December 23, 2025 • 35 mins
Host Dale Cooper and Dr. Carson Henley discuss 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
Call 1-800-GreatCare or visit online at www.GhareebDentalGroup.com
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Episode Transcript
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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 (00:36):
Hey, everyone's the good morning to you. You're listening to
the voice of Charleston fave ADW CHS. I'm Deil Cooper.
Thanks for tuning in.
Speaker 2 (00:42):
One.
Speaker 3 (00:43):
What is a Tuesday? The Christmas Eve? Eve is where
we are right now. In joining us in the studio
this morning is doctor Carson Henley is here. He is,
of course, from a Grieve Dental group and his brother
over a special guest this morning, a returning person to
the program. What I say? What was funny?
Speaker 2 (01:01):
No?
Speaker 4 (01:02):
I like it?
Speaker 3 (01:02):
Oh, I'm sorry I thought I said. I thought I
misspoke for a second. But I'll give you a second too.
If you would like to go ahead and introduce our
returning guest, doctor Matt Scarsbury is with us. He is
from Saint Albans and you've joined us. When was the
last time here from San Albus locations? When's last time
that you were on with us?
Speaker 5 (01:18):
Been a few years, but glad to be back. I
always enjoyed being on the show. It's always a good
time and glad to be here today. Doctor Henley gave
me the call yesterday evening and said he was looking
for for a guest for today to join him. So
I'm here, glad to be here. So it's been several
years though, so glad to be back.
Speaker 3 (01:33):
Well, fantastic. I appreciate your time and coming in and
we have a bunch of stuff we're going to talk
about this morning. If you have any questions your own,
you're welcome to send us a text. Threes or of
four now three five fives years or eight threes or
four nine three five fives years or eight you can
call us of course. Threes are four thre before five
fifty fifty eight three four five ft eight fifty eight
is a number that you can call. You can find
out more about Greebdental Group online is greeb Dentalgroup dot com.
Gh A R e B GREEB Dentalgroup dot com. So
(01:57):
plenty of stuff that we're going to talk about and
where we want to kind of start because I know
we're going to get into sleep appy it just a
little bit, so if you have questions about sleep appy
or we're going to do that maybe in the second
half of the program a little bit. We don't talk
about that a lot on this program. And I know
that a lot of folks. I have tons of people
in my family that have been diagnosed and treated and
so forth with it, and the quality of life change
that's happened afterwards and they get treatment for it is incredible.
(02:18):
I mean, it really is something that's worth knowing how
to diagnose, knowing how to treat it, and what it
means for that to happen. And so that's something we'll
talk about a little bit as well. And we want
to talk a little bit about going under the gas,
the laughing gast. You'll appreciate this, doctor Henley. My daughter
had her yearly check up just a couple of weeks ago,
actually his last week when I was off, and she
(02:40):
every year, her tradition is is she'll she'll write out
now six or seven questions to take into her primary
doctor ask her about you know, what about this? What
about this? And it could be anything, it could So
one of her questions this time around was how laughing
gas works, and so she wanted specifically to know. She's like,
how does it work? Like what does it do to me?
I don't know why we've never told her that she's
going to have to go under anything. She just write
(03:01):
about it and decided that it was something that she
needed to learn about. So so now she's all up
to speed on laughing gas and she's all down on it, just.
Speaker 6 (03:07):
Like Daddy, right, I mean, like you, you were so inquisitive.
You always have great questions Dale, So I think you
you're training her well.
Speaker 3 (03:15):
She she's The problem with her is she thinks she
can do everything right away. Like the moment she learns
about something, she thinks that she should just be able
to do it, which is pretty good.
Speaker 5 (03:23):
I would love to explain the science, all the details
of how that works.
Speaker 7 (03:29):
That's kind of his reelhouse. So we'll let him go.
Speaker 6 (03:31):
So generally speaking, whenever it's me and doctor Steven in studio,
I will start going into the weeds and then doctor
Stephen will jump and be like Henley, slow down, you
are a little bit too in the weeds. But no,
it's it's it's so interesting when it comes to sedation
because people say just put me to sleep, or I
don't want to be put to sleep, or I want
to be put under. You know, we have all these
(03:52):
connotations and there's so many different words and so many
different ways to describe it. But generally speaking, sedation is
a spectrum. There's no sedation all the way up to
general sedation, which is in a hospital where you actually
are kind of put out and you are actually completely unaware.
And so between that there's multiple different types of sedation.
(04:15):
There's minimal, moderate, heavy, and then all the way up
to general and go ahead. I'm so it's really neat
about what we do in my office, and actually doctor
Scarberry does some sedation his office. Doctor Stephen does sedation
pretty much. Most dentists do some type of sedation, whether
it's laughing gas like your daughter was asking about, which
(04:35):
is pretty much a nitrous oxide. It was discovered in
the eighteen hundreds where there was a dentist watching I
think it was a it was a carnival show and
there was some guy that was pretty much hopped up
on nitrous fell fell into a table or something, broke
a leg and didn't even mind. And so he kind
of figured, I could use this in my in my office.
(04:57):
How awesome would that be? And so it kind of
started out a kind of a circus thing, and now
it's actually used safely in our offices. But nitrous oxide
is a great tool to do minimal sedation. Whenever you
just walk in to a NIST office you need just
a little bit of help. And then the next step
up above that is something called anziolysis or minimal sedation,
(05:18):
where you actually provide a pill that kind of puts you,
makes you a little bit drowsy, and then you can
add nitrous on top of that. And then of course
the sedation that doctor Steven and I do moderate sedation,
where we actually add a little bit more powerful drugs
to get you a little bit more comfortable. And there's
(05:38):
a there's a whole process to that, because moderate sedation
can only be done safely if you have the right
if you choose your patients wisely. I've had to turn
away some patients because I've deemed them not healthy enough
for it, and so we do it safely. We do
it where we do it an hour long consultation where
(05:59):
we talk about family history, we talk about health history,
we do all the baseline medical diagnoses, make sure that
the patient is safe enough for it, and we've had
to change some modalities because of that. But modern sedation
is the limit to what we do in my office,
and it's very very successful. I'd say, I think it's
(06:20):
very fun whenever they come out. My favorite thing to
do is whenever we're putting the patient into the car
and they go, when are we going to start? And
I go, We're done and they're like, no, there's no
way we're done. Are you getting me? I'm like yeah,
And then I always tell them a secret word. And
then the next time I see them, I ask if
they know the secret word? No one ever does. They
always just the best part about the station I do.
(06:41):
They just forget about what happened that day, which a
lot of most every single patient wants to forget about
what happened. Not that it's scary, but you know it's, uh,
you don't want to experience. You don't want to I
don't think you want to have a Let's just say
a kronoscopy and remember what happened, right, you know, I mean.
Speaker 7 (07:01):
We're thankful to be able to offer that within our group.
Speaker 3 (07:03):
Now, I was going to mention that that's not something
that's necessarily common at all dental practices, that you offer
that range of those services, right.
Speaker 5 (07:11):
That's true. We're thankful to be able to offer that.
There's so many patients that come in with dental anxiety,
and for many of them, it's something that happened when
they were very, very young, and you don't forget that,
I mean several of them, you know. Thankfully, dentistries come
a long way, and the procedures that we can do,
the ease of the procedures, the speed.
Speaker 7 (07:28):
That we can do things. It used not to be
that way.
Speaker 5 (07:31):
And a lot of people have really traumatic experiences, even
as young children, where they came in, they come in
and they just to get them to come in and
sit in the chair as hard they're like, I still
remember being in that room. I remember what the dentists
looked like. I remember what the room looked like. I
was six years old. I had an obsessed tooth. Whatever
it was it was, it was the most scary event
(07:52):
of my life and I still can't get over that.
Speaker 7 (07:54):
And I'm fifty now or whatever the age is.
Speaker 5 (07:58):
So when people really need something done like that, to
be able to offer this to where they can go
in and just have that done, not have the anxiety
part of it overriding everything else that needs to be done.
Speaker 7 (08:09):
I mean, I have the patient.
Speaker 8 (08:11):
Here's the Metro News ACU weather forecast.
Speaker 6 (08:13):
Today.
Speaker 8 (08:13):
Expect mostly cloudy skies with a chance of a passing shower.
The temperature will reach mostly conditions.
Speaker 3 (08:22):
Tomorrow.
Speaker 8 (08:22):
Anticipate a mix of clouds and making a dry day
holiday travel with a high temperature of fifty. The voice
of Charleston five eighty w c HS much appreciated.
Speaker 3 (08:33):
Thank you for that.
Speaker 7 (08:33):
So like getting cut off of the Awards show, maybe
too long?
Speaker 3 (08:36):
Also this that's enough. The the uh the I could
get into the details, but one of the one of
the mountains we climb with modernity is everything is database now.
There's no such thing as wires anymore. So if your
data gets crossed, which we I think, I know what's
happened there, but it's not like something I can go
and flip a switch and fix anymore. I got to
(08:58):
go get into an IP address and change an IP
address in order to get this fixed. It's kind of
a pain, but I'll get it taken care of. That
should be the last time we called her weather this hour.
Speaker 9 (09:06):
So.
