Latest / WCHS Network Podcasts / Ask the Expert: Sports Dental Health with Dr. Steven Ghareeb

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Ask the Expert: Sports Dental Health with Dr. Steven Ghareeb · WCHS Network Podcasts

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Unlock your dream property with Meeks Realty Group, where Rich the realtor makes real
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Group. Contact us at Meeks dot us. The views and opinions expressed on
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this program do not necessarily reflect the views and opinions of five eight wcchs it's
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employees, or WVRC Media and every voy sid. Good morning to you.
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You're listening to ask the expert w c HS the Voice of Charleston. I'm
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Del Cooper. Thanks so much for tuning in when this Tuesday morning, and
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congratulations you made it through the holiday weekend. Man, we had a beautiful
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day yesterday. If I haven't got my grill out once this year, I
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got to fix that. I don't know what the problem is with me.
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I'm usually grilling by March or April and I haven't grilled a single time this
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year. Yesterday would have been perfect. That's what I know. That voice
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you hears, doctor Stephen Grieve for Greed's Dental Group, and give us a
0:59
call this morning if you have any questions about your dental hygiene repairs you need
1:03
to have made. Of course, we're coming up on various picture taking seasons
1:07
and weddings and things like that. So if you have any questions about how
1:10
to take care of your teeth, if you have an ongoing issue, any
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questions like that, all, you're welcome to give us a call this morning
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three zero four three four five fifty eight fifty eight. You can text over
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your questions to three zero four non three five five zero zero eight. We
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have a topic that we're going to discuss this morning. Doctor Greeb suggested a
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topic last night that has to do with sports injuries, and so that's a
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big one. Sports is no longer just attached to a school year anymore.
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I mean, so many kids are playing year round sports and what that means
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is year round injuries, right, So, I mean those things can get
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expensive, especially when you start start massively talking about the mouth and the teeth
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and stuff. I mean, if you crockett tooth or get one knocked out,
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or there's all kinds of things that we can get to. So we're
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going to talk about that this morning. You give us a call three zero
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four three four five fifty eight, fifty eight, three four five fifty fifty
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eight. More about the GREEB Dental Group one line GREEB Dentalgroup dot com,
1:55
g H A R E B GREEB Dentalgroup dot com and you can find out
1:57
more at the web page. There the phone numbers one hunder Great Care.
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That is for when you want to call it to make your appointment and that
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will We're out you to the closest location Pocas, South Charleston, Konall City,
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Tays, Valley Cross Lanes or Saint Albans. So when it comes to
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sports injuries and things like that, it's interesting you brought this up last night
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because after I started thinking about it and then I did a little research and
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started but injuries to the mouth in sports, regardless of the sports, from
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volleyball to football, to baseball to anything else, actually fairly common, oh
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all the time. Yeah, And that's one thing that I was mentioning is
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that it's not what you initially think of. You know, I think torn
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acl ror, you know, broken wrist or ankle or something. But maybe
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the most common thing. I've got to look at research on. I don't
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know what studies have been done, but it's quite common to have injuries to
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the mouth, and that's where you know, many sports require and recommend and
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some require mouthguards. You know, you think about that because there it's one
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of the most common things that that's that's injured, and it can be can
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be very easily resolved, or it can be actually quite tragic in many ways
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and and require many follow up type of appointments and surgeries. So that's where
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I thought we might discuss a little bit about that. And this past weekend,
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my wife and I took the kids up to see a Reds game up
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in Cincinnati, and I not there into my boys are into baseball right now,
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playing the playing little league and middle school baseball, and promised them to
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get to a major league game, and of course Cincinnati is close by,
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and we went there. We we went through and door to rain delay and
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they that might be the coolest thing that they that they report from the games,
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watching them sarp out the Cincinnatis is famous too, They're they're there there
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ground screw Monster is famous. So yeah, that's a that's the octical to
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watch. That's what I'm interested to hear from you, because I am quite
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the novice at Baseball and especially Major League. Basically, so you went to
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see the Dodgers. Yeah, that's you not only went to go see the
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right I couldn't even get your tickets of that game. I can get tickets
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to virtually every Reds home series except for the Dodgers because of Tawny and Bets
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and all those guys have worked for or that played for him. I believe
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it because I went to look for these tickets. I was telling Shane.
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I was like, we'll get some tickets, you know, a few weeks
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ahead of time. No big deal, we don't need to plan that much.
