dentists maybe providing all
on four, all on X, whatever that procedure you want
to call it, because all on in four is the
(14:31):
brand whenever you place four to six implants and then
go to a full fixed bridge. Is that maybe happening
too often with patients? And is that maybe a maybe
it's being guaranteed as a lifetime solution to problems as
opposed to trying to save the teeth that you have.
And so there's that ven diagram of what's gonna work
(14:53):
for every patient or for each patient, and so I
think that's just a good question to kind of hit
on before we move on to Florida.
Speaker 4 (14:59):
Yeah, that's a great question. It's something very valid that
I've been seeing as well from kind of the industry
at large. This was even even whenever we in dentistry
started implementing this procedure and using dental implants more and more.
The statistics are true that dental implants have a very
(15:23):
high success rate. They are ninety plus percent successful. Now,
in the medical field, ninety plus percent is tough to gain,
tough to get. So whatever implant you put in, it's
making you know, it's performing very very well. But you
have to remember that all of these percentages and success
(15:44):
rates are based upon kind of the overall medical model
which you start Then you start thinking, okay, what about
like hip replacements, joint replacements, their success rate is based
on a five year forecast. So that's I think a
lot of the miscommunication that when you look at dental
implants after you put them in at five year mark, Yeah,
(16:07):
ninety plus percent, ninety four percent or more are successful
in the fact that they are still in the bone
and still working. But now if you start telling patients
and patients start thinking, oh, well, this is going to
be you know, once it's in my head's in there forever,
you know, and I don't have to worry about it
ever again, which was kind of the message that was
(16:28):
broadcast early on, then it's it's going to be great
for the rest of my life. Well, if you start
looking at these things not at the five year mark. Now,
let's look at them at ten year mark. Now they've
been in people's heads long enough that we can look
at them for thirty year marks. Then those success rates
go down a little bit because we're still putting something
in a mouth that has bacteria that has effects on
(16:52):
bones and on gums. So all that to say that
if you have lost your teeth due to very bad
periodonal disease and you're prone to this type of periodon
titis we call it, that's the kind of infection of
the gums around the tooth you put in dental implants.
Now we're finding that there's something called implant titis that
(17:14):
you can still succumb to some of these dangers, to
some of these bacteria that come in and can destroy
the bone around your implants. All that to say that
many times patients have these procedures done and they think
they're bulletproof, but you still have to have regular maintenance.
And that's why we harp on that all the time
on the show. Come in for your regular cleanings. Let's
(17:36):
take a look. Even if you have a mouthful of implants,
we still have to clean them. We have to monitor
them to make sure that nothing is kind of getting
out of control and we can address it before it
goes south. Now, the other question that doctor Henley was
asking is about are too many of these things maybe
being done When patients have natural teeth, you know that
(17:57):
maybe we can do something with And that's part of
that commerce station that we have with the patients. And
I've had that conversation probably in the past two months.
I feel like I've had it fifteen times, to say,
you know, your teeth aren't in great shape. We can
invest in your teeth and rehabilitate them, but then are
you going to maintain them? And we have to have
that honest conversation to say some patients come in saying,
(18:19):
you know what, I haven't maintained them my whole life.
I know I'm not going to maintain them, so I
need something different that isn't as as susceptible to decay.
But they're like we just discussed, they're still susceptible to
gum disease, but it's titanium and porcelain we're putting in there.
So yes, they won't decay and have cavities in them,
but they still need maintenance. So some patients make the choice, Yeah,
(18:42):
I know I can. I could invest in these teeth
and get a few more years out of them, but
then I'm going to be back here again in three
or four years, so they make the choice to go
to the implant option. Others say, and I've had this
multiple times, and this is probably more often than not.
They say, wow, I can save these teeth. I don't.
I don't have to get rid of them. You know
that's great. Let's do that, and then we train them,
(19:04):
educate them on what to do, and we just do
a couple on One patient had a bad tooth in
the front that he thought he's going to have all
his teeth out and said, no, you do have gum disease.
We need to treat that. Let's get teeth cleaned really well,
we'll do a crown and you're in great shape. And unfortunately,
had he gone elsewhere, I do believe that they some
places would say, no, we need to take them all out.
(19:26):
So you got to you gotta really have that conversation,
get second opinions if you need to. And uh, and
that's that's important.
Speaker 5 (19:32):
Yeah, And I think that goes to who we are
as general dentists, as comprehensive dentists. Uh, if you go
to a hammer shop, you're going to be sold a hammer.
But if you go to our okay that's a weird
and knowledge that makes sense.
