Latest / WCHS Network Podcasts / 05/26/2026 Ask the Expert with Ghareeb Dental Group

Transcript

05/26/2026 Ask the Expert with Ghareeb Dental Group · WCHS Network Podcasts

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  Speaker 1: The views and opinions expressed on this program do not
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  Speaker 1: necessarily reflect the views and opinions of five eight whs
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  Speaker 1: it's employees or WVRC Media.
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  Speaker 2: It's twenty two minutes past eight o'clock. You are listening
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  Speaker 2: to ask the expert WCHS the Voice of Charleston. It
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  Speaker 2: is a Tuesday in the month of May. Welcoming into
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  Speaker 2: the sery this morning, Doctor Carson Henley from Garia Dental
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  Speaker 2: Group of the Kanoff City location, flying solo this morning,
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  Speaker 2: Doctor Henley, Good morning.
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  Speaker 3: How you doing this morning?
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  Speaker 4: You can just call me Jason Derulo. Ah, oh okay,
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  Speaker 4: very good. Hey, I already made that joke you did,
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  Speaker 4: but that's okay through text.
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  Speaker 2: Yeah. Yeah, Now the world gets to everybody gets the
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  Speaker 2: hero it at one time. That's absolutely correct. Welcome in
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  Speaker 2: this morning. Thank you so much for coming in. And
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  Speaker 2: uh on the other side of Memorial.
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  Speaker 3: Day, I know.
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  Speaker 4: So this was such a weird weekend because it rained
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  Speaker 4: all weekend. Because normally you have cookie to have all
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  Speaker 4: this fun stuff and we did have fun, but unfortunately
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  Speaker 4: it did kind of it was. It was good for
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  Speaker 4: the flowers, is what else that's for sure. So there
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  Speaker 4: there's all kinds of things that we have to talk
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  Speaker 4: about this one. Let me get our information out there
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  Speaker 4: for you and give us a call this morning. Three
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  Speaker 4: zero four three four five fifty eight fifty eight. Three
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  Speaker 4: zero four three four five fifty eight fifty eight.
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  Speaker 2: You can text three zero four non three five five
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  Speaker 2: zero zero eight if you have any questions for doctor
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  Speaker 2: Henley as we go throughout the morning this morning. We
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  Speaker 2: have several things we're going to talk about this morning.
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  Speaker 2: We want to talk about some new insurance for Kennaw
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  Speaker 2: County Schools employees. We're going to talk about what happens
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  Speaker 2: when you go under sedation, some sprucing up, and some
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  Speaker 2: new things over at doctor Henley's location. All kinds of
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  Speaker 2: things that we're going to get into this morning, So
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  Speaker 2: please give us a call three zero four three four
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  Speaker 2: five fifty eight fifty eight. You can text three zero
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  Speaker 2: four non three five five zero zero eight one line.
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  Speaker 2: You can read along and find out more at the website.
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  Speaker 2: It's GREEB Dentalgroup dot com. G h A r e E. B.
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  Speaker 3: Garibe Dentalgroup dot com.
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  Speaker 2: I know there's lots of things that we need to
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  Speaker 2: get into a little bit this morning, but that date
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  Speaker 2: is kind of looming here with Delta Dental and Kannaw
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  Speaker 2: County Schools. That is, there's a big change that's taking
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  Speaker 2: place there, and I know that you guys are positioned
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  Speaker 2: well with the new Bento insurance.
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  Speaker 4: That is correct. So all you Kannaw County school peeps
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  Speaker 4: out there, I think there's four or five thousand of you.
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  Speaker 4: Last I heard it was upwards of three thousand had
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  Speaker 4: signed up. But we still need or you know, if
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  Speaker 4: you'd like to have dental insurance provided free by the county,
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  Speaker 4: then you do need to go to binto dot something
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  Speaker 4: and sign up. Otherwise, if you do not, you are
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  Speaker 4: not privy to dental insurance for the next year because
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  Speaker 4: in years past they would automatically switch over or enroll
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  Speaker 4: you if you if you had already been enrolled in
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  Speaker 4: the dental insurance, that would just roll you over. But
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  Speaker 4: just because of this new insurance, they are not doing that.
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  Speaker 4: So you need to do go online and do it yourself.
