Latest / WCHS Network Podcasts / 09/23/2025 Ask the Expert with Ghareeb Dental Group
Transcript
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- 0:15Speaker 2: The views and opinions expressed on this program do not
- 0:18Speaker 2: necessarily reflect the views and opinions of five AD WCCHS
- 0:22Speaker 2: it's employees or WVRC Media.
- 0:38Speaker 3: Happy Tuesday morning to you. You're listening to ask the
- 0:40Speaker 3: expert WCHS the Voice of Charleston. I'm Deel Cooper. Thanks
- 0:43Speaker 3: for tuning in on this kind of rainy first time
- 0:46Speaker 3: we've had a rainy morning in a while. Well rainy
- 0:48Speaker 3: as you're heading into Charleston or out of Charleston, or
- 0:50Speaker 3: however you're heading to work this morning. You can guess
- 0:52Speaker 3: a little wet roadway. It's not too bad, Visibility is
- 0:54Speaker 3: still pretty decent, and everything just not those that beautiful
- 0:57Speaker 3: sunny morning that we've been used to recently. But it's
- 0:59Speaker 3: still feels a little bit like autumn. So I'll take
- 1:01Speaker 3: it with it being what the second day of autumn.
- 1:03Speaker 3: I guess in studio with us today, it is time
- 1:06Speaker 3: to talk to Garie Dentzel Group in studio with me today.
- 1:08Speaker 3: It is doctor Stephen Greeb and doctor Carson Henley from
- 1:11Speaker 3: Ghreeb Dental Group. Good morning, gentlemen. How you doing this morning?
- 1:14Speaker 3: Doing well? How about yourself? Coop doing very well? Thanks
- 1:16Speaker 3: for coming in, doctor Henley.
- 1:18Speaker 4: I feel like we could do a duop with this
- 1:19Speaker 4: mike here.
- 1:20Speaker 3: Yeah, I know, man, it's still a thing that these
- 1:22Speaker 3: brand new studios and I'm still limited to like a
- 1:24Speaker 3: one guess mic thing. So I feel kind of bad
- 1:26Speaker 3: about that, but at least it brings us closer. I
- 1:29Speaker 3: love it. It's true. That's what you guys need is
- 1:31Speaker 3: to get to get closer. There's no doubt about that.
- 1:34Speaker 3: If you have any questions about your dental hygiene this
- 1:36Speaker 3: morning and give us a call. We have some topics
- 1:37Speaker 3: that we're going to discuss, but we love for you
- 1:39Speaker 3: to control the discussion, and you can do that by
- 1:41Speaker 3: calling us this morning. Threes are four, three, four, five,
- 1:43Speaker 3: fifty eight fifty eight to go and hold you all
- 1:45Speaker 3: give into auto Q just give be ready to give
- 1:48Speaker 3: your name when you go in the air. Threes are
- 1:50Speaker 3: four three four five fifty eight fifty eight. You can
- 1:52Speaker 3: also text threes are four nine three five five zero
- 1:54Speaker 3: zero eight. If you don't have time to get on
- 1:55Speaker 3: the phone. If you don't like the sound of your
- 1:57Speaker 3: voice on the air, or whatever it might be, you
- 1:59Speaker 3: can texas well three zero four non three five five
- 2:02Speaker 3: zero zero eight play thanks for us to talk about today.
- 2:04Speaker 3: But first of all, how are things going in the
- 2:07Speaker 3: world of dental hygiene? And in this month?
- 2:11Speaker 5: You know, it's all right, not too bad. We're really
- 2:14Speaker 5: into the swing of you know, school season beginning of fall.
- 2:19Speaker 5: It's it's interesting now at the office, it can it
- 2:22Speaker 5: makes things run a little bit differently, just the people's
- 2:25Speaker 5: availabilities and schedules.
- 2:28Speaker 3: But it's nice.
- 2:29Speaker 5: People are coming back, you know, getting things a little
- 2:32Speaker 5: more regulated and normalized from from the summer because summer
- 2:36Speaker 5: everybody's in and out of town and and everywhere.
- 2:38Speaker 3: So it's, uh, it's good.
- 2:39Speaker 5: Good to get back into the routine.
- 2:41Speaker 3: Yeah, it's it's always different, but when school comes back around,
- 2:44Speaker 3: it's everybody's schedule does change. That happens around here too.
- 2:47Speaker 3: It's just like suddenly, I don't know, maybe things are
- 2:50Speaker 3: a little looser, you know, during the summer, you know,
- 2:53Speaker 3: and you have to form a little bit more of
- 2:55Speaker 3: a regiment, I think.
- 2:56Speaker 5: And what happens then in dentistry is that people schedule
- 2:59Speaker 5: there their cleanings, you know, a few months ago, right,
- 3:02Speaker 5: and like, oh yeah, in September, you know, two o'clock.
- 3:05Speaker 3: Will be fine. Yeah.
- 3:06Speaker 5: Well like, oh wait, no kids, kids are in school. Yeah,
- 3:10Speaker 5: so I got to change that. So yeah, there's a
- 3:13Speaker 5: little bit of finagling we gotta do.
- 3:14Speaker 3: I can see how I can see how that that
- 3:17Speaker 3: can come about. And we're only about a month away
- 3:19Speaker 3: from our our yearly Halloween episode too. We guess to
- 3:22Speaker 3: talk about all the teeth, all the problems with teeth
- 3:24Speaker 3: and getting into the getting ready for the holidays and
- 3:26Speaker 3: all that stuff.
- 3:26Speaker 4: I think we're gonna dress up for this next show.
- 3:29Speaker 3: I think it would be pretty good. But let me
- 3:30Speaker 3: know if you do, and I will too, and we'll
- 3:32Speaker 3: just go all three dress up. Why not? I was
- 3:35Speaker 3: wearing I wore a some white like a sort of
- 3:39Speaker 3: khaki pants and you do that anyway, white docker type
- 3:43Speaker 3: pants and a short sleeve blue and gray check T shirt.
- 3:46Speaker 3: One day last week and my U and Tracy up
- 3:49Speaker 3: front as I was walking out pulled me to sign
- 3:51Speaker 3: and she said, you look just like Forest Gump.
- 3:53Speaker 5: Oh my god, that is that a compliment?
