Latest / WCHS Network Podcasts / 09/22/2026 Ask the Expert with Ghareeb Dental Group

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09/22/2026 Ask the Expert with Ghareeb Dental Group · WCHS Network Podcasts

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Speaker 1: The views and opinions expressed on this program do not
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Speaker 1: necessarily reflect the views and opinions of 580 WCHS, its employees,
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Speaker 1: or WVRC Media. Such happy music, such happy music, yes.
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Speaker 1: It is 824 and this is 580 WCHS, the voice
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Speaker 1: of Charles and Jeff Jenkins with you this morning, Greed
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Speaker 1: Dental Group. is with us today on ask the expert
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Speaker 1: i've known this guy for like 10 minutes i told.
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Speaker 2: You to tell him oh it's been years.
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Speaker 1: Okay so 10 years carson henley's with us this morning
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Speaker 1: and uh hi you're high energy.
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Speaker 2: Man i try that's good i try to bring it
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Speaker 2: sometimes you're good.
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Speaker 1: I mean it's like you know i'm a high energy
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Speaker 1: guy too uh you know i've been battling the cold
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Speaker 1: but that's okay but Yes, 824. Got a little energy
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Speaker 1: here coming in this morning.
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Speaker 3: Oh, yeah.
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Speaker 2: We've talked about a lot. No dentistry has been talked,
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Speaker 2: but it soon will be.
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Speaker 1: That's right. That's why you're here. That's right. So, yeah. So,
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Speaker 1: the Grebe Dental Group is with us. Carson is in
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Speaker 1: Kanawha City, right? That's where your practice is.
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Speaker 2: That's right.
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Speaker 1: Great location.
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Speaker 4: It is.
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Speaker 2: So, I've been there about six years. And so, when
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Speaker 2: I started this career, this path of dentistry... Dr. Stephen
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Speaker 2: hired me, and I was his associate for about five
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Speaker 2: years in South Charleston. And then the opportunity came to
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Speaker 2: own something of my own. That happened in Kanawha City,
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Speaker 2: and it was bittersweet to, quote, unquote, leave him, even
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Speaker 2: though I hang out with him most months here. He's
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Speaker 2: actually usually to my left during this process, but he's out.
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Speaker 2: I think he's giving a lecture up in Morgantown this morning.
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Speaker 2: So he's doing some good things. He's doing the Lord's work,
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Speaker 2: quote unquote, just trying to teach some young dental students,
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Speaker 2: I do believe.
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Speaker 1: Right. Well, it's good to have you here. And we've
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Speaker 1: got some topics we want to discuss this morning. And,
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Speaker 1: you know, first of all, a.
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Speaker 2: Couple of things.
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Speaker 1: You've got a couple. I'm going to jump right down
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Speaker 1: to item number two. Is that okay?
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Speaker 2: Let's go.
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Speaker 1: Sleep through your appointment. Does this count teeth cleaning? It can, yes.
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Speaker 5: Yeah.
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Speaker 2: I have patients that are just nervous sitting in the chair.
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Speaker 1: Yeah.
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Speaker 2: And so not even before I come into the room,
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Speaker 2: even before one of my lovely assistants or hygienists, anyone
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Speaker 2: comes into the room, their heartbeat is elevated. They are nervous.
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Speaker 2: They're just anxious. And even just coming through the door
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Speaker 2: is rough, right? Because they kind of they walk through
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Speaker 2: and they go, oh, this is the dental office.
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Speaker 3: Oh, no.
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Speaker 5: Oh, no. Oh, no.
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Speaker 2: Right. And so their their their blood pressure does elevate
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Speaker 2: quite quickly. but cleanings are just like that. Even though cleanings, most,
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Speaker 2: I don't know what percentage of people don't have any
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Speaker 2: problems with cleanings, but there are a large portion of
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Speaker 2: us that do go into a dental office even for
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Speaker 2: a pretty simple cleaning and it's nerve wracking. And so
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Speaker 2: what we can do is offer multiple sedation options to
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Speaker 2: make sure that they feel comfortable. And it starts off,
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Speaker 2: to be honest, Jeff, it does start off with the
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Speaker 2: front door. Whenever you open our front door, We have
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Speaker 2: two lovely ladies up front giving you the biggest smiles
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Speaker 2: they can give. And in my office, their names are
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Speaker 2: Michelle and Brandy. Shout out to them. I don't think
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Speaker 2: they're listening. Every time we try to listen to it
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Speaker 2: in my office, they try. It's like crackly, like our
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Speaker 2: reception in our building is not good for this frequency, right? Actually,
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Speaker 2: it's wave modulations, or amplitude modulations. Anyway, I'm beginning, I'm
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Speaker 2: too techie. But Their smiles in the morning and the
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Speaker 2: afternoon is what people say, I don't want to leave
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Speaker 2: here ever because of them. And I go, not about me.
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Speaker 2: What about me? But no, it truly is. Whenever you
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Speaker 2: enter my office, it's something truly amazing, I do believe.
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Speaker 2: And that's across all group dental groups, South Charleston, Cross Lanes, POCA,
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Speaker 2: Taze Valley, and St. Albans. So it's quite amazing that
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Speaker 2: we make sure that when you do walk in, you
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Speaker 2: feel comforted. And then we introduced these sedation options.