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  Speaker 4: So we're trying to get the word out and Bento
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  Speaker 4: is one of those really cool insurances where it's kind
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  Speaker 4: of takes the middleman. They are not really insurance, They
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  Speaker 4: kind of just are a provider that accepts the money
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  Speaker 4: and pays it to the provider. So it's a really
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  Speaker 4: cool setup. Our reinbursement rates are more competitive and the
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  Speaker 4: cost to the county is actually lower, so it's a
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  Speaker 4: win win for everyone the way I see it. Also,
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  Speaker 4: I do want to kind of point out whether or
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  Speaker 4: not certain offices are in network, because this is a
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  Speaker 4: new insurance for many especially a lot of the dentists
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  Speaker 4: are used to sending in a fax or sending in
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  Speaker 4: a paper form where their staff is used to doing
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  Speaker 4: that for claims. Binto is all online, so you pretty
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  Speaker 4: much have to send in a PDF through email or
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  Speaker 4: through their online portal. And what's so convenient about that
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  Speaker 4: is you get paid the same day instead of thirty
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  Speaker 4: to sixty days later. But also there is some growing
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  Speaker 4: pains there if you're not used to some of this
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  Speaker 4: advanced technology. Unfortunately us at Green Dental Group, we are
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  Speaker 4: used to this advanced I'm doing air quotes, advance technology,
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  Speaker 4: you know, the twenty first century welcome and so there
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  Speaker 4: is some growing pains there. So if you have any questions,
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  Speaker 4: call your dentist make sure they are signed up within
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  Speaker 4: the portal. I do believe all of our locations are
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  Speaker 4: signed up through the portal, but not all our locations
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  Speaker 4: will be in network with Binto. What does that mean?
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  Speaker 4: We will take it no matter what. As long as
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  Speaker 4: we are signed up in the portal, we can bill it,
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  Speaker 4: we can take it. We can make sure that you,
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  Speaker 4: the person who has that insurance, can actually read the benefits. However,
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  Speaker 4: we not every dentist within our network within Greeddental Group
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  Speaker 4: has signed up to be a network provider, meaning there
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  Speaker 4: will be probably just a little higher out of pocket
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  Speaker 4: costs with some of us.
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  Speaker 2: Is there any major difference? This really plays out pretty
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  Speaker 2: well for everybody involved. I mean, the customer service and
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  Speaker 2: what the patie gets is from everything you've been able
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  Speaker 2: to find that I've come across, is very good. And
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  Speaker 2: then also for the care that it takes for the
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  Speaker 2: doctors making sure that you get paid and everything.
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  Speaker 3: I mean, it seems like a good situation.
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  Speaker 4: It is a a great situation. We actually have a
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  Speaker 4: few patients that have it. I think a county converted
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  Speaker 4: over to BINTO a few years back, so we have
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  Speaker 4: a couple patients that are employees of that county school system.
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  Speaker 4: And I remember when we first experienced SPINTO, my staff
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  Speaker 4: were like freaking out like what is this? This is
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  Speaker 4: not normal, and I'm like, it's a good thing, right.
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  Speaker 4: They're like, yeah, well it's not normal, but it's a
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  Speaker 4: good thing. It's like a new normal, right. It's how
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  Speaker 4: insurance should be. Where you build for a procedure and
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  Speaker 4: you know exactly what the price is going to be.
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  Speaker 4: You can immediately put in those procedures into the online
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  Speaker 4: portal and you can tell the patient this is going
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  Speaker 4: to be your out of pocket cost. Are you sure?
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  Speaker 4: I'm pretty sure because it tells me right here instantly,
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  Speaker 4: And unfortunately I'll kind of kind of dig or reveal
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  Speaker 4: the curtains of other insurance companies or what I'll say,
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  Speaker 4: what the norm is, Uh, let's do a pre procedure,
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  Speaker 4: a pre authorization. If you come into my office and
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  Speaker 4: I tell you, hey, you have a crack tooth, or
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  Speaker 4: hey you have a large fracture, and you're like, yeah,
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  Speaker 4: it's spoken my tongue, and I say you need a crown,
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  Speaker 4: and you say, well, actually, I just want to make
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  Speaker 4: sure my my insurance will cover this. And so what
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  Speaker 4: we might do is we'll do a pre authorization where
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  Speaker 4: we take an X ray, We even might take a photo,
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  Speaker 4: we send it into your insurance and we say, doctor
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  Speaker 4: Henley believes this toothing it's a crown authorize it please,
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  Speaker 4: And it's kind of more complicated than that. But then
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  Speaker 4: so they get back to us and they say, this
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  Speaker 4: is how much we'll cover, this is what the fee is, this,
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  Speaker 4: YadA YadA. And what's unfortunate is they don't always go
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  Speaker 4: off of that pre authorization. We have actually had multiple
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  Speaker 4: experiences within the last year where we will authorized something
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  Speaker 4: and then once we actually well and then we'll tell
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  Speaker 4: the patient this is what we get, this is what
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  Speaker 4: we believe we will get paid, what you will get
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  Speaker 4: reversed for whatever. And then what might happen is we
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  Speaker 4: actually do the procedure and then we bill for that
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  Speaker 4: procedure to the insurance company and it's actually a different outcome,
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  Speaker 4: which is just mind boggling.