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And I started looking. I'm like, whoa, the tickets are like
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gone. Like I literally looked at the moment the schedule came out and I
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got my affiliate allocated tickets. I looked at the schedules when the Dodgers come,
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when the Dodgers said, okay, there's the Dodgers and went straight to
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it, they walked it out from affiliates. I couldn't even get tickets to
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that series. Yeah. That's because normally I want to say, hey,
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you know, reach out, we can get your tickets to that. But
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that's that was a good series to go to the Reds. Not necessarily a
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Reds fan, I guess your kids. But they ended up beating the Dodgers
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swept him in a three game series. Yeah yeah, right, of course,
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Lael, the Cruise is the biggest thing for the Reds. He didn't
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have a great series, but he had a couple of games, and he's
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he's kind of the big thing for the red So going in, you know,
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they are just start starting to watch Major League Baseball. So my oldest
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son, Amos, we went into the team store ahead of time, like,
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yeah, let's get some Reds gear. We don't really have much,
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you know, and and he's like, I want to get a jersey.
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I'm like, do you know who used jersey you to get? And he's
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like no, So okay, let's watch the game and then determine. He
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came back, he's like, oh, Cruise, we're gonna get his Like
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okay, that's what I figured, all right. So yeah, that's good
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stuff, man, Well that's great stuff. But it is it is something
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that I mean, obviously you didn't se any sports injuries there. But thankfully
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enough, let me start with with asking this question because this was always something
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that that when I was in school was like kind of a like, I
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don't know, like different players got different things. But what about mouthguards?
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Is there is there a graduation effect as far as quality as far as mouthguards
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go. Sure, so in fact that you can get mouthguards over the counter
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very inexpensively, and I would recommend at the very very minimum that's what parents
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get their children. Something that's uh. We used to even carry them in
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the office. The shock doctors I think they're called. They seem to fit
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well and have some very good kind of insulating technology in there to where if
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you can't it keeps you not only from protecting any blows to your mouth,
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but also your teeth clanging together from any impacts. So that's a good good
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brand. But find something over the counter is fine. And then of course
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the very best thing to do is to go to your dentists and have them
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make your custom athletic guard, which we've done before for sports teams in the
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areas in the area that work work quite well, and that way you can
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get the color that you want and you can and then it's very comfortable and
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easily easily taken in and out yet fits very tightly to the patient's mouth.
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Yeah, not really pursuing to what we're talking about. I just remember years
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ago, I was, I think listening to something where somebody's talk about diferent
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sports equipment and stuff, and never thought about this with mouthguards before. But
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the way that they're made, probably by natural side effect, it also makes
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you keep your tongue in the proper place, so you're less likely to get
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your tongue like bit off or something weird like that with impact or something like
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that, because when you have something in your mouth like that, generally speaking,
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you keep your tongue straight as well, and so it helps getting those
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entries. Oh yeah, not only that, but it takes away if you
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cover one arch, if you cover the top or the bottom with the mouthguard,
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of course gonna be normally the top if it's one of these that just
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sits on one one arch, If your tongue is in between that soft kind
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of guard material and your bottom teeth, even if you try, even if
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something does clamp down on your tongue, it's not you know, a hard
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object against a hard object, it's against a hard object against a soft object,
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and there's definitely less, if not zero injury. Yeah, at that
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point, maybe bruise instead of chomping it off. But well, you know,
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and that's another big danger and some of these high impact sports are his
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tongue bleeding because I mean, it's one of the most vascular things in your
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body and has very large arteries and blood vessels in it, and if you
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cut that, I mean, people can really lose a lot of blood and
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being in bad shape from from something like that. I tore the little thing
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between my tongue and the bottom of my mouth one tom and it was unpleasant.