Speaker 3 (09:08):
I really need to know about Yeah, right, Well, at
least we got the weather forecast and we know that
the magic calls are working for the weather, so you know,
at least at least there's there's there's versions of technology
that is that's working this morning. And you mentioned about
the dendline desiety and I had an issue issue with
my daughter that was very similar to that. It was
just for her check up. We took her into to
see someone. And my daughter is uh is sensitive to
(09:32):
uh like noises and stuff a little bit anyway, not crippling,
but she she has some some sensitivity to to uh,
environmental things like that. And she's very kind of a nervous,
anxious girl. She just she she thinks if you can
put what if in front of it, that it makes
it something that could happen. Like if you could just
say what if and you asked the question, that opens
the possibility that it could happen, it could be you know,
(09:52):
what if dinosaurs climbed spaceships? You know, you know, she
thinks it suddenly that's a possibility if you could put
what if in front of it. So she had all
the wad ifs. The first time we went to just
for a checkup, you know, not any not for any
cleaning or anything at all, just just for poking around
in the mouth a little bit and seeing what's going on.
She flipped out, just absolutely flipped out. The dentists at
the time asked me to restrain her so they could
(10:13):
like do some stuff. And my daughter did not like
that at all, and to this day, and I didn't
really feel that great about it at the time. To
this day, she brings that up when she's like, hey,
let's go to the dinn She's like, you can't hold
me to downlike that again, Like she did not like
to be illed down at all. So then that's like
in her mind now, like that was like three years
ago almost, And luckily she's her dental hygiene has gotten better.
She's doing pretty good with stuff like that. But it's
(10:34):
something that's a barrier right now for her for us
to get her regularly to go to a dentist, because
that's in her head right now, is that And it
was nobody's real. We just chose the wrong path for her,
you know, and then it really encoded in her head.
So you got to do that stuff right.
Speaker 5 (10:46):
And that's that's one of the things with children especially,
we like to try to get them in really young,
even if we can't do anything. Sometimes the first time
is just getting them in the office, because if the
first time they come in it's because they have a
toothache or an infection or something like that, that's a
tough first appointment if they've never been in and done anything.
So for us, if we can get him in one
(11:07):
year old, two years old, they may just come in
and chair, sit on mom's laugh, and we may just
play around for a minute and try to look at
the mouth we can, but that may not even happen.
But the fact that they're there and you know, that's
what their first experience is associated with helps.
Speaker 2 (11:21):
I know.
Speaker 6 (11:21):
Yeah, So yesterday I actually had a really fun experience
for a six year old. Okay, she was actually a
great patient, but she needed coaxing a lot of it.
And her dad was probably one of the best parent
experiences I've had in a long time, where he was
very supportive, very supportive of us and making sure that
the daughter was being told now, listen to the doctor,
(11:43):
listen to the assistant, like you do what they say.
I'm not charge here they are. But also at the
same time I worked with the dad and say, hey,
is okay if I do this. It was just very
well oriented where I was making sure that he was
okay with how I was doing things. He was definitely
okay with that, with how I was doing things. But
we were just communicative the entire time, and she actually
(12:06):
sat in his lap the entire pointment. I did two
fillings and it went really really well, and at the
very end she started kind of starting to worry a
little bit and she goes, Daddy, I need some hugs,
and he goes, well, I can't stand up and hug you,
but can I hug you like from behind? So he
just grabbed her from behind and just started hugging her,
and it just kind of so by him hugging her
(12:28):
in his lap, we got like the last five minutes
done so quickly, and there was just this really neat
experience as a dad of two dollars myself, right, and
you have three daughters, man, so it's just really sweet
to see that that we could provide a positive experience,
even though it could have it could have been completely different,
because you never know what you're.
Speaker 7 (12:45):
Gonna get with kids.
Speaker 6 (12:46):
I have four year olds that act like adults, and
I have sixteen year olds to act like two year olds,
So you just never know what you're gonna get sometimes,
and then six year olds that also need some help
as well. So it's just such a range and the
pleasure that doctor Scarbury and I get from giving a
good experience because like we hear from all sorts of
(13:10):
patients that are middle aged and older, they say, well,
back when I was a kid, they had to put
their knee on my chest and they ripped out of teeth,
and you're like, I'm so sorry that happened to you.
Speaker 3 (13:19):
That will not be happening here, I promise.
Speaker 6 (13:21):
And so dentistry has definitely changed, and I think I'm
proud to be a part of it. That we definitely
aren't hopefully not providing those experiences, but definitely we're trying
to change the paradigm or provide a paradigm shift for
what dentistry is to these young people.
Speaker 3 (13:40):
And just from my experience, and that was one of
the things that I wanted to highlight just with you
talking about traumatic experiences with younger and stuff. I have
a lot of I have some empathy, I think for
dentists in some ways in that I think that a
lot of the there might be people that had some
traumatic experience when they were younger. But I think also
people have transferred experiences from loved ones, from parents or
(14:03):
grandparents or something like that. And so you'll hear like
your uncle talking about like, oh, you don't want to
get a root canal because the back when I got
a root canal was all this stuff. That was what
was in my brain. I've told this story a zillion times,
but that's what was in my brain my whole life.
I never needed a root canal until I was in
my How old am I now, I don't know.
Speaker 2 (14:17):
I was.
Speaker 3 (14:17):
I guess in my late thirties or something like that.
It was like fifteen years ago, and and I needed
my first root canal and I was in so much
pain atlant I didn't go get the root canal because
I was like, it's just going to be worse to
go get the root canal. I don't want to do that.
It's like I've heard my whole life. It's the worst
thing you could possibly have done to your mouth. I
mean I didn't know. I mean, it's not like I
sat down and talked to anybody about a root canal.
Just that well that's what you al's heard. But of
(14:39):
every joke, every sitcom that you'll watch, you know, everything else,
it's like you don't want to go to the dentist
and get a root canal. I went to see Mitri
because I was in like an emergency situation, went in
to see Mitri. He had to do it in two
stages because he got the pain off first and then
he did the he and then he did like the
rest of it like two days later or whatever. It
was so easy, and I mean there wasn't pain, and
(15:00):
I mean I was in a lot of pain, but
it was there wasn't anything to it. And the amount
of relief that I got in relatively minutes and then
later on, in fact, the work the Mitry did is
still holding strong now. Doctor Stephen did some a little
later that that kind of cracked down on men. It
wasn't his Yeah, that'stries has lasted for fifteen years, but
(15:23):
but seriously, it was the relief was instant. It really was,
and I've been kind of sort of radicalized not only
by this show, but the people I talked to when
they start talking about dental issues, they're like, well, I
don't want to go down to like it's not as
bad as you think it, Seriously, isn't You got to go?
I mean, they have so many options for you now,
and technology has come so long, when it so far
when it comes to doing these things, you really got
(15:43):
to go check because it's not like what your grandpa
or your great uncle or whatever told you when you
were growing up. It's a different experience now.
Speaker 7 (15:49):
That's true.
Speaker 5 (15:49):
It's kind of like what doctor Henley was just talking
about with the child. But we also see that same
deal with adults. The people that come in, they're scared.
But when you can take a patient like that that
comes in that is terrified or scared or has all
these thoughts and provide an experience like that, and then
next time you have something to come up, you come back, Oh,
it's not that big of a deal. You know, you
had that in your mind, and once you cross that hurdle,
(16:11):
it makes it a lot easier for future appointments and
everything else to get past that.
Speaker 7 (16:15):
But that's a big deal.
Speaker 5 (16:16):
I mean, when you've had something that your whole life
is in your mind, it's hard to get past it.
Speaker 7 (16:20):
But once once you do.
Speaker 5 (16:21):
That's one of the things that we're proud to be
able to provide, just through to the fact that dentistry
has come so far. Things are a lot easier now
and thankfully the patient experience is much much better.
Speaker 3 (16:30):
Last question, real quick, and we'll take a break. In
the notes that you sent me last night, it was
mentioned that over thirty this is pivoting just a little
bit back to back to the orthodonist, but that thirty
percent of adult that thirty percent of orthodonist patients now
are adults, and that seems like a high number. Is
that Has that been a shift in that?
Speaker 6 (16:49):
Is that?
Speaker 3 (16:49):
Did it used to be mostly children but now we're
seeing adults.
Speaker 8 (16:52):
Do it?
Speaker 3 (16:52):
Is that because we're foregoing dental care at earlier age
or is there better things that we're doing now so
adults can take more more advantages out of it. What's
the reason for those numbers?
Speaker 5 (17:02):
I think a lot of it now is is more
with with the clearer liners, the als have more use
for it, and the certainly there are cases where braces
are definitely the best route. More complex cases, that's still
the way to go, but there are many many cases
now we can treat with the clear liners. Adults don't
have to go with the braces if that's something they
(17:23):
don't want to do. And it's an interesting thing that
I think really changed with with COVID in people seeing
themselves more on screens in no interesting years because everything
was was zoom meetings or zoom call. So you're sitting
there looking at yourself, don't know how many paces we
had come in and be like, I never noticed my
(17:44):
teeth really when I'm talking and speaking, and a lot
of us the shift that we see in our the
change in our tooth position is usually with the lower
front teeth first, and the older we get, the less
upper teeth we show, the more lower teeth we show,
and when we're speaking a lot of times we see
more of the lower teeth. So these people are on
the computer talking seeing themselves. Can we do something about this?