- 3:56Speaker 3: I don't know, it's just the outfit, but it did
- 3:58Speaker 3: make me think. I was like, man, that would be
- 4:00Speaker 3: a really easy Halloween out there, you get you know,
- 4:02Speaker 3: I mean, I already have apparently already have the outfit.
- 4:04Speaker 3: I just have to cut my hair and I'd probably
- 4:06Speaker 3: be okay. Like I said, we have plenty of things
- 4:09Speaker 3: we want to talk about this way. We're going to
- 4:10Speaker 3: get into sedation options here in just a little bit
- 4:12Speaker 3: because I know this is that's actually something that'll be
- 4:14Speaker 3: an interesting discussion because those have changed a little bit.
- 4:17Speaker 3: And also does it vary from dental office to dental
- 4:20Speaker 3: office on what they can offer, so not everybody can
- 4:23Speaker 3: offer the same thing.
- 4:23Speaker 5: So that's why we wanted to bring that up because
- 4:25Speaker 5: it is very different from office to office, and we're
- 4:30Speaker 5: very fortunate in our group that we have multiple dentists
- 4:34Speaker 5: that have multiple sedation options. Generally, most dentists don't have
- 4:40Speaker 5: that many sedation options. Do not have that many sedation
- 4:43Speaker 5: options because it takes a lot of training. There's a
- 4:47Speaker 5: lot of certifications and licensing that has to go into
- 4:52Speaker 5: how deeply you can sedate a patient in a dental office.
- 4:56Speaker 5: So that's really something that we want to to let
- 5:01Speaker 5: everybody know about what the options that we have and what.
- 5:03Speaker 3: It takes to get there. And that's it's really interesting.
- 5:07Speaker 3: And only through doing the show with you guys and
- 5:10Speaker 3: you know, talking to humans in the world, did I
- 5:13Speaker 3: really realize that there are different because you know, there's
- 5:16Speaker 3: been procedures that I've done or that I've had done
- 5:18Speaker 3: that I was like, well, why do you just have
- 5:19Speaker 3: that done in the office or whatever it might be.
- 5:21Speaker 3: And it's like, well, they didn't offer that there or
- 5:23Speaker 3: whatever it might be, And as like, oh, of course,
- 5:25Speaker 3: I guess not every place offers the exact same thing.
- 5:27Speaker 3: So that makes sense for us to talk about that
- 5:29Speaker 3: a little bit. So if you have any questions about that,
- 5:30Speaker 3: you can get those ready as well and give us
- 5:32Speaker 3: a call. Threes er A four three four five fifty
- 5:33Speaker 3: to fifty eight. You can text threes are A four
- 5:35Speaker 3: nine three five five zero zero eight. We're gonna talk
- 5:37Speaker 3: about that in just a moment. But one thing that
- 5:39Speaker 3: we wanted to bring up just for a minute because
- 5:40Speaker 3: it's kind of a neat story. I guess is I
- 5:43Speaker 3: found a story about well, basically it had to do
- 5:47Speaker 3: with the head The top line headline was a guy
- 5:50Speaker 3: gets a tooth inserted into his eye to fix it.
- 5:52Speaker 3: Now it's a little bit more complicated than that, but
- 5:55Speaker 3: the clickbait was very good clickbait. I mean, what you
- 5:58Speaker 3: stuck a tooth in your eye? What happened there? Exactly?
- 6:00Speaker 5: And this was this is actually real aal a real story. Yeah,
- 6:04Speaker 5: it's very cool. Thanks for providing material for the show.
- 6:07Speaker 5: So Dale was doing his research off off the clock here.
- 6:11Speaker 5: So anyhow, it's a very cool story that you send us.
- 6:14Speaker 5: I believe is out of Boston that they did this
- 6:16Speaker 5: procedure that well, the reporting was out of Boston. The
- 6:20Speaker 5: procedure may have been done in Canada. But nonetheless, this
- 6:24Speaker 5: is a procedure that, as we've found, has been happening
- 6:29Speaker 5: since I think the first time it starts in the
- 6:32Speaker 5: sixties is when they first did this. But the idea
- 6:36Speaker 5: is that you have a patient that is almost completely
- 6:41Speaker 5: blind or almost blind due to really a traumatic injury
- 6:46Speaker 5: of some sort. The person that they mentioned in this
- 6:50Speaker 5: article suffered from a really severe reaction to some medication
- 6:57Speaker 5: that caused that damaged his eyes and damage them so
- 7:01Speaker 5: badly that there wasn't enough vasculature, enough vessels, enough blood
- 7:06Speaker 5: coming to that area to support a prosthetic lens. So
- 7:12Speaker 5: when you have a damaged eye, it's like a camera.
- 7:15Speaker 5: You can change out the lens in there, there's the cornea.
- 7:19Speaker 5: There are different pieces to the eye that you can
- 7:21Speaker 5: replace depending on what the problem is. And in these
- 7:24Speaker 5: specific cases, the cornea, the front portion of the eye
- 7:29Speaker 5: is so damaged that it cannot hold the lens that
- 7:32Speaker 5: allows light to come through to the back of the
- 7:34Speaker 5: eye and let you see. So in this situation, they
- 7:39Speaker 5: needed something to act as a I guess a scaffold,
- 7:44Speaker 5: something to hold that lens in place, because the natural
- 7:47Speaker 5: tissue is so damaged it could not. So what can
- 7:50Speaker 5: you put in there that the body's not going to reject? Well,
- 7:53Speaker 5: it turns out in nineteen sixty they discovered that you
- 7:55Speaker 5: could put a tooth in the eye.
- 7:57Speaker 3: That's crazy and create.
- 7:59Speaker 5: Basically, you take the tooth it's it's and cut it
- 8:02Speaker 5: to a certain size, but it's it's actually you make
- 8:05Speaker 5: a block out of the tooth and drill a hole
- 8:08Speaker 5: in it and put the lens inside that and then
- 8:12Speaker 5: insert that into the eye and then everything heals around
- 8:16Speaker 5: it because it's your own material, from your own body,
- 8:20Speaker 5: so your body doesn't reject it like.