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Blood like crazy, it was very like it's and it looks so bad
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because I was like fourteen, and everybody thought, I was like, that
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was it for good, that's it for cood. He's all eating out of
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his mouth. Look at that. That's the end of it. And it
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was. It was seriously not pleasant at all. And the pop that it
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made ooh, the pop that it made was it's just terrible. Yeah,
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it was. It was something else. So in my experience with high school
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and I just I'm just I'm I'm thinking back to this. I never got
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any tooth damage I can think of. Oh, I didn't play a lot,
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so that's probably why when we were talking football but I remember the ones
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that I got was just over the counter, like I probably got them at
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sport Mart or something like that. And one thing that I can remember about
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him is I could basically chew a hole in them, like you know,
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like I had I had him in my mouth and I would just you know,
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like be chewing on him, or I'd stick half of it in and
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chewing one half of it or whatever, and it would it would thin it
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out and it would make it. My guess is that those probably weren't highest
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quality. The fact that I could wear it thin in a season seems like
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not idea. Yeah, it's not not ideal. However, that's something to
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the parents need to take note of, is that your your student athletes are
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definitely going to be abusing these things and using them maybe as they shouldn't be,
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and so evaluate this every year. So it's along with like a new
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uniform, new gear for the next year, you got to make sure the
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mouthguard is working well as well. And yeah, they aren't made to last
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forever, but something that you need to refresh occasionally for sure. What are
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the more common types of injuries that you see from sports? Yeah, so
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it can vary the most common thing is a patient a parent brings their child
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in that's playing sports one way or another and they say, you know,
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my son or daughter, check on their tooth. They got hit either catching
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baseball, missing it, hitting the tooth, an elbow to a tooth,
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a head to a tooth, all of these things can kind of bruise the
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tooth and it causes a pain, of course, at first. What really
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scares a parent is whenever it hits through the lip. And then, as
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he mentioned, there's a lot of bleeding with the tongue, but the lip,
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there's a whole lot of bleeding too. But we've been designed well enough
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to where that creates a bit of an insulation as well against impact to the
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teeth. So, yeah, you might cut your lip, but it's gonna
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protect your tooth a little bit too, and it's gonna look a lot worse.
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So this swelling is almost a defense mechanism as well. It can,
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yeah, for sure, and well that's a natural response. The lip itself
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protects the teeth. So whenever you're whenever it's it, whenever you have a
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cut lip on the inside. A lot of parents think that there's bleeding around
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the tooth, that the whole. You know, gum situation is just torn
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apart, when many times it's just a minor laceration, minor cut in the
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inside lining of the lip. So that's probably the most common thing is you
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have a cut lip and a bruised tooth. The tooth itself might be a
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little sword of the touch. There might be bleeding around the gum area,
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but it's worth getting an X ray on it because that can also look the
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same way if the bone around the tooth is actually broken, and so that's
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something that our X rays can help us figure out. Is there a break
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to the middle of the root, right in the middle of the if you
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imagine the the root of a tooth going up into that bone, and then
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there's time when the bone encasing that tooth can actually be displaced and fractured.
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So if that happens, we have to consider, okay, what do we
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do with that. We're going to splint the teeth together to try to get
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that bone to heal. But then other times what can happen is the actual
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root of the tooth can break horizontally, so like it's like a pencil broken
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in half. And if that's up within the bone, of the tooth.
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That's a whole nother discussion to have with the parent and the and the patient
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as well. So those those are kind of very treatment specific situations where you
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can kind of go into a whole nother realm of treatment and dental in the
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dental world, for sure, when you talk about and when we've we've discussed
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what happens when you lose a tooth and things like that before. But I
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actually saw this depict that I can't remember what movie or TV show it was
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recently, but on some movie or TV show that I watched recently, somebody
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got their tooth fully knocked out and they took it and they put it in
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some and I can't like the guy told him to put it in something like
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that. It wasn't milk. I was like, when they want put in
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milk, but it wasn't milk. But but when a sporting field this becomes
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an issue as well. I mean, if you get a tooth like actually
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knocked out or dislodged, you know, you may not want to come out
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of the for you know, I mean, I mean that's kind of what
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your conditioned to do. It's like, you know, uh, you know,
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we were always told to just suck it up and get out there and
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go to the doctor after the after the thing's over, right, So but
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what but in all seriousness, what do you do with that? With that
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tooth? I mean, should you saying's like leaving the film, like I
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gotta go, I'm gonna go get my tooth fixed? Like if if?
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What can you do to save that thing? I try to? So this
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is, uh, this is the most common kind of question in sports injuries.
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What happens when you get a tooth knocked out? I think, how
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often does that happen? Well? What does happen? It's it's pretty scary,
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you know, and and parents and and students and athletes alike are all
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just just worried about it. So the best thing to do? The classic
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thing is milk. People talk about putting it in milk and then go into
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your dentist. Sure, that's great, there's you can even keep it moist
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somehow. Put it in water is a good idea. Go need debris off
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of it. If you don't have milk land, right, you don't carry
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milk to chug on, you know, on the sports field typically who so
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yeah, but really the best thing to do is to put it back in
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your mouth. If you're not going to swallow it, or if a parent
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is comfortable putting the kids tooth in their own mouth. You know, that's
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one way or another. But keep it in that same in that same environment
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that it came from from which it came so that that really helps keep the
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tooth as alive as possible. But really, even better than that, the
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best thing, and what the dentist would do, is try to reinsert that
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tooth right into where it came from. And so you want to make sure
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it's clean, as clean as possible, put it back in there. And
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it's remarkable, especially with young people, how well they can heal from that.