Speaker 3 (19:47):
Right, But but if you go to a dental shoving
saddle lammer, you know.
Speaker 4 (19:49):
Yeah exactly, yeah, yeah.
Speaker 3 (19:50):
Uh.
Speaker 5 (19:51):
We can do the grounds, we can do the crowns,
we can do the Perredonald disease treatment.
Speaker 4 (19:55):
We can do implets as well if we need to.
Speaker 5 (19:57):
So we can do it all. We can offer that
and we can kind of give that nuance to the
conversation that maybe not all can or or or should
right when it comes to their to their abilities. And
so I think that's kind of another way that we're special,
is that we are able to do at all, and
we also know our limitations. We know that if something
is we call it herodontics, we will tell the patient
(20:19):
this is a hero dautics. We we will do it.
But I don't think we should. But just as long
as you understand that we advise you maybe not to
do this, and then usually the patient goes all right,
I understand I shouldn't be doing this. Maybe we should
take out this tooth as opposed to as opposed to
trying to save it. So we always give patients, you know,
so many different options, so many different treatment modalities, and
(20:39):
I think that's what probably sets us apart.
Speaker 3 (20:42):
One thing that that, first of all, I know for
a fact because we've done the show before and we've
talked about implants, you guys have always been on the
forefront of this isn't a lifetime solution where you can
set it and forget. You got to you got to
maintain the things. There's things that you have to do
to uh to uh keep them in your mouth and
to keep healthy and things like that. I mean, you
guys have always been on the on the leading edge
of that. And another thing that as you were talking
(21:03):
about that that it made me think of is you're
talking about ninety plus percent success rate. If more people
are finding ways to do the procedure, maybe without vetting
the patient as much when their want and the actual
need of the of the the implant, and that in
that way and the success that it could possibly be
if they're just you know, pushing it to push it, basically,
(21:24):
that's eventually going to affect the success rate, right. I mean,
people won't be as happy five years down the line
because maybe they didn't go through the proper vetting procedures,
wasn't giving all the options to begin with, so on
and so forth. So it's really important to have that
conversation with your with your dental hygiene professional, whoever it
might be, to make sure you're making the right decision
and maybe get a second opinion from someone who's not
like an implant specialist or something, because you know, that's
(21:45):
the tool that they favor, and maybe there's other tools
that are availble to you.
Speaker 4 (21:47):
Yeah, and that, And that's what we're seeing is that
now these restorations have been in people's mouths for so
long that we're starting to get more data on how
long they're lasting. And the facts are that they there
are many times when they have to be remade or
redone throughout their lifetime, depending on how young they were
when they had it. And that's why. Also, what we're
(22:08):
finding is that the more we can delay the aggressive,
the more aggressive treatments, the better off the patient is
for their lifetime. You know, if we can we can
do There was a school of thought, oh, don't do
any root canals, because you're just gonna have They're gonna
break and we're gonna have to have implants eventually. But
the fact of the matter. But the fact of the
(22:29):
matter is that not all of you know, many many
implants root canals succeed for a very very long time.
But even if it has to be replaced down the line,
it's better to hold that bone there for as many
years as we can because then once we put that
implant in, then the options after the implant aren't great
if the implant ends up giving us trouble. So the
(22:52):
longer we can delay these types of more extreme treatments,
the better it is.
Speaker 3 (22:57):
Now that's great information. And again, this can get so
complicated and there are different options that you could have,
and uh, the greeb dental officers have tons of tools
available that they can help you with there's not a
necessarily on one size fits all, so you need to
give them a call one hundred Great Care, one hundred
Great Care to get you to the closest location near
you that can help you out and determine, because it
could be a little bit of a journey to figure
out what's going to be the best solution for you
(23:18):
that's going to work out for you long term, and
it's best to talk to someone who's going to sort
of give you all the different options, all the different
tools that are available for you to do that. So
again that number is one hundred Great Care, one one
hundred Great Care, and the web address is GREEB Dentalgroup
dot com. That's g h A r e B. GREEB
Dentalgroup dot com is where you can get that information.
We'll be sure to get more information out there as
we go along the remainder of the program. If you
do have a question, you can give us a call
(23:39):
three zero four three four two eight one three one
three zero four three four two eight one three one
we uh. We mentioned that we would talk a little
bit about the fluoride situation, a little bit of background.