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  Speaker 3: How can that be? I mean, just honest, I have.
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  Speaker 4: No idea, and so it's it's it's it can be
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  Speaker 4: very frustrating. And so the idea that DENTO is instant instant,
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  Speaker 4: it's air quotations, meaning same day you know exactly what
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  Speaker 4: they're going to pay. And so I'm sure there's gonna
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  Speaker 4: be some growing pains because it is so new, and
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  Speaker 4: so everyone out there please be patient with these dentists
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  Speaker 4: that are experiencing something new. Even my office, even though
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  Speaker 4: we have experienced it, it's just going to be something new,
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  Speaker 4: and so new is not always better, but in this case,
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  Speaker 4: I think it is better.
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  Speaker 2: From the end of the the casey CACS employees, you
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  Speaker 2: need to be aware of this as well. So you
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  Speaker 2: need to make sure that if you have the option
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  Speaker 2: to elect into the insurance or whatever it may be,
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  Speaker 2: you need to make sure that you're doing that to
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  Speaker 2: make sure you're taking care of is correct.
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  Speaker 4: We do not want you to lose out on this
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  Speaker 4: free benefit provided by our county levies, and so we
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  Speaker 4: want to make sure that those levy tax dollars that
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  Speaker 4: we so graciously vote into or elect, you know, over
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  Speaker 4: and over, we want to make sure that we maximize
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  Speaker 4: the benefit to our Conk County School System employees because
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  Speaker 4: they work so hard and we want to make sure
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  Speaker 4: that they reap the benefits.
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  Speaker 2: Limited answers for questions as far as specifically about Bento
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  Speaker 2: on that side of the process goes. You have to
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  Speaker 2: take care of your employeer, but if you have any
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  Speaker 2: other questions, this morning about this or anything else on
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  Speaker 2: your dental healthy and gifts A call three zero four
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  Speaker 2: three four five fifty eight fifty eight threes are A
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  Speaker 2: four three four five fifty eight fifty eight is our number.
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  Speaker 2: You can also text in questions to three zero four
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  Speaker 2: non three five five zero zero eight threes are A
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  Speaker 2: four non three five five zero zero eight. I wanted
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  Speaker 2: to touch on just a little bit this morning as well.
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  Speaker 2: Some uh, some upgrades around the office over in Kanaal City,
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  Speaker 2: some uh uh some new equipment and things to tell
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  Speaker 2: us about what's going on over in uh in doctor
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  Speaker 2: carson Land.
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  Speaker 4: Oh maybe it is an exciting time in Canal City.
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  Speaker 3: Uh, isn't it always while you live? Like, yeah, we're neighbors.
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  Speaker 4: Uh and I live four minutes away, so it is
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  Speaker 4: a tough commute, y'all. I'm telling you, uh so so
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  Speaker 4: here in my office specifically, I recently bought some new chairs.
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  Speaker 4: I think I mentioned this last month, But these new chairs,
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  Speaker 4: I tell you, my staff will walk by the operatory
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  Speaker 4: sometimes and just see me napping. And at this point
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  Speaker 4: they don't even make a comment. They go, well, there's
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  Speaker 4: doctor Henley napping again. Just is what it is, because
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  Speaker 4: they these chairs are so comfy. Uh, the leather's super nice. Also,
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  Speaker 4: there's a massage function. My favorite thing is when a
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  Speaker 4: patient sits down, then they go, my chair is moving,
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  Speaker 4: what's going on? And I say, it's just massaging. You
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  Speaker 4: don't worry, and they're like, oh, this is amazing.
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  Speaker 3: I know.