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Speaker 1: I used to have had a former co-worker that she
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Speaker 1: would start talking about her dental appointment about three days out.
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Speaker 1: How she was dreading on going to the dentist.
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Speaker 2: Yeah, I've heard that. Yeah.
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Speaker 1: Oh, you're a nice guy. I mean, is it just
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Speaker 1: what where's the fear? Where's some of that built in?
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Speaker 1: Some of it's real fear, I guess, real anxiety.
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Speaker 2: I wish I had my wife here with me. She's
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Speaker 2: a psychiatrist. She could actually walk us through some of that, right?
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Speaker 2: Because she obviously deals with the anxiety side of things.
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Speaker 2: But I do feel like it just comes to a
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Speaker 2: lot of history. Whenever patients were younger, they might have
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Speaker 2: had a bad experience. And so that translates into them
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Speaker 2: being an adult. And even though they're experiencing something that's pleasant,
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Speaker 2: especially in our offices, we try to make them comfortable
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Speaker 2: and we We don't try to jump in on things
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Speaker 2: and start treatment right away. We introduce topics slowly and
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Speaker 2: we try to make people comfortable with the situation. Even
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Speaker 2: with all that, they still have that history of when
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Speaker 2: I was a child, that one dentist kept digging and
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Speaker 2: I told that dentist, sir, I still feel it and
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Speaker 2: I'll suck it up. You know, like that was the
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Speaker 2: way that things used to be done, unfortunately.
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Speaker 3: Yeah.
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Speaker 2: Or at least I've heard stories about that. I don't
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Speaker 2: think that was the rule, but I think that was
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Speaker 2: something that would happen a lot. Or even I've had
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Speaker 2: patients in their elder years who would say, I came
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Speaker 2: before my dentist even used local anesthetic, even used the
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Speaker 2: quote-unquote Novocaine, which Novocaine is no longer in use. It's
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Speaker 2: now Lidocaine and other canes. But I cannot imagine getting
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Speaker 2: any work done. Well, not any work done, but any
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Speaker 2: work done that is possibly going to give me discomfort
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Speaker 2: or pain and not being numb for it. I don't
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Speaker 2: know if you can imagine that, Jeff. I don't think
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Speaker 2: that would be something. I actually heard something recently about
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Speaker 2: it was it was a historian and someone was asking
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Speaker 2: the historian, what is the best time to be alive?
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Speaker 2: Because some people had this golden era thought of like
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Speaker 2: the 1950s or 1960s or 40s. Right. Or, you know, the. the, uh,
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Speaker 2: the Roman times. It'd be nice to live there. Well,
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Speaker 2: this historian goes, the one reason I'd want to live
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Speaker 2: in the modern times is, is, is dentistry because there's
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Speaker 2: no pain in dentistry now. Like in the old days,
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Speaker 2: if you had a toothache, you just take some whiskey
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Speaker 2: and then they take out the tooth. Right. And I
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Speaker 2: can't imagine living. I cannot imagine living in that time.
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Speaker 2: And so it's quite amazing what, how far we've come,
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Speaker 2: even the last 20, 30 years, much less like 50,
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Speaker 2: 60 years, even more of, um, how comfortable we can
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Speaker 2: make patients. So it's, it is quite amazing what we've done,
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Speaker 2: but I don't, I don't have the full answer why
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Speaker 2: patients still are uncomfortable other than maybe a traumatic episode
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Speaker 2: whenever they were a child, or even as an adult,
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Speaker 2: I've heard some horror stories where some, some, some of
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Speaker 2: us have done things. So.
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Speaker 1: So there are some sedation options.
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Speaker 6: There are.
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Speaker 1: And, uh, Is that for– well, walk me through that.
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Speaker 1: What are the options and then does it have to
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Speaker 1: do with the kind of work you're having?
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Speaker 2: Not at all. So the work we're going to be
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Speaker 2: doing is separate from the sedation options. So we kind
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Speaker 2: of treat that separately. Whenever I have a new patient
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Speaker 2: that is interested in sedation, we first figure out, well,
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Speaker 2: what do you need, right? So if a patient comes
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Speaker 2: in and they– have no needs. They have no fillings needed.
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Speaker 2: They have no extraction, nothing that is major. They just
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Speaker 2: need a quote unquote simple cleaning and their teeth look
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Speaker 2: pretty good. Then I can say, well, pretty much you
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Speaker 2: might need something we call a prophylaxis or a preventive cleaning.
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Speaker 2: And most every patient will say, oh, I don't need
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Speaker 2: to be sedated for that. I think I'm good. Now,
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Speaker 2: there are some that we might need to consider some
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Speaker 2: sedation options. But if it's a very low key procedure,
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Speaker 2: we can usually get away with nothing, right? Or we
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Speaker 2: can get away with just the normal welcome to our office.
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Speaker 2: We're going to treat you kindly and all those things.