- 8:22Speaker 3: You're making a what are they called a molecule out
- 8:26Speaker 3: of the out of the tooth, the whole blinds into
- 8:29Speaker 3: place and put it in the frame. It's just really
- 8:32Speaker 3: fascinating and what what I always like about it. Obviously
- 8:34Speaker 3: you guys aren't going to be pulling teeth and sticking
- 8:35Speaker 3: into people's I mean this is this isn't come to
- 8:37Speaker 3: the office, and this isn't a dental procedure. But the
- 8:39Speaker 3: thing about that, now, this is really old technology. And
- 8:42Speaker 3: my guess is because this is highly specific. This guy
- 8:45Speaker 3: went under. There are, according to transplants that you can get.
- 8:47Speaker 3: This guy just may well failed for him.
- 8:50Speaker 5: So he had all of them, I think seven or ten,
- 8:53Speaker 5: and they lasted for a very short period of time,
- 8:56Speaker 5: but then they failed because the eyes so damaged it
- 8:58Speaker 5: needed something stronger to hold it.
- 9:00Speaker 3: I guess is if there was a need for this
- 9:02Speaker 3: to be more prolific, if there is more people that
- 9:04Speaker 3: fell into this category or something, that this would evolve
- 9:06Speaker 3: out of the area where you need to pull a
- 9:08Speaker 3: tooth and do whatever else and the will probably turn
- 9:10Speaker 3: into something more streamlined and scientific where you're able to
- 9:13Speaker 3: culture sell somehow and turn the thing out or something
- 9:15Speaker 3: like that. It's very impressive to me how science and
- 9:20Speaker 3: dentistry on the edge of that really follows these bouncing
- 9:23Speaker 3: balls a lot when it comes to a technology and okay,
- 9:26Speaker 3: we have this like sort of sort of an inelegant
- 9:28Speaker 3: way to do things over tom there's really a way
- 9:30Speaker 3: to dial that in and turn it into very elegant
- 9:33Speaker 3: procedures and things that you can really use. Yeah.
- 9:35Speaker 5: Sure, And it comes down two numbers as well, how
- 9:38Speaker 5: much these procedures are honed and fine tuned. Something that
- 9:42Speaker 5: was very interesting in this article I've found was how
- 9:45Speaker 5: they prepared that tooth. So they took the tooth out.
- 9:50Speaker 5: An oral surgeon took the tooth out, cut it to size,
- 9:53Speaker 5: put it a hole in it, and then he reinserted
- 9:56Speaker 5: it and planted it into the patient's cheek to sit
- 10:00Speaker 5: for a while for the body to coat that tooth.
- 10:04Speaker 3: It's crazy with with you know, mucosa, which like croming
- 10:08Speaker 3: it I guess right, I mean, well it created Yeah,
- 10:10Speaker 3: it created like a healing capsule around that tooth that
- 10:14Speaker 3: then that would help provide more a better uptake from
- 10:20Speaker 3: and receiving that area into the patient's eye. This is
- 10:25Speaker 3: this is crazy. It is crazy. Yeah, the patient apparently
- 10:28Speaker 3: achieved twenty forty to twenty thirty vision, so his vision
- 10:30Speaker 3: got to be relatively decent. He could he could do
- 10:32Speaker 3: sports again, and things like that. It's just a neat
- 10:34Speaker 3: way that these things all kind of relate in together.
- 10:38Speaker 3: And uh, just a tooth that helps the vision, why not?
- 10:41Speaker 4: It's pretty cool and fun. Fact, this procedure is called
- 10:45Speaker 4: do you remember I don't actually osteo odonto corato prosthesis.
- 10:49Speaker 3: That's why I didn't really.
- 10:50Speaker 5: Yeah, of course you would say the thank you doctor
- 10:54Speaker 5: Henley for the breakdown on that. But the more common
- 10:57Speaker 5: term is tooth in eyes.
- 11:00Speaker 3: That's just a tooth in the eye, the old tooth. Right,
- 11:04Speaker 3: all right, we have more relevant things as far as
- 11:07Speaker 3: the dental's office to talk about this morning as well.
- 11:09Speaker 3: You can give us a call if you have any
- 11:10Speaker 3: questions for that. Three four, five, fifteen fifty eight tex
- 11:12Speaker 3: threes or four none, three five, fives years or eight.
- 11:14Speaker 3: It is really serious business when we talk about going
- 11:16Speaker 3: to see your dentist and and you have a spectrum
- 11:20Speaker 3: of issues that you can deal with from from just
- 11:22Speaker 3: cleanings all the way to you know, deep root canals
- 11:24Speaker 3: and and having to replace teeth and things along those lines.
- 11:29Speaker 3: Depending on where you go, you have different options when
- 11:31Speaker 3: it comes to your sedation. You know, some some places
- 11:33Speaker 3: offer just very light sedation and not much else. In
- 11:35Speaker 3: some places go a little bit deeper than that.
- 11:37Speaker 5: Yeah, well, I'll give you my own story just to
- 11:40Speaker 5: start it out, because coming back out of dental school,
- 11:43Speaker 5: coming back to my dad's office, my dad was of
- 11:46Speaker 5: the generation of the period of time and training and
- 11:52Speaker 5: dentistry where they're just were not sedation options. He didn't
- 11:56Speaker 5: he didn't even have nitrous oxide laughing gas in his
- 11:59Speaker 5: all because he did very well managing patients that needed
- 12:04Speaker 5: that in different ways, but he did not have the
- 12:08Speaker 5: certification and all of those equipment. Some materials had not
- 12:14Speaker 5: really become too mainstream enough for him to put that
- 12:17Speaker 5: into his office at the time. So I started out
- 12:20Speaker 5: dentistry without any type of sedation options. And then from there,
- 12:26Speaker 5: I mean even in dental school, we didn't really have
- 12:28Speaker 5: the sedation options in the school as much unless you
- 12:31Speaker 5: were getting oral surgery. So after that I bought my
- 12:36Speaker 5: practice in South Charleston, and ironically I bought the practice
- 12:41Speaker 5: that used to be the only general sedation or dental
- 12:47Speaker 5: office that offered sedation in the Charleston area general dentistry.
- 12:52Speaker 5: So this doctor for twenty years, that's basically what he
- 12:56Speaker 5: brought patients in, sedated them, did all their dental work,
- 12:58Speaker 5: and that was about it. So I walked into this
- 13:01Speaker 5: practice without any sedation training, realizing, wow, I'm going to
- 13:04Speaker 5: have a lot of patients that are expecting sedation. So
- 13:07Speaker 5: it turned out that that was the case. And then
- 13:10Speaker 5: at the time I peron, I saw it after let's
- 13:15Speaker 5: see called oral conscious sedation is what we call it.