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  Speaker 4: So it is a really cool thing that we just
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  Speaker 4: upgraded my side of the dental office. When it comes
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  Speaker 4: to the operatory chairs, that's the thing that you sit
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  Speaker 4: in people. So it's the most important part of the operation,
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  Speaker 4: is you the patient being comfortable and sitting in something
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  Speaker 4: that is going to make you feel comfortable but also
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  Speaker 4: kind of calm you down a little bit. And the
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  Speaker 4: arm that comes around with all the hand pieces and
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  Speaker 4: the airwater syringe and the suction that's all brand new
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  Speaker 4: as well. And so we no longer have something called cuspidors.
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  Speaker 4: I don't know if you're familiar with cuspodors. No, I'm think, oh,
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  Speaker 4: I'm going to just blow your mind here. So I
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  Speaker 4: had never heard of or seen a cuspador in my life.
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  Speaker 4: So what is a cuspador. It is the little bowl
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  Speaker 4: that sits next to your chair in a dental office.
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  Speaker 4: Growing up, my dentist did not have one. It was
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  Speaker 4: not a very common thing in Texas. Well here in
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  Speaker 4: West Virginia it's a little more common. It's kind of
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  Speaker 4: an older model or an old school thing where whenever
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  Speaker 4: you say, all right, you're you're allowed to, you know,
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  Speaker 4: spit into the bowl, and they go and then they
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  Speaker 4: spit into the bowl. And so I just find I
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  Speaker 4: never really got on too. I always thought it was
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  Speaker 4: kind of a gross thing having a patient spit into
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  Speaker 4: a bowl. Yeah, I don't know. And so what we
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  Speaker 4: what we do is we have suction. We have we
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  Speaker 4: have a slive ejector that we put right inside your
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  Speaker 4: mouth and it just sucks all the slip out or
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  Speaker 4: anything that might be inside your mouth. It's a lot
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  Speaker 4: more hygienic. We don't have to use the word spit.
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  Speaker 3: You know.
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  Speaker 4: There's just some there's there's some really cool things when
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  Speaker 4: it comes to not having a custoblo doors. And so
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  Speaker 4: we no longer have custom doors on my side of
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  Speaker 4: the dental office. And a little quick story about customer doors.
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  Speaker 4: I remember whenever I first moved to West Virginia and
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  Speaker 4: I first learned about custod doors, Doctor Stevens's office does
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  Speaker 4: not have customradors. So my first experience as an associate
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  Speaker 4: dentist was in doctor Stephens's office. For about five years,
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  Speaker 4: we did not have cuspadors, and so I remember one
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  Speaker 4: time a patient I was working on him and he
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  Speaker 4: needed to he needed to have some suction and or
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  Speaker 4: he had something bad tasting in his mouth, and he
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  Speaker 4: ends up going, hey, doctor Henley, can I have some suction?
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  Speaker 4: Or he's like he's kind of murmur. Whenever a patient
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  Speaker 4: starts to remember you know they need suction because they
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  Speaker 4: can't speak. And so as I turned to my left
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  Speaker 4: to grab the suction, I turn back around and I
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  Speaker 4: see the patient is standing up, walked over to the
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  Speaker 4: sink and spit into the sink. And so I guess
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  Speaker 4: this patient was expecting a cuspador, but he thought the
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  Speaker 4: sink that was to the side. So that's that's my
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  Speaker 4: That was one of my introductions to the expectation of
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  Speaker 4: a cuspadore in West Virginia. But we'd no longer had
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  Speaker 4: that in my office unless you're on the hygiene side.
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  Speaker 4: But I'm in the process of buying new chairs for them,
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  Speaker 4: Libby and Megan, they're coming, so don't worry. Your new
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  Speaker 4: chairs will be here hopefully soon, but I need to
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  Speaker 4: get on that a little bit.
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  Speaker 2: And when it comes to any upgrades, I mean, this
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  Speaker 2: is something that I mean from a hygenal standpoint and
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  Speaker 2: from like just like an aesthetic standpoint on top of
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  Speaker 2: everything else. It's it's it's an upgrade. There's there's no question.
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  Speaker 2: But there's all types of things that that that you
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  Speaker 2: do at your office, and Greeen Dental Group does. Patient
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  Speaker 2: focus is always part of the issue, part of the
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  Speaker 2: experience there what you want to focus on making sure
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  Speaker 2: the a patient has a positive engagement.
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  Speaker 4: So true, So when a patient walks in and they
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  Speaker 4: see clutter, if they see marks on the wall or
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  Speaker 4: I mean blood, I mean I I've we we not
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  Speaker 4: that I've never seen that in my office, but I
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  Speaker 4: can't imagine walking to an office and seeing like something,
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  Speaker 4: some unknown substance on the wall. And I've heard horror stories.