(18:07):
Is there a way to fix these lower teeth to
make them look better? And so now thankfully with treatments
like invisca line, it's something simple we can do. Don't
even have to do impressions anymore. We have digital scanners
that go in so you don't have to have that
goop in your mouth.
Speaker 3 (18:20):
All of that.
Speaker 5 (18:21):
Do a digital scan, send it in, plan the case out,
and then it's just a matter of changing trays every
couple of weeks and until you get the teeth where
they need to be and when you eat, you take
them out. After you're finished eating, brush your teeth, put
them back in it. It's just much easier and much simpler.
So I think so many more adults are are interested
in doing it just because it's it's not quite what
(18:42):
it used to be.
Speaker 3 (18:43):
And that's one of those great one of those great
use cases that really could be you know, some level
of quality of life thing. If you're on zooms all
the time suddenly and you're a little self conscious about
something along those lines and be on to get blemishes
or alignment's taken care of over something along those lines.
I mean, it's the day we live in, you know.
I mean it is important to us. GREEB Dental Group
of course, one line it's Greb Dentalgroup dot com h
a r Ebgrebdentalgroup dot com. And you can get a
(19:06):
hold of any of the locations that are near you.
Pocus out Charleston Cross Lane, Saint Albans, Day's Valley, and
Kanall City. We have Saint Albans and Kanoff City. You
represented here this morning. You can call one one hundred
Great Care, one eight hundred Great Care. Let's do this.
Let's take a break. When we come back. We're going
to talk a little b about sleep apnia, sleep apnia
when we come back. Plus your questions. If you have
any questions, text line three zero four non three five
five zero zero eight. Threes are a four non three
(19:27):
five five zero zero eight. You can also give us
a call. Threes are a four three four five fifty
fifty eight. You're listening to ask the expert with the
Greed Dental Group. I'm Del Cooper one five at Ewchs
the boys at Charleston. As you shopped for others.
Speaker 9 (19:37):
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of professional financial planning. What better way to start the
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Speaker 4 (20:06):
There's a lot to be thankful for during the holiday season,
and the number one thing the folks at Walker, Chevrolet
and Nitro are thankful for is you.
Speaker 6 (20:13):
You.
Speaker 4 (20:13):
They're friends that put their trust in Walker for an honest,
fair deal on your next vehicle. You they're neighbors that
stop in to visit from time to time and bring
holiday cheer. And it's you that makes the Canal Valley
one of the greatest places in the world. It's folks
like you that keep Gene and Ryan in the car
business and made them want to build their business the
old fashioned way by making friends. By now you know
(20:35):
there are no gimmicks or games at Walker, just the honest,
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that if you have a vehicle to sell, Walker Chevrolet
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So to you and your family from the entire gang
in Nitro. Merry Christmas, and don't be surprised if this
year Sanson's on his way in a brand new Walker Chevrolet.
(20:57):
Walker Chevrolet in the shadow of the Interstate Bridge just
off the Nitro exit of I sixty four Walker Chevrolet
making friends, one deal at a time.
Speaker 10 (21:05):
The Christmas season is a time of family traditions, Christmas parties,
viewing Christmas lights, decorating the tree, attending Christmas church service.
Many of us consider these core holiday traditions. For over
a century. Another tradition in the Canall Valley was to
give a Christmas donation to Union Mission to help feed, clothe,
and shelter the needy this Christmas. Would you consider building
(21:27):
on that tradition. Your gift this holiday season will help
us well into twenty twenty five as we help the
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Latest in news, talking sports. When five Awchs has brought
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Speaker 3 (22:06):
You're listening to ask the expert Wchs. The Voice or
Charleston I'm Deel Cooper. Thanks for tuning in once again
on this Tuesday morning. It is about thirteen minutes until
the top of the hour and gives a call this morning.
Three zero four three four five fifty eight fifty eight.
Three zero four three four five fifty eight fifty eight
is a number that you can call. Doctor Carson Henley
is here from the Kannall City location of GREEB Dental
Group and from the Saint Albans location. Doctor Matt Scarberry
(22:26):
is here as well, and once again you can call
us at three zero four three four five fifty fifty eight.
You can text three zero four nine three five five
zero zero eight. More information online GREEB Dentalgroup dot com,
g H A R E E B GREEB Dentalgroup dot
com and their phone number if you want to make
an appointment anytime now or after the show, or tomorrow,
after Christmas whatever is one eight hundred great care. One
eight hundred great care. One of the things that we
(22:47):
haven't talked on this show a long years and years ago,
actually one of the first expert shows that I did
on any regular basis in twenty twelve, twenty thirty to
something like that, I don't know as a long time
ago now, was was a sleep apnea specialists that we
talked to quite a bit, and so I learned a
little bit about it back then. But since I'm not
an expert, you know, I forget so I know how
(23:08):
to spell it still and that's about it. But my
understanding is that that sleep appne is something that am
I right about? Is there something that's more common than
normal in our area that we we have a relatively
hot amount of sleep apnea here?
Speaker 7 (23:22):
It's true, it is is in our area.
Speaker 5 (23:26):
One of the area things that can kind of lead
to increased risk for sleep apnea, smoking, obesity, unfortunately, things
that are state.
Speaker 2 (23:42):
Rights.
Speaker 5 (23:42):
Being very honest with us, that that's the situation that
we're in and that's why we see a lot of
it here. But it's an interesting thing to me as
well that it's that happens in with those risk factors
are there. But then we see some people that are
very young, fit, healthy have problems sleeping and there can
be an atomical issues.
Speaker 7 (24:01):
Whether skeletal or just with.
Speaker 5 (24:05):
Their soft tissues, their tongue, their soft palette, different things
like that, the way that they're put together that is
causing their sleep apnea, and they may be a perfectly
fit person and that may, you know, not be the
reason for it. So it's one of those things that
the further you get into it, the more you realize
how prevalent it is. It's something I always kind of
had an interest in, so as dentists were required to
(24:28):
take continuing education courses to keep our license accurate and
everything else. Plus it's just something we like to stay
up to date on. So I found a sleep apnea
of course that I went to and I was like, Wow,
I had no idea that sleep issues could cause all
of these other health problems. So it was just shocking
an eye opening to me, and I felt like, wow,
I have been seeing this my whole career, and I
(24:50):
had no idea the correlation between some of the different
things that I was seeing in people's mouths, whether it's
tooth grinding a lot of times can be from sleep apnea,
different areas of where do the acid reflux from sleep apnea,
So these things that I just had no idea for.
It's like, Wow, Okay, I need to know more about
this because I need to be able to educate my
(25:11):
patients and if I can figure out a way to
help them with this, and not only from just a
health standpoint, just helping them feel better.
Speaker 7 (25:18):
I mean, we have so many people that come in
with this.
Speaker 5 (25:21):
I'm sitting to them doing their consultation in the chair
and they're hardly able to stay awake while I'm doing
the consultation.
Speaker 7 (25:25):
They're like, I'm just so tired. Anytime I sit down
and sit still, I could just fall asleep. So it's
it's been something that it's been.
Speaker 5 (25:34):
I think the longer we're in dentistry, I'm coming up
on twenty years, which is unbelievable.
Speaker 7 (25:39):
I mean, it's been like a blur.
Speaker 5 (25:41):
You kind of start finding those that little niche that
you kind of like to treat, the procedures you like
to do, the different specialties, and each of our offices
kind of has that, and for me, sleep atnea was
the thing that I was like, I think this is
something I would really like to try to do and
try to explore further and be able to offer those
treat my options within our group because there's not a
lot of people are offering it around here, and there's
(26:04):
a huge need for it. So if we can provide
that for some patients, to help them get treatment and
help them feel better.
Speaker 7 (26:09):
I think that's a great thing.
Speaker 6 (26:10):
So in order for you to be able to provide this,
what type of technology did you have to invest in?
Because I know some of the things that you had
to purchase, some of the things that you had to
all the courses that you had to go to.
Speaker 3 (26:23):
Every time you talk to me.
Speaker 6 (26:24):
About it, seems like there's something new that you're kind
of investing you to provide the best care for your patients.
Speaker 5 (26:30):
Yes, and that's earlier we were talking about the three
D scanners or the three D scanners that are digital
scanners that we use in lieu of impressions. So we're
able to use those to get more accurate fitting appliances.
Speaker 7 (26:44):
Because what the type of treatment we're able to.
Speaker 5 (26:46):
Provide from a dental standpoint is that we have patients
that go they get a sleep test done, the doctor says,
you have obstructive sleep at in me. They make a diagnosis.
Once that diagnosis is made, there are different treatment options
to patients go through. So one of those options is seapath.
Everyone's heard of the seapath appliance that they basically is
the mask that forces air in to open the airway
(27:09):
to get the oxygen in for patients, and that's kind
of the gold standard. That's why you always hear seapaths
for that. However, some patients can't tolerate that. They don't
like the fit of the mask, the feel of the
mask they've especially if they're claustrophobic. If someone's claustrophobic and
doesn't like stuff, you're going to trap something to their
face and they're going.