- 13:18Speaker 5: It's a way to sedate patients that's not with an
- 13:22Speaker 5: IV that you give them pills basically and it puts
- 13:25Speaker 5: them to sleep. And that's the way that that I
- 13:27Speaker 5: sedate patients. And in doing that, I had to really
- 13:31Speaker 5: go through a lot of training, multiple continuing education trips
- 13:37Speaker 5: to get a minimum number of hours of the sedation training,
- 13:40Speaker 5: live patient procedures. And this was my goodness. It's now
- 13:44Speaker 5: been close to twenty years ago, so it's hard to
- 13:47Speaker 5: remember exactly the initial things going on, but it's it's
- 13:51Speaker 5: been you know, it's been a long time, but since then,
- 13:55Speaker 5: I've also had to keep up with minimum training requirements
- 13:59Speaker 5: since then every year to report the right types of
- 14:03Speaker 5: training and cases that we do. And now we do
- 14:07Speaker 5: sedation cases multiple times a week in the office in
- 14:10Speaker 5: that fashion. So that's that is one option of sedation
- 14:16Speaker 5: that I offer is the what we call oral conscious sedation.
- 14:20Speaker 5: We give you pills orally. Below that, there's something we
- 14:24Speaker 5: call axiolysis that also requires a certain certification from a
- 14:30Speaker 5: dentist from the from the Dental Board for a dentists
- 14:32Speaker 5: to do it. And that type of sedation is we
- 14:37Speaker 5: can give the patient one dose of an oral medication
- 14:41Speaker 5: like valuum or something to calm them down and combine
- 14:44Speaker 5: that with nitrous oxide in the office and so that
- 14:48Speaker 5: is enough for some patients to get through the procedure
- 14:51Speaker 5: if they're if they're anxious. And then below that there
- 14:53Speaker 5: is just the nitrous oxide that we can provide for patients,
- 14:57Speaker 5: which you still need to have some you board approval
- 15:01Speaker 5: on that and if you have those materials in your office,
- 15:04Speaker 5: you have to have it all inspected regularly and after
- 15:07Speaker 5: initial installation. So those are some of the levels of
- 15:12Speaker 5: sedation that we that we offer in the office. And
- 15:15Speaker 5: now doctor Henley, though, I want him to talk about
- 15:17Speaker 5: his training in the type of sedation that he offers
- 15:20Speaker 5: at his office, which is really cool, fascinating.
- 15:25Speaker 4: Fascinating, even fascinating. Well, now I have to like talk
- 15:29Speaker 4: about some fascinating snuff down my goodness.
- 15:31Speaker 3: Yeah, I want to hear about this, oh for sure, sir.
- 15:34Speaker 2: So.
- 15:35Speaker 4: I kind of so when I bought my practice back
- 15:38Speaker 4: in twenty twenty, because I was actually the associate of
- 15:41Speaker 4: doctor Steve, and I witnessed a lot of sedation with
- 15:44Speaker 4: him to actually kind of help in certain procedures. If
- 15:48Speaker 4: he was working on the sedation part, he'd say, hey,
- 15:50Speaker 4: can you come help and do this or or you know,
- 15:53Speaker 4: we kind of do things together sometimes, although he always
- 15:56Speaker 4: handled the sedation because I was only qualified for the
- 15:58Speaker 4: Anzia Lisis part. But then whenever I moved to my
- 16:01Speaker 4: new practice, I was the only doctor in that practice
- 16:03Speaker 4: and I kind of was missing the sedation part because
- 16:08Speaker 4: my heart would sink when I would have a patient
- 16:10Speaker 4: walk in and say, I have these you know, these
- 16:12Speaker 4: three teeth that need to come out, and I'm looking
- 16:14Speaker 4: at them and I could probably just pull them out
- 16:16Speaker 4: with napkins and they go, well, I need to be sedated.
- 16:19Speaker 4: I need to be quote unquote like put out or
- 16:21Speaker 4: put to sleep. And I go, I can't do that.
- 16:24Speaker 4: I don't have that qualification. And so that I read
- 16:26Speaker 4: that as a challenge, and so I went out just
- 16:29Speaker 4: like doctor Stephen did those weekends and months of training
- 16:32Speaker 4: that our wives were like, what are you doing? You know,
- 16:36Speaker 4: I had to drive all the way Kentucky for my
- 16:38Speaker 4: training a week after week, month after month. But finally
- 16:41Speaker 4: I got my certification with IBU sedation, just like doctor
- 16:44Speaker 4: Stephen did with the board had come look at my office,
- 16:48Speaker 4: make sure everything's set up safely, they had to watch
- 16:51Speaker 4: me do a case, and then we were off to
- 16:54Speaker 4: the races. So I now offer it for My limit
- 16:57Speaker 4: is sixteen and older for IV sedation because I let
- 17:01Speaker 4: anyone under that, I call them kids, and I let
- 17:04Speaker 4: the peddice take care of that to an extent. But
- 17:08Speaker 4: it is neat to be able to provide something that
- 17:12Speaker 4: a lot of patients only think a hospital can provide.
- 17:16Speaker 4: And we do it very safely in a way that
- 17:19Speaker 4: it's called tie training to effect. And so you do
- 17:22Speaker 4: one dose of a drug and you see what the
- 17:25Speaker 4: effect is you wait for the onset, and once that
- 17:28Speaker 4: onset takes, if they're not to the to that range
- 17:32Speaker 4: of modern sedation is what we're trying to get them to.
- 17:34Speaker 4: If they're not there, we add another round of drugs
- 17:39Speaker 4: and then we just wait and then so it's it
- 17:41Speaker 4: is a waiting game, because if you put in too
- 17:44Speaker 4: many drugs too quickly, that's not sedation, that's that you
- 17:47Speaker 4: can quickly get. You can quickly be a little dangerous there.