Of course, I'm not sure what the official where we
are officially on this, but I believe that uh uh
uh that uh. Director of Health and Human Services from
a from the HS from the country, Robert Kennedy Junior,
(24:04):
has talked about removing flooriud of the initiative a florid
from our public waters. It's really interesting because I remember
I can't remember the name of the book now I
read it. It's probably fifteen years ago, and it was
a book that had to do with using science to
make policy in the United States, and it had like
fifteen different what it called cessful programs that over the
course I think it started maybe in the early nineteen
(24:25):
hundreds or something like that, and it went up to
modern day at the time, which was probably the early
two thousands. And chapter four, that's the one thing I
can remember, was chapter four. Chapter four was floride. Was
the floridization of our water was considered a great scientific achievement,
great use of science with policy, and it showed the
data on how much it's helped dental hygiene in the
United States, showed the data showing no adverse results on it. Tons.
(24:49):
I mean, I'm not talking about a couple of studies.
There's just so many studies out there about that. So
it's a little surprising. It's a little surprising. What does
it mean? I mean is it? First of all, what
does Florida, Florida the water do. Ye oh bye, we
got doctor doctor Carson.
Speaker 5 (25:04):
The nerd, all right, So pretty much the importance of
fluoride is basically for our children. Whenever our teeth are
being formulated, what we want to do is have fluoride
in the body at a low level that is scientifically acceptable. Uh,
(25:24):
And that amount of florid in the body will actually
get soaked up into the development of your teeth and
actually make your teeth stronger and more susceptib or less
susceptible to acid decay and acid erosion, about ten times
stronger than if it were just made of the normal
tooth structure. And so by putting florid into the drinking water,
(25:46):
by having our children drink it, my children drink water
from the from the tap, they are developing their adult
teeth to be stronger and less susceptible to acid. So
basically it just creates stronger teeth. Now, how did we
find out that fluoride was something Florida is naturally produced?
(26:06):
It is a natural byproduct. It's a naturally produced, earthly product.
The reason we found out that floride was helpful or
can be helpful, is that there was a dentist that
moved out to Denver, Colorado. If I'm not getting this
perfectly correct, please help me, doctor Stephen. He moved out
to Denver, Colorado, and he found out he was looking
(26:27):
at these children because where he came from there was
a lot there are a lot of cavities with young children.
But when he moved out to Denver, there were no cavities,
and he's like, what the heck is going on? It
might have been Colorado springs if my memory starts me correct.
He's like, why are these children have no cavities? What's
going on? And they also have some something that their
teeth are a little discolored a little bit as well.
So he did some digging. He kind of did some
(26:48):
research and found out that there's a lot of fluoride
naturally in their drinking water in the wells that were
being dug to to to provide nourishment to the valley
in that area. And so he discovered that fluoride can
actually produce stronger teeth. Now, what he was seeing is
called fluorosis. Some of that discoloration of the teeth, and
(27:10):
that's at higher levels of fluoride. We don't want, We
don't really push that level of fluoride. The actual level
that we adhere to that scientifically, I would say proven
is zero point seven to one part per million. That
(27:30):
keeps it at a low enough level that we don't
have fluorosis, but high enough to where it actually helps
produce stronger teeth. And so, after years and years of
that scientific discovery, it has been kind of the consensus
of the dental community and the health communities at large
that fluoridation community fluoridation at a zero point seven part
per million to one part per million is a good
(27:52):
way to prevent young children from having cavities and actually
produce healthy teeth.
Speaker 4 (27:57):
Into their adulthood.
Speaker 5 (27:58):
And so it kind of came out of a natural
source of natural drinking water, and then we kind of
took that across the nation and said, well, how about
we produce this at a lower level and introduced it
to our community drinking level.
Speaker 3 (28:11):
Honestly, and the explanation sounds like a brilliant achievement of
happenstance research and deployment of what was a pretty good policy,
it seemed like to me. So what does that mean?
As far as I mean downstream, it seems like it's
going to mean more tooth deca in ten to fifteen years,
whatever it might be. I mean that you want to
see more tooth kae of children that are born. But
(28:34):
as far as a parent looking out for this sort
of thing, what should you do? How can you incorporate
more floord in your life? Then if this becomes a
thing where you need to start looking at and I
guess the same argument would go for parents that don't
use any public water in their mixes and stuff too.
Speaker 4 (28:46):
Yeah, so this is where it kind of gets interesting.
First of all, I have a floor white crystal in
my office. I think many of our offices gifted to
a bunch of the doctors before.
Speaker 3 (28:54):
I don't have one.
Speaker 4 (28:55):
Where's my gift? Well, you left me, so you're I
had it in our office.
Speaker 3 (29:00):
To iterate here, Floorhead's not a chemical, Well, let me
take it back. Everything's a chemical. Everything everything's a chemic
water is a chemical. So so yes, but floorhead's naturally occurring.