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Speaker 2: But if it's something major, extraction, implants, some major cosmetic
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Speaker 2: procedure where they're going to be sitting there for a while,
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Speaker 2: even though it's not too involved, I mean, no matter what,
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Speaker 2: they might still need some sedation. So from there, we
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Speaker 2: start to introduce the options. There's pretty low-grade sedation called
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Speaker 2: nitrous sedation. now that nitrous can become high grade on
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Speaker 2: some patients. I've seen it turned up and they go, whoa,
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Speaker 2: I'm floating, put me back down. So nitrous is a
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Speaker 2: very good sedative option. It is just a gas that
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Speaker 2: you inhale through your nose and you inhale it right
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Speaker 2: back out. We believe it works on the GABA receptors,
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Speaker 2: which is the same type of receptors that make you
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Speaker 2: feel kind of loopy or kind of, I don't want
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Speaker 2: to use her, not drunk, but maybe a little loopy
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Speaker 2: like that, right?
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Speaker 7: Yeah.
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Speaker 2: So a little just- you're okay with what's happening around you.
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Speaker 2: And then a step up above that, we prescribe a medication,
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Speaker 2: a pill that they can take an hour before the
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Speaker 2: appointment that makes them feel quite good. Usually it's a
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Speaker 2: benzodiazepine to be specific. And then above that, we can
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Speaker 2: do both. We can actually use nitrous and the pill.
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Speaker 2: And that's actually where we start to use a license
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Speaker 2: that you have to have underneath the state dental board.
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Speaker 2: So it gets... Kind of crazy from there. So after that,
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Speaker 2: you might need to buckle up for this, Jeff. So
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Speaker 2: after that, we have options. We have an IV sedation
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Speaker 2: option where we actually moderately sedate the patient where they
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Speaker 2: are not technically under. We don't put patients under. That's
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Speaker 2: general anesthesia. done in a hospital where they intubate, and
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Speaker 2: that's very intense. You are still technically awake, but you
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Speaker 2: are kind of in a twilight la-la zone, right, to
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Speaker 2: where you don't care at all that you are– your
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Speaker 2: mouth is open and we are working on you. A
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Speaker 2: lot of patients do tend to fall asleep. But they
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Speaker 2: are very easily arousable. And so we call that just
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Speaker 2: a twilight sleep. And it's very effective. And so that
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Speaker 2: just pretty much takes us starting an IV and going
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Speaker 2: from there.
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Speaker 1: What would you say the percentage of patients are that
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Speaker 1: need sedation?
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Speaker 3: 100%.
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Speaker 2: I say that in jest, but also if every patient–
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Speaker 2: wasn't treated with kindness and respect and didn't get that
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Speaker 2: smile at the beginning, then I think that's part of
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Speaker 2: the sedation or part of the being comfortable. So every
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Speaker 2: patient gets some level of sedation. We make sure everyone's comfortable.
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Speaker 2: We offer blankets to our patients. We offer a neck
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Speaker 2: pillow for our patients. My new chairs in my office
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Speaker 2: actually will massage you. There are some chairs in South
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Speaker 2: Charleston and Crosslanes, and I believe Going into Taze Valley
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Speaker 2: and St. Albans, they massage you and heat you. I
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Speaker 2: don't have the heating function. I'm sorry. They didn't make
11:23
Speaker 2: those when I bought mine. But we want to do
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Speaker 2: everything we can to make the patient feel comfortable.
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Speaker 1: Instead of this, where you would get just this image
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Speaker 1: of this real person. I mean obviously it's a clean environment.
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Speaker 2: Walk me through it, right?
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Speaker 1: Well, just like– I'm just saying like a sterile environment
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Speaker 1: where there are people standing in white coats and they
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Speaker 1: have these instruments in their hands. Yeah, exactly.
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Speaker 2: These goggles that are like five times the length of
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Speaker 2: their head and they're like, just sit in that chair.
11:54
Speaker 2: We got to get to work. But walk me through– Jeff,
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Speaker 2: whenever you walk into like a doctor's office.
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Speaker 5: Yeah.
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Speaker 2: What is your normal experience whenever you walk into a
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Speaker 2: doctor's office? What would that look like to you?
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Speaker 1: When I walk into a doctor's office? Well, I think
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Speaker 1: you want to be comfortable. You want to have the
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Speaker 1: person you speak with to be friendly. Sure.
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Speaker 2: But what have you gotten before?
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Speaker 1: What have I gotten?
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Speaker 2: So what I'm asking is like, Is there usually like
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Speaker 2: a piece of glass that they have to like open
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Speaker 2: and like– Yes. And they hand you a clipboard, right? Yeah.
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Speaker 2: I've experienced this. I've seen where the glass slides open
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Speaker 2: and you get handed a clipboard and they go, all right,
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Speaker 2: fill this out. Oh, good morning. What is your name?
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Speaker 2: So lovely to be here. You don't get that, right?
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Speaker 2: And so we don't do that. We don't have glass.
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Speaker 2: Ours is wide open so you can see our lovely
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Speaker 2: smiling faces. We hand you the paperwork and say, here's
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Speaker 2: our paperwork. We want to walk you through it. This
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Speaker 2: is our health history to make sure we understand your
13:06
Speaker 2: entire health history and make sure we can treat you,
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Speaker 2: the patient, not just the mouth, but the entire patient.
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Speaker 2: Here's some other forms to make sure that you can
13:13
Speaker 2: sit to this or that. And then beyond that, hey,
13:16
Speaker 2: we have coffee in the corner over here. We have tea.