- 17:51Speaker 4: And so we always ti tract to effect. We do
- 17:53Speaker 4: it very safely. We have every staff member in my
- 17:56Speaker 4: office knows the emergency drills, my my all my sisters,
- 18:00Speaker 4: since our qualified monitors that know how to hook up
- 18:02Speaker 4: the machine and monitor the patient and monitor the patient
- 18:06Speaker 4: through the machine to make sure that the capnography and
- 18:09Speaker 4: the O two SATs are high enough. I'm getting into
- 18:12Speaker 4: the weeds here on I but that being said, I
- 18:15Speaker 4: just want to reiterate that IVY sedation in an office
- 18:17Speaker 4: can be done safely and can be done where patients
- 18:22Speaker 4: are made comfortable. Because if you needed to have a
- 18:25Speaker 4: tooth taken out, an ural surgeon can do that. If
- 18:28Speaker 4: you need an mplant, oral surgeon can do that. But
- 18:30Speaker 4: if you need a root canal and you need to
- 18:32Speaker 4: be sedated, there aren't really many options. I know there's
- 18:36Speaker 4: some wonderful root canal specials out there, but they don't
- 18:40Speaker 4: offer the level sedation that doctor Stephen and I do,
- 18:43Speaker 4: and so there's just other options for there. We wanted
- 18:46Speaker 4: to provide that to the patient's kind of a range
- 18:48Speaker 4: of options, and the final sedation option we want to
- 18:50Speaker 4: point out I believe doctor Gunter. We have a highly
- 18:54Speaker 4: qualified associate that is able to take kids into the
- 18:57Speaker 4: hospital and handle some pediatric needs there, and so she
- 19:05Speaker 4: has hospital privileges which helps us out as well. Three,
- 19:10Speaker 4: we'll tell about that.
- 19:11Speaker 3: I don't we're gonna I've drawn.
- 19:13Speaker 5: We're gonna bring that up in next, next, next show.
- 19:16Speaker 5: I have a we'll have a little pediatric show.
- 19:20Speaker 3: Oh it's fantastic. We should come to bear together. Yeah,
- 19:23Speaker 3: this would be awesome. Why don't we do this? I
- 19:26Speaker 3: have some questions to ask about the sedation, but we
- 19:28Speaker 3: need to take a break as well. So let's go
- 19:29Speaker 3: ahead and take our break and then we come back.
- 19:31Speaker 3: We'll still have plenty of tom with doctor Stephen Garib
- 19:34Speaker 3: and doctor Carson Henley from Garib Dental Group You can
- 19:37Speaker 3: call and talk to doctors Stephen and Carson by calling
- 19:40Speaker 3: three zero four three four five fifty fifty eight three
- 19:42Speaker 3: four five fifty fifty eight. You can text threes are
- 19:44Speaker 3: four non three five five zero's you're eight. You're listening
- 19:46Speaker 3: to ask the expert with the Greed Dental Group. I'm
- 19:48Speaker 3: Del Cooper. This is Fyve ADWCHS, the Voice of Charleston.
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- 22:03Speaker 3: Hello, how are you? Good morning? Thanks for tuning in
- 22:06Speaker 3: to ask the expert w c HS the Voice of Charleston.
- 22:08Speaker 3: I'm del Cooper. Thanks for tuning in once again. Really
- 22:11Speaker 3: appreciate your time in getting involved with our situation this morning.
- 22:14Speaker 3: And we have a caller that has called in this morning.
- 22:18Speaker 3: You're on the line. I forgot his first name overdy,
- 22:20Speaker 3: Larry is calling. I told the doctor's your name, Larry.
- 22:23Speaker 3: Good morning and thanks for thanks for calling in this morning.
- 22:27Speaker 3: What's your question for the doctor?
- 22:29Speaker 9: Good morning, guys. My daughter I overheard the condition you
- 22:34Speaker 9: guys were talking about with the twos and I you know,
- 22:39Speaker 9: she's she's been the countless eye doctors. You know, I
- 22:45Speaker 9: was just wondering if there was any way they I mean,
- 22:47Speaker 9: if there's a misdiagnosis of this, because I mean I've
- 22:52Speaker 9: taken her to Morgantown and different different places and she's
- 22:57Speaker 9: had nothing but problems, like mainly with like the peripheral
- 23:01Speaker 9: vision of our eye.
- 23:06Speaker 2: Tough one.
- 23:06Speaker 5: That's a tough one because this procedure that we are
- 23:09Speaker 5: talking about is super super specific on the types of
- 23:14Speaker 5: injuries that it can it can correct. So honestly, I'm
- 23:19Speaker 5: I'm not sure about the situation with with your daughter.
- 23:24Speaker 5: I know that we do have a lot of great
- 23:27Speaker 5: eye doctors around the Charleston area and and in Morgantown.
- 23:31Speaker 5: It sounds like you're going to the to the kind
- 23:34Speaker 5: of the right places. But I tell patients that if
- 23:37Speaker 5: you're not finding the solution that I can offer you,
- 23:39Speaker 5: then please go find a second opinion somewhere else. Go
- 23:43Speaker 5: go explore more options. Maybe you may want to go
- 23:47Speaker 5: to a more of an eye specific center. Uh, some
- 23:51Speaker 5: patients have success with that. Uh, certain certain hospitals have
- 23:57Speaker 5: you know, are known for advances advancements in eye surgery,
- 24:02Speaker 5: and you can find that with different specialties all around
- 24:05Speaker 5: the medical industry. So i'd encourage you to to maybe
- 24:09Speaker 5: maybe look also if you're not getting the answers that
- 24:11Speaker 5: you're that you're looking.
- 24:12Speaker 9: For, right, I was just curious if if it's possible
- 24:17Speaker 9: that it could be a misdiagnosis, I mean, would it
- 24:21Speaker 9: be would it be wise for her to come in
- 24:24Speaker 9: and see it then as to see if that could
- 24:27Speaker 9: be causing this problem?
- 24:30Speaker 5: Yeah, unfortunately, no, that's that's really not so much something
- 24:34Speaker 5: that we could do in the dental office as far
- 24:37Speaker 5: as helping diagnose the eye condition. So I'd highly recommend
- 24:40Speaker 5: getting to just the higher qualified eye specialists.
- 24:47Speaker 9: Okay, Well, I just I just overheard because I'm at
- 24:50Speaker 9: work and I listen to you guys all the time,
- 24:53Speaker 9: and I overheard that, and I mean, she's had none
- 24:56Speaker 9: of the problems out of this.
- 24:58Speaker 3: And you know, well, well, man, we appreciate you.
- 25:02Speaker 5: We appreciate you listening, and uh and hope for the
- 25:04Speaker 5: best for your daughter's situation. And that's a tough one.
