Latest / WCHS Network Podcasts / 06/25/2024 Ask the Expert with Ghareeb Dental Group

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06/25/2024 Ask the Expert with Ghareeb Dental Group · WCHS Network Podcasts

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Group Contact us at Meeks dot us. The views and opinions expressed on this
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program do not necessarily reflect the views and opinions of five ADWCHS, it's employees
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or WVRC Media. Hey, folks, Hey, good Tuesday morning to you.
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No, I am not Dale Cooper, nor do I play Dale Cooper.
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I I do play him on the radio. Sometimes I am Dave Allen.
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Normally you hear me on five eight Live the Voice Charleston WCCHS from nine
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to ten for Dave Allen Shoe. But I've been asked to substitute, if
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you will, for Dale Cooper, who's on vacation. And I'm going to
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say something about Dale Cooper. He is the hardest working man in in the
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building. We have a hard lot of hard working people, but Coop is
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if anybody deserves a little vacation time, it's probably my boss, Dale Cooper.
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And I'm not just sucking up to the boss. When I say that,
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I'm just saying he probably does deserve a little vacation time. But anyway,
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this is asked. The exports are our phone numbers three oh four,
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three four five fifty eight fifty eight three zero four, three four, five
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fifty eight fifty eighth. They we're going to talk dental care. Doctor Carson
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Henley from GREEB Dental Group is with us right now, Doctor Henley, Good
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morning, welcome, good good morning. So you're not Deale Cooper, I'm
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not dealing with Oh okay, I was a little confuser. No, I'm
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not Dale Cooper. I We're roughly the same size, but I'm older.
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So so there's that. Uh what do Coop and I have in common that
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people would get us mixed up on? We are both footies, we are
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both Yeah, we're both. We're both foodies and both sports fanatics. So
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he of the Seattle Seahawks and Cincinnati Reds as far as protein goes, Me
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of the Dallas Cowboys and Cincinnati Reds as far as protein goes. So there
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you go. You a sports cap. I am all right. So y'all
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are both Reds fans? Yes? But then or football, the NFC East
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and the NFC West. Okay, right, yeah, interesting, he's probably
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been a Seahawks fan since they were in the AFC West. Probably that's probably
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a little bit before your time. Yeah, maybe a little bit. Yeah,
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Well, doctor Henley and I are just sitting there getting to know each
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other, realize that we have a lot of the same I have never met
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the gentleman until right now, but I realize he's lying. We're best friends.
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We hang out together frequently, but I did. I did find out
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we have some mutual friends. So it's great to me. You know,
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I'm gonna go ahead and get this out of the way now. I'm sure
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you've heard every Don Henley joke in the world. He's actually my uncle.
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He's going you didn't know if you if I was being truthful. No,
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he's not. He's not. I was going to say, being from West
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Virginia. Probably not. Yeah, although the way the Eagles toured to the
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nineteen seventies and eighties, and maybe maybe he isssibly. Possibly, So tell
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me a little bit about you. I mean, listeners here have heard you
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in the past. I know normally Stephen garib does this, and he's also
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maybe he and Cooper together. They took off the Vegas or something together.
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I'm not sure. I know. During the summer, doctor Steven and takes
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his lovely wife Shana, and they'refore awesome kids all the time camping and so
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if he's out there listening, which he's please do not be listening to,
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I'm hoping to be on vacation. Yeah, this is not that important when
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it comes to spring time with family, but yeah, he usually is camping
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and having a lot of fun with him or going to the beach and all
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sorts of stuff. And then here I am nice slaving away on the radio.
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Now. Coop but asked me last week if I could substitute for him,
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because normally Jeff Jenkins does, but Jeff had a prior commit news that
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he had to do, so I got thrown into here and then just found
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out, you know, you found out that you're going to be doing the
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show. So we're both kind of misfits in this whole thing. Will make
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it work. It's gonna work out. It's going to be the best.
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I want to get to know you. So, yeah, who are you?
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Where are you from? We know who you are, but where are
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you from? How long? You what made you want to go into this
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field of dentistry? Just anything you want to talk about, Go ahead,
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well, Dave, It's all started probably when I was a senior in high
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school. From the age of five up until like eighteen, when I was
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a senior, I wanted to be an engineer because I liked building stuff,
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and I always thought, you know, being an engineers practically you're just sitting
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at a desk building legos all day. You know. That's my childhood brain
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thinking that. But then as I progressed through life, I realized there's more
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to it. It's not just building. It's actually office work and staff,
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and there's you know, there's more to it as opposed to just building stuff.