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  Speaker 4: And so being clean number one and hygienic, but also
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  Speaker 4: being decluttered, making sure that you don't have just a
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  Speaker 4: bunch of junk on the wall or on the floor
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  Speaker 4: just everywhere.
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  Speaker 3: And so.
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  Speaker 4: I always try to make sure that my staff know
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  Speaker 4: that we need to have all the cabinets clean, make
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  Speaker 4: sure that obviously between patients were wiping everything down to
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  Speaker 4: kill everything, to make sure we don't have any foreign
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  Speaker 4: objects where they shouldn't be, so that we can actually
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  Speaker 4: be compliant with the highest hygienic standards. But it is
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  Speaker 4: true whenever patient walks in, that's like base level. You
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  Speaker 4: don't want to have anything that's gross. But then of
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  Speaker 4: course when they walk in and they see new paint colors,
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  Speaker 4: that they see a brand of kind of grays and
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  Speaker 4: blues that is very common among all six of our offices.
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  Speaker 4: We only have so many paint colors that we can choose.
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  Speaker 4: We actually have an anterior designer that comes in and says,
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  Speaker 4: these are the colors you can pick. Now you can
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  Speaker 4: pick where they are, but you can't really go outside this.
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  Speaker 4: You can't pick a random yellow or a random black,
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  Speaker 4: you know, like it has to be within this shade
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  Speaker 4: gradient that we can so that when a patient walks
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  Speaker 4: in from one office to another, it's familiar. And on
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  Speaker 4: top of that, we are also this is something new
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  Speaker 4: we're doing as well. We're putting, we're doing some painting,
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  Speaker 4: we're doing some new flooring that the ceilings that are
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  Speaker 4: just like these ceilings in this new studio, the ceilings
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  Speaker 4: of my office are it is a drop down ceiling,
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  Speaker 4: but they're white. The white it's painted white, and so
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  Speaker 4: we're gonna paint it kind of dark gray and so
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  Speaker 4: it looks more clean. And so just whenever a patient
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  Speaker 4: walks in, I want them to like stop, look around
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  Speaker 4: and go wow. Obviously this doctor cares about his office.
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  Speaker 4: He wants to invest in it. He wants to make
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  Speaker 4: sure that it's not just hygienic and clean, but it
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  Speaker 4: looks nice and it's again comfortable and calm, and we
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  Speaker 4: don't want people to worry about anything other than just
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  Speaker 4: what we're about to do when it comes to the procedure.
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  Speaker 2: And that really takes a lot of the even if
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  Speaker 2: you don't know, I think if you go in somewhere
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  Speaker 2: where there's the antithesis of that, where things are cluttered,
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  Speaker 2: things maybe not as clean as possible, it may not
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  Speaker 2: be your top of mind, although it may be your
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  Speaker 2: top of mind, but it certainly gets in there. You know,
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  Speaker 2: it worries, you know when there's other things going on,
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  Speaker 2: and it shakes a confidence level.
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  Speaker 3: I think a little bit. You want to see those
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  Speaker 3: things taken care of.
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  Speaker 4: So going to the dentist is not always the most fun,
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  Speaker 4: I will admit it, right, you know, we're not everyone's
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  Speaker 4: favorite place. I'd rather be golfing than going to the dentists,
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  Speaker 4: to be honest, right, But we want to just the
• 16:29
  Speaker 4: thing we want people to worry about is nothing. But
• 16:31
  Speaker 4: if there's anything to worry about, it's just what we're
• 16:33
  Speaker 4: about to be doing. And so that we don't want
• 16:35
  Speaker 4: them to worry about anything that's on the walls or
• 16:38
  Speaker 4: any of the clutter or pretty much, if someone is
• 16:42
  Speaker 4: disorganized outside of their body, how are they going to
• 16:45
  Speaker 4: be organized inside their mind?
• 16:47
  Speaker 3: Right?
• 16:47
  Speaker 4: So, if we have a disorganized office, how are we
• 16:50
  Speaker 4: going to make sure that the crown that we prep
• 16:53
  Speaker 4: is going to be properly done? How are we going
• 16:54
  Speaker 4: to make sure that that denture that we're making for
• 16:57
  Speaker 4: you is actually the right denture or the right color
• 16:59
  Speaker 4: or all this stuff. And so we want to make
• 17:02
  Speaker 4: sure that the organization that we have his aunt is obvious.
