September 23, 2025 • 37 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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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 AD WCCHS
it's employees or WVRC Media.
Speaker 3 (00:38):
Happy Tuesday morning to you. You're listening to ask the
expert WCHS the Voice of Charleston. I'm Deel Cooper. Thanks
for tuning in on this kind of rainy first time
we've had a rainy morning in a while. Well rainy
as you're heading into Charleston or out of Charleston, or
however you're heading to work this morning. You can guess
a little wet roadway. It's not too bad, Visibility is
still pretty decent, and everything just not those that beautiful
sunny morning that we've been used to recently. But it's
(00:59):
still feels a little bit like autumn. So I'll take
it with it being what the second day of autumn.
I guess in studio with us today, it is time
to talk to Garie Dentzel Group in studio with me today.
It is doctor Stephen Greeb and doctor Carson Henley from
Ghreeb Dental Group. Good morning, gentlemen. How you doing this morning?
Doing well? How about yourself? Coop doing very well? Thanks
for coming in, doctor Henley.
Speaker 4 (01:18):
I feel like we could do a duop with this
mike here.
Speaker 3 (01:20):
Yeah, I know, man, it's still a thing that these
brand new studios and I'm still limited to like a
one guess mic thing. So I feel kind of bad
about that, but at least it brings us closer. I
love it. It's true. That's what you guys need is
to get to get closer. There's no doubt about that.
If you have any questions about your dental hygiene this
morning and give us a call. We have some topics
that we're going to discuss, but we love for you
to control the discussion, and you can do that by
(01:41):
calling us this morning. Threes are four, three, four, five,
fifty eight fifty eight to go and hold you all
give into auto Q just give be ready to give
your name when you go in the air. Threes are
four three four five fifty eight fifty eight. You can
also text threes are four nine three five five zero
zero eight. If you don't have time to get on
the phone. If you don't like the sound of your
voice on the air, or whatever it might be, you
can texas well three zero four non three five five
(02:02):
zero zero eight play thanks for us to talk about today.
But first of all, how are things going in the
world of dental hygiene? And in this month?
Speaker 5 (02:11):
You know, it's all right, not too bad. We're really
into the swing of you know, school season beginning of fall.
It's it's interesting now at the office, it can it
makes things run a little bit differently, just the people's
availabilities and schedules.
Speaker 3 (02:28):
But it's nice.
Speaker 5 (02:29):
People are coming back, you know, getting things a little
more regulated and normalized from from the summer because summer
everybody's in and out of town and and everywhere.
Speaker 3 (02:38):
So it's, uh, it's good.
Speaker 5 (02:39):
Good to get back into the routine.
Speaker 3 (02:41):
Yeah, it's it's always different, but when school comes back around,
it's everybody's schedule does change. That happens around here too.
It's just like suddenly, I don't know, maybe things are
a little looser, you know, during the summer, you know,
and you have to form a little bit more of
a regiment, I think.
Speaker 5 (02:56):
And what happens then in dentistry is that people schedule
there their cleanings, you know, a few months ago, right,
and like, oh yeah, in September, you know, two o'clock.
Speaker 3 (03:05):
Will be fine. Yeah.
Speaker 5 (03:06):
Well like, oh wait, no kids, kids are in school. Yeah,
so I got to change that. So yeah, there's a
little bit of finagling we gotta do.
Speaker 3 (03:14):
I can see how I can see how that that
can come about. And we're only about a month away
from our our yearly Halloween episode too. We guess to
talk about all the teeth, all the problems with teeth
and getting into the getting ready for the holidays and
all that stuff.
Speaker 4 (03:26):
I think we're gonna dress up for this next show.
Speaker 3 (03:29):
I think it would be pretty good. But let me
know if you do, and I will too, and we'll
just go all three dress up. Why not? I was
wearing I wore a some white like a sort of
khaki pants and you do that anyway, white docker type
pants and a short sleeve blue and gray check T shirt.
One day last week and my U and Tracy up
(03:49):
front as I was walking out pulled me to sign
and she said, you look just like Forest Gump.
Speaker 5 (03:53):
Oh my god, that is that a compliment?
Speaker 3 (03:56):
I don't know, it's just the outfit, but it did
make me think. I was like, man, that would be
a really easy Halloween out there, you get you know,
I mean, I already have apparently already have the outfit.
I just have to cut my hair and I'd probably
be okay. Like I said, we have plenty of things
we want to talk about this way. We're going to
get into sedation options here in just a little bit
because I know this is that's actually something that'll be
an interesting discussion because those have changed a little bit.
(04:17):
And also does it vary from dental office to dental
office on what they can offer, so not everybody can
offer the same thing.
Speaker 5 (04:23):
So that's why we wanted to bring that up because
it is very different from office to office, and we're
very fortunate in our group that we have multiple dentists
that have multiple sedation options. Generally, most dentists don't have
that many sedation options. Do not have that many sedation
options because it takes a lot of training. There's a
(04:47):
lot of certifications and licensing that has to go into
how deeply you can sedate a patient in a dental office.
So that's really something that we want to to let
everybody know about what the options that we have and what.
Speaker 3 (05:03):
It takes to get there. And that's it's really interesting.
And only through doing the show with you guys and
you know, talking to humans in the world, did I
really realize that there are different because you know, there's
been procedures that I've done or that I've had done
that I was like, well, why do you just have
that done in the office or whatever it might be.
And it's like, well, they didn't offer that there or
whatever it might be, And as like, oh, of course,
(05:25):
I guess not every place offers the exact same thing.
So that makes sense for us to talk about that
a little bit. So if you have any questions about that,
you can get those ready as well and give us
a call. Threes er A four three four five fifty
to fifty eight. You can text threes are A four
nine three five five zero zero eight. We're gonna talk
about that in just a moment. But one thing that
we wanted to bring up just for a minute because
it's kind of a neat story. I guess is I
found a story about well, basically it had to do
(05:47):
with the head The top line headline was a guy
gets a tooth inserted into his eye to fix it.
Now it's a little bit more complicated than that, but
the clickbait was very good clickbait. I mean, what you
stuck a tooth in your eye? What happened there? Exactly?
Speaker 5 (06:00):
And this was this is actually real aal a real story. Yeah,
it's very cool. Thanks for providing material for the show.
So Dale was doing his research off off the clock here.
So anyhow, it's a very cool story that you send us.
I believe is out of Boston that they did this
procedure that well, the reporting was out of Boston. The
(06:20):
procedure may have been done in Canada. But nonetheless, this
is a procedure that, as we've found, has been happening
since I think the first time it starts in the
sixties is when they first did this. But the idea
is that you have a patient that is almost completely
(06:41):
blind or almost blind due to really a traumatic injury
of some sort. The person that they mentioned in this
article suffered from a really severe reaction to some medication
that caused that damaged his eyes and damage them so
badly that there wasn't enough vasculature, enough vessels, enough blood
(07:06):
coming to that area to support a prosthetic lens. So
when you have a damaged eye, it's like a camera.
You can change out the lens in there, there's the cornea.
There are different pieces to the eye that you can
replace depending on what the problem is. And in these
specific cases, the cornea, the front portion of the eye
(07:29):
is so damaged that it cannot hold the lens that
allows light to come through to the back of the
eye and let you see. So in this situation, they
needed something to act as a I guess a scaffold,
something to hold that lens in place, because the natural
tissue is so damaged it could not. So what can
(07:50):
you put in there that the body's not going to reject? Well,
it turns out in nineteen sixty they discovered that you
could put a tooth in the eye.
Speaker 3 (07:57):
That's crazy and create.
Speaker 5 (07:59):
Basically, you take the tooth it's it's and cut it
to a certain size, but it's it's actually you make
a block out of the tooth and drill a hole
in it and put the lens inside that and then
insert that into the eye and then everything heals around
it because it's your own material, from your own body,
(08:20):
so your body doesn't reject it like.
Speaker 3 (08:22):
You're making a what are they called a molecule out
of the out of the tooth, the whole blinds into
place and put it in the frame. It's just really
fascinating and what what I always like about it. Obviously
you guys aren't going to be pulling teeth and sticking
into people's I mean this is this isn't come to
the office, and this isn't a dental procedure. But the
thing about that, now, this is really old technology. And
(08:42):
my guess is because this is highly specific. This guy
went under. There are, according to transplants that you can get.