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Really. Oh, I mean, you put it back in, and
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sometimes if it's back in and the right way and in the right amount of
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time, then the tooth carries on a natural life cycle of a tooth and
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and never has any trouble from that day before. It's it's wild. It's
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amazing how that can happen. I've seen it happen. However, there are
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other times an arm or something it's like yeah, yeah, hey, oh
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here we go. Well, yeah, our mouth is quite an amazing thing,
14:16
and so you're putting it back into its kind of into its environment as
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home and uh and sometimes with young people the blood supply kind of re attaches
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and and everything is just fine. It's it's amazing. So now if you're
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a bit older and do that, it's probably not going to work out as
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well. So what's going to happen? You put that thing back in its
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place? Now you also want to put it back in, and not just
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halfway. You got to get it like where it was, So then put
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it back in. Get to your dentist or get to your dentists, let
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them put it back in. Another caveat to that is that there's a window
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of time two to four hours. I believe it is that if you that's
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the ideal time to reinsert a tooth, reimplant a tooth. But if you
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come to me twenty four hours later, I'm still going to try to put
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it back in if the socket might not allow that to happen. But nonetheless,
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I've seen very good responses even from delayed reinsertion. Like there was a
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mother that came and her son had knocked out a couple of teeth. She
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found one of them, couldn't find the other one. She went back to
15:20
the scene after like the day and later found it, brought it back,
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and we put it back in and had a pretty good result from it.
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Now, what can happen in many of those cases is that the tooth goes
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back into the jawbone and stays there and is positionally okay. What we'll do
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is we'll also splint those teeth together, meaning we'll put like a wire either
15:45
on the front or on the back, gluing it to the other teeth to
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brace it. So that tooth stays in place for two to four weeks,
15:52
maybe six weeks, depending on the age of the patient, and that the
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bone heals around that and puts the tooth back in its place. But then
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you have to worry about the blood supply to the tooth itself, to the
16:03
nerve within side of the tooth, so teeth for listeners may not know that
16:11
in the middle there's the nerve of the tooth, but there's also blood supply
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to it that nourishes that tooth. So if that blood supply is cut off,
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then the tooth can turn dark because the tissue inside of that tooth starts
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turning dark itself kind of leaches out and it makes the tooth turn brown.
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You can see, you've seen everybody seen that someone with the brown tooth.
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That tooth is dead is because there's no nerves or blood supply to it.
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So when that happens, or as that happens, you need to perform a
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root canal on tooth. So the root canal takes out that dead tissue,
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and that can be done as a result in this situation from the tooth sustaining
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injury, severing that blood supply. That could also happen in decays where a
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tooth is decay and the decay kills the nerve of the tooth. So right
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now we're talking about, of course, the injury issue. So that tooth
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turns dark or has no sensation to it and is starting to turn dark.
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Then we go in, we clean out that where that nerve was and the
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blood supply was. We fill it back in with a very biompatible material we've
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used for years and years and years and seal it up and many times the
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patient's good to go and that's it. Other times the tooth is a little
17:29
weak from the situation, maybe there's been cracked some as well, and we
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might have to do a crown on the tooth as well. So that's that's
17:37
kind of the treatment path for a tooth that's been evolced or knocked out.
17:44
What about when I was when I was doing some research on this, you
17:47
know, I had the avulster, the knocked out tooth, the cracker,
17:49
the chip tooth, but I also was reading about bruise teeth. What was
17:53
it, bruce tooth. Yeah, it's kind of the first situation I was
17:56
talking about, where it's been jammed. It's like a stoved you know.
18:00
Okay, okay, yeah, it's again busted and that tooth will be sensitive
18:03
for a couple of weeks. And that's what's weird is that it's not just
18:06
sensitive to the touch, but with two sensitivity, it can feel like a
18:10
cavity like it can be sensitive to sweets, can be sensitive to oh temperatures,
18:14
it can be sensitive to biting as well. So that's where it's also
18:18
you know, something that in the first two to three weeks can be a
18:22
little confusing to the patient and to the parents and to the provider as well.