- 25:09Speaker 5: That's a tough one. But yeah, thanks again for listening.
- 25:12Speaker 3: Thanks like for your phone call. We appreciate that, Larry.
- 25:14Speaker 3: And that's one of those situations. We talked about that
- 25:15Speaker 3: story from the beginning, and I was I was hoping
- 25:18Speaker 3: that it wouldn't confuse things any because that's not a
- 25:20Speaker 3: procedure that's really available. That's a very it's good to.
- 25:25Speaker 5: Have different different medical opinions and as far as how
- 25:30Speaker 5: we can help each other out across the across the
- 25:34Speaker 5: medical specialties.
- 25:35Speaker 3: Sometimes it just takes the right person to diagnose something.
- 25:37Speaker 3: My ex wife years and years ago had a malformation
- 25:41Speaker 3: of her skull was called chiari malformation that at the time,
- 25:45Speaker 3: this was twenty years ago, was very rare to be diagnosed.
- 25:48Speaker 3: It's missed. It was missed a lot, and it just
- 25:51Speaker 3: so happened that the x ray tech that did her,
- 25:53Speaker 3: that did her scan, was familiar with it and from
- 25:56Speaker 3: the symptoms was like, you know, I should check and
- 25:57Speaker 3: see if there's anything there that would would suggest a
- 26:01Speaker 3: QRI malformation. And sure enough, that's what it was. Wow,
- 26:03Speaker 3: she had been missed three or four times previously before,
- 26:06Speaker 3: and it was the one person found it. She got
- 26:08Speaker 3: the thing resolved. I mean, it was a long process,
- 26:10Speaker 3: but it fixed the issue ultimately, and that was because
- 26:12Speaker 3: there was one person that had a little bit of
- 26:14Speaker 3: experience in the field that was able to find like
- 26:17Speaker 3: this really hard to diagnose at the time. I think
- 26:19Speaker 3: it's become a lot easier to diagnose now, but at
- 26:21Speaker 3: the time very hard to diagnose things. So you never know.
- 26:24Speaker 3: You just have to find the right specialist, the right person,
- 26:26Speaker 3: and you never know what you know.
- 26:28Speaker 5: What else was interesting recently is I had a patient
- 26:30Speaker 5: come in that her physician had suspected her to be
- 26:35Speaker 5: suffering from something called chogrin syndrome, which shows up in
- 26:38Speaker 5: the mouth a bit, but it's an autoimmune syndrome that
- 26:42Speaker 5: affects your entire body, and they were struggling with trying
- 26:46Speaker 5: to treat that, trying not to Are we for sure, Well,
- 26:48Speaker 5: there's only one way to definitively diagnose it is to
- 26:56Speaker 5: take a biopsy of a patient's salvary glance and then
- 27:00Speaker 5: have them examined and under a microscope, and then they
- 27:04Speaker 5: can be determined if if that syndrome is present or not.
- 27:07Speaker 5: So the patient came to me for a biopsy of
- 27:10Speaker 5: her salvary gland, but to help out her medical diagnosis,
- 27:13Speaker 5: which is pretty cool. So we did that, sent it
- 27:14Speaker 5: off and found that actually in her case, you know,
- 27:19Speaker 5: we've found some interesting findings, but it helps us direct
- 27:24Speaker 5: their medical treatment as well.
- 27:27Speaker 3: That's that's actually very fascinating. And I've always loved when
- 27:30Speaker 3: we do our shows here how sort of the living
- 27:34Speaker 3: and breathing entity of our body and trying to achieve
- 27:37Speaker 3: homeostasis in some way. They're like just all the medical
- 27:39Speaker 3: fields can work together in that regard. I mean, it's
- 27:41Speaker 3: really amazing how that works out. We were talking before
- 27:45Speaker 3: Larry called him. By the way, if you have a
- 27:46Speaker 3: question we have about nine minutes left in the program
- 27:47Speaker 3: this morning. You're welcome to call in at three zero four,
- 27:49Speaker 3: three four five fifty to fifty eight, just like Larry did.
- 27:51Speaker 3: Threes are four three four five fifty fifty eight. You
- 27:53Speaker 3: can text three zero four nine three five five zero
- 27:55Speaker 3: zero eight. If you want to keep things more on
- 27:57Speaker 3: the retin aspect, you're more than welcome to do that
- 28:00Speaker 3: as well.
- 28:01Speaker 8: Uh.
- 28:01Speaker 3: But the thing about the sedation and what ever, since
- 28:04Speaker 3: we started doing this show, the portrayal of Dennis and
- 28:07Speaker 3: like pop culture, I've always felt that you guys get
- 28:09Speaker 3: like the raw end of the deal a lot of
- 28:11Speaker 3: the times, you know, because it's always like there's always
- 28:13Speaker 3: something well it's something Seinfeld related or whatever it is,
- 28:16Speaker 3: going all the way back. There's always something that's going
- 28:19Speaker 3: on there. And and I can't help but to think
- 28:21Speaker 3: of like movies and television shows set in like the
- 28:24Speaker 3: Old West, whenever somebody has like a tooth problem, you know,
- 28:28Speaker 3: all right, here's your here's your whiskey, and you gotta
- 28:30Speaker 3: drink this whisky and we're gonna pull that tooth out.
- 28:32Speaker 3: And that was really like what the sedation is. And
- 28:35Speaker 3: in a lot of people's mind, I think that they
- 28:37Speaker 3: don't realize that you can go to greeb Dental Group,
- 28:39Speaker 3: for example, and if you're somebody who's more comfortable with
- 28:41Speaker 3: being under to have a procedure done or something like that,
- 28:45Speaker 3: you can actually get it. You don't have to you
- 28:46Speaker 3: don't have to take the shot of whiskey and it's
- 28:48Speaker 3: just hope it doesn't hurt that bad. There's actually modern
- 28:50Speaker 3: techniques that that the dental office now offers you, and
- 28:54Speaker 3: and sort of that narrative that you might have in
- 28:56Speaker 3: your mind a little bit from seeing uh you know,
- 28:58Speaker 3: I don't know, an episode of Deadwood or something where
- 29:00Speaker 3: where Dennis was pulling the teeth. It's not like that anymore.
- 29:03Speaker 3: It's it's much nicer.