13:19
Speaker 2: We actually have some Fiji water flown from Fiji. I
13:22
Speaker 2: do believe, right? We buy it from Sam's, but we
13:25
Speaker 2: do have Fiji water. All my patients call it fancy water.
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Speaker 2: And so we want to make sure patients walk in
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Speaker 2: and have the ability just to sit in our nice
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Speaker 2: leather couches, drink some water or coffee, and actually chat
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Speaker 2: with my staff up front. I mean, I hear in
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Speaker 2: my office all day long, they're just chatting with patients.
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Speaker 2: And that's just what it is. We don't close the
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Speaker 2: glass and then take the clipboard back and that's it.
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Speaker 2: We actually engage with them from start to finish. We
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Speaker 2: kind of don't stop talking to patients.
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Speaker 1: Yeah.
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Speaker 2: Some patients we know like, no, you don't, you don't
13:58
Speaker 2: want to talk as much as we want to talk
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Speaker 2: and we get that, but we are going to be
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Speaker 2: talking your ear off.
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Speaker 1: Well, and that goes toward the whole, like you say,
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Speaker 1: it's from, it's really from start to finish, right? It's
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Speaker 1: the whole experience.
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Speaker 2: Exactly.
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Speaker 1: That's what's important.
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Speaker 2: You did ask a question about what's, what percentage needs sedation.
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Speaker 2: And truly when it comes to like nitrous and things,
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Speaker 2: it's probably those in my office, I'd say 20% need something. Um,
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Speaker 2: But what I'd say is unfortunate, the true population of
14:31
Speaker 2: the US, it might be higher than like, it might
14:34
Speaker 2: be as high as maybe 40%. But we're not seeing
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Speaker 2: that because people are so afraid that they don't come in.
14:41
Speaker 2: And so we want to introduce the idea. Hello, radio,
14:43
Speaker 2: we're trying to introduce the idea that you can come
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Speaker 2: in and we will start slow and we will introduce
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Speaker 2: you to the idea of dentistry and make you comfortable.
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Speaker 2: And then we can talk about the sedation options. So
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Speaker 2: I do believe there's a lot of patients out there
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Speaker 2: that are just missing out on good quality treatment because
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Speaker 2: they just don't know what they can get. And so
15:05
Speaker 2: trying to spread the word is a part of that,
15:08
Speaker 2: I guess.
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Speaker 1: So is it a fairly low percentage?
15:09
Speaker 3: And Dr.
15:10
Speaker 1: Carson Henley is with us with the Greve Dental Group
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Speaker 1: here on Ask the Expert. Is it a low percentage?
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Speaker 1: And I think it is. I mean, I think we've done, obviously,
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Speaker 1: news stories on this. Low percentage of West Virginians who
15:22
Speaker 1: give preventative dental health, who had the six-month cleanings?
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Speaker 2: I wish I had the– I don't have the data.
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Speaker 2: I don't. But I do know that we are either
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Speaker 2: one or two or three when it comes to people
15:35
Speaker 2: over age 60 who are fully edentulous without teeth. And
15:39
Speaker 2: so I think we're competing with Louisiana, Mississippi, and Kentucky
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Speaker 2: for number one, which is not a number one spot
15:46
Speaker 2: we want to be in, right? But we're heading towards
15:48
Speaker 2: the right track. Every time I see that data– For
15:53
Speaker 2: the percentage of people over age 60 that have no teeth,
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Speaker 2: it is going down, which is good. We want people
16:00
Speaker 2: to pass away with maybe not all their teeth, but
16:03
Speaker 2: a majority of their teeth. And that's happening more and
16:05
Speaker 2: more often. I remember patients walk in going, well, when
16:10
Speaker 2: I was 20 years old, I got all my teeth
16:13
Speaker 2: taken out because that was what people did. And now,
16:16
Speaker 2: can you imagine 20-year-olds now having all their teeth taken
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Speaker 2: out because they have like one bad tooth?
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Speaker 1: People did do that. That's true. When I was growing up,
16:24
Speaker 1: you heard about a lot of people getting dentures, right?
16:27
Speaker 2: Exactly. It just happened. And that's what it is. And
16:30
Speaker 2: they are– and those dentures fit well and they look great.
16:35
Speaker 2: But I think what's more beautiful– Well, some of them
16:37
Speaker 2: fit well.
16:37
Speaker 6: Yeah, yeah.
16:38
Speaker 1: That's fair.
16:38
Speaker 2: That's fair. But I think what's more beautiful is– or
16:41
Speaker 2: what can be more attractive is natural teeth, right? The
16:46
Speaker 2: teeth that God gave you. And so– I do believe
16:49
Speaker 2: it's our job here on earth or my job as
16:51
Speaker 2: a dentist to keep those teeth as long as we can.
16:56
Speaker 1: Dr. Carson Henley is with us. We're going to take
16:58
Speaker 1: a break in just a moment, though. I wanted to
16:59
Speaker 1: get– he has– one of the topics we have here
17:02
Speaker 1: is the end of goop, which is a good– I
17:05
Speaker 1: bet you love goop, right? Well, which is a good headline.
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Speaker 1: What is it? What is it and why is it
17:11
Speaker 1: no longer?