Speaker 7 (27:28):
To try to relax and go to sleep.
Speaker 5 (27:29):
That's what a lot of patients come in and say,
I'm supposed to try to relax and go to sleep,
but I'm just putting this one makes me more anxious
than just trying to go to sleep anyway. So what
we're able to offer from a dental standpoints and appliance
that goes in the purpose of what we're doing is to.
Speaker 7 (27:45):
Try to increase the airway.
Speaker 5 (27:46):
So the way that we're able to do that is
by making an appliance that goes over the upper teeth
and over the lower teeth and it's connected. But what
that appliance does is it gently advances the jaw forward.
A lot of times with obstructive sleep apnea, the tongue
and the jaw falling back at night is what's blocking
the airway. So with this being able to pull up forward,
that's able to create open the airway up.
Speaker 8 (28:06):
Here's the Metro News ACU weather forecast. Today, expect mostly
cloudy skies with a chance of a passing stone. Temperature
will reach a high of fifty five. Tonight will bring
mostly cloudy conditions. Tomorrow, anticipate a mix of clouds and sunshine,
making it a dry day for a holiday travel with
a high temperature of fifty The voice of Charleston five
eighty w c HS.
Speaker 3 (28:27):
Yeah, okay, weather forecast over. So there's your weather forecast
that brought to you by Metro News.
Speaker 5 (28:32):
And I noticed that only is happening when I'm tall.
I'm starting to see a coincidence here with this doctor Handley,
Are you pushing a button to make this happen?
Speaker 6 (28:41):
But he was.
Speaker 3 (28:42):
He left the headphones off, so he doesn't even know
what it happens exactly. I'm just relief that is seven
and is left in the program. That's definitely the last one.
If you can pick up where you were, I Apolo joshed, Yeah, we.
Speaker 5 (28:53):
Were discussing the appliances to advance the jaw forward. One
of the other pieces of technology that doctor Henley was
referring to as three D cone beam X ray machine.
Essentially that gives us a three D view of the patient.
And what we're able to do with this now with
some of the new software out is we're actually able
to take that and trace the airway on a patient.
(29:14):
So we're able to look just from a pure anatomical
standpoint and look and see, wow, this person has a
very collapsed airway just standing here.
Speaker 7 (29:23):
Where how are they going to breathe with this? And
so we're able to take.
Speaker 5 (29:27):
That as kind of an initial screening tool to maybe
be able to correlate.
Speaker 7 (29:30):
Oh, and they come in, they're talking about being.
Speaker 5 (29:34):
Tired during the day, they're talking about blood pressure issues,
they're talking about just mood swings, just not feeling well
about themselves. So we can kind of use that as a.
Speaker 7 (29:42):
Way to get started.
Speaker 5 (29:44):
And then if we feel like we're on a path
where sleep avenue, it could be an issue getting them
set up with a sleep doctor, getting them in for
the proper testing and diagnosis, and then once that diagnosis
is made, we're able to if the applliance it's selected
as it's something like the oral applients, then get it
set up and get that taken care of, and then
it's something that we do the fitting for that kind
(30:06):
of get them started off with that appliance and then
we follow up with them because really our goal of
that is is with those appliance as they're adjustable, so
you can bring the patient in, you kind of get
them in a starting spot because kind of the sweet
spot that we want to find is we want to
advance their jaw forward to give them increase their way
to allow for better sleep, but we also want it
to be in a comfortable position. You don't want to
take someone to just moves their jawway forward and then
(30:28):
we create TMJ issues and other issues like that. And
so that's something that we have to monitor to make
sure we're keeping a close eye on the bite and
that we're putting the patient in the best position for
them to be healthy and not create additional issues with
the treatment.
Speaker 3 (30:43):
And it seems like it would be it's like it
seems like can be hard to self diagnose. I mean,
you could tell you could tell your doctors like I'm
sleeping all the time. I don't know if I'm sleeping
all that. Well, is this something if you have a
significant other or a partner that they can help you
in that regard, like, hey, when you're sleeping at night,
I'm noticing these patterns or something along those ones exactly.
Speaker 5 (31:01):
And that's a lot of times patients don't have any
idea that they have this going on until there's significant
other does that. And many times they're the one that
makes the appointment. The wife callses us, Hey, my husband,
and here, I can't sleep. I need some help here,
Let's see.
Speaker 7 (31:14):
What we can do.
Speaker 3 (31:15):
I can't sleep because he's I can't sleep because.
Speaker 5 (31:18):
Of snoring and the noise at nighttime or can be
snoring or I mean sometimes in more severe cases, it
is literally gasping and waking up fighting for your life.
I mean, we wonder why the patients wake up tired.
Sleep is supposed to be something that's RESTful. If you're
struggling to breathe all night long, there's nothing.
Speaker 7 (31:37):
RESTful about them.
Speaker 3 (31:38):
More trauma.
Speaker 7 (31:39):
Yes, and you're really fighting for your life.
Speaker 5 (31:41):
I mean that's you're you're trying to sleep, but the
reason that you're waking up is because your oxygen levels
are dropping, so much that your body is saying, do something.
I can't breathe. My oxygen is down, So that's why
you wake up gasping, struggling to breathe. But yes, a
lot of times it is. It is not something that
many you know, people come.
Speaker 7 (32:01):
In all the time. I don't snore. Yeah, I don't
know what they're talking about.
Speaker 3 (32:05):
Healthy, Like is it I mean, is really bad snoring?
Is that almost always indicating something else? Or is there
such a thing as like that's just normal level snoring?
Speaker 5 (32:14):
Ye, so there's there is primary snoring, which just means
that it's just snoring that really is just caused from
basically your airway should just yes, in just the vibrations
of airs going in. It's going in through an open space,
it's going to a more narrow space, and there's vibrations
in the tissues and that's what it's causing the snoring.
(32:36):
So on a small level that may be okay. But
to know the difference if are you just snoring or
are you really getting your breathing and oxygen restricted sleep,
study has to be done so that we're seeing when
this has happening. Is this because your oxygen intake is
decreasing to a level that is not healthy and it's
(32:57):
not safe. Or is it just that you know your
air way is causing this, but it's really not changing
your oxygen. But the only way to really know that
would be to do a sleep test and see if
your oxygen saturation levels are changing.
Speaker 3 (33:09):
It's incredibly the people that I've known that have had
sleep studies done and they end up getting on, you know,
a seapap machine or something like that, it's like it
doesn't even become I think some people are worried, like
I don't know if I want to be on a machine.
It's a burden or whatever it is to a person.
And I know quite a few people that that's that's
been diagnosed in that have seapack machines or some other
toward the treatment. It's worth it to every single one
(33:31):
of them. It's like my life changed after I started
doing this. In fact, my father in law, Will Will
he'll go camping and make sure that he has the
ability to power his seapack when he goes to camping
because or he likes to be outdoors and he likes
to you know, be kind of rough in it. That's
the one thing that he can't go without because that
gives him so much of a better quality of life.
So I mean it's just really important that people realize
(33:51):
that that, you know, if you're having trouble sleeping, or
if you're a significant other is making gasping noises and
choking noises and things like that at night, you should
check it out. I mean, it's something worth the getting
out to. We haven't got about a minute left, So
if you guys want to give any any greetings out
or anything for your for your shows, I'll get I'll
give the contact information out, but I just didn't want
to get caught unaware since the show's getting ready to end.
Speaker 7 (34:11):
Merry Christmas, everyone, Merry Christmas.
Speaker 5 (34:15):
And no, I mean definitely this time of year is
the time for us to be thankful for all those
that are that are part of our dental team and
our dental organization. I mean, it is, it's grown significantly,
so it's a it's a lot of people now and
it's a great thing and we're thankful for everyone that's
part of it.
Speaker 3 (34:29):
Well, we always enjoy the shows that we do here
on Tuesdays for ask the expert and the insight that
you bring into the into the dental industry or whatever
it might be. But it's more than that because it's
a it's a human relationship to a professional service. That's
something that we all need and we really appreciate that.
Thank you so much for your time.
Speaker 2 (34:44):
Thank you.
Speaker 3 (34:45):
That's Great Dental Group one line, Greedentalgroup dot com, g
H A R E E V Grebdentalgroup dot com.
Speaker 4 (34:50):
UH.
Speaker 3 (34:50):
The phone number is one eight hundred Great Care, one
eight hundred, Great Care to get one of the locations
near you. Thanks for tuning in today. Dave Allen is
up next. I'm Dell Cooper. Be back at three or
six on hotline with Dave Weekly. This is Bob a
d w c HS than we are the Boys of
Charles d.
Speaker 2 (35:07):
W c HS A W two four three d r
F M Charlestown, W two A three HQ Cross Lanes,
a w v r C media station. We're proud to
live here too.
Unlock your dream property with Meeks 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 (00:36):
Hey, everyone's the good morning to you. You're listening to
the voice of Charleston fave ADW CHS. I'm Deil Cooper.
Thanks for tuning in.
Speaker 2 (00:42):
One.