- 29:04Speaker 5: But yeah, so that's that's was the precursor to local
- 29:08Speaker 5: anesthetic too, is I mean they didn't have y right,
- 29:11Speaker 5: the numb one. That was just you know, get a
- 29:13Speaker 5: little drunk and you know, hang on. That was about
- 29:15Speaker 5: it at the time.
- 29:16Speaker 3: But I'll stab your leg and you won't notice your tooth.
- 29:19Speaker 5: But I think I've mentioned that before on the show.
- 29:21Speaker 5: Is that uh yeah, a lot of local anesthetic that's
- 29:24Speaker 5: used in modern medicine originated in dentistry. Uh, somebody had
- 29:29Speaker 5: the idea, you know, let's let's try to put a
- 29:31Speaker 5: little bit of this stuff beside the tooth and see
- 29:33Speaker 5: if it helps out. And fortunately it is, and it did,
- 29:36Speaker 5: and now we use it, you know, very extensively in medical.
- 29:41Speaker 3: And I would imagine that as doctors, you guys have
- 29:43Speaker 3: found that that that helps eliminate some of the barriers
- 29:45Speaker 3: for folks that are that are either trying to get
- 29:47Speaker 3: procedures or maybe they're trying to plan what procedures they
- 29:50Speaker 3: get done or what they're open to having done. That
- 29:53Speaker 3: has to open up your tool toolbox quite a bit.
- 29:56Speaker 3: When people have that sort of safety or that that
- 29:59Speaker 3: feet it is like, okay, well, worst case scenario, I
- 30:01Speaker 3: can at least, you know, actually be sedated and I
- 30:04Speaker 3: won't have to worry about it.
- 30:05Speaker 4: You know.
- 30:05Speaker 5: It's also very interesting that I've found over the years
- 30:07Speaker 5: it's changed a little bit. Before sedation and dentistry was
- 30:13Speaker 5: primarily only for the fearful patient. That's why you do it,
- 30:16Speaker 5: and that's why we got into it, to help with
- 30:18Speaker 5: the patients having you know, anxiety, dental anxiety, and to
- 30:22Speaker 5: relieve that. But more recently I've found that sometimes patients say,
- 30:28Speaker 5: how can I get all of this work done that
- 30:30Speaker 5: I need to have done in the shortest period of
- 30:32Speaker 5: time because we're all very busy and they don't want
- 30:35Speaker 5: to take off more work. And I said, well, you know,
- 30:37Speaker 5: we could do all of this for you from eight
- 30:40Speaker 5: in the morning until one in the afternoon and get
- 30:43Speaker 5: it all done, but it's a long appointment and they
- 30:47Speaker 5: are a lot more comfortable being sedated for that. So
- 30:50Speaker 5: that's where sometimes it can be used as even a
- 30:52Speaker 5: time saving measure too. That way they don't have to
- 30:54Speaker 5: come back for four to six different appointments and different
- 30:57Speaker 5: times off of work. These get are all done at
- 30:59Speaker 5: one time.
- 31:00Speaker 3: Never even thought of that. That makes perfect sense, you know,
- 31:02Speaker 3: if you're able to do something along those lines, because
- 31:04Speaker 3: nobody wants to be completely awake for five hours and
- 31:07Speaker 3: have their mouth open. I mean I have a hard
- 31:08Speaker 3: time keeping it open, you know, for a short amount
- 31:11Speaker 3: of time for a regular visit. But if you get sedated,
- 31:13Speaker 3: if you get put under do something like I mean, shoot,
- 31:15Speaker 3: why not if you have some massive work, Yeah.
- 31:17Speaker 5: You go take a nap and don't really remember, you know,
- 31:20Speaker 5: the procedure, and then have a RESTful rest of your
- 31:23Speaker 5: day and you're going to go to the next day
- 31:25Speaker 5: and got it all done on one shot.
- 31:27Speaker 3: So that's just something that if somebody is this is
- 31:32Speaker 3: just something you need to just need to ask your
- 31:33Speaker 3: dentist about. Like if you come to see either you
- 31:36Speaker 3: Doctor Stephen or doctor Carson and you're interested in some
- 31:38Speaker 3: sort of sedation or something, don't be nervous about it.
- 31:40Speaker 3: Just say, hey, what's my options as far as sedation comes,
- 31:43Speaker 3: what can I expect? And if you have like a
- 31:45Speaker 3: fear factor or some other kind of issue or something
- 31:47Speaker 3: like that, just be honest about it and see what
- 31:48Speaker 3: you what you can find.
- 31:49Speaker 5: I mean, we've also seen patients from other offices that
- 31:52Speaker 5: don't offer that type of procedure and they can refer
- 31:55Speaker 5: the patient to us. We sedate them and get the
- 31:57Speaker 5: work completed that they're looking for and then get them
- 31:59Speaker 5: back to their regular dentists, which is fine as well,
- 32:01Speaker 5: So it works, uh works both ways.
- 32:04Speaker 3: There. That's it's I think it's uh, it's definitely something
- 32:07Speaker 3: that has uh include it's really expanded the toolbox and
- 32:12Speaker 3: how well you guys can use it and uh and
- 32:14Speaker 3: I know for a fact that my wife is one
- 32:16Speaker 3: of these these uh, these folks would much prefer to
- 32:18Speaker 3: have high levels of sedation to have any kind of
- 32:20Speaker 3: work done for me.
- 32:21Speaker 5: You know what else is that we have these conversations
- 32:23Speaker 5: with the patients they come in and we can determine,
- 32:26Speaker 5: you know, hey, you are you're very, very anxious, you
- 32:29Speaker 5: need to be sedated completely.
- 32:31Speaker 3: Others are a.
- 32:31Speaker 5: Little anxious like you know, hey, we could just give
- 32:33Speaker 5: you a dose of some valium, a little laughing gas
- 32:36Speaker 5: and uh. We have the ability to to offer that
- 32:39Speaker 5: whole range of options for patients. So even if you
- 32:42Speaker 5: just need a little bit to take off the edge,
- 32:44Speaker 5: we've got that option too. And then we all the
- 32:47Speaker 5: way now with doctor Henley with the twilight sedation, we
- 32:50Speaker 5: can send patients to him that that need to really
- 32:53Speaker 5: they want to be sure that they are out out
- 32:56Speaker 5: like uh, like you are in the oral surgeon's office
- 32:58Speaker 5: getting your your wisdom teeth out. Then we can do
- 33:01Speaker 5: it that way as well. So it's it's a broad range.