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Speaker 2: The end of goop. So have you ever had a
17:16
Speaker 2: goopy impression before? Jeff, where they like put some goop
17:19
Speaker 2: on a tray and like shove it in your mouth.
17:22
Speaker 2: I assume you've had something like that happen.
17:23
Speaker 1: Yes, yes.
17:25
Speaker 2: We don't do that anymore.
17:26
Speaker 1: Okay.
17:26
Speaker 2: We don't have to. So what that is is usually
17:30
Speaker 2: some hydrophilic or hydrostatic material that you place on a
17:34
Speaker 2: tray that kind of fits around your teeth. And what
17:37
Speaker 2: it does is it creates a negative impression of your
17:39
Speaker 2: teeth so that we can pour up a model of
17:42
Speaker 2: your teeth and then make a prosthesis, make crowns, do
17:45
Speaker 2: all these things with it. So in the past, what
17:47
Speaker 2: we'd have to do is do that for every patient,
17:49
Speaker 2: for dentures, partials, crowns, bridges, all of it, even diagnostic wax-ups.
17:56
Speaker 2: Whenever we had a patient that just needed to walk
17:58
Speaker 2: in and we just needed to figure out what the
18:00
Speaker 2: treatment should be, we'd take impressions so that we could
18:02
Speaker 2: put it on a model and mount it on an
18:04
Speaker 2: articulator that is like a jaw outside the jaw, and
18:08
Speaker 2: we'd look at it. I'm just– This is kind of scary,
18:11
Speaker 2: but I did this in dental school. Or not scary.
18:13
Speaker 2: It's a bad memory, I'll say, because we had to
18:15
Speaker 2: do this all the time to every patient. We'd have
18:17
Speaker 2: to take impressions and port their models just to have
18:20
Speaker 2: their models. What do we do with them?
18:22
Speaker 3: I don't know.
18:22
Speaker 2: Look at them. Like put them on a shelf one day.
18:25
Speaker 2: But that's what we did. Now we don't have to
18:27
Speaker 2: do that. We use a digital scanner that allows us
18:31
Speaker 2: to throw up the 3D model of their mouth onto
18:36
Speaker 2: a computer screen so we can show the patient everything. Hey,
18:38
Speaker 2: look at this. Look at that. This is grinding here.
18:43
Speaker 2: Maybe we should put a crown on this tooth. Do
18:45
Speaker 2: you see that cavity there? Yeah, we definitely need a
18:47
Speaker 2: filling there. Or do you see the amount of tartar
18:49
Speaker 2: you have built up? You need a cleaning that's going
18:51
Speaker 2: to make sure that we take all that off. And
18:54
Speaker 2: so seeing is believing. And beforehand, I don't know those
19:01
Speaker 2: patients that had questions that were like, well, how do
19:04
Speaker 2: I know that I need this? Now they know because
19:06
Speaker 2: we can show them. So Going from the old goopy
19:10
Speaker 2: style impressions for crowns, bridges, partials, dentures to now going
19:14
Speaker 2: fully digital to where it's actually quicker and easier and
19:20
Speaker 2: quite actually less expensive overall because we don't have to–
19:25
Speaker 2: those materials that are goopy are very expensive. It's actually
19:30
Speaker 2: saving everyone some money as well.
19:31
Speaker 3: Yeah.
19:32
Speaker 2: That is the end of goop, I'd say.
19:34
Speaker 1: Okay. So what do these images look like? So you
19:38
Speaker 1: mentioned they're digital. Is it the classic X-ray look or
19:42
Speaker 1: is it– it's the real look?
19:44
Speaker 2: It's the real look.
19:45
Speaker 1: Okay. All right.
19:46
Speaker 2: It is white teeth, pink gums.
19:48
Speaker 5: Okay.
19:50
Speaker 2: Doesn't display your tongue that would be weird if your
19:52
Speaker 2: tongue was in there right right uh but it's just
19:54
Speaker 2: your your teeth and your gums and that's it and
19:56
Speaker 2: patients go usually.
19:58
Speaker 1: Because x-rays serve another purpose correct correct right.
20:01
Speaker 2: Uh but but Most patients, when they see the digital
20:04
Speaker 2: scan of their mouth, they go, oh, that's ugly. And
20:06
Speaker 2: I'm like, no, no, no, that's beautiful. That's your teeth, right?
20:09
Speaker 2: But they're not used to seeing their teeth exposed like that, right?
20:13
Speaker 2: And so it's just someone's arch of teeth on a screen.
20:19
Speaker 2: And from there, we can– I actually have a mill
20:21
Speaker 2: in my office where I mill crowns in the same day.
20:24
Speaker 2: Or we can send it off to a lab, a
20:27
Speaker 2: local lab that will fabricate partials and dentures for the patient.
20:31
Speaker 2: And so it's just been a game changer going from
20:35
Speaker 2: these old goopy impressions where I have to apologize to
20:39
Speaker 2: the patient before and after to now I'm like, you're welcome.
20:42
Speaker 2: You know, I don't have to really apologize anymore. I just,
20:44
Speaker 2: you know, it's changed the paradigm of what the patients
20:48
Speaker 2: do expect when they come in.