18:26
Great information this morning is always from doctor Stephen Gree from greeb Dental Group.
18:29
We can give us a call this morning three zer a four three four
18:30
five fifty eight fifty eight. You can text over any questions you have to
18:33
threes are four non three five five zero zero eight. Thre es aer a
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four non three five five zero zero eight. You can find out more information
18:38
about gree Dental Group on line. It's Grebdentalgroup dot com GHA or e B
18:42
greeb Dentalgroup dot Com. Their phone number one eight hundred Great Care one eight
18:45
hundred Great Care that will write you to the closest location to you. Pocus
18:48
how Charleston canall City Tays, Valley Cross Lanes or Saint Albans. Our number
18:52
of this morning for the text line is three zerre four non three five five
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zero zero eight and the phone number three zer a four three four five fifty
18:57
eight fifty eight. We're gonna been and take a break. We'll be back
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after this. You're listening to ask the Expert with doctor Stephen Green from Greed
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us this morning talking about sports injuries and ways that you can get way that
21:18
you can address those sports injuries. We were just talking during the bright Sports
21:22
is a huge thing. I mean, it's it's it's a it's a not
21:26
quite a twenty four hour thing, but pretty darn closed, it seems like
21:27
anymore. It's twelve months a year, it's several days a week. You
21:32
know, if you have multiple kids that play multiple that each play just one
21:36
sport, it's gonna be multiple sport. Your days are packed, oh for
21:37
sure. And the potential there for injury, not that there's anything I mean
21:41
that happens when you're active in any way, shape or form. I'm not
21:42
trying to turn anybody off from that, but it's just a matter of fact
21:47
that you're doing things like this more often the chance for injury, including ones
21:51
to your mouth than your teeth, or greater, and they for sure.
21:53
And I mean we've talked about baseball, softball, similar things. And I
21:59
remember in high school, one of my good buddies that was a great basketball
22:03
player on our on our small team. One Friday evening game got pushed down
22:10
in the in the lane and you heard his something hit the floor and it
22:15
turns out it was his two front teeth, I mean, right on the
22:19
edge and made this loud thud and uh and got up and the poor guy
22:26
had this It was like you know on Dumb and Dumber, where you have
22:30
that the chip out side chip to it was like both his front teeth were
22:33
just perfect triangle, triangular like created like a diamond in his in his teeth,
22:37
well, big triangle. Both of them just broken off completely, you
22:42
know, corner to corner in a sense. And uh, unfortunately, my
22:47
dad he was there and said let's go went went to the office and took
22:49
care of him, put him back together again. So that's an interesting injury
22:52
as well that we've been able to over the years figure out it used to
22:59
be in the past. While these teeth are going to need crowns, these
23:02
teeth are going to need root canals, there's no doubt about it. Let's
23:06
just go ahead and do it type of thing. Well, we've found that,
23:10
especially in the youth, how well the body heals if you preserve those
23:14
pieces. So we talked about before, saving a tooth that came out of
23:18
your mouth, well, even pieces of the teeth that come out of the
23:21
mouth, if you keep those hydrated, keep them moist somehow, like we
23:25
talked about before, even in the patient's mouth or in some milk or in
23:27
some water, whatever it is, get it to your dentist. And I've
23:32
done this, my brother, my dad we've all done this multiple times.
23:36
You can actually take that piece, disinfect it really well, disinfect the tooth
23:40
very well, put some tooth glue on it basically, and glue it back
23:42
to the tooth. And it's like, that's the best filling we can ever
23:45
do, is to put back the exact piece that broke off. And the
23:49
bonding materials in chemistry that we use right now is so amazing that it bonds
23:56
that to the tooth. And I just saw two weeks ago a young patient
23:59
of mine that this happened to him. I don't know when he was twelve,
24:02
let's say, and he's shoot, he's sixteen seventeen now, and that
24:07
piece is still in there doing great. And in the past, that's we
24:10
probably would have recommended a full on root, canal and crown and it might
24:15
even go down to an implant one of these days. But right now he's
24:18
cruising right along with that piece sticking back in there about the only way you
24:21
can see if you shine the light on it the right way and the dental
24:22
chair, you know, And so even that can be repaired a lot easier
24:29
than we used to think in the past. But yeah, keep those pieces
24:32
of teeth bring them into your dentist, get in there a sap, and
24:36
hopefully you can put you back together again. Yeah, that's I mean,
24:37
be an open minded to allow the body to heal itself to some degree is
24:41
a great thing. And finding that catch that's pretty nice. You know,
24:45
it keeps you from going too far. All kinds of things that you have
24:49
to consider when it comes to entries to your mouth, to your teeth,
24:53
to your gums, different lacerations and things like that. I think the important
24:57
thing is is that you want to make sure that you're you're managing these things.