This guy just may well failed for him.
Speaker 5 (08:50):
So he had all of them, I think seven or ten,
and they lasted for a very short period of time,
but then they failed because the eyes so damaged it
needed something stronger to hold it.
Speaker 3 (09:00):
I guess is if there was a need for this
to be more prolific, if there is more people that
fell into this category or something, that this would evolve
out of the area where you need to pull a
tooth and do whatever else and the will probably turn
into something more streamlined and scientific where you're able to
culture sell somehow and turn the thing out or something
like that. It's very impressive to me how science and
(09:20):
dentistry on the edge of that really follows these bouncing
balls a lot when it comes to a technology and okay,
we have this like sort of sort of an inelegant
way to do things over tom there's really a way
to dial that in and turn it into very elegant
procedures and things that you can really use. Yeah.
Speaker 5 (09:35):
Sure, And it comes down two numbers as well, how
much these procedures are honed and fine tuned. Something that
was very interesting in this article I've found was how
they prepared that tooth. So they took the tooth out.
An oral surgeon took the tooth out, cut it to size,
put it a hole in it, and then he reinserted
(09:56):
it and planted it into the patient's cheek to sit
for a while for the body to coat that tooth.
Speaker 3 (10:04):
It's crazy with with you know, mucosa, which like croming
it I guess right, I mean, well it created Yeah,
it created like a healing capsule around that tooth that
then that would help provide more a better uptake from
and receiving that area into the patient's eye. This is
(10:25):
this is crazy. It is crazy. Yeah, the patient apparently
achieved twenty forty to twenty thirty vision, so his vision
got to be relatively decent. He could he could do
sports again, and things like that. It's just a neat
way that these things all kind of relate in together.
And uh, just a tooth that helps the vision, why not?
Speaker 4 (10:41):
It's pretty cool and fun. Fact, this procedure is called
do you remember I don't actually osteo odonto corato prosthesis.
Speaker 3 (10:49):
That's why I didn't really.
Speaker 5 (10:50):
Yeah, of course you would say the thank you doctor
Henley for the breakdown on that. But the more common
term is tooth in eyes.
Speaker 3 (11:00):
That's just a tooth in the eye, the old tooth. Right,
all right, we have more relevant things as far as
the dental's office to talk about this morning as well.
You can give us a call if you have any
questions for that. Three four, five, fifteen fifty eight tex
threes or four none, three five, fives years or eight.
It is really serious business when we talk about going
to see your dentist and and you have a spectrum
of issues that you can deal with from from just
(11:22):
cleanings all the way to you know, deep root canals
and and having to replace teeth and things along those lines.
Depending on where you go, you have different options when
it comes to your sedation. You know, some some places
offer just very light sedation and not much else. In
some places go a little bit deeper than that.
Speaker 5 (11:37):
Yeah, well, I'll give you my own story just to
start it out, because coming back out of dental school,
coming back to my dad's office, my dad was of
the generation of the period of time and training and
dentistry where they're just were not sedation options. He didn't
he didn't even have nitrous oxide laughing gas in his
(11:59):
all because he did very well managing patients that needed
that in different ways, but he did not have the
certification and all of those equipment. Some materials had not
really become too mainstream enough for him to put that
into his office at the time. So I started out
(12:20):
dentistry without any type of sedation options. And then from there,
I mean even in dental school, we didn't really have
the sedation options in the school as much unless you
were getting oral surgery. So after that I bought my
practice in South Charleston, and ironically I bought the practice
(12:41):
that used to be the only general sedation or dental
office that offered sedation in the Charleston area general dentistry.
So this doctor for twenty years, that's basically what he
brought patients in, sedated them, did all their dental work,
and that was about it. So I walked into this
practice without any sedation training, realizing, wow, I'm going to
(13:04):
have a lot of patients that are expecting sedation. So
it turned out that that was the case. And then
at the time I peron, I saw it after let's
see called oral conscious sedation is what we call it.
It's a way to sedate patients that's not with an
IV that you give them pills basically and it puts
(13:25):
them to sleep. And that's the way that that I
sedate patients. And in doing that, I had to really
go through a lot of training, multiple continuing education trips
to get a minimum number of hours of the sedation training,
live patient procedures. And this was my goodness. It's now
been close to twenty years ago, so it's hard to
(13:47):
remember exactly the initial things going on, but it's it's
been you know, it's been a long time, but since then,
I've also had to keep up with minimum training requirements
since then every year to report the right types of
training and cases that we do. And now we do
sedation cases multiple times a week in the office in
(14:10):
that fashion. So that's that is one option of sedation
that I offer is the what we call oral conscious sedation.
We give you pills orally. Below that, there's something we
call axiolysis that also requires a certain certification from a
dentist from the from the Dental Board for a dentists
(14:32):
to do it. And that type of sedation is we
can give the patient one dose of an oral medication
like valuum or something to calm them down and combine
that with nitrous oxide in the office and so that
is enough for some patients to get through the procedure
if they're if they're anxious. And then below that there
(14:53):
is just the nitrous oxide that we can provide for patients,
which you still need to have some you board approval
on that and if you have those materials in your office,
you have to have it all inspected regularly and after
initial installation. So those are some of the levels of
sedation that we that we offer in the office. And
(15:15):
now doctor Henley, though, I want him to talk about
his training in the type of sedation that he offers
at his office, which is really cool, fascinating.
Speaker 4 (15:25):
Fascinating, even fascinating. Well, now I have to like talk
about some fascinating snuff down my goodness.
Speaker 3 (15:31):
Yeah, I want to hear about this, oh for sure, sir.
Speaker 2 (15:34):
So.
Speaker 4 (15:35):
I kind of so when I bought my practice back
in twenty twenty, because I was actually the associate of
doctor Steve, and I witnessed a lot of sedation with
him to actually kind of help in certain procedures. If
he was working on the sedation part, he'd say, hey,
can you come help and do this or or you know,
we kind of do things together sometimes, although he always
(15:56):
handled the sedation because I was only qualified for the
Anzia Lisis part. But then whenever I moved to my
new practice, I was the only doctor in that practice
and I kind of was missing the sedation part because
my heart would sink when I would have a patient
walk in and say, I have these you know, these
three teeth that need to come out, and I'm looking
at them and I could probably just pull them out
with napkins and they go, well, I need to be sedated.
(16:19):
I need to be quote unquote like put out or
put to sleep. And I go, I can't do that.
I don't have that qualification. And so that I read
that as a challenge, and so I went out just
like doctor Stephen did those weekends and months of training
that our wives were like, what are you doing? You know,
I had to drive all the way Kentucky for my
training a week after week, month after month. But finally
(16:41):
I got my certification with IBU sedation, just like doctor
Stephen did with the board had come look at my office,
make sure everything's set up safely, they had to watch
me do a case, and then we were off to
the races. So I now offer it for My limit
is sixteen and older for IV sedation because I let
anyone under that, I call them kids, and I let
(17:04):
the peddice take care of that to an extent. But
it is neat to be able to provide something that
a lot of patients only think a hospital can provide.
And we do it very safely in a way that
it's called tie training to effect. And so you do
one dose of a drug and you see what the
(17:25):
effect is you wait for the onset, and once that
onset takes, if they're not to the to that range
of modern sedation is what we're trying to get them to.
If they're not there, we add another round of drugs
and then we just wait and then so it's it
is a waiting game, because if you put in too
many drugs too quickly, that's not sedation, that's that you
(17:47):
can quickly get. You can quickly be a little dangerous there.
And so we always ti tract to effect. We do
it very safely. We have every staff member in my
office knows the emergency drills, my my all my sisters,
since our qualified monitors that know how to hook up
the machine and monitor the patient and monitor the patient
through the machine to make sure that the capnography and
(18:09):
the O two SATs are high enough. I'm getting into
the weeds here on I but that being said, I
just want to reiterate that IVY sedation in an office
can be done safely and can be done where patients
are made comfortable. Because if you needed to have a
tooth taken out, an ural surgeon can do that. If
you need an mplant, oral surgeon can do that. But
(18:30):
if you need a root canal and you need to
be sedated, there aren't really many options. I know there's
some wonderful root canal specials out there, but they don't
offer the level sedation that doctor Stephen and I do,
and so there's just other options for there. We wanted
to provide that to the patient's kind of a range
of options, and the final sedation option we want to
(18:50):
point out I believe doctor Gunter. We have a highly
qualified associate that is able to take kids into the
hospital and handle some pediatric needs there, and so she
has hospital privileges which helps us out as well. Three,
we'll tell about that.