20:50
Speaker 1: Instead of this pink plaster of Paris that, I mean,
20:53
Speaker 1: you know, you've got this, you know, real look. And
20:57
Speaker 1: I mean, is it true? I mean, no, I'm assuming
20:59
Speaker 1: here that I mean, you look at mouths and there's
21:02
Speaker 1: some similarities, but really, I mean, it's no two mouths
21:06
Speaker 1: are alike.
21:06
Speaker 2: I've never seen the same mouth twice, exactly. It is–
21:10
Speaker 2: every single mouth is different because every tooth is different.
21:14
Speaker 2: And the amount of abnormalities, that's the wrong term. Things
21:18
Speaker 2: that aren't textbook, I'll say, right? Because a textbook says
21:22
Speaker 2: this is normal, this is not normal. Well, no one's normal.
21:26
Speaker 2: Like I'm not normal. You're not normal. Like no one
21:28
Speaker 2: has the perfect normal mouth. And so that's what's so
21:32
Speaker 2: beautiful about our teeth and our mouths is that everyone
21:34
Speaker 2: has their own specific mouth and their own specific teeth.
21:38
Speaker 2: And so whenever I think it's kind of fun that
21:40
Speaker 2: whenever I work on cosmetic dentistry, I try to cater
21:43
Speaker 2: to the patient's smile and the patient's face. Because when
21:48
Speaker 2: a patient walks in and says, I want to look
21:49
Speaker 2: like this person, that person is Brad Pitt. I tell them,
21:52
Speaker 2: I'm sorry, you are not Brad Pitt. So I don't
21:55
Speaker 2: think that smile would fit for you. But we're going
21:57
Speaker 2: to make something that looks beautiful for you. And you're
22:00
Speaker 2: going to be– you might even look better than Brad Pitt.
22:03
Speaker 2: Who knows?
22:04
Speaker 1: There you go. There you go. All right.
22:05
Speaker 4: Dr.
22:06
Speaker 1: Carson Henley is with us. High energy. And we'll be
22:10
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Speaker 1: Oh, I love it. It's 849. This is 580 WCHS,
25:11
Speaker 1: the voice of Charleston. Green Dental Group is the Ask
25:14
Speaker 1: the Expert folks today. Jeff Jenkins with you. Carson Henley, Dr.
25:18
Speaker 1: Carson Henley out of the Kanawha City office of Green
25:21
Speaker 1: Dental Group is with us. Yeah, good deal. So I
25:25
Speaker 1: think we could– we were talking about the 3D scan
25:29
Speaker 1: and how that is advanced to digital scan.
25:32
Speaker 5: Yeah.
25:33
Speaker 1: How does that work into or how much does that
25:36
Speaker 1: help now with the smile makeover process that you guys do?
25:40
Speaker 2: Oh, my goodness. It is so much easier. So now
25:45
Speaker 2: with AI, I mean, I think AI is becoming more
25:47
Speaker 2: and more easier to use in practices. I don't really
25:51
Speaker 2: use it as much as I probably can or maybe
25:54
Speaker 2: should in the future. I'm still trying to figure that out.
25:58
Speaker 2: But what we can do is take a digital impression
26:01
Speaker 2: of someone's smile. interpose it over photos of their face,
26:05
Speaker 2: and then kind of do some translation about what they
26:08
Speaker 2: can do or options, whether that's bridges, implants, crowns, et cetera.
26:14
Speaker 2: And so I think what's really neat is taking steps
26:18
Speaker 2: out of the procedure. Because if you can increase the
26:22
Speaker 2: speed of a process, I'm happier, the patient's happier, we
26:26
Speaker 2: can lower the cost a little bit, or we can
26:28
Speaker 2: at least do things quicker so that the patient's happier.
26:32
Speaker 2: What I mean by that is in the olden days,
26:34
Speaker 2: if we were going to do a smile makeover, we
26:37
Speaker 2: take goopy impressions and I'd pour up those models and
26:40
Speaker 2: I'd say, all right, I'll see you back in a
26:41
Speaker 2: few weeks. I have to look at these models for
26:43
Speaker 2: a month and let me send them off to my
26:45
Speaker 2: lab and let me have a phone call with him. Well,
26:48
Speaker 2: now I can take a digital impression of that person's smile,
26:51
Speaker 2: send that to my lab instantly because it's all 3D.
26:54
Speaker 2: It's all digital. And I can have that phone call
26:57
Speaker 2: instantly with that lab and say, what do you think
27:00
Speaker 2: about this or that? Can we move this tooth there?
27:03
Speaker 2: And can we do this type of thing? And so
27:05
Speaker 2: what used to took weeks, months, takes minutes to maybe
27:10
Speaker 2: a couple hours. And so we can actually start coming
27:13
Speaker 2: up with a diagnosis, start coming up with a treatment
27:15
Speaker 2: plan a lot quicker. And it's made just patients happier
27:21
Speaker 2: because they're not used to things happening so quick. I'm
27:25
Speaker 2: not even used to things happening so quick because whenever
27:27
Speaker 2: I was in dental school, I remember a filling in
27:30
Speaker 2: dental school takes about four hours. Now it takes five minutes. Right.