Speaker 3 (00:43):
What is a Tuesday? The Christmas Eve? Eve is where
we are right now. In joining us in the studio
this morning is doctor Carson Henley is here. He is,
of course, from a Grieve Dental group and his brother
over a special guest this morning, a returning person to
the program. What I say? What was funny?
Speaker 2 (01:01):
No?
Speaker 4 (01:02):
I like it?
Speaker 3 (01:02):
Oh, I'm sorry I thought I said. I thought I
misspoke for a second. But I'll give you a second too.
If you would like to go ahead and introduce our
returning guest, doctor Matt Scarsbury is with us. He is
from Saint Albans and you've joined us. When was the
last time here from San Albus locations? When's last time
that you were on with us?
Speaker 5 (01:18):
Been a few years, but glad to be back. I
always enjoyed being on the show. It's always a good
time and glad to be here today. Doctor Henley gave
me the call yesterday evening and said he was looking
for for a guest for today to join him. So
I'm here, glad to be here. So it's been several
years though, so glad to be back.
Speaker 3 (01:33):
Well, fantastic. I appreciate your time and coming in and
we have a bunch of stuff we're going to talk
about this morning. If you have any questions your own,
you're welcome to send us a text. Threes or of
four now three five fives years or eight threes or
four nine three five fives years or eight you can
call us of course. Threes are four thre before five
fifty fifty eight three four five ft eight fifty eight
is a number that you can call. You can find
out more about Greebdental Group online is greeb Dentalgroup dot com.
Gh A R e B GREEB Dentalgroup dot com. So
(01:57):
plenty of stuff that we're going to talk about and
where we want to kind of start because I know
we're going to get into sleep appy it just a
little bit, so if you have questions about sleep appy
or we're going to do that maybe in the second
half of the program a little bit. We don't talk
about that a lot on this program. And I know
that a lot of folks. I have tons of people
in my family that have been diagnosed and treated and
so forth with it, and the quality of life change
that's happened afterwards and they get treatment for it is incredible.
(02:18):
I mean, it really is something that's worth knowing how
to diagnose, knowing how to treat it, and what it
means for that to happen. And so that's something we'll
talk about a little bit as well. And we want
to talk a little bit about going under the gas,
the laughing gast. You'll appreciate this, doctor Henley. My daughter
had her yearly check up just a couple of weeks ago,
actually his last week when I was off, and she
(02:40):
every year, her tradition is is she'll she'll write out
now six or seven questions to take into her primary
doctor ask her about you know, what about this? What
about this? And it could be anything, it could So
one of her questions this time around was how laughing
gas works, and so she wanted specifically to know. She's like,
how does it work? Like what does it do to me?
I don't know why we've never told her that she's
going to have to go under anything. She just write
(03:01):
about it and decided that it was something that she
needed to learn about. So so now she's all up
to speed on laughing gas and she's all down on it, just.
Speaker 6 (03:07):
Like Daddy, right, I mean, like you, you were so inquisitive.
You always have great questions Dale, So I think you
you're training her well.
Speaker 3 (03:15):
She she's The problem with her is she thinks she
can do everything right away. Like the moment she learns
about something, she thinks that she should just be able
to do it, which is pretty good.
Speaker 5 (03:23):
I would love to explain the science, all the details
of how that works.
Speaker 7 (03:29):
That's kind of his reelhouse. So we'll let him go.
Speaker 6 (03:31):
So generally speaking, whenever it's me and doctor Steven in studio,
I will start going into the weeds and then doctor
Stephen will jump and be like Henley, slow down, you
are a little bit too in the weeds. But no,
it's it's it's so interesting when it comes to sedation
because people say just put me to sleep, or I
don't want to be put to sleep, or I want
to be put under. You know, we have all these
(03:52):
connotations and there's so many different words and so many
different ways to describe it. But generally speaking, sedation is
a spectrum. There's no sedation all the way up to
general sedation, which is in a hospital where you actually
are kind of put out and you are actually completely unaware.
And so between that there's multiple different types of sedation.
(04:15):
There's minimal, moderate, heavy, and then all the way up
to general and go ahead. I'm so it's really neat
about what we do in my office, and actually doctor
Scarberry does some sedation his office. Doctor Stephen does sedation
pretty much. Most dentists do some type of sedation, whether
it's laughing gas like your daughter was asking about, which
(04:35):
is pretty much a nitrous oxide. It was discovered in
the eighteen hundreds where there was a dentist watching I
think it was a it was a carnival show and
there was some guy that was pretty much hopped up
on nitrous fell fell into a table or something, broke
a leg and didn't even mind. And so he kind
of figured, I could use this in my in my office.
(04:57):
How awesome would that be? And so it kind of
started out a kind of a circus thing, and now
it's actually used safely in our offices. But nitrous oxide
is a great tool to do minimal sedation. Whenever you
just walk in to a NIST office you need just
a little bit of help. And then the next step
up above that is something called anziolysis or minimal sedation,
(05:18):
where you actually provide a pill that kind of puts you,
makes you a little bit drowsy, and then you can
add nitrous on top of that. And then of course
the sedation that doctor Steven and I do moderate sedation,
where we actually add a little bit more powerful drugs
to get you a little bit more comfortable. And there's
(05:38):
a there's a whole process to that, because moderate sedation
can only be done safely if you have the right
if you choose your patients wisely. I've had to turn
away some patients because I've deemed them not healthy enough
for it, and so we do it safely. We do
it where we do it an hour long consultation where
(05:59):
we talk about family history, we talk about health history,
we do all the baseline medical diagnoses, make sure that
the patient is safe enough for it, and we've had
to change some modalities because of that. But modern sedation
is the limit to what we do in my office,
and it's very very successful. I'd say, I think it's
(06:20):
very fun whenever they come out. My favorite thing to
do is whenever we're putting the patient into the car
and they go, when are we going to start? And
I go, We're done and they're like, no, there's no
way we're done. Are you getting me? I'm like yeah,
And then I always tell them a secret word. And
then the next time I see them, I ask if
they know the secret word? No one ever does. They
always just the best part about the station I do.
(06:41):
They just forget about what happened that day, which a
lot of most every single patient wants to forget about
what happened. Not that it's scary, but you know it's, uh,
you don't want to experience. You don't want to I
don't think you want to have a Let's just say
a kronoscopy and remember what happened, right, you know, I mean.
Speaker 7 (07:01):
We're thankful to be able to offer that within our group.
Speaker 3 (07:03):
Now, I was going to mention that that's not something
that's necessarily common at all dental practices, that you offer
that range of those services, right.
Speaker 5 (07:11):
That's true. We're thankful to be able to offer that.
There's so many patients that come in with dental anxiety,
and for many of them, it's something that happened when
they were very, very young, and you don't forget that,
I mean several of them, you know. Thankfully, dentistries come
a long way, and the procedures that we can do,
the ease of the procedures, the speed.
Speaker 7 (07:28):
That we can do things. It used not to be
that way.
Speaker 5 (07:31):
And a lot of people have really traumatic experiences, even
as young children, where they came in, they come in
and they just to get them to come in and
sit in the chair as hard they're like, I still
remember being in that room. I remember what the dentists
looked like. I remember what the room looked like. I
was six years old. I had an obsessed tooth. Whatever
it was it was, it was the most scary event
(07:52):
of my life and I still can't get over that.
Speaker 7 (07:54):
And I'm fifty now or whatever the age is.
Speaker 5 (07:58):
So when people really need something done like that, to
be able to offer this to where they can go
in and just have that done, not have the anxiety
part of it overriding everything else that needs to be done.
Speaker 7 (08:09):
I mean, I have the patient.
Speaker 8 (08:11):
Here's the Metro News ACU weather forecast.
Speaker 6 (08:13):
Today.
Speaker 8 (08:13):
Expect mostly cloudy skies with a chance of a passing shower.
The temperature will reach mostly conditions.
Speaker 3 (08:22):
Tomorrow.
Speaker 8 (08:22):
Anticipate a mix of clouds and making a dry day
holiday travel with a high temperature of fifty. The voice
of Charleston five eighty w c HS much appreciated.
Speaker 3 (08:33):
Thank you for that.
Speaker 7 (08:33):
So like getting cut off of the Awards show, maybe
too long?
Speaker 3 (08:36):
Also this that's enough. The the uh the I could
get into the details, but one of the one of
the mountains we climb with modernity is everything is database now.
There's no such thing as wires anymore. So if your
data gets crossed, which we I think, I know what's
happened there, but it's not like something I can go
and flip a switch and fix anymore. I got to
(08:58):
go get into an IP address and change an IP
address in order to get this fixed. It's kind of
a pain, but I'll get it taken care of. That
should be the last time we called her weather this hour.
Speaker 9 (09:06):
So.