It's not something that's not something that they're manufacturing in
a lab somewhere and inserting into the water. It's naturally so.
Speaker 4 (29:13):
It's a natural crystal that was in in that that
water in natural source, and that the water interacts with
the fluorite and creating fluoride in the water you ingested
and it and it strengthens your teeth. So with that
in the past, it was lauded as the number one
public health initiative of the twentieth century, if I'm not
(29:37):
if I'm not mistaken, so it was. It created a
lot of improvement for public health across the nation, across
the world wherever it's been implemented. Because childhood carries childhood
cavities can create very poor outcomes. That something that's very preventable,
(29:57):
and it's yes, the number one, as doctor Henley's point out,
it is the number one, Like childhood disease is our cavities,
you know, so we have one decrease that because it
is really a bacterial type of a situation. There and
then as doctor Henley is saying, once that is in
your body and helps you build your stronger adult teeth,
than they're less susceptible to that decay. So that is
(30:19):
kind of the basis. Now, this was when it was implemented.
It worked out very well, and you say, well, what
do we do now. Let's say that somehow we get
water fluoridation taken away completely, Like let's say that we
have some type of a water crisis in our Kanau
Valley which has happened and no one is drinking public water. Well,
(30:41):
the good news is that we do live in a
different time and that we have a lot of different
adjunctive materials so in the past, and that truly I'm
speaking from experience through that water crisis, because I was
very concerned that you know, we'd see a big uptick
in cavities. But what's happened and what I've seen to
happen is that if someone is not drinking from the
(31:06):
tap and getting that water fluoridation, what we do have
are very good, predictable fluoridated toothpastes, to mouth rinses and
treatments at the office that we can help. And then
also for some patients that maybe live way out and
don't have access to the water fluoridation and they aren't
using you know, maybe the Florida toothpaste as much, we
(31:27):
can also prescribe fluoridated tablets that you can give to
your children that do provide that mineral to them to
help their adult teeth grow stronger. And you need to
give it just as they're younger than their adult teeth
are developing. That's the biggest issue there is trying to
get those adult teeth strengthened. So we do have kind
(31:48):
of adjunctive measures if we do have the scenario in
which we don't have that public water fluoridation anymore. And
now also personally i'm seeing that for patients that come
in that really I know that that family is trying
to stay very natural and stay away from any type
of additives, and that can also mean and it's a
(32:10):
big it's a big product, a big initiative now for
a lot of people to go to all natural toothpastes too,
you know. And so that is not only they're not
getting their their water fluoridation, but they're not getting the
topical aspect of the toothpaste either. And their kids are
coming in with more cavities and so fortunately for them,
they're being regular to their dentist and we can still
(32:33):
catch those cavities when they're small. But then we're doing
fillings on patients you know, maybe that could have avoided it. However,
we're staying on top of it, the concern of our
patients that aren't being regular to their dentists, and then
if that gets out of control, the decay can accelerate
very quickly, and then we have absessed those hospital stays,
things that could definitely be avoided.
Speaker 3 (32:53):
One of the things. Only a couple of minutes left here.
But the first thing I think about when I think,
when I'm thinking about something like this is dental hygiene
is a process in this country that we've struggled with
for a long time. I mean, I think our dental
hygiene is better than what most countries are in this state,
maybe not quite as much, but I remember when I
was a kid and maybe you guys, well let me
just ask you, do you know of or are you
(33:15):
guys asked to like elementary schools to give presentations and
how to brush and stuff like that. Is that something
that still happens.
Speaker 4 (33:21):
Not as frequently because now we do have the public
health element that wasn't there when we were younger, and
we have a dentist and hygienis that work within the
public school systems to help provide those services, but they
are many times giving that education to patients. And we
still have some of our staff go into some schools,
(33:41):
but there are some schools that say, you know, we've
got that covered.
Speaker 3 (33:43):
I fear with less kids going to school and with
less resources available to staff these types of positions that
like I remember, like being taught how to brush my teeth,
sent home with like that doe that you put in
your mouth so you could see where you miss brushing
your teeth, so you could taught yourself to brush your
teeth better. It wasn't just one time. It was like
a couple times. When I was in elementary school, we
had like the teeth Day, you know, the tooth day
where we would have to learn the stuff. Come home
(34:04):
with your little package. You'd have like a little workbook
you'd have to do as you were brushing your teeth.
Take it back to work the next day, just to
show that you were trying to learn about your dental
hygiene and stuff along those lines. If we lose any
part of that element and we lose fluoridation, I'm just
thinking that we're not great as a country, and in
this state, not great with our with our hygiene practices, anyway.