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Now that's the biggest part. I would assume mosteers engineers would say,
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we need to verify things right, But I realized that wasn't for me.
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So I decided randomly on my birthday, when I turned eighteen, I turned
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my parents. We were out at a restaurant. I said I want to
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be a dentist, and they go, what what did that come? We
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have no dental, no medical, no nursing, nothing. Most of my
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family when they see blood, they faint. And so I'm the weirdo that
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likes to you know, cut things and so suiture them back up and fix
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things. And it doesn't really gross me out as much as most people,
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especially my family. So that was a strange thing for my parents to hear,
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and they were like, well, that's meal, he might change his
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mind. Well. No, from eighteen to twenty six I was did dentistry,
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dynistry, dentistry, and so ended up going well, I grew up
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in texasn't. I don't know if you you didn't know this because we just
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met, but I grew up in Texas in the Fort Worth area, So
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Don Henley may really be might yeah, yeah, it could be my uncle,
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my long lost uncle. I actually one uncle, uncle Lynn, down
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to Florida. But no, I grew up in Fort Worth, about ten
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miles from Texas Stadium. I played football games in Texas Stadium for playoffs.
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So that was before it got you know, you're not going to be really
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good friends. I say, I was like a Cowboys fan, But how
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can you grow up in Fort Worth and not be a Cowboy? No?
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Well, okay, I have to backtrack. If I have to choose a
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team, I think if I have to. If there's one team in the
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NFL, I have to choose. I think I have to be a Cowboys
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fan just by default. I don't really have any other affiliation. I grew
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up going to games, but I think the I want to be very safe
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with how I say this because it's being recorded, but and it's why it
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is, like, maybe some of the fandom around the Cowboys kind of turns
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me off a little bit. I get that. I get that, but
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and then that happens a lot. I mean, there are people that can
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like a team but just don't like their fans. And you hear that all
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the time, and you know, you see these Poles who are the most
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obnoxious fans in the world. I'm not have you know, not growing growing
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up in Texas. I don't not growing up in Texas. I didn't really
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see that. You know, when I say tell people I'm a Dallas Cowboy
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fan, I use a get oh you poor child, you know? Or
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because the Cowboys always said the Cowboys are the blue cheese of sports. People
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love them or hate them, Yes, there is no in between. Well
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I hate blue cheese. I don't know. Okay, all right, there
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you go. So anyway, so you're in UH so so that you decided
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you want to go to where did you go to school? Sure? Yeah,
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so after high school went to Ablyon Christian University for college. Did pre
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dental never wavered and it just worked out. Got the grades? Do you
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learn in predental? I mean what is pre dental? What do you learn?
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It's just getting a degree and something that gets you the pre prerequisites for
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dental school. So it's a lot of biology, chemistry, physics, math.
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Fortunately, I was able to also do a minor in business, which
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is helping me out now. So it's all sorts of people forget about that
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sort of thing that at the end of the day, you still got to
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operate a business. And this happened and I saw this in my previous life
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when I was doing business things, and I were talking about this with the
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UH in with state government. Is sometimes people have a passion for something,
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no matter what it is, whether it's what you do, whether it's crafts
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or whatever, and they realize, I've got to learn how to do quick
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books. Now you're you're affiliated with the with the grieb Dental, so I'm
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assuming you have people to do that sort of thing. But a lot of
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times people don't realize that you have to. You got to know the business
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that you got to pay taxes, You got to you got to learn how
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to do all this stuff. Yes, as a business owner, the one
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thing you don't not do is pay taxes. Yeah, I mean we frown
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upon pay them first, that is for sure, well tied, and then
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pay them first, right, But uh uh definitely when it comes to my
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whole life, it did kind of change from being in it an engineer to
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dentistry. So then I ended up getting into dental school and I was at
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University of Texas Health Science Center at Houston, and that was for four years
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and that was a blast. Would I do it again? Maybe? Maybe
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not right because the experience was not the best, but the end goal was
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so great becoming a dentist. So why am I here? Right? Because
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I think that's a question that most listeners are like, why would you leave
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Texas to come to West Virginia? And usually the next question is is it
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a girl? Is it a female? Is there a love interest here?
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And I go yes, And I go, oh, so where's she from?
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Which of the fifty five counties? I go, No, she's from
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Waco. Texas and then they really are like, Okay, I don't get
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two Texas people come to West Virginia. Yeah, we're a rare breed for
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sure. Whenever we encounter people for the first time, they don't understand it.
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But my wife is a physician, also went to ACU, went to
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UT Houston for medical school. We tracked the same year, which is awesome.