Speaker 3 (09:08):
I really need to know about Yeah, right, Well, at
least we got the weather forecast and we know that
the magic calls are working for the weather, so you know,
at least at least there's there's there's versions of technology
that is that's working this morning. And you mentioned about
the dendline desiety and I had an issue issue with
my daughter that was very similar to that. It was
just for her check up. We took her into to
see someone. And my daughter is uh is sensitive to
(09:32):
uh like noises and stuff a little bit anyway, not crippling,
but she she has some some sensitivity to to uh,
environmental things like that. And she's very kind of a nervous,
anxious girl. She just she she thinks if you can
put what if in front of it, that it makes
it something that could happen. Like if you could just
say what if and you asked the question, that opens
the possibility that it could happen, it could be you know,
(09:52):
what if dinosaurs climbed spaceships? You know, you know, she
thinks it suddenly that's a possibility if you could put
what if in front of it. So she had all
the wad ifs. The first time we went to just
for a checkup, you know, not any not for any
cleaning or anything at all, just just for poking around
in the mouth a little bit and seeing what's going on.
She flipped out, just absolutely flipped out. The dentists at
the time asked me to restrain her so they could
(10:13):
like do some stuff. And my daughter did not like
that at all, and to this day, and I didn't
really feel that great about it at the time. To
this day, she brings that up when she's like, hey,
let's go to the dinn She's like, you can't hold
me to downlike that again, Like she did not like
to be illed down at all. So then that's like
in her mind now, like that was like three years
ago almost, And luckily she's her dental hygiene has gotten better.
She's doing pretty good with stuff like that. But it's
(10:34):
something that's a barrier right now for her for us
to get her regularly to go to a dentist, because
that's in her head right now, is that And it
was nobody's real. We just chose the wrong path for her,
you know, and then it really encoded in her head.
So you got to do that stuff right.
Speaker 5 (10:46):
And that's that's one of the things with children especially,
we like to try to get them in really young,
even if we can't do anything. Sometimes the first time
is just getting them in the office, because if the
first time they come in it's because they have a
toothache or an infection or something like that, that's a
tough first appointment if they've never been in and done anything.
So for us, if we can get him in one
(11:07):
year old, two years old, they may just come in
and chair, sit on mom's laugh, and we may just
play around for a minute and try to look at
the mouth we can, but that may not even happen.
But the fact that they're there and you know, that's
what their first experience is associated with helps.
Speaker 2 (11:21):
I know.
Speaker 6 (11:21):
Yeah, So yesterday I actually had a really fun experience
for a six year old. Okay, she was actually a
great patient, but she needed coaxing a lot of it.
And her dad was probably one of the best parent
experiences I've had in a long time, where he was
very supportive, very supportive of us and making sure that
the daughter was being told now, listen to the doctor,
(11:43):
listen to the assistant, like you do what they say.
I'm not charge here they are. But also at the
same time I worked with the dad and say, hey,
is okay if I do this. It was just very
well oriented where I was making sure that he was
okay with how I was doing things. He was definitely
okay with that, with how I was doing things. But
we were just communicative the entire time, and she actually
(12:06):
sat in his lap the entire pointment. I did two
fillings and it went really really well, and at the
very end she started kind of starting to worry a
little bit and she goes, Daddy, I need some hugs,
and he goes, well, I can't stand up and hug you,
but can I hug you like from behind? So he
just grabbed her from behind and just started hugging her,
and it just kind of so by him hugging her
(12:28):
in his lap, we got like the last five minutes
done so quickly, and there was just this really neat
experience as a dad of two dollars myself, right, and
you have three daughters, man, so it's just really sweet
to see that that we could provide a positive experience,
even though it could have it could have been completely different,
because you never know what you're.
Speaker 7 (12:45):
Gonna get with kids.
Speaker 6 (12:46):
I have four year olds that act like adults, and
I have sixteen year olds to act like two year olds,
So you just never know what you're gonna get sometimes,
and then six year olds that also need some help
as well. So it's just such a range and the
pleasure that doctor Scarbury and I get from giving a
good experience because like we hear from all sorts of
(13:10):
patients that are middle aged and older, they say, well,
back when I was a kid, they had to put
their knee on my chest and they ripped out of teeth,
and you're like, I'm so sorry that happened to you.
Speaker 3 (13:19):
That will not be happening here, I promise.
Speaker 6 (13:21):
And so dentistry has definitely changed, and I think I'm
proud to be a part of it. That we definitely
aren't hopefully not providing those experiences, but definitely we're trying
to change the paradigm or provide a paradigm shift for
what dentistry is to these young people.
Speaker 3 (13:40):
And just from my experience, and that was one of
the things that I wanted to highlight just with you
talking about traumatic experiences with younger and stuff. I have
a lot of I have some empathy, I think for
dentists in some ways in that I think that a
lot of the there might be people that had some
traumatic experience when they were younger. But I think also
people have transferred experiences from loved ones, from parents or
(14:03):
grandparents or something like that. And so you'll hear like
your uncle talking about like, oh, you don't want to
get a root canal because the back when I got
a root canal was all this stuff. That was what
was in my brain. I've told this story a zillion times,
but that's what was in my brain my whole life.
I never needed a root canal until I was in
my How old am I now, I don't know.
Speaker 2 (14:17):
I was.
Speaker 3 (14:17):
I guess in my late thirties or something like that.
It was like fifteen years ago, and and I needed
my first root canal and I was in so much
pain atlant I didn't go get the root canal because
I was like, it's just going to be worse to
go get the root canal. I don't want to do that.
It's like I've heard my whole life. It's the worst
thing you could possibly have done to your mouth. I
mean I didn't know. I mean, it's not like I
sat down and talked to anybody about a root canal.
Just that well that's what you al's heard. But of
(14:39):
every joke, every sitcom that you'll watch, you know, everything else,
it's like you don't want to go to the dentist
and get a root canal. I went to see Mitri
because I was in like an emergency situation, went in
to see Mitri. He had to do it in two
stages because he got the pain off first and then
he did the he and then he did like the
rest of it like two days later or whatever. It
was so easy, and I mean there wasn't pain, and
(15:00):
I mean I was in a lot of pain, but
it was there wasn't anything to it. And the amount
of relief that I got in relatively minutes and then
later on, in fact, the work the Mitry did is
still holding strong now. Doctor Stephen did some a little
later that that kind of cracked down on men. It
wasn't his Yeah, that'stries has lasted for fifteen years, but
(15:23):
but seriously, it was the relief was instant. It really was,
and I've been kind of sort of radicalized not only
by this show, but the people I talked to when
they start talking about dental issues, they're like, well, I
don't want to go down to like it's not as
bad as you think it, Seriously, isn't You got to go?
I mean, they have so many options for you now,
and technology has come so long, when it so far
when it comes to doing these things, you really got
(15:43):
to go check because it's not like what your grandpa
or your great uncle or whatever told you when you
were growing up. It's a different experience now.
Speaker 7 (15:49):
That's true.
Speaker 5 (15:49):
It's kind of like what doctor Henley was just talking
about with the child. But we also see that same
deal with adults. The people that come in, they're scared.
But when you can take a patient like that that
comes in that is terrified or scared or has all
these thoughts and provide an experience like that, and then
next time you have something to come up, you come back, Oh,
it's not that big of a deal. You know, you
had that in your mind, and once you cross that hurdle,
(16:11):
it makes it a lot easier for future appointments and
everything else to get past that.
Speaker 7 (16:15):
But that's a big deal.
Speaker 5 (16:16):
I mean, when you've had something that your whole life
is in your mind, it's hard to get past it.
Speaker 7 (16:20):
But once once you do.
Speaker 5 (16:21):
That's one of the things that we're proud to be
able to provide, just through to the fact that dentistry
has come so far. Things are a lot easier now
and thankfully the patient experience is much much better.
Speaker 3 (16:30):
Last question, real quick, and we'll take a break. In
the notes that you sent me last night, it was
mentioned that over thirty this is pivoting just a little
bit back to back to the orthodonist, but that thirty
percent of adult that thirty percent of orthodonist patients now
are adults, and that seems like a high number. Is
that Has that been a shift in that?
Speaker 6 (16:49):
Is that?
Speaker 3 (16:49):
Did it used to be mostly children but now we're
seeing adults.
Speaker 8 (16:52):
Do it?
Speaker 3 (16:52):
Is that because we're foregoing dental care at earlier age
or is there better things that we're doing now so
adults can take more more advantages out of it. What's
the reason for those numbers?
Speaker 5 (17:02):
I think a lot of it now is is more
with with the clearer liners, the als have more use
for it, and the certainly there are cases where braces
are definitely the best route. More complex cases, that's still
the way to go, but there are many many cases
now we can treat with the clear liners. Adults don't
have to go with the braces if that's something they
(17:23):
don't want to do. And it's an interesting thing that
I think really changed with with COVID in people seeing
themselves more on screens in no interesting years because everything
was was zoom meetings or zoom call. So you're sitting
there looking at yourself, don't know how many paces we
had come in and be like, I never noticed my
(17:44):
teeth really when I'm talking and speaking, and a lot
of us the shift that we see in our the
change in our tooth position is usually with the lower
front teeth first, and the older we get, the less
upper teeth we show, the more lower teeth we show,
and when we're speaking a lot of times we see
more of the lower teeth. So these people are on
the computer talking seeing themselves. Can we do something about this?
(18:07):
Is there a way to fix these lower teeth to
make them look better? And so now thankfully with treatments
like invisca line, it's something simple we can do. Don't
even have to do impressions anymore. We have digital scanners
that go in so you don't have to have that
goop in your mouth.