In a lot of ways, it just seems like that
a public health crisis at some point in the in
(34:26):
the relatively near future. That's what I'm concerned about.
Speaker 4 (34:29):
I don't know's I see that as a valid concern.
I mean, that's that puts the responsibility back on the parents, and.
Speaker 3 (34:37):
That's maybe that what's they want. Which if that's the case,
you know that's the case.
Speaker 4 (34:40):
Maybe, but but yeah, we have the good news is
that we have the options and the products available to
us now that weren't that weren't before, and it's something
that we can work together to make sure it doesn't
give us too much trouble.
Speaker 3 (34:53):
And you can consult with your dentist. Right. So, if
if this is something that either you're concerned about or
you do live a natural lifestyle, or if you if
you look around your house, you're like, I didn't even
think about that. But I use nothing but bottled water
for everything I do. You know, I use my distilled
water for the coffee. I have bottles of water here,
you know. I use mix my kids drinks or whatever
with bottled water. They don't get any of this anyway,
So what can I do? There? Are like you talked
(35:13):
about earlier over the counterproducts that we know work now,
So that's something you can ask your dentists about to ask, hey,
this is the situation that we're in. What would you
suggest that we use, either as an additive or whatever
it might be for for our lifestyle.
Speaker 4 (35:25):
I mean, not people think about toothpaste, but there are
some great fluoried mouth rinses as well that that work
well for kids, that kids kids like and they're fun
to use. And then there are some that also detect
that plaque, like you've talked about those rinses that showed
that light up your teeth blue or red, you know,
like we'll show you where you're missing. So yeah, I
use some of those products and make sure your kids
are getting instilled good oral hygiene from the beginning.
Speaker 5 (35:49):
But please warn your kids before you do it. Unlike me,
I had my girls do the tablets and they were like,
I'm bleeding right.
Speaker 3 (35:57):
I say that was me too when I was red,
and like when I put it in I got home,
I was like, is this right? Like I was a
real bloodshot kid too, so I was like, oh my gosh.
Speaker 5 (36:04):
It's just turning just turned you of red and stains
the plaque.
Speaker 3 (36:09):
And you know, it's so funny because when I had
my when I had my root canal done and I
had the bleeding problem that I had where I had
to call Metro to get some help on the thing
that I remembered, Like, the thing that I remember the
most was the time that I brought that stuff home
from school and I had those dyed in my mouth
and my mouth was just filled with what I thought
was blood. At the time, I was like, what happened?
(36:29):
What was this thing that my mom was like, are
you hurt? And I'm like no, She's like, it's probably
just the pilding dummy, yeah, and it was. It was
It was fine.
Speaker 4 (36:38):
Yeah, it's quite educational when you do that.
Speaker 3 (36:40):
Yeah, that's that's it's all kinds of stuff that was found.
And man, I was not doing a good job at
brushing my teeth.
Speaker 4 (36:46):
Incidental school, we had to do that and we had
like to pass a class. We had to like have
a ninety eight percent or plus better you know, plaque score,
you know, or point to whatever removed ninety eight percent.
That was hard hard.
Speaker 3 (36:59):
I can see it.
Speaker 4 (37:00):
Dental students and you're a guy, got this and you
put those tablets in. You're like, Wow, I'm missing a lot.
Speaker 5 (37:04):
I need to get that.
Speaker 3 (37:06):
Wrapping up the program, we make sure you have the
information for GREEB Dentzil Group one line, GREEB Dental Group
dot com. G H A R E E. GREEB Dentil
Group dot Com. The phone number is one hundred Great Care,
one hundred Great Care. You can call that number and
be routed to the closest office to you, Poka, South Charleston,
Cross Lane, Saint Albans Tays Valley, and Kanall City. Doctor
Stephen is in the South Charleston location and doctor Carson
is in the Kanall City location. We'll see you boys
back here next month. Next month sounds good.
Speaker 4 (37:28):
Thank you m You can't wait.
Speaker 3 (37:29):
Hopefully in the new studio in a working microphone. Then
we'll see what happens. This has been asked the expert
with Garreve Denzil Group. I'm Del Cooper. Thanks so much
for tuning in. Dave Allen five eighty Live is up
next follow about talk line. I'll be back this afternoon
the three six with Dave Weekly one hotline. Have a
great day everyone on five eighty Do you see HS
The Boys of Charleston.
Speaker 2 (37:49):
Fighting you hs A L six point five, Charleston one
oh four point five Cross Lay w u v RC
Media Station. We're proud to live here too,
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