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What I like to say is I got into Houston. She got into
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everywhere, so we both chose hou right, although I think Houston was her
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first choice. She loved the family atmosphere, but it just worked out that
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we hope we both got in there and then then we ended up coming here
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because of her residency. She's a medicine psychiatry dual boarded attending at CMC as
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we speak, so she's probably getting the kids ready as we speak and getting
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them off to day camp so she can go save lives. Well, that's
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awesome. That's awesome. Again, we're talking with doctor Carson Henley from garib
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Dental, and again where I just wanted to kind of get to know him
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the gentleman a little bit and give you an opportunity to get to know him
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as well. Did you realize that when you were studying dentistry and he said
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I'm going to go save the world through oral healthcare, that I'm also going
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to be on the radio. Two was that part of it? Did they?
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Actually my number one goal is to be on the radio talk about this.
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It's goal or it's radio or bust for me, I don't know.
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All right, So I'm going to ask you a couple of questions here and
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again you can always call us up if you have any questions for doctor Hanley.
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Three zero four three four five fifty eight fifty eight. Again three zero
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four three four five fifty eight fifty eight. So how many? How many
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people come in to the Greb Dental not for just routine stuff, but just
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come in and say I've got some pain or discomfort and I don't really know
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what's causing it. Is that a thing that happens a lot? People come
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in and just say, well, it just doesn't feel right in here?
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Oh all the time. I have a question for you, Dave. Do
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you ever wake up and go, oh, this my shoulder is sore.
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Something's going on there? Does it crush your mind? Like did I break
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it? Probably not, but you probably slept on it wrong right. But
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if you're in a sports thing you're throwing a ball, or you know you
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land on it wrong, you don't know what's happening. You just know that
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it hurts, right, or if that is the symptom, it just hurts,
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then you have to go see a professional to see what's going on.
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And that happens all the time in dnistry, because the teeth can hurt,
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the gums can hurt, there are areas around that. When it comes to
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the bone and the joints, there are lots of things that can hurt.
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Even the musculature can get sore if you're grinding. And so when a patient
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comes in and goes, I hurt here, and they're just literally pointing to
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an area of the mouth, I start with the teeth. I zoom out,
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I zoom in. I take the diagnostic tests, and it gets really
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really into the weeds when it comes to diagnosing properly. But there are so
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many different things it can be. But my favorite thing to diagnose is the
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most obvious thing, because I go, oh, look at this, it's
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obvious, and then I get to be the hero. But sometimes, unfortunately,
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I think the more you know, it feels like the less, you
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know. I think that's important to know because I feel like I'm very competent
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in what I do, and yet I know all of the possibilities, and
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so if something is not a slam dunk diagnosis, there are times when I
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go, I'm pretty sure it's this, but there are also five other things
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that could be, and I try to explain that to the patient, and
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I work, you know, piecemeal and the step wise approach to make sure
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the patient understands what their options are and what the maybe the least invasive procedure
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would be to fix it, and then if that fixed it, then we're
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done. If not, then we keep going. So sometimes there are those
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tricky situations where there's a crack tooth, but it's so microscopic. X rays
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don't show up, it doesn't show up clinically, and you just keep trying
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to figure it out and work it out, and then eventually something else might
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show up and it might be obvious. But there are a lot of diagnoses
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that are very intricate and take a lot of time to diagnose. So that's
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why it's important. And this is for all the listeners out there. This
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is for you today to establish a dental home, because if I see a
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patient for the first time ever, if you were my patient this morning,
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there's no different than any other exactly right. Oh yeah, for sure.
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First time ever you walk in and go I hurt here. Well, i'd
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kind of zoom out. Go okay, let's look at everything. I've never
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seen you. I've never seen this mouth, I've never seen this tooth,
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first time taking X rays. We may get some X rays from the office
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or something, but when it comes to seeing a patient for the first time,
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it's a big jomb to do an intake and get a history and try
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to figure out what's going on. But if we've already established that, if
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we have a dental home where we go in for our routine cleanings every six
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months, if I've seen those emergencies every once in a while and you come
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in, we have it like a plethora of X rays, I can see
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a timeline, a history of what's going on. Usually I can show,
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well, you had this little spot in the tooth, you know, two
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years ago, I took a photo of it, and now it's a little
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bigger. I think that might be causing your sensitivity, or I think there
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was a remember how I took a scan of your digital scan of your mouth.
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We were watching this crack on this tooth. Well, I think that's
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probably what's causing that issue because I touched the tooth here and it hurt.