25:00
You don't want to get like a tooth loose or knocked out or cracked
25:03
or something like that and then tough it out. You know, this isn't
25:07
something that toughing it out is gonna like, uh, typically ain't gonna get
25:10
better on. Yeah, it's not like you know sometimes if you break a
25:11
finger, as long as it's not crooked and it heals on its own,
25:15
I mean, it's gonna be functional. It'll be fine. You know,
25:17
it might be a little crooked, but it's not. Your teeth aren't going
25:18
to be like that. You really need to get your teeth checked out.
25:21
If you get them cracked or broken or out or anything like that. Get
25:25
them checked out, make sure you're okay. What else along those same lines
25:27
is it's highlights the importance of being well established in a good what we call
25:32
a dental home. You know, you have a home dentist that your your
25:34
regular dentist you go to. That's a lot easier to have that conversation.
25:38
You know, oh hey last night we had this. Think you mind checking
25:41
it out or right at the time, you know, be able to talk
25:44
to your dentists so they can get you in. It's a lot easier to
25:47
get in and they'll they'll kind of might make some room for you if they
25:52
need to, you know, rather than you know, I really haven't been
25:53
to a dentist forever, and let's find someone that can take me and call
25:56
around and it's just adds to that level of stress. So it's an their
26:00
important reason to to stay regular with your cleanings and keep that relationship well well
26:06
oiled in a sense. Yeah, And of course, like we always talk
26:07
about, you go see you're Dennis on a regular basis where you're getting a
26:10
regular checkups. When you do have an injury that's to your mouth, there
26:12
is something to compare it to before X rays and different things like that.
26:15
So if you need to match it up to make things whole again, you
26:18
have a reference point. You're not just making it up. That's a definitely
26:22
that's a huge thing. That's a huge thing to look at. Another thing
26:23
that we wanted to talk about that you mentioned last night is veneers. You're
26:26
getting you're getting a lot of increased request for veneers, and I always like
26:30
kind of like to do this when we start talking about different particular products or
26:33
services. What is a veneer? Yeah, great question. So a veneer
26:37
is if you think of a lot of people think of construction and cabin kitchen
26:44
cabinets. For some reason, you have a veneer of paneling on a kitchen
26:48
cab right, that is commonly associated. Yeah, you're right. So it's
26:51
just a thin skin over top of something in a kitchen cabinet. You have
26:55
this composite, uh, press board type of wood material. Well, you
27:00
skin it with some wood looking material like a or a paint color, and
27:06
it's veneered to look a lot better than it was. So a dental veneer
27:11
is similar to that in the sense that we're treating basically the surface of the
27:15
tooth you can see with generally it's typically in porcelain. So we bring the
27:21
patient in, we reshape the tooth a little bit, we send the model
27:25
to the dental lab, then they use their artisans there to build ceramic porcelain
27:32
over top of those existing teeth, and then we use very highly technologically advanced
27:37
glues basically to adhere that to the tooth itself. So we're changing the look
27:44
and the shape and the color of a tooth without damaging the tooth very much.
27:48
Is basically what a veneer is. Yeah, So if you're somebody that
27:52
your smile presents and you have maybe a little discolored tooth or something along though,
27:56
this is something that can help make that whole again, make it look
27:59
more. Yeah, it's and you're trying to make someone smile look as ideal
28:04
in their face as possible, and many times you need to change the shape
28:08
and color or position of the teeth, and veneers are a good way to
28:11
do that many times. But it's not not a one size fits all for
28:15
sure, So you have to watch that the patient is prepared to do it.
28:19
And that's one thing that I've seen is that i've seen a lot of
28:22
patients come in and they say, you know, I think I want to
28:25
do Veneers or I want to do this one tooth here, and we start
28:29
having that discussion. We take some pictures, we look at where things are,
28:32
and many times we have to really lay the ground work first before we're
28:37
able to go to that step. Unfortunately, patients have become more educated about
28:41
that. I'm sure they listen to our broadcast all the time. The dental
28:45
IQ has been greatly enhanced from hearing all of us. That's right, No,
28:48
but they're they're becoming more educated on that that. You know, hey,
28:52
I see that, you're right. We do need to kind of move
28:56
the teeth into the right position before we can start dressing them up as much.