Speaker 3 (19:11):
I don't we're gonna I've drawn.
Speaker 5 (19:13):
We're gonna bring that up in next, next, next show.
I have a we'll have a little pediatric show.
Speaker 3 (19:20):
Oh it's fantastic. We should come to bear together. Yeah,
this would be awesome. Why don't we do this? I
have some questions to ask about the sedation, but we
need to take a break as well. So let's go
ahead and take our break and then we come back.
We'll still have plenty of tom with doctor Stephen Garib
and doctor Carson Henley from Garib Dental Group You can
call and talk to doctors Stephen and Carson by calling
(19:40):
three zero four three four five fifty fifty eight three
four five fifty fifty eight. You can text threes are
four non three five five zero's you're eight. You're listening
to ask the expert with the Greed Dental Group. I'm
Del Cooper. This is Fyve ADWCHS, the Voice of Charleston.
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Speaker 3 (22:03):
Hello, how are you? Good morning? Thanks for tuning in
to ask the expert w c HS the Voice of Charleston.
I'm del Cooper. Thanks for tuning in once again. Really
appreciate your time in getting involved with our situation this morning.
And we have a caller that has called in this morning.
You're on the line. I forgot his first name overdy,
Larry is calling. I told the doctor's your name, Larry.
Good morning and thanks for thanks for calling in this morning.
(22:27):
What's your question for the doctor?
Speaker 9 (22:29):
Good morning, guys. My daughter I overheard the condition you
guys were talking about with the twos and I you know,
she's she's been the countless eye doctors. You know, I
was just wondering if there was any way they I mean,
if there's a misdiagnosis of this, because I mean I've
(22:52):
taken her to Morgantown and different different places and she's
had nothing but problems, like mainly with like the peripheral
vision of our eye.
Speaker 2 (23:06):
Tough one.
Speaker 5 (23:06):
That's a tough one because this procedure that we are
talking about is super super specific on the types of
injuries that it can it can correct. So honestly, I'm
I'm not sure about the situation with with your daughter.
I know that we do have a lot of great
(23:27):
eye doctors around the Charleston area and and in Morgantown.
It sounds like you're going to the to the kind
of the right places. But I tell patients that if
you're not finding the solution that I can offer you,
then please go find a second opinion somewhere else. Go
go explore more options. Maybe you may want to go
to a more of an eye specific center. Uh, some
(23:51):
patients have success with that. Uh, certain certain hospitals have
you know, are known for advances advancements in eye surgery,
and you can find that with different specialties all around
the medical industry. So i'd encourage you to to maybe
maybe look also if you're not getting the answers that
you're that you're looking.
Speaker 9 (24:12):
For, right, I was just curious if if it's possible
that it could be a misdiagnosis, I mean, would it
be would it be wise for her to come in
and see it then as to see if that could
be causing this problem?
Speaker 5 (24:30):
Yeah, unfortunately, no, that's that's really not so much something
that we could do in the dental office as far
as helping diagnose the eye condition. So I'd highly recommend
getting to just the higher qualified eye specialists.
Speaker 9 (24:47):
Okay, Well, I just I just overheard because I'm at
work and I listen to you guys all the time,
and I overheard that, and I mean, she's had none
of the problems out of this.
Speaker 3 (24:58):
And you know, well, well, man, we appreciate you.
Speaker 5 (25:02):
We appreciate you listening, and uh and hope for the
best for your daughter's situation. And that's a tough one.
That's a tough one. But yeah, thanks again for listening.
Speaker 3 (25:12):
Thanks like for your phone call. We appreciate that, Larry.
And that's one of those situations. We talked about that
story from the beginning, and I was I was hoping
that it wouldn't confuse things any because that's not a
procedure that's really available. That's a very it's good to.
Speaker 5 (25:25):
Have different different medical opinions and as far as how
we can help each other out across the across the
medical specialties.
Speaker 3 (25:35):
Sometimes it just takes the right person to diagnose something.
My ex wife years and years ago had a malformation
of her skull was called chiari malformation that at the time,
this was twenty years ago, was very rare to be diagnosed.
It's missed. It was missed a lot, and it just
so happened that the x ray tech that did her,
that did her scan, was familiar with it and from
(25:56):
the symptoms was like, you know, I should check and
see if there's anything there that would would suggest a
QRI malformation. And sure enough, that's what it was. Wow,
she had been missed three or four times previously before,
and it was the one person found it. She got
the thing resolved. I mean, it was a long process,
but it fixed the issue ultimately, and that was because
there was one person that had a little bit of
experience in the field that was able to find like
(26:17):
this really hard to diagnose at the time. I think
it's become a lot easier to diagnose now, but at
the time very hard to diagnose things. So you never know.
You just have to find the right specialist, the right person,
and you never know what you know.
Speaker 5 (26:28):
What else was interesting recently is I had a patient
come in that her physician had suspected her to be
suffering from something called chogrin syndrome, which shows up in
the mouth a bit, but it's an autoimmune syndrome that
affects your entire body, and they were struggling with trying
to treat that, trying not to Are we for sure, Well,
(26:48):
there's only one way to definitively diagnose it is to
take a biopsy of a patient's salvary glance and then
have them examined and under a microscope, and then they
can be determined if if that syndrome is present or not.
So the patient came to me for a biopsy of
(27:10):
her salvary gland, but to help out her medical diagnosis,
which is pretty cool. So we did that, sent it
off and found that actually in her case, you know,
we've found some interesting findings, but it helps us direct
their medical treatment as well.
Speaker 3 (27:27):
That's that's actually very fascinating. And I've always loved when
we do our shows here how sort of the living
and breathing entity of our body and trying to achieve
homeostasis in some way. They're like just all the medical
fields can work together in that regard. I mean, it's
really amazing how that works out. We were talking before
Larry called him. By the way, if you have a
question we have about nine minutes left in the program
(27:47):
this morning. You're welcome to call in at three zero four,
three four five fifty to fifty eight, just like Larry did.
Threes are four three four five fifty fifty eight. You
can text three zero four nine three five five zero
zero eight. If you want to keep things more on
the retin aspect, you're more than welcome to do that
as well.
Speaker 8 (28:01):
Uh.
Speaker 3 (28:01):
But the thing about the sedation and what ever, since
we started doing this show, the portrayal of Dennis and
like pop culture, I've always felt that you guys get
like the raw end of the deal a lot of
the times, you know, because it's always like there's always
something well it's something Seinfeld related or whatever it is,
going all the way back. There's always something that's going
on there. And and I can't help but to think
of like movies and television shows set in like the
(28:24):
Old West, whenever somebody has like a tooth problem, you know,
all right, here's your here's your whiskey, and you gotta
drink this whisky and we're gonna pull that tooth out.
And that was really like what the sedation is. And
in a lot of people's mind, I think that they
don't realize that you can go to greeb Dental Group,
for example, and if you're somebody who's more comfortable with
being under to have a procedure done or something like that,
(28:45):
you can actually get it. You don't have to you
don't have to take the shot of whiskey and it's
just hope it doesn't hurt that bad. There's actually modern
techniques that that the dental office now offers you, and
and sort of that narrative that you might have in
your mind a little bit from seeing uh you know,
I don't know, an episode of Deadwood or something where
where Dennis was pulling the teeth. It's not like that anymore.
It's it's much nicer.
Speaker 5 (29:04):
But yeah, so that's that's was the precursor to local
anesthetic too, is I mean they didn't have y right,
the numb one. That was just you know, get a
little drunk and you know, hang on. That was about
it at the time.
Speaker 3 (29:16):
But I'll stab your leg and you won't notice your tooth.
Speaker 5 (29:19):
But I think I've mentioned that before on the show.