Speaker 3 (18:20):
All of that.
Speaker 5 (18:21):
Do a digital scan, send it in, plan the case out,
and then it's just a matter of changing trays every
couple of weeks and until you get the teeth where
they need to be and when you eat, you take
them out. After you're finished eating, brush your teeth, put
them back in it. It's just much easier and much simpler.
So I think so many more adults are are interested
in doing it just because it's it's not quite what
(18:42):
it used to be.
Speaker 3 (18:43):
And that's one of those great one of those great
use cases that really could be you know, some level
of quality of life thing. If you're on zooms all
the time suddenly and you're a little self conscious about
something along those lines and be on to get blemishes
or alignment's taken care of over something along those lines.
I mean, it's the day we live in, you know.
I mean it is important to us. GREEB Dental Group
of course, one line it's Greb Dentalgroup dot com h
a r Ebgrebdentalgroup dot com. And you can get a
(19:06):
hold of any of the locations that are near you.
Pocus out Charleston Cross Lane, Saint Albans, Day's Valley, and
Kanall City. We have Saint Albans and Kanoff City. You
represented here this morning. You can call one one hundred
Great Care, one eight hundred Great Care. Let's do this.
Let's take a break. When we come back. We're going
to talk a little b about sleep apnia, sleep apnia
when we come back. Plus your questions. If you have
any questions, text line three zero four non three five
five zero zero eight. Threes are a four non three
(19:27):
five five zero zero eight. You can also give us
a call. Threes are a four three four five fifty
fifty eight. You're listening to ask the expert with the
Greed Dental Group. I'm Del Cooper one five at Ewchs
the boys at Charleston. As you shopped for others.
Speaker 9 (19:37):
Fourth Avenue Financial invites you to give yourself the gift
of professional financial planning. What better way to start the
new year the consolidating old four omks, examining your current
investments and preparing for retirement. Call me John Burdett at
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or contact us at Fourth Avenue Financial dot Com.
Speaker 3 (19:58):
Securities offer you jib Call Financial Incorporated in Finnacific Advisory
Services offer to jab CoA Advisors in corporated jw COO Financial,
JWACA Advisors, Fourth Avenue Financial or unaffiliated entities.
Speaker 4 (20:06):
There's a lot to be thankful for during the holiday season,
and the number one thing the folks at Walker, Chevrolet
and Nitro are thankful for is you.
Speaker 6 (20:13):
You.
Speaker 4 (20:13):
They're friends that put their trust in Walker for an honest,
fair deal on your next vehicle. You they're neighbors that
stop in to visit from time to time and bring
holiday cheer. And it's you that makes the Canal Valley
one of the greatest places in the world. It's folks
like you that keep Gene and Ryan in the car
business and made them want to build their business the
old fashioned way by making friends. By now you know
(20:35):
there are no gimmicks or games at Walker, just the honest,
fair deals that you've come to expect. And you know
that if you have a vehicle to sell, Walker Chevrolet
will buy it from you and give you top dollar
for it, even if you plan to buy somewhere else.
So to you and your family from the entire gang
in Nitro. Merry Christmas, and don't be surprised if this
year Sanson's on his way in a brand new Walker Chevrolet.
(20:57):
Walker Chevrolet in the shadow of the Interstate Bridge just
off the Nitro exit of I sixty four Walker Chevrolet
making friends, one deal at a time.
Speaker 10 (21:05):
The Christmas season is a time of family traditions, Christmas parties,
viewing Christmas lights, decorating the tree, attending Christmas church service.
Many of us consider these core holiday traditions. For over
a century. Another tradition in the Canall Valley was to
give a Christmas donation to Union Mission to help feed, clothe,
and shelter the needy this Christmas. Would you consider building
(21:27):
on that tradition. Your gift this holiday season will help
us well into twenty twenty five as we help the
herding people of West Virginia. Visit Union Mission dot com
today the.
Speaker 2 (21:36):
Latest in news, talking sports. When five Awchs has brought
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Speaker 9 (21:44):
Than action time, right on budget, call on Jerit's construction.
Speaker 3 (22:06):
You're listening to ask the expert Wchs. The Voice or
Charleston I'm Deel Cooper. Thanks for tuning in once again
on this Tuesday morning. It is about thirteen minutes until
the top of the hour and gives a call this morning.
Three zero four three four five fifty eight fifty eight.
Three zero four three four five fifty eight fifty eight
is a number that you can call. Doctor Carson Henley
is here from the Kannall City location of GREEB Dental
Group and from the Saint Albans location. Doctor Matt Scarberry
(22:26):
is here as well, and once again you can call
us at three zero four three four five fifty fifty eight.
You can text three zero four nine three five five
zero zero eight. More information online GREEB Dentalgroup dot com,
g H A R E E B GREEB Dentalgroup dot
com and their phone number if you want to make
an appointment anytime now or after the show, or tomorrow,
after Christmas whatever is one eight hundred great care. One
eight hundred great care. One of the things that we
(22:47):
haven't talked on this show a long years and years ago,
actually one of the first expert shows that I did
on any regular basis in twenty twelve, twenty thirty to
something like that, I don't know as a long time
ago now, was was a sleep apnea specialists that we
talked to quite a bit, and so I learned a
little bit about it back then. But since I'm not
an expert, you know, I forget so I know how
(23:08):
to spell it still and that's about it. But my
understanding is that that sleep appne is something that am
I right about? Is there something that's more common than
normal in our area that we we have a relatively
hot amount of sleep apnea here?
Speaker 7 (23:22):
It's true, it is is in our area.
Speaker 5 (23:26):
One of the area things that can kind of lead
to increased risk for sleep apnea, smoking, obesity, unfortunately, things
that are state.
Speaker 2 (23:42):
Rights.
Speaker 5 (23:42):
Being very honest with us, that that's the situation that
we're in and that's why we see a lot of
it here. But it's an interesting thing to me as
well that it's that happens in with those risk factors
are there. But then we see some people that are
very young, fit, healthy have problems sleeping and there can
be an atomical issues.
Speaker 7 (24:01):
Whether skeletal or just with.
Speaker 5 (24:05):
Their soft tissues, their tongue, their soft palette, different things
like that, the way that they're put together that is
causing their sleep apnea, and they may be a perfectly
fit person and that may, you know, not be the
reason for it. So it's one of those things that
the further you get into it, the more you realize
how prevalent it is. It's something I always kind of
had an interest in, so as dentists were required to
(24:28):
take continuing education courses to keep our license accurate and
everything else. Plus it's just something we like to stay
up to date on. So I found a sleep apnea
of course that I went to and I was like, Wow,
I had no idea that sleep issues could cause all
of these other health problems. So it was just shocking
an eye opening to me, and I felt like, wow,
I have been seeing this my whole career, and I
(24:50):
had no idea the correlation between some of the different
things that I was seeing in people's mouths, whether it's
tooth grinding a lot of times can be from sleep apnea,
different areas of where do the acid reflux from sleep apnea,
So these things that I just had no idea for.
It's like, Wow, Okay, I need to know more about
this because I need to be able to educate my
(25:11):
patients and if I can figure out a way to
help them with this, and not only from just a
health standpoint, just helping them feel better.
Speaker 7 (25:18):
I mean, we have so many people that come in
with this.
Speaker 5 (25:21):
I'm sitting to them doing their consultation in the chair
and they're hardly able to stay awake while I'm doing
the consultation.
Speaker 7 (25:25):
They're like, I'm just so tired. Anytime I sit down
and sit still, I could just fall asleep. So it's
it's been something that it's been.
Speaker 5 (25:34):
I think the longer we're in dentistry, I'm coming up
on twenty years, which is unbelievable.
Speaker 7 (25:39):
I mean, it's been like a blur.
Speaker 5 (25:41):
You kind of start finding those that little niche that
you kind of like to treat, the procedures you like
to do, the different specialties, and each of our offices
kind of has that, and for me, sleep atnea was
the thing that I was like, I think this is
something I would really like to try to do and
try to explore further and be able to offer those
treat my options within our group because there's not a
lot of people are offering it around here, and there's
(26:04):
a huge need for it. So if we can provide
that for some patients, to help them get treatment and
help them feel better.
Speaker 7 (26:09):
I think that's a great thing.
Speaker 6 (26:10):
So in order for you to be able to provide this,
what type of technology did you have to invest in?
Because I know some of the things that you had
to purchase, some of the things that you had to
all the courses that you had to go to.
Speaker 3 (26:23):
Every time you talk to me.
Speaker 6 (26:24):
About it, seems like there's something new that you're kind
of investing you to provide the best care for your patients.
Speaker 5 (26:30):
Yes, and that's earlier we were talking about the three
D scanners or the three D scanners that are digital
scanners that we use in lieu of impressions. So we're
able to use those to get more accurate fitting appliances.
Speaker 7 (26:44):
Because what the type of treatment we're able to.
Speaker 5 (26:46):
Provide from a dental standpoint is that we have patients
that go they get a sleep test done, the doctor says,
you have obstructive sleep at in me. They make a diagnosis.
Once that diagnosis is made, there are different treatment options
to patients go through. So one of those options is seapath.