29:00
Or we need to get our gums in very good health before we can
29:03
start putting you know, these ideal looking teeth on them, because then if
29:08
the gums are unhealthy, they will change, they'll have a lot of bleeding
29:12
issues, and it will just not be the final result that we want.
29:17
So there's a lot of groundwork that needs to be laid down prior to going
29:22
into that step of doing veneers right immediately. Is there a case where you're
29:29
trying to determine if a tooth might need a ven ear, or a series
29:33
of teeth might need veneers, or that just whitening or something will work.
29:37
Is that one of the parts of the evaluation that you have to be sure
29:40
is yeah, And that's one thing we've discussed about. You know, say,
29:41
hey, let's look at your teeth. You want to get them whieter,
29:44
you want to get the more ideal. A lot of times what I
29:47
tell patients is like, you know, hey, your teeth actually look pretty
29:49
good. They're in they're shaped well for your face, but maybe they're out
29:55
of line a little bit, and we need to adjust some alignments. First.
30:00
While we're doing that, we can whiten your teeth, and then let's
30:03
see when we get them into the right position if you still feel like you
30:06
want anything different, Because a lot of times that we can just straighten them
30:10
up and whiten them and they're spot on where they want to be, where
30:14
the patient wants them to be. Other times we say, you know,
30:17
we're going to do this first, we know that there's some shaping issues of
30:19
the teeth. We need to plan that in our positioning of your teeth with
30:25
let's say in vision line, moving them where we need to be, and
30:26
then we're going to go to that Veneer step after the fact. Then other
30:30
times we can say, you know what, your teeth are close enough,
30:34
we're going to go ahead and do the Veneers and we'll correct some of these
30:38
minor alignment issues rather than having to do the VISI line first. The Veneers
30:44
will be able to complete that look for us because we can correct some of
30:48
these angulations or positional issues with the Veneers rather than go through the process and
30:55
the timeframe of Brace's first. In a sense, so there is a whole
30:59
spectrum progression there that you need to get into. And again that's why it's
31:02
important to have a relationship to actually get these things checked out and to look
31:04
at the different options that could be there, because you can find the right
31:08
solution to whatever it is it heels you as far as your mouth goes.
31:11
You can find the right solution. You just have to ask the right questions
31:14
and have somebody that's doing the right procedures for sure. And it's like all
31:15
the other things we've talked about before that there's the kind of over education through
31:21
media and through commercials and things. There are some products out there that make
31:26
patients think, oh, let's go take one quick impression and give you a
31:29
whole set of an ears that you're dentist a glue on, real fast,
31:30
and it's going to be perfect. It'll be great. Yeah, not really.
31:33
It's always amazing to me. You see, and we've talked about it
31:36
before. There's these national products that are out there that try to tell you
31:38
they can do things for your teeth that you know, and, as we
31:42
share on this program, really hard to do this on a non personal basis,
31:45
you know, where you're just like trying to order something from an eight
31:48
hundred number from a website or something like that. But it's funny when you
31:51
go to like if you're getting it pushed to you on social media or something,
31:53
you look at the comments the first you know, dozens of comments are
31:56
always very positive, like oh this worked great, And you wonder how much
32:00
of these are cultivated, how many of them are like, you know,
32:02
leave a comment and you get a discount or you know, whatever it might
32:06
be. Because then if you take that same product and you just do a
32:07
search for it and then you look at like forums or different like unattached from
32:13
the advertisement that you're looking for. These places are absolute travesties. Nobody has
32:16
a good experience. I mean seriously, there might be like one out of
32:21
one hundred people's like, hey, everything worked great, my teeth look great.
32:23
Those people I wonder if they ever even had a problem to begin with,
32:25
because I do wonder sometimes if people like you were talking about overanalyze,
32:29
like you know, my teeth or this or my teeth are that they go
32:31
and get products and things like that online, they do all kinds of things
32:34
to it, and then they take a vague like, hey, everything's fixed,
32:37
and they never even got evaluated to begin with on what the problem was.