Is that uh yeah, a lot of local anesthetic that's
used in modern medicine originated in dentistry. Uh, somebody had
the idea, you know, let's let's try to put a
little bit of this stuff beside the tooth and see
if it helps out. And fortunately it is, and it did,
and now we use it, you know, very extensively in medical.
Speaker 3 (29:41):
And I would imagine that as doctors, you guys have
found that that that helps eliminate some of the barriers
for folks that are that are either trying to get
procedures or maybe they're trying to plan what procedures they
get done or what they're open to having done. That
has to open up your tool toolbox quite a bit.
When people have that sort of safety or that that
feet it is like, okay, well, worst case scenario, I
(30:01):
can at least, you know, actually be sedated and I
won't have to worry about it.
Speaker 4 (30:05):
You know.
Speaker 5 (30:05):
It's also very interesting that I've found over the years
it's changed a little bit. Before sedation and dentistry was
primarily only for the fearful patient. That's why you do it,
and that's why we got into it, to help with
the patients having you know, anxiety, dental anxiety, and to
relieve that. But more recently I've found that sometimes patients say,
(30:28):
how can I get all of this work done that
I need to have done in the shortest period of
time because we're all very busy and they don't want
to take off more work. And I said, well, you know,
we could do all of this for you from eight
in the morning until one in the afternoon and get
it all done, but it's a long appointment and they
are a lot more comfortable being sedated for that. So
(30:50):
that's where sometimes it can be used as even a
time saving measure too. That way they don't have to
come back for four to six different appointments and different
times off of work. These get are all done at
one time.
Speaker 3 (31:00):
Never even thought of that. That makes perfect sense, you know,
if you're able to do something along those lines, because
nobody wants to be completely awake for five hours and
have their mouth open. I mean I have a hard
time keeping it open, you know, for a short amount
of time for a regular visit. But if you get sedated,
if you get put under do something like I mean, shoot,
why not if you have some massive work, Yeah.
Speaker 5 (31:17):
You go take a nap and don't really remember, you know,
the procedure, and then have a RESTful rest of your
day and you're going to go to the next day
and got it all done on one shot.
Speaker 3 (31:27):
So that's just something that if somebody is this is
just something you need to just need to ask your
dentist about. Like if you come to see either you
Doctor Stephen or doctor Carson and you're interested in some
sort of sedation or something, don't be nervous about it.
Just say, hey, what's my options as far as sedation comes,
what can I expect? And if you have like a
fear factor or some other kind of issue or something
like that, just be honest about it and see what
(31:48):
you what you can find.
Speaker 5 (31:49):
I mean, we've also seen patients from other offices that
don't offer that type of procedure and they can refer
the patient to us. We sedate them and get the
work completed that they're looking for and then get them
back to their regular dentists, which is fine as well,
So it works, uh works both ways.
Speaker 3 (32:04):
There. That's it's I think it's uh, it's definitely something
that has uh include it's really expanded the toolbox and
how well you guys can use it and uh and
I know for a fact that my wife is one
of these these uh, these folks would much prefer to
have high levels of sedation to have any kind of
work done for me.
Speaker 5 (32:21):
You know what else is that we have these conversations
with the patients they come in and we can determine,
you know, hey, you are you're very, very anxious, you
need to be sedated completely.
Speaker 3 (32:31):
Others are a.
Speaker 5 (32:31):
Little anxious like you know, hey, we could just give
you a dose of some valium, a little laughing gas
and uh. We have the ability to to offer that
whole range of options for patients. So even if you
just need a little bit to take off the edge,
we've got that option too. And then we all the
way now with doctor Henley with the twilight sedation, we
can send patients to him that that need to really
(32:53):
they want to be sure that they are out out
like uh, like you are in the oral surgeon's office
getting your your wisdom teeth out. Then we can do
it that way as well. So it's it's a broad range.
Speaker 3 (33:03):
Let me give you some information about GREEB Dental Group.
Then we'll wrap up our conversation and I'll give it
to you one more time before we get out of here.
You can find out more information online. It's Grebdentalgroup. Dot com,
Greeb Dentalgroup dot com spelled g h a r e
B Greeb Dentalgroup dot com. And you can find all
kinds of great information on there with the different services
and the different locations. As far as the locations go,
there's always going to be one close to you here
in the Kanawll Valley, Pocus, South Charleston, Cross Slane, Saint
(33:24):
alban State's Valley in Kanall City. Doctor Stephen is from
the South Charleston location and doctor Carson is from the
kanaw City location. Represent we won't make them battle it
out for location supremacy, at least not on this episode.
That might be on an upcoming one. But you can
call one eight hundred Great Care. That's the phone number
that can wrap you to the closest location to you,
(33:45):
so you can find what Greed Dental Group can help
you out. Once again, that's one eight hundred Great Care,
one eight hundred Great Care. I thought that we could
touch on just briefly before we got out of here,
because I found great You said that for patients of
Greeb Dental Group, you guys have an after hours line,
and that happened to me before and I had I
think was a was it my tooth pulled or rootniwal
went of the two, I can't remember anyway I had had.
(34:07):
I had a bleeder, had a bit of a lead
and and and when I got home the UH, my
daughter was upset at it because the bleeding wouldn't stop,
you know, me with all of them trying to be calm,
it's like, oh, it'll be fine, it's no big deal.
But eventually it just started bleeding to such ones like,
I guess it's going to be okay, it's just this
blood won't stop. So I called the UH, the UH,
(34:27):
the after Hour's number, and Mittri was on call, I
think that night, and within ten minutes walked me through
how to create a pressure bandage basically to hold in
my mouth to get the bleeding to stop in I
didn't have to go anywhere, I didn't have to leave
my house. It was just he walked me through cleaning
it up and getting it taken care of, and it worked.
And that's just it's something worth mentioning that you guys
(34:49):
have that for your patients, that after hours line, things
along those lines. If you have a problem, you're not left,
you know, hanging in the wind, you'll get some direction.
Even if the directions go to the hospital, you're going
to get some direction.
Speaker 5 (35:00):
Yeah, and and there are times that we make the assessment.
Sometimes we need to come out to see the patient,
and that can happen too. But yeah, when you call
the office if we're closed, we have on the recording
the number to call, and then it calls our after
our service and they notify us doctors, you know what's
going on, and we try to identify, you know, which
patient it goes with which doctor many times, and then
(35:21):
we can work together to solve their issues. But yeah,
we're we're fortunate to have the number of doctors that
we have that we can always have someone and call
that way, and it's very helpful for all of our patients.
Speaker 3 (35:33):
And I think that the added level of I don't know,
I guess just being comfortable. I think that we're all
kind of used to, you know, like cuts on our arms,
or you know, like healing bandy dravence stitches that you
have somewhere or something like that, things that you see
on your body. I think that we're a little used
to when it's in our mouth and we don't really
know what's going on. I think there's like kind of
a fear factor in there, like what the heck is this?
Why is this thing doing this? What's this nod or
(35:54):
this fel.
Speaker 5 (35:54):
And then half the time, like you're saying, it just
takes that conversation to reassure the patient say hey, this
is normal, this is what you do to take care
of it, or to say you know what this this
is a little abnormal. We we need to address that
immediately so we can we can then direct the patient
and the way to go from there.
Speaker 3 (36:11):
Great information. As always with GREEB Dental Group. Always enjoy
our conversations and the things that we talk about. I
hope you do as well. You can catch these podcasts
at any time w CHS Network dot com, slash Expert
you can find them when there and uh look it
up that way. Thanks for tuning in today and thanks
for listening to Ask the Expert on w c HS
the Voice of Charles Charleston. More information GREEB Dental Group Online,
Greebdentalgroup dot com, g h A R E E B.
(36:33):
GREEB Dentalgroup dot com and one at hundred Great Care
one hundred Great Care to get you to your closest location,
Doctor Stephen, doctor doctor Carson, Thank you so much for
your time. Thank you, see you next time you're listening
to five AD w c HS The Voice of Charleston
w C H s A L W two four three
d r F M Charleston W two A three HQ
(36:54):
cost Lanes at w v r C Media Stition.