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Didn't I touched the tooth over here, it didn't hurt. So I think
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established establishing a dental home so you can get a timeline of care, a
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care that kind of has a basis of a standpoint of to grow on is
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very important because if every single patent I saw it was the first time I
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saw, it would be a lot more difficult too, and need work seven
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days a week. Oh also true, it would take longer, but yeah,
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and I can see that. As I said, I was trying to
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compare it to other forms of medical care, you know, and nothing against
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people that do urgent care or anything like that, but oh god, yeah,
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yeah, that is very different. But because sometimes you just need to
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go in and maybe I just need to but you got longer lasting issues.
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You know, it's good to have a family doctor, a family you know,
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you know, an optometrist, a dentist or whatever, somebody that you
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see on a regular basis that you say, okay, well I want to
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keep an eye on this. Come back and see me about this specifically in
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three months or come back. I think we get this taken care because again,
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you know the people plus you, you get that bedside manner or in
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your case, chair side manner. You get that because you don't still called
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bedside. But you know it's also weird. I'm like, there's no beds
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here, but yeah, sure, yeah, And I think that's a very
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important part of it. Well, now, are you folks seeing new patients
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there, because a lot of times people aren't. I mean, obviously you're
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doing the show, so I'm presuming you are, oh, all the time.
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No matter what, we are going to take new patients. We're going
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to figure out a way to take care of patients that need us. And
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I think what's a big thing in our family of practices, GREEB Dental Group,
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all six locations, we have the same philosophy when it comes to taking
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care of patients and getting them out of pain. If you're in pain,
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especially if you're established, we'll bend over backwards, or even if you're not
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established, we'll try to figure out a way to fit you in or figure
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out something to get you out of discomfort. But we try to treat patients
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how we would like to be treated, because if I'm hurting and it is
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awful, I want to at least have an option or see what options I
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have to fix that. Maybe not fix it to fruition that same day,
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but at least get an idea of what's happening and have that hope of oh,
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okay, in two days, I'll get that root canal, or I'll
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get that tooth taken out, but at least he prescribes something to calm it
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down for now, a steroid something like that. So I think the philosophy
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for Greeve Dental Group is not just we take care of our own, but
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we take care of those that you know need a home as well. I
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want to talk about the and this is something I know that Coops covered in
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the past, but but you always like to presume somebody may be listening for
16:06
the first time, talk about the locations of Greeb Dental Group, because as
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you said, for six, right, there are six, where are they?
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Number one is in Poka that started by doctor Sam A. Greb,
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and then it went over to South Charleston that's doctor Stephen Greeb. And then
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we've crossed the lanes. Doctor Mitchew Greeb runs that practice. And did you
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hear that they all have Greb in the last aim you realize your last name
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is not Greb, right, it's not. I thought it was. I
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thought I was adopted and I changed changed my name legally, No I did
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not. But yeah, So those are the three that the father and the
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two sons, and then the other two offices is uh in Saint Albans with
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doctor Scarberry who's married to a Grebe, and uh in uh In Tays Valley
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doctor Josh Massey, who was also married to a Greb. Is this and
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then there's me? So is this a mafia operation? No? I can
16:52
confirm it is not, for the record, not a mafia operation. Uh
16:59
But then of course at the sixth office is in Kanos City, which is
17:02
the one I run. How many how many employees total does agree have?
17:06
Just off the top of your head, each office has somewhere between six to
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maybe twelve to fifteen each office, so I think, and the aggregate whatever
17:15
that is, is what it is. But each office kind of it is,
17:18
kind of operates its own operation, and so so we kind of count
17:22
it as each office I'm always interested, you know. And again it started
17:26
with one started in Poka, as you said, right, and then it's
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kind of spread to these other these other locations. I've always interested in the
17:33
way the business aspect of the business model works. I know you may not
17:37
necessarily be in on that, but you know, like consultations where you get
17:38
together and say, hey, this is this is what we've been seeing a
17:44
little different with dental Cares, No, No, we do meet. We
17:47
do meet. So we have six principal owners and we do meet every you
17:51
know, two three months or so. We get together, make sure a
17:53
marketing is working. We talk about that radio ad is that working? Do
17:59
we need up that right? Do we need to change that? Is?
18:00
Is that being very effective? So we talk about things like that, right,
18:04
and don't worry, we love our radio okay, but it's you know,
18:07
we talk about those things. We talk about whether or not we're doing
18:11
the right thing with how we're treating this old modality that we're doing. Do
18:15
we need to change to a new treatment plan, software, things like that,
18:19
or protecting ourselves. There's so many things that we need to talk about
18:22
that the last thing we talk about is usually dentistry in those meetings right.