32:39
They're self diagnosing and self fixing themselves and then calling a product a miracle
32:44
product. They don't even know if there was anything wrong. Well, it's
32:45
about immedia gratification. Yeah, that's if patients that come in with a quick
32:51
review on these things. Oh it's great, great, great, Well let's
32:52
check on them in about you know, six eight months too, you know,
32:55
and then things are falling apart. But sometimes if they get a cut,
33:00
great type of product, maybe that's all they're looking for, right,
33:04
get them through a certain event, and then they don't care if things fall
33:06
apart later. But yeah, it's it's definitely not the traditional way and in
33:10
the most responsible way to do things for long term. And these are my
33:15
words, not not doctor grees, but to me, it seems like that
33:17
so much of the stuff that's being pushed to us now in line are disposable
33:20
things, you know, like this Timu or whatever it is, the clothing
33:23
brand, it's literally knockoff designer clothing meant to last, like a couple of
33:29
ways. It's like, so you're buying money for things that you know are
33:32
going to fall apart. That doesn't make a lick of sense to you.
33:36
And it has a place if that's what if you're looking for one it's just
33:37
one to that one party, you know, and got to be dressed to
33:40
the nons for this one party, and it's okay if it disintegrates after me,
33:43
that's right. Yeah, But it seems like that a lot of the
33:45
things that we get for our health are like that too, Like you get
33:47
these things that they're saying the testosterone is a big when it will make you,
33:52
I mean all that's placebo effect. I mean very little of it like
33:55
that you get over the counter is going to do anything for you, you
33:58
know, it's mostly and that's what's so tough to have long term studies on
34:01
them. You know that it's it's hard to get real, real results from
34:07
things that are so sensationalized. So yeah, I think that if much of
34:10
it had a lot of credence, that we would be seeing a lot more
34:15
from the analytical side of it. I feel like we should just be watching
34:17
movies and stuff like that online and not be so much getting our medical advices
34:22
because you just see a lot of this stuff that And now with the AI,
34:25
it's even worse because it has this speaking of veneers, it has this
34:30
veneer of plausibility with everything that gives you, and you don't know what's half
34:32
out of its mind until you're like, until you got like the screwdriver in
34:36
your mouth with a soldering iron, you're like, maybe this wasn't a great
34:37
idea. And then even if you're looking for like the real stuff, the
34:42
real truth to it, you know, it's it's so hard to find.
34:45
Yeah, the Dane Google algorithm they've incorporated. I've seen this for a while
34:49
because I'm a premium subscriber to Google and so I've had this disabled for year
34:52
or for a year or more. But now Google results have like an AI
34:55
summary, Like Google's become virtually useless, I feel like from a search engine.
35:00
So now they have this AI summary thing. And the big thing that
35:02
was going around is that this viral thing was going around with that. Somebody
35:07
did a search for pizza making a pizza, and one of the tips that
35:09
came up in the AI summary for pizza was to add in non toxic glue
35:14
to your cheese to make it stay on the pizza. Oh my goodness.
35:17
And this was a satirical post from Reddit from like years ago that it pulled
35:22
forward and made it into like a fact based thing. Is like, hey,
35:24
some users find if you add some non toxic glue to your pizza,
35:28
it we'll keep the cheese. One ridiculous brain rot stuff, you know,
35:30
And there's people out there it's like, well, if Google says, let's
35:35
put some of this Elmer's in our pizza, holy moly, yeah, that
35:37
that stuff just I don't get that at all, to say the least.
35:42
But we appreciate your time this morning. I think we'll leave it there because
35:45
we don't need to to push it dentistic away. That's what I was gonna
35:50
say that's the bottom line there. Well, we have a lot of different
35:53
options and ways to do it. For sure. We didn't even talk about
35:57
with veneers. We're talking about porcelain veneers. We didn't talk about compiles.
36:00
That's stuff that we build right on the tooth at the time. Very very
36:06
technique sensitive. As we say, it's it's tough to do, but it's
36:09
a fun thing to do and great immediate result for the patient. In that
36:13
fashion. We'll follow up on some veneers as we have before on a later
36:15
show via GREEB Dental Group one line, GREEB Dentalgroup dot com, g h
36:19
A R e B. GREEB Dentalgroup dot com. The phone number one hundred,
36:22
Great Care, Winning Hunter, Great Care. It will take you to
36:23
the location in Saint Aubans, Cross Lanes, Stay's Valley, Canoss City,
36:27
South Charleston or PoCA and the gree Dental Group is here on the fourth Tuesday
36:30
of every month. Thank you so much for your time, doctor Stephen,
36:32
Thank you, Dale appreciate it. That's doctor Stephen Greeba. I'm del Cooper.
36:35
Coming up next is going to be five eighty Live with Dave Allen.
36:37
Have a great day, everyone, you're listening to the voice of Charleston.
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Five eighty w c HS