Speaker 2 (36:58):
We are proud to live here too,
Unlock your dream property with meex 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
key to exceptional real estate experience is start here Meeks
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 AD WCCHS
it's employees or WVRC Media.
Speaker 3 (00:38):
Happy Tuesday morning to you. You're listening to ask the
expert WCHS the Voice of Charleston. I'm Deel Cooper. Thanks
for tuning in on this kind of rainy first time
we've had a rainy morning in a while. Well rainy
as you're heading into Charleston or out of Charleston, or
however you're heading to work this morning. You can guess
a little wet roadway. It's not too bad, Visibility is
still pretty decent, and everything just not those that beautiful
sunny morning that we've been used to recently. But it's
(00:59):
still feels a little bit like autumn. So I'll take
it with it being what the second day of autumn.
I guess in studio with us today, it is time
to talk to Garie Dentzel Group in studio with me today.
It is doctor Stephen Greeb and doctor Carson Henley from
Ghreeb Dental Group. Good morning, gentlemen. How you doing this morning?
Doing well? How about yourself? Coop doing very well? Thanks
for coming in, doctor Henley.
Speaker 4 (01:18):
I feel like we could do a duop with this
mike here.
Speaker 3 (01:20):
Yeah, I know, man, it's still a thing that these
brand new studios and I'm still limited to like a
one guess mic thing. So I feel kind of bad
about that, but at least it brings us closer. I
love it. It's true. That's what you guys need is
to get to get closer. There's no doubt about that.
If you have any questions about your dental hygiene this
morning and give us a call. We have some topics
that we're going to discuss, but we love for you
to control the discussion, and you can do that by
(01:41):
calling us this morning. Threes are four, three, four, five,
fifty eight fifty eight to go and hold you all
give into auto Q just give be ready to give
your name when you go in the air. Threes are
four three four five fifty eight fifty eight. You can
also text threes are four nine three five five zero
zero eight. If you don't have time to get on
the phone. If you don't like the sound of your
voice on the air, or whatever it might be, you
can texas well three zero four non three five five
(02:02):
zero zero eight play thanks for us to talk about today.
But first of all, how are things going in the
world of dental hygiene? And in this month?
Speaker 5 (02:11):
You know, it's all right, not too bad. We're really
into the swing of you know, school season beginning of fall.
It's it's interesting now at the office, it can it
makes things run a little bit differently, just the people's
availabilities and schedules.
Speaker 3 (02:28):
But it's nice.
Speaker 5 (02:29):
People are coming back, you know, getting things a little
more regulated and normalized from from the summer because summer
everybody's in and out of town and and everywhere.
Speaker 3 (02:38):
So it's, uh, it's good.
Speaker 5 (02:39):
Good to get back into the routine.
Speaker 3 (02:41):
Yeah, it's it's always different, but when school comes back around,
it's everybody's schedule does change. That happens around here too.
It's just like suddenly, I don't know, maybe things are
a little looser, you know, during the summer, you know,
and you have to form a little bit more of
a regiment, I think.
Speaker 5 (02:56):
And what happens then in dentistry is that people schedule
there their cleanings, you know, a few months ago, right,
and like, oh yeah, in September, you know, two o'clock.
Speaker 3 (03:05):
Will be fine. Yeah.
Speaker 5 (03:06):
Well like, oh wait, no kids, kids are in school. Yeah,
so I got to change that. So yeah, there's a
little bit of finagling we gotta do.
Speaker 3 (03:14):
I can see how I can see how that that
can come about. And we're only about a month away
from our our yearly Halloween episode too. We guess to
talk about all the teeth, all the problems with teeth
and getting into the getting ready for the holidays and
all that stuff.
Speaker 4 (03:26):
I think we're gonna dress up for this next show.
Speaker 3 (03:29):
I think it would be pretty good. But let me
know if you do, and I will too, and we'll
just go all three dress up. Why not? I was
wearing I wore a some white like a sort of
khaki pants and you do that anyway, white docker type
pants and a short sleeve blue and gray check T shirt.
One day last week and my U and Tracy up
(03:49):
front as I was walking out pulled me to sign
and she said, you look just like Forest Gump.
Speaker 5 (03:53):
Oh my god, that is that a compliment?
Speaker 3 (03:56):
I don't know, it's just the outfit, but it did
make me think. I was like, man, that would be
a really easy Halloween out there, you get you know,
I mean, I already have apparently already have the outfit.
I just have to cut my hair and I'd probably
be okay. Like I said, we have plenty of things
we want to talk about this way. We're going to
get into sedation options here in just a little bit
because I know this is that's actually something that'll be
an interesting discussion because those have changed a little bit.
(04:17):
And also does it vary from dental office to dental
office on what they can offer, so not everybody can
offer the same thing.
Speaker 5 (04:23):
So that's why we wanted to bring that up because
it is very different from office to office, and we're
very fortunate in our group that we have multiple dentists
that have multiple sedation options. Generally, most dentists don't have
that many sedation options. Do not have that many sedation
options because it takes a lot of training. There's a
(04:47):
lot of certifications and licensing that has to go into
how deeply you can sedate a patient in a dental office.
So that's really something that we want to to let
everybody know about what the options that we have and what.
Speaker 3 (05:03):
It takes to get there. And that's it's really interesting.
And only through doing the show with you guys and
you know, talking to humans in the world, did I
really realize that there are different because you know, there's
been procedures that I've done or that I've had done
that I was like, well, why do you just have
that done in the office or whatever it might be.
And it's like, well, they didn't offer that there or
whatever it might be, And as like, oh, of course,
(05:25):
I guess not every place offers the exact same thing.
So that makes sense for us to talk about that
a little bit. So if you have any questions about that,
you can get those ready as well and give us
a call. Threes er A four three four five fifty
to fifty eight. You can text threes are A four
nine three five five zero zero eight. We're gonna talk
about that in just a moment. But one thing that
we wanted to bring up just for a minute because
it's kind of a neat story. I guess is I
found a story about well, basically it had to do
(05:47):
with the head The top line headline was a guy
gets a tooth inserted into his eye to fix it.
Now it's a little bit more complicated than that, but
the clickbait was very good clickbait. I mean, what you
stuck a tooth in your eye? What happened there? Exactly?
Speaker 5 (06:00):
And this was this is actually real aal a real story. Yeah,
it's very cool. Thanks for providing material for the show.
So Dale was doing his research off off the clock here.
So anyhow, it's a very cool story that you send us.
I believe is out of Boston that they did this
procedure that well, the reporting was out of Boston. The
(06:20):
procedure may have been done in Canada. But nonetheless, this
is a procedure that, as we've found, has been happening
since I think the first time it starts in the
sixties is when they first did this. But the idea
is that you have a patient that is almost completely
(06:41):
blind or almost blind due to really a traumatic injury
of some sort. The person that they mentioned in this
article suffered from a really severe reaction to some medication
that caused that damaged his eyes and damage them so
badly that there wasn't enough vasculature, enough vessels, enough blood
(07:06):
coming to that area to support a prosthetic lens. So
when you have a damaged eye, it's like a camera.
You can change out the lens in there, there's the cornea.
There are different pieces to the eye that you can
replace depending on what the problem is. And in these
specific cases, the cornea, the front portion of the eye
(07:29):
is so damaged that it cannot hold the lens that
allows light to come through to the back of the
eye and let you see. So in this situation, they
needed something to act as a I guess a scaffold,
something to hold that lens in place, because the natural
tissue is so damaged it could not. So what can
(07:50):
you put in there that the body's not going to reject? Well,
it turns out in nineteen sixty they discovered that you
could put a tooth in the eye.
Speaker 3 (07:57):
That's crazy and create.
Speaker 5 (07:59):
Basically, you take the tooth it's it's and cut it
to a certain size, but it's it's actually you make
a block out of the tooth and drill a hole
in it and put the lens inside that and then
insert that into the eye and then everything heals around
it because it's your own material, from your own body,
(08:20):
so your body doesn't reject it like.
Speaker 3 (08:22):
You're making a what are they called a molecule out
of the out of the tooth, the whole blinds into
place and put it in the frame. It's just really
fascinating and what what I always like about it. Obviously
you guys aren't going to be pulling teeth and sticking
into people's I mean this is this isn't come to
the office, and this isn't a dental procedure. But the
thing about that, now, this is really old technology. And
(08:42):
my guess is because this is highly specific. This guy
went under. There are, according to transplants that you can get.