18:26
Well, again, it's a business, you know for sure, and you've
18:29
got to you got to take care of all those things as well. We're
18:30
talking about doctor Carson Henley from Greed Dental Group. You can visit their website
18:33
it's Grebdentalgroup dot com. Or if you get any questions about your dental care,
18:37
give us a call. Three zero four three four five fifty eight fifty
18:41
eight. Three zero four three four five fifty eight fifty eight. We're going
18:44
to take a break. We got more with doctor Henley coming up right after
18:45
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Carson Henley from Greebdentalgroup. Greebdentalgroup dot com is the website. Three zero four
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three four five fifty eight fifty three zero four three four five fifty eight fifty
20:37
eight. Doctor Henley and I just kind of getting to know each other a
20:41
little bit today, But we welcome your phone calls. You get questions comments
20:44
about your dental care, be sure and give us a call. Now.
20:47
You know, we're talking during the break there about the weather. They say
20:49
everybody complains about the weather, but nobody does anything about it. But you
20:52
wanted to talk about the weather a little bit. I not really talk about
20:56
the weather, but kind of talk about the weather. So yeah, and
21:00
so this weekend was so hot. Actually had a buddy come about two weeks
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ago and put refrigerant in my ac. He owns a company that's local.
21:08
And this weekend this is why you should always trust your wife. She started
21:12
going, I don't think the ace's keeping up again, what's going on?
21:17
And I go, Sweetie, Sarah, this I'm just it's just super hot.
21:19
I don't know, it's just not keeping up well. At midnight a
21:22
Saturday, was still eighty one inside our house, which is not normal beyond
21:26
anything, right, we usually keep it seventy six, but eighty one is
21:30
a little unbearable for me, and so I ended up calling the guy he
21:33
owns next Sayer, one of the owners over there, Alex shout out man.
21:37
Anyway, So he came in and he's gonna help us out, but
21:38
don't want to make sure. I gave him a little well and now you
21:44
know we have to send him a bill, right, that's right, Yeah
21:45
you do, Yeah you do. I'm just kidding. It's you know.
21:48
And look, I'm all about referrals. You know, when if you get
21:51
somebody that does something good, give him a shout out. You know.
21:55
That is how we that's how we thrive, is the patient referrals. Because
22:00
if a patient goes, oh, go to doctor Henlett, Cana City.
22:03
He did this one thing for me that I've never seen before, or has
22:07
this one technique and never seen or even the technology, because that's something that
22:11
we really pride ourselves on a gree Bilal group is the amount of technology we
22:15
have not to be a crux or a crutch, rather not to give us
22:19
make our job easier, but make our job more complete because there are ways,
22:25
There are techniques that we can use now that are more accurate, that
22:27
make sure that we're doing a good job. We can double check ourselves,
22:30
and beyond that, it's a lot easier for patients. Instead of taking the
22:36
old goopy impressions, I assume you've had a goopy impression. I am a
22:40
full digital impression office, and so instead of taking those old goopy impressions,
22:47
we use a little wand that scans the mouth, including the teeth, and
22:49
allows us to either three D print models of fabricate crowns and bridges, actually
22:56
make partials and dentures all digitally. Now, there are times I do have
23:00
to take an impression. Right if you break a partial, I need to
23:03
get it fixed. I do need to take an impression, But for most
23:07
ninety nine percent of the time, I'm fully digital and allows me to do
23:11
things that others might not be able to if they're not digital. And so
23:15
I think it's a really cool thing to point out. It is amazing the
23:18
amount of technology and where technology has taken us through the years, especially even
23:23
I mean, obviously, if you compare dental care from you know, nineteen
23:26
twenty four to now, there's going to be a oral difference. But even
23:30
in the last ten years, fifteen years, sure, what are the cool
23:33
new toys that you have there? Well, I think you said something cool
23:37
about from nineteen twenties until now, which is twenty twenties, right, the
23:41
craziest thing that happened in dentistry was was novacane, which is no longer on
23:45
the market. That is something that we don't really use in more. It's
23:48
very ineffective. But Lyda kane was something that came from that. Lidikane is
23:52
a local intersect that came out in the forties or fifties, I believe,
23:56
and it really changed the game. So instead of having to kind of bear
24:00
down and kind of bear the pain of getting something done, getting a tooth
24:06
taken out, we can actually numb the area, which is very effective.