Everyone's heard of the seapath appliance that they basically is
the mask that forces air in to open the airway
(27:09):
to get the oxygen in for patients, and that's kind
of the gold standard. That's why you always hear seapaths
for that. However, some patients can't tolerate that. They don't
like the fit of the mask, the feel of the
mask they've especially if they're claustrophobic. If someone's claustrophobic and
doesn't like stuff, you're going to trap something to their
face and they're going.
Speaker 7 (27:28):
To try to relax and go to sleep.
Speaker 5 (27:29):
That's what a lot of patients come in and say,
I'm supposed to try to relax and go to sleep,
but I'm just putting this one makes me more anxious
than just trying to go to sleep anyway. So what
we're able to offer from a dental standpoints and appliance
that goes in the purpose of what we're doing is to.
Speaker 7 (27:45):
Try to increase the airway.
Speaker 5 (27:46):
So the way that we're able to do that is
by making an appliance that goes over the upper teeth
and over the lower teeth and it's connected. But what
that appliance does is it gently advances the jaw forward.
A lot of times with obstructive sleep apnea, the tongue
and the jaw falling back at night is what's blocking
the airway. So with this being able to pull up forward,
that's able to create open the airway up.
Speaker 8 (28:06):
Here's the Metro News ACU weather forecast. Today, expect mostly
cloudy skies with a chance of a passing stone. Temperature
will reach a high of fifty five. Tonight will bring
mostly cloudy conditions. Tomorrow, anticipate a mix of clouds and sunshine,
making it a dry day for a holiday travel with
a high temperature of fifty The voice of Charleston five
eighty w c HS.
Speaker 3 (28:27):
Yeah, okay, weather forecast over. So there's your weather forecast
that brought to you by Metro News.
Speaker 5 (28:32):
And I noticed that only is happening when I'm tall.
I'm starting to see a coincidence here with this doctor Handley,
Are you pushing a button to make this happen?
Speaker 6 (28:41):
But he was.
Speaker 3 (28:42):
He left the headphones off, so he doesn't even know
what it happens exactly. I'm just relief that is seven
and is left in the program. That's definitely the last one.
If you can pick up where you were, I Apolo joshed, Yeah, we.
Speaker 5 (28:53):
Were discussing the appliances to advance the jaw forward. One
of the other pieces of technology that doctor Henley was
referring to as three D cone beam X ray machine.
Essentially that gives us a three D view of the patient.
And what we're able to do with this now with
some of the new software out is we're actually able
to take that and trace the airway on a patient.
(29:14):
So we're able to look just from a pure anatomical
standpoint and look and see, wow, this person has a
very collapsed airway just standing here.
Speaker 7 (29:23):
Where how are they going to breathe with this? And
so we're able to take.
Speaker 5 (29:27):
That as kind of an initial screening tool to maybe
be able to correlate.
Speaker 7 (29:30):
Oh, and they come in, they're talking about being.
Speaker 5 (29:34):
Tired during the day, they're talking about blood pressure issues,
they're talking about just mood swings, just not feeling well
about themselves. So we can kind of use that as a.
Speaker 7 (29:42):
Way to get started.
Speaker 5 (29:44):
And then if we feel like we're on a path
where sleep avenue, it could be an issue getting them
set up with a sleep doctor, getting them in for
the proper testing and diagnosis, and then once that diagnosis
is made, we're able to if the applliance it's selected
as it's something like the oral applients, then get it
set up and get that taken care of, and then
it's something that we do the fitting for that kind
(30:06):
of get them started off with that appliance and then
we follow up with them because really our goal of
that is is with those appliance as they're adjustable, so
you can bring the patient in, you kind of get
them in a starting spot because kind of the sweet
spot that we want to find is we want to
advance their jaw forward to give them increase their way
to allow for better sleep, but we also want it
to be in a comfortable position. You don't want to
take someone to just moves their jawway forward and then
(30:28):
we create TMJ issues and other issues like that. And
so that's something that we have to monitor to make
sure we're keeping a close eye on the bite and
that we're putting the patient in the best position for
them to be healthy and not create additional issues with
the treatment.
Speaker 3 (30:43):
And it seems like it would be it's like it
seems like can be hard to self diagnose. I mean,
you could tell you could tell your doctors like I'm
sleeping all the time. I don't know if I'm sleeping
all that. Well, is this something if you have a
significant other or a partner that they can help you
in that regard, like, hey, when you're sleeping at night,
I'm noticing these patterns or something along those ones exactly.
Speaker 5 (31:01):
And that's a lot of times patients don't have any
idea that they have this going on until there's significant
other does that. And many times they're the one that
makes the appointment. The wife callses us, Hey, my husband,
and here, I can't sleep. I need some help here,
Let's see.
Speaker 7 (31:14):
What we can do.
Speaker 3 (31:15):
I can't sleep because he's I can't sleep because.
Speaker 5 (31:18):
Of snoring and the noise at nighttime or can be
snoring or I mean sometimes in more severe cases, it
is literally gasping and waking up fighting for your life.
I mean, we wonder why the patients wake up tired.
Sleep is supposed to be something that's RESTful. If you're
struggling to breathe all night long, there's nothing.
Speaker 7 (31:37):
RESTful about them.
Speaker 3 (31:38):
More trauma.
Speaker 7 (31:39):
Yes, and you're really fighting for your life.
Speaker 5 (31:41):
I mean that's you're you're trying to sleep, but the
reason that you're waking up is because your oxygen levels
are dropping, so much that your body is saying, do something.
I can't breathe. My oxygen is down, So that's why
you wake up gasping, struggling to breathe. But yes, a
lot of times it is. It is not something that
many you know, people come.
Speaker 7 (32:01):
In all the time. I don't snore. Yeah, I don't
know what they're talking about.
Speaker 3 (32:05):
Healthy, Like is it I mean, is really bad snoring?
Is that almost always indicating something else? Or is there
such a thing as like that's just normal level snoring?
Speaker 5 (32:14):
Ye, so there's there is primary snoring, which just means
that it's just snoring that really is just caused from
basically your airway should just yes, in just the vibrations
of airs going in. It's going in through an open space,
it's going to a more narrow space, and there's vibrations
in the tissues and that's what it's causing the snoring.
(32:36):
So on a small level that may be okay. But
to know the difference if are you just snoring or
are you really getting your breathing and oxygen restricted sleep,
study has to be done so that we're seeing when
this has happening. Is this because your oxygen intake is
decreasing to a level that is not healthy and it's
(32:57):
not safe. Or is it just that you know your
air way is causing this, but it's really not changing
your oxygen. But the only way to really know that
would be to do a sleep test and see if
your oxygen saturation levels are changing.
Speaker 3 (33:09):
It's incredibly the people that I've known that have had
sleep studies done and they end up getting on, you know,
a seapap machine or something like that, it's like it
doesn't even become I think some people are worried, like
I don't know if I want to be on a machine.
It's a burden or whatever it is to a person.
And I know quite a few people that that's that's
been diagnosed in that have seapack machines or some other
toward the treatment. It's worth it to every single one
(33:31):
of them. It's like my life changed after I started
doing this. In fact, my father in law, Will Will
he'll go camping and make sure that he has the
ability to power his seapack when he goes to camping
because or he likes to be outdoors and he likes
to you know, be kind of rough in it. That's
the one thing that he can't go without because that
gives him so much of a better quality of life.
So I mean it's just really important that people realize
(33:51):
that that, you know, if you're having trouble sleeping, or
if you're a significant other is making gasping noises and
choking noises and things like that at night, you should
check it out. I mean, it's something worth the getting
out to. We haven't got about a minute left, So
if you guys want to give any any greetings out
or anything for your for your shows, I'll get I'll
give the contact information out, but I just didn't want
to get caught unaware since the show's getting ready to end.
Speaker 7 (34:11):
Merry Christmas, everyone, Merry Christmas.
Speaker 5 (34:15):
And no, I mean definitely this time of year is
the time for us to be thankful for all those
that are that are part of our dental team and
our dental organization. I mean, it is, it's grown significantly,
so it's a it's a lot of people now and
it's a great thing and we're thankful for everyone that's
part of it.
Speaker 3 (34:29):
Well, we always enjoy the shows that we do here
on Tuesdays for ask the expert and the insight that
you bring into the into the dental industry or whatever
it might be. But it's more than that because it's
a it's a human relationship to a professional service. That's
something that we all need and we really appreciate that.
Thank you so much for your time.
Speaker 2 (34:44):
Thank you.
Speaker 3 (34:45):
That's Great Dental Group one line, Greedentalgroup dot com, g
H A R E E V Grebdentalgroup dot com.
Speaker 4 (34:50):
UH.
Speaker 3 (34:50):
The phone number is one eight hundred Great Care, one
eight hundred, Great Care to get one of the locations
near you. Thanks for tuning in today. Dave Allen is
up next. I'm Dell Cooper. Be back at three or
six on hotline with Dave Weekly. This is Bob a
d w c HS than we are the Boys of
Charles d.
Speaker 2 (35:07):
W c HS A W two four three d r
F M Charlestown, W two A three HQ Cross Lanes,
a w v r C media station. We're proud to
live here too.
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