This guy just may well failed for him.
Speaker 5 (08:50):
So he had all of them, I think seven or ten,
and they lasted for a very short period of time,
but then they failed because the eyes so damaged it
needed something stronger to hold it.
Speaker 3 (09:00):
I guess is if there was a need for this
to be more prolific, if there is more people that
fell into this category or something, that this would evolve
out of the area where you need to pull a
tooth and do whatever else and the will probably turn
into something more streamlined and scientific where you're able to
culture sell somehow and turn the thing out or something
like that. It's very impressive to me how science and
(09:20):
dentistry on the edge of that really follows these bouncing
balls a lot when it comes to a technology and okay,
we have this like sort of sort of an inelegant
way to do things over tom there's really a way
to dial that in and turn it into very elegant
procedures and things that you can really use. Yeah.
Speaker 5 (09:35):
Sure, And it comes down two numbers as well, how
much these procedures are honed and fine tuned. Something that
was very interesting in this article I've found was how
they prepared that tooth. So they took the tooth out.
An oral surgeon took the tooth out, cut it to size,
put it a hole in it, and then he reinserted
(09:56):
it and planted it into the patient's cheek to sit
for a while for the body to coat that tooth.
Speaker 3 (10:04):
It's crazy with with you know, mucosa, which like croming
it I guess right, I mean, well it created Yeah,
it created like a healing capsule around that tooth that
then that would help provide more a better uptake from
and receiving that area into the patient's eye. This is
(10:25):
this is crazy. It is crazy. Yeah, the patient apparently
achieved twenty forty to twenty thirty vision, so his vision
got to be relatively decent. He could he could do
sports again, and things like that. It's just a neat
way that these things all kind of relate in together.
And uh, just a tooth that helps the vision, why not?
Speaker 4 (10:41):
It's pretty cool and fun. Fact, this procedure is called
do you remember I don't actually osteo odonto corato prosthesis.
Speaker 3 (10:49):
That's why I didn't really.
Speaker 5 (10:50):
Yeah, of course you would say the thank you doctor
Henley for the breakdown on that. But the more common
term is tooth in eyes.
Speaker 3 (11:00):
That's just a tooth in the eye, the old tooth. Right,
all right, we have more relevant things as far as
the dental's office to talk about this morning as well.
You can give us a call if you have any
questions for that. Three four, five, fifteen fifty eight tex
threes or four none, three five, fives years or eight.
It is really serious business when we talk about going
to see your dentist and and you have a spectrum
of issues that you can deal with from from just
(11:22):
cleanings all the way to you know, deep root canals
and and having to replace teeth and things along those lines.
Depending on where you go, you have different options when
it comes to your sedation. You know, some some places
offer just very light sedation and not much else. In
some places go a little bit deeper than that.
Speaker 5 (11:37):
Yeah, well, I'll give you my own story just to
start it out, because coming back out of dental school,
coming back to my dad's office, my dad was of
the generation of the period of time and training and
dentistry where they're just were not sedation options. He didn't
he didn't even have nitrous oxide laughing gas in his
(11:59):
all because he did very well managing patients that needed
that in different ways, but he did not have the
certification and all of those equipment. Some materials had not
really become too mainstream enough for him to put that
into his office at the time. So I started out
(12:20):
dentistry without any type of sedation options. And then from there,
I mean even in dental school, we didn't really have
the sedation options in the school as much unless you
were getting oral surgery. So after that I bought my
practice in South Charleston, and ironically I bought the practice
(12:41):
that used to be the only general sedation or dental
office that offered sedation in the Charleston area general dentistry.
So this doctor for twenty years, that's basically what he
brought patients in, sedated them, did all their dental work,
and that was about it. So I walked into this
practice without any sedation training, realizing, wow, I'm going to
(13:04):
have a lot of patients that are expecting sedation. So
it turned out that that was the case. And then
at the time I peron, I saw it after let's
see called oral conscious sedation is what we call it.
It's a way to sedate patients that's not with an
IV that you give them pills basically and it puts
(13:25):
them to sleep. And that's the way that that I
sedate patients. And in doing that, I had to really
go through a lot of training, multiple continuing education trips
to get a minimum number of hours of the sedation training,
live patient procedures. And this was my goodness. It's now
been close to twenty years ago, so it's hard to
(13:47):
remember exactly the initial things going on, but it's it's
been you know, it's been a long time, but since then,
I've also had to keep up with minimum training requirements
since then every year to report the right types of
training and cases that we do. And now we do
sedation cases multiple times a week in the office in
(14:10):
that fashion. So that's that is one option of sedation
that I offer is the what we call oral conscious sedation.
We give you pills orally. Below that, there's something we
call axiolysis that also requires a certain certification from a
dentist from the from the Dental Board for a dentists
(14:32):
to do it. And that type of sedation is we
can give the patient one dose of an oral medication
like valuum or something to calm them down and combine
that with nitrous oxide in the office and so that
is enough for some patients to get through the procedure
if they're if they're anxious. And then below that there
(14:53):
is just the nitrous oxide that we can provide for patients,
which you still need to have some you board approval
on that and if you have those materials in your office,
you have to have it all inspected regularly and after
initial installation. So those are some of the levels of
sedation that we that we offer in the office. And
(15:15):
now doctor Henley, though, I want him to talk about
his training in the type of sedation that he offers
at his office, which is really cool, fascinating.
Speaker 4 (15:25):
Fascinating, even fascinating. Well, now I have to like talk
about some fascinating snuff down my goodness.
Speaker 3 (15:31):
Yeah, I want to hear about this, oh for sure, sir.
Speaker 2 (15:34):
So.
Speaker 4 (15:35):
I kind of so when I bought my practice back
in twenty twenty, because I was actually the associate of
doctor Steve, and I witnessed a lot of sedation with
him to actually kind of help in certain procedures. If
he was working on the sedation part, he'd say, hey,
can you come help and do this or or you know,
we kind of do things together sometimes, although he always
(15:56):
handled the sedation because I was only qualified for the
Anzia Lisis part. But then whenever I moved to my
new practice, I was the only doctor in that practice
and I kind of was missing the sedation part because
my heart would sink when I would have a patient
walk in and say, I have these you know, these
three teeth that need to come out, and I'm looking
at them and I could probably just pull them out
with napkins and they go, well, I need to be sedated.
(16:19):
I need to be quote unquote like put out or
put to sleep. And I go, I can't do that.
I don't have that qualification. And so that I read
that as a challenge, and so I went out just
like doctor Stephen did those weekends and months of training
that our wives were like, what are you doing? You know,
I had to drive all the way Kentucky for my
training a week after week, month after month. But finally
(16:41):
I got my certification with IBU sedation, just like doctor
Stephen did with the board had come look at my office,
make sure everything's set up safely, they had to watch
me do a case, and then we were off to
the races. So I now offer it for My limit
is sixteen and older for IV sedation because I let
anyone under that, I call them kids, and I let
(17:04):
the peddice take care of that to an extent. But
it is neat to be able to provide something that
a lot of patients only think a hospital can provide.
And we do it very safely in a way that
it's called tie training to effect. And so you do
one dose of a drug and you see what the
(17:25):
effect is you wait for the onset, and once that
onset takes, if they're not to the to that range
of modern sedation is what we're trying to get them to.
If they're not there, we add another round of drugs
and then we just wait and then so it's it
is a waiting game, because if you put in too
many drugs too quickly, that's not sedation, that's that you
(17:47):
can quickly get. You can quickly be a little dangerous there.
And so we always ti tract to effect. We do
it very safely. We have every staff member in my
office knows the emergency drills, my my all my sisters,
since our qualified monitors that know how to hook up
the machine and monitor the patient and monitor the patient
through the machine to make sure that the capnography and
(18:09):
the O two SATs are high enough. I'm getting into
the weeds here on I but that being said, I
just want to reiterate that IVY sedation in an office
can be done safely and can be done where patients
are made comfortable. Because if you needed to have a
tooth taken out, an ural surgeon can do that. If
you need an mplant, oral surgeon can do that. But
(18:30):
if you need a root canal and you need to
be sedated, there aren't really many options. I know there's
some wonderful root canal specials out there, but they don't
offer the level sedation that doctor Stephen and I do,
and so there's just other options for there. We wanted
to provide that to the patient's kind of a range
of options, and the final sedation option we want to
(18:50):
point out I believe doctor Gunter. We have a highly
qualified associate that is able to take kids into the
hospital and handle some pediatric needs there, and so she
has hospital privileges which helps us out as well. Three,
we'll tell about that.