24:08
And we even have more advanced local anesthetics now as well. And that's just
24:15
from the forties and fifties, right, and now we're talking about scanning the
24:18
mouth with our Itaro digital pressure machine. I have a three D extra machine
24:23
in the office. That allows me to diagnose where I need to do my
24:26
root canals, see if there's a change of course in the roots, and
24:30
see if the canal is expands or contracts. Allows me to do a more
24:37
proper root canal, also lets me plan for my implants more appropriately, and
24:44
just the technology just allows me to do a more complete job. I want
24:48
to talk about root canals because root canal, that's the people hear the term
24:52
root canal and they just they go through the roof, not not the route
24:56
that they go through the roof, not because you know that was that one
24:59
of those things that Okay, this is going to be the most painful thing
25:00
that possible. Number one, who who's a candidate for RUCNAE. Who would
25:06
you look and say you need a roucanal? What would be the issue that
25:07
would lead you to have a root canal? The only well, there are
25:11
lots of reasons to do root canal, but the major one is whenever the
25:15
inside of the tooth is inflamed. Okay, denis trauma, whether there's a
25:21
cavity that's that's that is approaching that nerve and ends up inflaming or swelling.
25:27
Well, unfortunately, the teeth are a very hard encapsulated tube. Right,
25:33
the nerve inside cannot expand. Unlike a nerve or unlike swelling on your skin,
25:40
it expands, it doesn't hurt as much because there's places for to expand.
25:42
So when that inflammation occurs inside the tooth, the only thing that can
25:47
happen is it compresses your nerve, and your nerve sends out pain fibers or
25:51
pain signals. So that's why it hurts so badly, is because your tooth
25:55
cannot express that swelling. And so what we do is we go into the
26:00
tooth and we remove that nerve. We remove the blood vessels and all the
26:03
living tissue inside the tooth in the actual root canal. The canals are the
26:07
roots. That's why we call it a root canal. It's kind of a
26:11
weird verb versus noun thing. And whenever we do that, we remove all
26:15
the nerves that can send those paints in signals, and it kind of kills
26:19
the tooth. But we leave the outside area of the tooth, which is
26:22
the roots, the dentin, and the enamel, all the stuff that you
26:26
see. It allows us to keep the tooth, but the tooth is now
26:30
no longer going to be hurting you. So as long as there's enough tooth
26:33
structure to be saved, the root canal is the number one way to go
26:37
because it allows you to have it allows you to keep that tooth. Now,
26:41
to your point about the expectation of pain in my experience is anecdotal,
26:47
not research based. If a patient comes in and they have a large abscess
26:52
and I need you to perform a root canal and they're not in pain,
26:55
it can happen right, Just because they're swelling doesn't mean they are in pain.
27:00
What it is usually afterwards, after I complete the root canal, I
27:03
say, all right, get ready, because I poked the bear, you
27:06
are in pain. You're gonna be in pain now. You're gonna be a
27:07
little uncomfortable. If you need to, I can call you in a steroid,
27:11
or you need to take out bill and talnel. But usually if the
27:15
patient comes in and they are in a lot of pain, whether I do
27:18
that root canal that day, or I delay it by medicating the patient so
27:25
they don't hurt as much and then they can come back and have a more
27:29
comfortable experience. When we've performed the root canal, usually there's no pain after
27:33
it's the weirdest thing. And so going through canal switches the pain to no
27:37
pain, to pain to pain, or no pain to pain. It doesn't
27:41
make sense to me, but that's just my experience. So if you're in
27:44
pain and you get a root canal, this is my anecdotal answer, you
27:48
will be out of pain after that. Okay, what's the timeframe? I
27:51
mean, obviously that's not for every patient, but give me a general ballpark
27:55
figure when you're going to be out of pain instantly? Instantly? Ok I
28:00
was gonna say, because sometimes you go for I dental procedure and you may
28:03
feel a little you know, I gotta take the rest of the day off
28:06
from work or whatever. I'm still an Is that still? No? Not
28:10
really? And here's why. The new technologies, which we already kind of
28:14
mentioned. The older style, not older, it's still being used, but
28:18
the the original style of fillings were called amalgam or the silver colored fillings.
28:25
It had two pieces of metal that's called an amalgam. They join. They
28:30
start off soft whenever you mix them together, and then you place it into
28:33
the filling prep or the tooth, and then it hardens. That's why it's
28:36
called amalgam because it ends up becoming two metals into one and it kind of
28:40
hardens. Well, the problem not the problem, but with the The issue
28:42
with that is it requires a certain width of the tooth, so you have
28:47
to make a wider prep just to make sure that the amalgam fits in correctly.