27:33
Speaker 2: So there's just this difference of speed and process. And
27:37
Speaker 2: it's just really kind of changed the game. And so
27:40
Speaker 2: then we can actually show the patient what the outcome
27:43
Speaker 2: will be before we do it. Or even I kind
27:47
Speaker 2: of mentioned that I have a mill in my office.
27:50
Speaker 2: So what I can do now is I can prep.
27:53
Speaker 2: some veneers or prep for some crowns for a cosmetic
27:56
Speaker 2: procedure after we've done all the planning and implementing. And
28:00
Speaker 2: what I can do is I can mill from my
28:03
Speaker 2: milling machine. I have blocks of material that mill from
28:06
Speaker 2: like literally a square material to a tooth shaped crown
28:10
Speaker 2: or veneer. And I can mill multiples of those and
28:14
Speaker 2: then cement them in place temporarily. And I can say,
28:18
Speaker 2: walk around with a smile for a week or two.
28:20
Speaker 2: If you love it, Great. If you don't love this
28:23
Speaker 2: or that, we can change it because this is just
28:25
Speaker 2: the provisionals. And then we can fabricate the finals based
28:30
Speaker 2: on what your desires are. So we can actually do
28:32
Speaker 2: a walking try in where it is permanent. These are
28:35
Speaker 2: permanent crowns, but they're not made to be permanent. They
28:38
Speaker 2: are temporarily made. And so it's just there are options
28:41
Speaker 2: for patients. Not all patients want that. They kind of
28:44
Speaker 2: want it to be done the same day so we
28:45
Speaker 2: can get that done quickly. But if the patient is
28:48
Speaker 2: not sure, I don't know what I want. I just
28:50
Speaker 2: kind of give them here. Try this. Try it out.
28:53
Speaker 2: Go say hello to your spouse. Smile around. Take photos
28:57
Speaker 2: from different angles, different lights. If you like this, you
28:59
Speaker 2: don't like that, we can change it. And that's what's
29:01
Speaker 2: so great. And so it has just changed what we
29:04
Speaker 2: can do from the old months-long process to minutes to
29:08
Speaker 2: hours to days long.
29:10
Speaker 1: Is that where, since you've been practicing the things, you know,
29:14
Speaker 1: they do things evolve with the technology and everything. Is
29:18
Speaker 1: that one of the areas where you know, this cosmetic
29:21
Speaker 1: dentist has made the most advances or significant advances or
29:26
Speaker 1: all of it.
29:27
Speaker 2: Because even dentures. So in the old days, to make
29:31
Speaker 2: a denture, for example, I just hit the microphone. Did
29:34
Speaker 2: you all hear that? I'm sorry.
29:35
Speaker 1: It's all right.
29:36
Speaker 2: I should have hit the cough button. Whenever you take
29:40
Speaker 2: an old-style goopy impression for a denture, you'd have to
29:44
Speaker 2: send it off to the lab and they'd send back
29:46
Speaker 2: a try-in something. And then you'd try it in. Then
29:49
Speaker 2: you'd send it back. And then you'd send back the–
29:51
Speaker 2: there were multiple steps, multiple appointments to make one denture. Now,
29:57
Speaker 2: let's say a patient has an existing denture. I don't
30:00
Speaker 2: have to restart. I can use an existing denture and
30:02
Speaker 2: I can do a digital scan of that denture and
30:04
Speaker 2: my lab can fabricate an exact duplicate of that denture.
30:09
Speaker 2: So I can actually replace a denture with a denture
30:11
Speaker 2: within a couple of weeks with one appointment. And so
30:14
Speaker 2: that's changed how that's done. And so every part of dentistry,
30:20
Speaker 2: I believe, has gotten quicker and easier and less painful
30:24
Speaker 2: and more comfortable. Did I mention the massaging chairs, Jeff? Yeah, yeah,
30:28
Speaker 2: you did.
30:28
Speaker 1: Yeah, you did.
30:30
Speaker 2: Yeah.
30:31
Speaker 1: I mean, those can be used for teeth cleaning and
30:33
Speaker 1: all kinds of different.
30:34
Speaker 2: Things, I guess. Well, I'm so sorry. Okay. I bought
30:40
Speaker 2: three dental chairs on my side because my dental chairs
30:42
Speaker 2: were 25 years old. They were built in 1990s. They
30:46
Speaker 2: were due. My hygienist chairs, they're a little newer, and
30:50
Speaker 2: so they don't have the massaging function yet. So I
30:53
Speaker 2: hate to bring that up, but my hygienist are like,
30:55
Speaker 2: when are we getting our massaging chairs? I'm like, soon.
30:57
Speaker 2: I promise. I just have to. Make sure that I
31:00
Speaker 2: have the money for it. I'm so sorry.
31:03
Speaker 3: Dr.
31:03
Speaker 1: Carson Henley is with us with Grebe Dental Group.
31:06
Speaker 2: Okay.
31:06
Speaker 1: So as we wrap this up over a couple minutes here,
31:09
Speaker 1: step me through. Say I'm a brand new patient. I'm
31:12
Speaker 1: coming to your office in Kanawha City. What can I expect?
31:17
Speaker 1: My first visit. What can I expect?
31:20
Speaker 2: First visit.
31:20
Speaker 1: You don't know anything about me.
31:22
Speaker 3: Exactly.