Speaker 3 (19:11):
I don't we're gonna I've drawn.
Speaker 5 (19:13):
We're gonna bring that up in next, next, next show.
I have a we'll have a little pediatric show.
Speaker 3 (19:20):
Oh it's fantastic. We should come to bear together. Yeah,
this would be awesome. Why don't we do this? I
have some questions to ask about the sedation, but we
need to take a break as well. So let's go
ahead and take our break and then we come back.
We'll still have plenty of tom with doctor Stephen Garib
and doctor Carson Henley from Garib Dental Group You can
call and talk to doctors Stephen and Carson by calling
(19:40):
three zero four three four five fifty fifty eight three
four five fifty fifty eight. You can text threes are
four non three five five zero's you're eight. You're listening
to ask the expert with the Greed Dental Group. I'm
Del Cooper. This is Fyve ADWCHS, the Voice of Charleston.
Speaker 6 (19:51):
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Speaker 3 (22:03):
Hello, how are you? Good morning? Thanks for tuning in
to ask the expert w c HS the Voice of Charleston.
I'm del Cooper. Thanks for tuning in once again. Really
appreciate your time in getting involved with our situation this morning.
And we have a caller that has called in this morning.
You're on the line. I forgot his first name overdy,
Larry is calling. I told the doctor's your name, Larry.
Good morning and thanks for thanks for calling in this morning.
(22:27):
What's your question for the doctor?
Speaker 9 (22:29):
Good morning, guys. My daughter I overheard the condition you
guys were talking about with the twos and I you know,
she's she's been the countless eye doctors. You know, I
was just wondering if there was any way they I mean,
if there's a misdiagnosis of this, because I mean I've
(22:52):
taken her to Morgantown and different different places and she's
had nothing but problems, like mainly with like the peripheral
vision of our eye.
Speaker 2 (23:06):
Tough one.
Speaker 5 (23:06):
That's a tough one because this procedure that we are
talking about is super super specific on the types of
injuries that it can it can correct. So honestly, I'm
I'm not sure about the situation with with your daughter.
I know that we do have a lot of great
(23:27):
eye doctors around the Charleston area and and in Morgantown.
It sounds like you're going to the to the kind
of the right places. But I tell patients that if
you're not finding the solution that I can offer you,
then please go find a second opinion somewhere else. Go
go explore more options. Maybe you may want to go
to a more of an eye specific center. Uh, some
(23:51):
patients have success with that. Uh, certain certain hospitals have
you know, are known for advances advancements in eye surgery,
and you can find that with different specialties all around
the medical industry. So i'd encourage you to to maybe
maybe look also if you're not getting the answers that
you're that you're looking.
Speaker 9 (24:12):
For, right, I was just curious if if it's possible
that it could be a misdiagnosis, I mean, would it
be would it be wise for her to come in
and see it then as to see if that could
be causing this problem?
Speaker 5 (24:30):
Yeah, unfortunately, no, that's that's really not so much something
that we could do in the dental office as far
as helping diagnose the eye condition. So I'd highly recommend
getting to just the higher qualified eye specialists.
Speaker 9 (24:47):
Okay, Well, I just I just overheard because I'm at
work and I listen to you guys all the time,
and I overheard that, and I mean, she's had none
of the problems out of this.
Speaker 3 (24:58):
And you know, well, well, man, we appreciate you.
Speaker 5 (25:02):
We appreciate you listening, and uh and hope for the
best for your daughter's situation. And that's a tough one.
That's a tough one. But yeah, thanks again for listening.
Speaker 3 (25:12):
Thanks like for your phone call. We appreciate that, Larry.
And that's one of those situations. We talked about that
story from the beginning, and I was I was hoping
that it wouldn't confuse things any because that's not a
procedure that's really available. That's a very it's good to.
Speaker 5 (25:25):
Have different different medical opinions and as far as how
we can help each other out across the across the
medical specialties.
Speaker 3 (25:35):
Sometimes it just takes the right person to diagnose something.
My ex wife years and years ago had a malformation
of her skull was called chiari malformation that at the time,
this was twenty years ago, was very rare to be diagnosed.
It's missed. It was missed a lot, and it just
so happened that the x ray tech that did her,
that did her scan, was familiar with it and from
(25:56):
the symptoms was like, you know, I should check and
see if there's anything there that would would suggest a
QRI malformation. And sure enough, that's what it was. Wow,
she had been missed three or four times previously before,
and it was the one person found it. She got
the thing resolved. I mean, it was a long process,
but it fixed the issue ultimately, and that was because
there was one person that had a little bit of
experience in the field that was able to find like
(26:17):
this really hard to diagnose at the time. I think
it's become a lot easier to diagnose now, but at
the time very hard to diagnose things. So you never know.
You just have to find the right specialist, the right person,
and you never know what you know.
Speaker 5 (26:28):
What else was interesting recently is I had a patient
come in that her physician had suspected her to be
suffering from something called chogrin syndrome, which shows up in
the mouth a bit, but it's an autoimmune syndrome that
affects your entire body, and they were struggling with trying
to treat that, trying not to Are we for sure, Well,
(26:48):
there's only one way to definitively diagnose it is to
take a biopsy of a patient's salvary glance and then
have them examined and under a microscope, and then they
can be determined if if that syndrome is present or not.
So the patient came to me for a biopsy of
(27:10):
her salvary gland, but to help out her medical diagnosis,
which is pretty cool. So we did that, sent it
off and found that actually in her case, you know,
we've found some interesting findings, but it helps us direct
their medical treatment as well.
Speaker 3 (27:27):
That's that's actually very fascinating. And I've always loved when
we do our shows here how sort of the living
and breathing entity of our body and trying to achieve
homeostasis in some way. They're like just all the medical
fields can work together in that regard. I mean, it's
really amazing how that works out. We were talking before
Larry called him. By the way, if you have a
question we have about nine minutes left in the program
(27:47):
this morning. You're welcome to call in at three zero four,
three four five fifty to fifty eight, just like Larry did.
Threes are four three four five fifty fifty eight. You
can text three zero four nine three five five zero
zero eight. If you want to keep things more on
the retin aspect, you're more than welcome to do that
as well.
Speaker 8 (28:01):
Uh.
Speaker 3 (28:01):
But the thing about the sedation and what ever, since
we started doing this show, the portrayal of Dennis and
like pop culture, I've always felt that you guys get
like the raw end of the deal a lot of
the times, you know, because it's always like there's always
something well it's something Seinfeld related or whatever it is,
going all the way back. There's always something that's going
on there. And and I can't help but to think
of like movies and television shows set in like the
(28:24):
Old West, whenever somebody has like a tooth problem, you know,
all right, here's your here's your whiskey, and you gotta
drink this whisky and we're gonna pull that tooth out.
And that was really like what the sedation is. And
in a lot of people's mind, I think that they
don't realize that you can go to greeb Dental Group,
for example, and if you're somebody who's more comfortable with
being under to have a procedure done or something like that,
(28:45):
you can actually get it. You don't have to you
don't have to take the shot of whiskey and it's
just hope it doesn't hurt that bad. There's actually modern
techniques that that the dental office now offers you, and
and sort of that narrative that you might have in
your mind a little bit from seeing uh you know,
I don't know, an episode of Deadwood or something where
where Dennis was pulling the teeth. It's not like that anymore.
It's it's much nicer.
Speaker 5 (29:04):
But yeah, so that's that's was the precursor to local
anesthetic too, is I mean they didn't have y right,
the numb one. That was just you know, get a
little drunk and you know, hang on. That was about
it at the time.
Speaker 3 (29:16):
But I'll stab your leg and you won't notice your tooth.
Speaker 5 (29:19):
But I think I've mentioned that before on the show.