28:52
If it's too skinny, it won't solidify right. You can't put your
28:56
instruments to press it down. And so in school where train I need one
29:00
third of the width of the tooth needs to be excavated for that filling that's
29:06
made of metal to fit and work. Now with the composite resin fillings,
29:11
that that's all I place, and that's all that we place in most of
29:14
our offices in Greebdental group. It does not require that we can make it
29:18
a lot smaller, a lot more conservative. We can actually place fillings on
29:22
the sides of teeth because we can chemically bond it to the tooth, as
29:26
opposed to needing the mechanical retention that is required of the amalgam fillings, and
29:30
so we can make things a lot smaller and so generally speaking, post operative
29:34
discomfort after fillings not as common as it once was. Now if you're getting
29:40
deeper closer to that nerve, like we kind of mentioned then, we I
29:45
always mentioned to the patient, I'm like, I was getting pretty close to
29:48
that nerve. I'm not too worried about it. But if you have some
29:49
you know, some tenderness afterward, a bill and talent of if it's worse,
29:53
give me a call back, come on in and I'll take care of
29:56
you. But usually there's not that discomfort that we once back did years back.
30:00
Talking again with doctor Carson Hilly from Garib Dental Group three zero four three
30:04
four five fifty eight fifty eight three zero four three four five fifty eight fifty
30:07
Other than just routine you know, cleanings and things of that nature, what
30:12
are the most common practices that you see? Who man? Probably the emergency
30:21
the patient that broke off a tooth and says, Doc, I don't know
30:23
where to go, what can I do? How do I do? And
30:26
what's happening? My tooth is in a meat loaf? Doc? Yeah,
30:30
can you help. I had a patient yesterday who broke off a partial clasp
30:34
that's made of metal, and I went, I don't know how you did
30:37
this. I'm impressed. You have a very strong bite right, chewing on
30:41
bark or I don't know, but but but we but we fixed that patient
30:45
right up. We added a new partial or new class for that partial and
30:48
fixed that patient right up. But there are things that I don't that I
30:52
do see a lot, but not in the same regard, like you know,
30:56
breaking stuff, breaking partials, breaking dentures, breaking teeth and a lot
31:00
of times I can tell whether they are clinchers. They grind a lot,
31:04
and we can prepare for that. We can prophylactically fabricate retainers or bite guards
31:10
at night to where they don't do that as much. But the thing that
31:12
breaks teeth, I think this is a misnow where people think that the nuts
31:15
that they're eating, or that tough piece of meat that they eat that had
31:19
some gristaline, it breaks teeth generally, know, because the only way that
31:25
breaks the tooth is if the tooth was weakened by a cavity. Normally that's
31:29
what happens. That we can buy a cavity, or we can buy acid
31:30
erosion something. But if you have a solid tooth and it breaks, the
31:37
other tooth, broke it. Because the only thing that they can break teeth
31:38
is teeth. The only thing that can sharpen diamonds are diamonds, right.
31:42
I mean there are other things, but generally speaking, you can't cut a
31:45
diamond with anything else. And so when a patient says, what happened here,
31:49
I was eating something soft, it's always something soft because they bit through
31:52
that piece of bread thinking it was going to be a little harder than they
31:56
thought. They bit down too hard, and all of a sudden they just
31:57
broke something off. And that kind of goes to the maleclusions. Teeth aren't
32:01
aligned properly, so they can over time, they can wear things down,
32:06
and it's just one of those weird things that teeth break teeth, and it's
32:10
not really the hard things that break teeth. It's amazing the number of times
32:14
it's a human in their life will do something stupid while eating, you know,
32:17
like biting their jaw, biting their tongue or all of the time.
32:22
Yeah, it is called proprioception, right, knowing where your hands are and
32:27
space, close your eyes, you just know where that is. Whenever you're
32:30
chewing, you know where your cheeks are subconsciously, but every once in a
32:35
while you go, oh, I just put my tongue, that's gonna hurt
32:37
for a while, and that's just part of life. Unfortunately, I don't
32:42
have an answer for that. I do have an answer how to fix it.
32:44
Come see me. That's one thing technology cannot no, no, cannot
32:47
hear the human condition. I want to talk about insurance for a moment and
32:52
trying to if you will navigate the insurance landscape for not only the provider but
32:58
also for the patient. It can be very difficult. It is very difficult.