31:22
Speaker 2: I don't know you from Adam. Well, your first visit,
31:25
Speaker 2: you're going to walk in. Well, you're going to drive in.
31:28
Speaker 2: We have parking in the front, also parking in the back.
31:31
Speaker 2: If the parking lot is full up front, park in
31:33
Speaker 2: the back. And we have a bell system for safety
31:35
Speaker 2: where you press a button and we will buzz you in.
31:38
Speaker 2: And then we will greet you as you walk up
31:40
Speaker 2: to the front. We will make sure that you're in
31:43
Speaker 2: the right place. We'll confirm who you are. And then
31:46
Speaker 2: we will start off with some paperwork because we have
31:48
Speaker 2: to make sure that you consent to being a patient.
31:51
Speaker 2: After that paperwork, we will walk you back. one of
31:54
Speaker 2: my lovely citizens will walk you back to my side,
31:57
Speaker 2: introduce themselves, and kind of ask what you want out
32:02
Speaker 2: of this. Because some patients just say, I just want
32:04
Speaker 2: a cleaning. You're like, well, okay, well, let's expound what
32:06
Speaker 2: that means. We can't just throw you into a hygiene
32:09
Speaker 2: chair and just start a cleaning. We need to make
32:11
Speaker 2: sure there's nothing else going on. Or some patients say,
32:14
Speaker 2: I'm in pain. Get me out of pain. Yes, sir,
32:16
Speaker 2: we will get you out of pain today. I promise. Now,
32:18
Speaker 2: will we solve the problem today?
32:20
Speaker 5: No.
32:20
Speaker 2: Maybe not, but we will at least get you out
32:22
Speaker 2: of pain and get you on the right track. And
32:25
Speaker 2: so it depends on what the patient wants, what the
32:28
Speaker 2: patient desires. And so when you sit down, my lovely
32:32
Speaker 2: dental assistant will walk you through the process of what's next.
32:35
Speaker 2: We'll probably take an x-ray, which lets us see through
32:38
Speaker 2: the teeth. I wish I was Superman.
32:39
Speaker 3: I'm not.
32:40
Speaker 2: I don't have x-ray vision, so we need the x-rays
32:42
Speaker 2: for that. We may or may not do a digital
32:45
Speaker 2: scan of your mouth just so we can talk through
32:47
Speaker 2: what the teeth look like and kind of show you
32:49
Speaker 2: on the screen. And then I will walk in after
32:52
Speaker 2: all that data is collected. And I've kind of secretly
32:54
Speaker 2: looked in my office and kind of caught up on
32:57
Speaker 2: what's going on. So I don't just walk in blind.
33:00
Speaker 2: But I usually walk in and say, Hey, welcome. My
33:02
Speaker 2: name is Dr. Carson Henley. This is my practice. I'm so,
33:05
Speaker 2: so honored that you're here. Has everyone been kind to you?
33:08
Speaker 2: I hope today. Good, good, good. What can I help
33:11
Speaker 2: you with today? Like, where are we? I saw your x-ray.
33:13
Speaker 2: It looks like you have a tooth that's broken down.
33:15
Speaker 2: Is it hurting you today? Okay, well, let's talk through that.
33:18
Speaker 2: And then So we come up with a plan, whether
33:20
Speaker 2: that's root canal, extraction, whatever. But that's just where it starts.
33:24
Speaker 2: It starts with conversations. And from start to finish, we'll
33:27
Speaker 2: talk your ear off to make sure that you are
33:29
Speaker 2: heard and that you are understood and that what you
33:32
Speaker 2: want out of this situation is what's gotten out of
33:35
Speaker 2: this situation.
33:36
Speaker 1: And communication is key, right? I mean, obviously.
33:39
Speaker 2: So important.
33:39
Speaker 6: Yeah.
33:40
Speaker 1: Yeah.
33:40
Speaker 2: I think in the olden days, there was this idea,
33:42
Speaker 2: and I hate to generalize, but whatever the doctor says goes. Yeah.
33:47
Speaker 2: And that's True to an extent, right? Because we are
33:51
Speaker 2: the experts. You know, whatever we say should be taken
33:54
Speaker 2: as expert advice. Right. But I tell every patient, this
33:58
Speaker 2: is your mouth. This is not my mouth. I can't
34:01
Speaker 2: tell you what to do with your mouth. I feel
34:03
Speaker 2: like I'm the navigator of this situation. You're the driver.
34:06
Speaker 2: You push the gas pedal. You push the brake pedal.
34:09
Speaker 2: But I'm going to give you the paths to go.
34:11
Speaker 2: I will not lead you astray. I will not pull
34:14
Speaker 2: a Michael Scott pulling you into a lake, right? I
34:17
Speaker 2: will make sure that you're going down a healthy road.
34:19
Speaker 2: But that's kind of where we go.
34:22
Speaker 1: Well, yeah, and that's because I would think that first impression, right?
34:29
Speaker 2: First impression is everything. Yeah, very important. And I usually
34:33
Speaker 2: come in pretty excited.
34:34
Speaker 1: Yeah.
34:35
Speaker 2: I never walk in going, hey, what's up? Usually I
34:39
Speaker 2: don't say what's up. I usually say something different.