Is that uh yeah, a lot of local anesthetic that's
used in modern medicine originated in dentistry. Uh, somebody had
the idea, you know, let's let's try to put a
little bit of this stuff beside the tooth and see
if it helps out. And fortunately it is, and it did,
and now we use it, you know, very extensively in medical.
Speaker 3 (29:41):
And I would imagine that as doctors, you guys have
found that that that helps eliminate some of the barriers
for folks that are that are either trying to get
procedures or maybe they're trying to plan what procedures they
get done or what they're open to having done. That
has to open up your tool toolbox quite a bit.
When people have that sort of safety or that that
feet it is like, okay, well, worst case scenario, I
(30:01):
can at least, you know, actually be sedated and I
won't have to worry about it.
Speaker 4 (30:05):
You know.
Speaker 5 (30:05):
It's also very interesting that I've found over the years
it's changed a little bit. Before sedation and dentistry was
primarily only for the fearful patient. That's why you do it,
and that's why we got into it, to help with
the patients having you know, anxiety, dental anxiety, and to
relieve that. But more recently I've found that sometimes patients say,
(30:28):
how can I get all of this work done that
I need to have done in the shortest period of
time because we're all very busy and they don't want
to take off more work. And I said, well, you know,
we could do all of this for you from eight
in the morning until one in the afternoon and get
it all done, but it's a long appointment and they
are a lot more comfortable being sedated for that. So
(30:50):
that's where sometimes it can be used as even a
time saving measure too. That way they don't have to
come back for four to six different appointments and different
times off of work. These get are all done at
one time.
Speaker 3 (31:00):
Never even thought of that. That makes perfect sense, you know,
if you're able to do something along those lines, because
nobody wants to be completely awake for five hours and
have their mouth open. I mean I have a hard
time keeping it open, you know, for a short amount
of time for a regular visit. But if you get sedated,
if you get put under do something like I mean, shoot,
why not if you have some massive work, Yeah.
Speaker 5 (31:17):
You go take a nap and don't really remember, you know,
the procedure, and then have a RESTful rest of your
day and you're going to go to the next day
and got it all done on one shot.
Speaker 3 (31:27):
So that's just something that if somebody is this is
just something you need to just need to ask your
dentist about. Like if you come to see either you
Doctor Stephen or doctor Carson and you're interested in some
sort of sedation or something, don't be nervous about it.
Just say, hey, what's my options as far as sedation comes,
what can I expect? And if you have like a
fear factor or some other kind of issue or something
like that, just be honest about it and see what
(31:48):
you what you can find.
Speaker 5 (31:49):
I mean, we've also seen patients from other offices that
don't offer that type of procedure and they can refer
the patient to us. We sedate them and get the
work completed that they're looking for and then get them
back to their regular dentists, which is fine as well,
So it works, uh works both ways.
Speaker 3 (32:04):
There. That's it's I think it's uh, it's definitely something
that has uh include it's really expanded the toolbox and
how well you guys can use it and uh and
I know for a fact that my wife is one
of these these uh, these folks would much prefer to
have high levels of sedation to have any kind of
work done for me.
Speaker 5 (32:21):
You know what else is that we have these conversations
with the patients they come in and we can determine,
you know, hey, you are you're very, very anxious, you
need to be sedated completely.
Speaker 3 (32:31):
Others are a.
Speaker 5 (32:31):
Little anxious like you know, hey, we could just give
you a dose of some valium, a little laughing gas
and uh. We have the ability to to offer that
whole range of options for patients. So even if you
just need a little bit to take off the edge,
we've got that option too. And then we all the
way now with doctor Henley with the twilight sedation, we
can send patients to him that that need to really
(32:53):
they want to be sure that they are out out
like uh, like you are in the oral surgeon's office
getting your your wisdom teeth out. Then we can do
it that way as well. So it's it's a broad range.
Speaker 3 (33:03):
Let me give you some information about GREEB Dental Group.
Then we'll wrap up our conversation and I'll give it
to you one more time before we get out of here.
You can find out more information online. It's Grebdentalgroup. Dot com,
Greeb Dentalgroup dot com spelled g h a r e
B Greeb Dentalgroup dot com. And you can find all
kinds of great information on there with the different services
and the different locations. As far as the locations go,
there's always going to be one close to you here
in the Kanawll Valley, Pocus, South Charleston, Cross Slane, Saint
(33:24):
alban State's Valley in Kanall City. Doctor Stephen is from
the South Charleston location and doctor Carson is from the
kanaw City location. Represent we won't make them battle it
out for location supremacy, at least not on this episode.
That might be on an upcoming one. But you can
call one eight hundred Great Care. That's the phone number
that can wrap you to the closest location to you,
(33:45):
so you can find what Greed Dental Group can help
you out. Once again, that's one eight hundred Great Care,
one eight hundred Great Care. I thought that we could
touch on just briefly before we got out of here,
because I found great You said that for patients of
Greeb Dental Group, you guys have an after hours line,
and that happened to me before and I had I
think was a was it my tooth pulled or rootniwal
went of the two, I can't remember anyway I had had.
(34:07):
I had a bleeder, had a bit of a lead
and and and when I got home the UH, my
daughter was upset at it because the bleeding wouldn't stop,
you know, me with all of them trying to be calm,
it's like, oh, it'll be fine, it's no big deal.
But eventually it just started bleeding to such ones like,
I guess it's going to be okay, it's just this
blood won't stop. So I called the UH, the UH,
(34:27):
the after Hour's number, and Mittri was on call, I
think that night, and within ten minutes walked me through
how to create a pressure bandage basically to hold in
my mouth to get the bleeding to stop in I
didn't have to go anywhere, I didn't have to leave
my house. It was just he walked me through cleaning
it up and getting it taken care of, and it worked.
And that's just it's something worth mentioning that you guys
(34:49):
have that for your patients, that after hours line, things
along those lines. If you have a problem, you're not left,
you know, hanging in the wind, you'll get some direction.
Even if the directions go to the hospital, you're going
to get some direction.
Speaker 5 (35:00):
Yeah, and and there are times that we make the assessment.
Sometimes we need to come out to see the patient,
and that can happen too. But yeah, when you call
the office if we're closed, we have on the recording
the number to call, and then it calls our after
our service and they notify us doctors, you know what's
going on, and we try to identify, you know, which
patient it goes with which doctor many times, and then
(35:21):
we can work together to solve their issues. But yeah,
we're we're fortunate to have the number of doctors that
we have that we can always have someone and call
that way, and it's very helpful for all of our patients.
Speaker 3 (35:33):
And I think that the added level of I don't know,
I guess just being comfortable. I think that we're all
kind of used to, you know, like cuts on our arms,
or you know, like healing bandy dravence stitches that you
have somewhere or something like that, things that you see
on your body. I think that we're a little used
to when it's in our mouth and we don't really
know what's going on. I think there's like kind of
a fear factor in there, like what the heck is this?
Why is this thing doing this? What's this nod or
(35:54):
this fel.
Speaker 5 (35:54):
And then half the time, like you're saying, it just
takes that conversation to reassure the patient say hey, this
is normal, this is what you do to take care
of it, or to say you know what this this
is a little abnormal. We we need to address that
immediately so we can we can then direct the patient
and the way to go from there.
Speaker 3 (36:11):
Great information. As always with GREEB Dental Group. Always enjoy
our conversations and the things that we talk about. I
hope you do as well. You can catch these podcasts
at any time w CHS Network dot com, slash Expert
you can find them when there and uh look it
up that way. Thanks for tuning in today and thanks
for listening to Ask the Expert on w c HS
the Voice of Charles Charleston. More information GREEB Dental Group Online,
Greebdentalgroup dot com, g h A R E E B.
(36:33):
GREEB Dentalgroup dot com and one at hundred Great Care
one hundred Great Care to get you to your closest location,
Doctor Stephen, doctor doctor Carson, Thank you so much for
your time. Thank you, see you next time you're listening
to five AD w c HS The Voice of Charleston
w C H s A L W two four three
d r F M Charleston W two A three HQ
(36:54):
cost Lanes at w v r C Media Stition.
Speaker 2 (36:58):
We are proud to live here too,
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