- 33:03Speaker 3: Let me give you some information about GREEB Dental Group.
- 33:05Speaker 3: Then we'll wrap up our conversation and I'll give it
- 33:07Speaker 3: to you one more time before we get out of here.
- 33:09Speaker 3: You can find out more information online. It's Grebdentalgroup. Dot com,
- 33:11Speaker 3: Greeb Dentalgroup dot com spelled g h a r e
- 33:13Speaker 3: B Greeb Dentalgroup dot com. And you can find all
- 33:16Speaker 3: kinds of great information on there with the different services
- 33:18Speaker 3: and the different locations. As far as the locations go,
- 33:20Speaker 3: there's always going to be one close to you here
- 33:22Speaker 3: in the Kanawll Valley, Pocus, South Charleston, Cross Slane, Saint
- 33:24Speaker 3: alban State's Valley in Kanall City. Doctor Stephen is from
- 33:26Speaker 3: the South Charleston location and doctor Carson is from the
- 33:29Speaker 3: kanaw City location. Represent we won't make them battle it
- 33:35Speaker 3: out for location supremacy, at least not on this episode.
- 33:38Speaker 3: That might be on an upcoming one. But you can
- 33:41Speaker 3: call one eight hundred Great Care. That's the phone number
- 33:43Speaker 3: that can wrap you to the closest location to you,
- 33:45Speaker 3: so you can find what Greed Dental Group can help
- 33:47Speaker 3: you out. Once again, that's one eight hundred Great Care,
- 33:49Speaker 3: one eight hundred Great Care. I thought that we could
- 33:51Speaker 3: touch on just briefly before we got out of here,
- 33:52Speaker 3: because I found great You said that for patients of
- 33:55Speaker 3: Greeb Dental Group, you guys have an after hours line,
- 33:58Speaker 3: and that happened to me before and I had I
- 34:01Speaker 3: think was a was it my tooth pulled or rootniwal
- 34:04Speaker 3: went of the two, I can't remember anyway I had had.
- 34:07Speaker 3: I had a bleeder, had a bit of a lead
- 34:10Speaker 3: and and and when I got home the UH, my
- 34:13Speaker 3: daughter was upset at it because the bleeding wouldn't stop,
- 34:16Speaker 3: you know, me with all of them trying to be calm,
- 34:18Speaker 3: it's like, oh, it'll be fine, it's no big deal.
- 34:20Speaker 3: But eventually it just started bleeding to such ones like,
- 34:22Speaker 3: I guess it's going to be okay, it's just this
- 34:25Speaker 3: blood won't stop. So I called the UH, the UH,
- 34:27Speaker 3: the after Hour's number, and Mittri was on call, I
- 34:30Speaker 3: think that night, and within ten minutes walked me through
- 34:33Speaker 3: how to create a pressure bandage basically to hold in
- 34:38Speaker 3: my mouth to get the bleeding to stop in I
- 34:40Speaker 3: didn't have to go anywhere, I didn't have to leave
- 34:41Speaker 3: my house. It was just he walked me through cleaning
- 34:43Speaker 3: it up and getting it taken care of, and it worked.
- 34:46Speaker 3: And that's just it's something worth mentioning that you guys
- 34:49Speaker 3: have that for your patients, that after hours line, things
- 34:52Speaker 3: along those lines. If you have a problem, you're not left,
- 34:55Speaker 3: you know, hanging in the wind, you'll get some direction.
- 34:57Speaker 3: Even if the directions go to the hospital, you're going
- 34:59Speaker 3: to get some direction.
- 35:00Speaker 5: Yeah, and and there are times that we make the assessment.
- 35:03Speaker 5: Sometimes we need to come out to see the patient,
- 35:04Speaker 5: and that can happen too. But yeah, when you call
- 35:07Speaker 5: the office if we're closed, we have on the recording
- 35:10Speaker 5: the number to call, and then it calls our after
- 35:13Speaker 5: our service and they notify us doctors, you know what's
- 35:15Speaker 5: going on, and we try to identify, you know, which
- 35:18Speaker 5: patient it goes with which doctor many times, and then
- 35:21Speaker 5: we can work together to solve their issues. But yeah,
- 35:24Speaker 5: we're we're fortunate to have the number of doctors that
- 35:28Speaker 5: we have that we can always have someone and call
- 35:30Speaker 5: that way, and it's very helpful for all of our patients.
- 35:33Speaker 3: And I think that the added level of I don't know,
- 35:37Speaker 3: I guess just being comfortable. I think that we're all
- 35:39Speaker 3: kind of used to, you know, like cuts on our arms,
- 35:41Speaker 3: or you know, like healing bandy dravence stitches that you
- 35:43Speaker 3: have somewhere or something like that, things that you see
- 35:45Speaker 3: on your body. I think that we're a little used
- 35:47Speaker 3: to when it's in our mouth and we don't really
- 35:49Speaker 3: know what's going on. I think there's like kind of
- 35:50Speaker 3: a fear factor in there, like what the heck is this?
- 35:52Speaker 3: Why is this thing doing this? What's this nod or
- 35:54Speaker 3: this fel.
- 35:54Speaker 5: And then half the time, like you're saying, it just
- 35:56Speaker 5: takes that conversation to reassure the patient say hey, this
- 36:00Speaker 5: is normal, this is what you do to take care
- 36:02Speaker 5: of it, or to say you know what this this
- 36:04Speaker 5: is a little abnormal. We we need to address that
- 36:07Speaker 5: immediately so we can we can then direct the patient
- 36:09Speaker 5: and the way to go from there.
- 36:11Speaker 3: Great information. As always with GREEB Dental Group. Always enjoy
- 36:13Speaker 3: our conversations and the things that we talk about. I
- 36:15Speaker 3: hope you do as well. You can catch these podcasts
- 36:17Speaker 3: at any time w CHS Network dot com, slash Expert
- 36:20Speaker 3: you can find them when there and uh look it
- 36:23Speaker 3: up that way. Thanks for tuning in today and thanks
- 36:25Speaker 3: for listening to Ask the Expert on w c HS
- 36:27Speaker 3: the Voice of Charles Charleston. More information GREEB Dental Group Online,
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