33:00
And I think the first thing we need to understand about dental insurance it
33:05
is not the it's not how we think of regular insurance. Now, let
33:09
me explain what that means. When you have car insurance, dave you and
33:14
you wreck and it's totaled, you expect. If you have conference of coverage,
33:19
you expect and you will get a new car out of it, or
33:22
you will get the value of your car, you'll get one hundred percent replacement
33:24
cost. Or if your house burns down, same thing, You're gonna get
33:29
a new house, right or hopefully so, you will get a new house.
33:31
That's the expectation of that. Or health insurance, if you go in,
33:36
they're going to cover you know, above that maximum amount. Dental insurance
33:39
works a different way. I'd call it more of a payment plan or more
33:43
of a gift card, a dental gift card. And what I mean to
33:47
say is there are maximums for dental insurance, so once you meet your maximum,
33:52
it's all out of pocket. They have a lot of limitations on their
33:57
services, and so you need to kind of before you come into a dental
34:02
office, and we can help you through this because we'd see it all the
34:05
time, but I would read your dental insurance what it says and what limitations
34:09
there are. I'll have a patient walk in today. I hope not,
34:13
but they might walk in today and go, hey, I have tooth pain,
34:15
I hurt. I need a crown, any root can now or any
34:17
extraction. I need a denture. And we'll look at their insurance and they
34:22
and unfortunately I have to tell them, you have a waiting period because you
34:24
just got this dental insurance for maybe six months, and so you cannot use
34:28
this service that you just which is not uncommon at all to have a waiting
34:31
period on any any kind of a medical procedure, for sure, for sure,
34:35
but it's it's something that they were not aware of, and so we
34:37
have to unfortunately tell them this is gonna be all out of pocket because of
34:40
expire Z. And so there are so many little things that the fine print
34:45
I think is a little more fine and dental insurance than any other insurance,
34:50
at least in my experience. Now, I don't really going to get into
34:52
the weeds of what insurance is or is it. Yeah, but definitely I
34:55
think that's the biggest misnomers that if you need all your teeth extracted, you're
35:00
going to quickly go through that maximum that you have for the year and everything
35:05
else will be out of pocket generally speaking. And so that's the biggest and
35:08
I'm not great, but that's just something that patients need to be aware of
35:12
when it comes to dental insurance. And I don't know, but it's that
35:15
much different than any other insurance, to be honest with you. I mean
35:17
when it comes to medical care. I mean, because from what you're telling
35:20
me, because you know, you go for a physical, you go for
35:23
you know, fill in name here, optometry whatever, Okay, this is
35:25
covered, this is not. This is kind and it can be kind of
35:28
difficult. Bottom line is you need to talk to your provider and kind of
35:31
get a good most if you your employer will give you like a nice little
35:35
handbook to look at or to contact you folks first and just say, okay,
35:39
I need to I'm having some discover let's talk about the insurance because you
35:43
got enough people that should be able to, you know, to kind of
35:45
work with you on that. Yeah. And something that's also unfortunate. We
35:49
aren't privy to some of these stipulations until after we build things. Oh,
35:53
I didn't thought about that. Yeah. So there are times when we think
35:55
we know something, or at least the website tells us something right, and
35:59
it's not exactly that. And I won't name names. I don't have a
36:02
sure, I don't have an example, but it's happened before where we told
36:07
the patient, well, this is what we believe because you're in church is
36:08
telling us and it's not. And that's unfortunately that just hurts, kind of
36:13
hurts that patient doctor, you know, trust because we told them something.
36:16
But we feel bad because we told them that we thought it was true.
36:20
But usually we try to kind of make sure patients know exactly that this is
36:24
an estimate. Doctor Carson, don't call me Henley. Don't call me Don
36:29
Henley from GREEB Dental Group GREEB Dental Group dot com. I appreciate you being
36:34
here, man, it's great to get to know you, and thanks a
36:35
lot for a lot of great information today. Well, thanks for having me.
36:37
And you've got six locations and you can just google it be the best
36:39
way to do it and they'll hook you right up Rightebdental Group dot Com.
36:44
All right, thanks a lot, I appreciate you being here. Thanks a
36:45
lot. Stick around because we got news at the top of the hour that
36:49
I'll be in with the Dave Island Show coming up at a round nine o
36:52
seven. My producer was Ryan Nicholson. Thank you so much. We will
36:53
see you to next time. I'm not sure when the next one will be,
36:58
but Coop, we'll be doing it. I'll see it time in July.
37:00
Yes, yeah, I'll see you and in July. All right,
37:02
folks, we gotta go see you later. Five a w c h S
37:40
A ninety six point five in Charleston one four point five Cross Lane, w
37:45
u v RC Media Station. We're proud to live here too.