• 17:07
  Speaker 4: I mean it's we have these in my office. We
• 17:09
  Speaker 4: have these rolling carts from my implants and rolling cart
• 17:13
  Speaker 4: for my form my root canal set up, and it's
• 17:16
  Speaker 4: so well organized, like you pull it out and I
• 17:18
  Speaker 4: know exactly where everything is because if otherwise, I would
• 17:22
  Speaker 4: lose my mind because I'm so freaky organized like that,
• 17:26
  Speaker 4: and I want patients to see that. I want patients
• 17:28
  Speaker 4: to look down and go, wow, this this guy and
• 17:30
  Speaker 4: this staff. Organization is a very important. Cleanliness is very important.
• 17:34
  Speaker 4: So it's not just making things new, like we're talking
• 17:37
  Speaker 4: about new cabinets, new flooring, whatever, but it's just making
• 17:41
  Speaker 4: sure patients know that it's it's a very important part
• 17:44
  Speaker 4: of the process of being clean and organized. That's just
• 17:49
  Speaker 4: bare bones, that's what it's about.
• 17:51
  Speaker 2: Great information from doctor Carson Henley from greed Dental Great
• 17:54
  Speaker 2: More information online GREEB Dentical Group dot com, g each
• 17:56
  Speaker 2: A R E B. Grebdentalgroup dot com. Their phone number
• 17:58
  Speaker 2: one d Great Care an eight hundred Great Care. We
• 18:01
  Speaker 2: need to take a break before we do that. I
• 18:02
  Speaker 2: did to get a text message in that this isn't
• 18:05
  Speaker 2: really about any particular topic that we're on, but it's
• 18:07
  Speaker 2: something that you and doctor Stephen deal with quite a bit.
• 18:11
  Speaker 2: It's not a particular problem. Where did it go? Three
• 18:13
  Speaker 2: zero four nine one five. My husband will not go
• 18:16
  Speaker 2: to the dentist. He won't discuss it. It's been eight years?
• 18:19
  Speaker 2: What can I do?
• 18:20
  Speaker 1: Oh?
• 18:21
  Speaker 2: No, that is wah, that is a touch. I mean
• 18:25
  Speaker 2: that's the first question, right, I mean is it?
• 18:27
  Speaker 3: Yeah?
• 18:28
  Speaker 4: Yeah, my husband has not been to the dinnist in
• 18:30
  Speaker 4: eight years? What can I do?
• 18:32
  Speaker 3: Okay?
• 18:33
  Speaker 4: So what can you do as the survivor?
• 18:36
  Speaker 3: No, I'm just kidding.
• 18:37
  Speaker 4: Oh my way or the highway pal man, honestly, give
• 18:41
  Speaker 4: me a call. I mean, this has to be almost
• 18:43
  Speaker 4: like a one on one consultation, like how we can
• 18:45
  Speaker 4: like set something up right, or how can we do
• 18:49
  Speaker 4: a surprise party like high surprise. Let's not do that obviously,
• 18:53
  Speaker 4: but I don't. There has to be some way of
• 18:56
  Speaker 4: like introducing your husband to to like the idea of
• 19:02
  Speaker 4: going to the dentist, or like saying like, hey, I
• 19:05
  Speaker 4: heard this guy in the radio. He sounds decent. He
• 19:07
  Speaker 4: sounds like a nice guy, or at least I hope
• 19:09
  Speaker 4: I come across as a nice where.
• 19:10
  Speaker 3: I find that shows.
• 19:13
  Speaker 4: And so the idea of like, I guess, just hearing
• 19:17
  Speaker 4: someone's voice and being calmed by that first, So have
• 19:20
  Speaker 4: him listen to this, I guess first. See see if
• 19:23
  Speaker 4: listening to a dentist talk about things that aren't just
• 19:25
  Speaker 4: about dentistry, you know that might be something that we have.
• 19:29
  Speaker 2: Years of radio shows that might be one way to
• 19:31
  Speaker 2: start find one that has like some good cute information
• 19:34
  Speaker 2: in it or something. All the topics are within the descriptions.
• 19:38
  Speaker 2: Maybe there's something that we come across that, you know,
• 19:41
  Speaker 2: I mean, what's his problem? Does he need to go?
• 19:43
  Speaker 2: Is there a maybe there's an ongoing issue somewhere exactly?
• 19:46
  Speaker 4: And I actually have patients that come in and say,
• 19:48
  Speaker 4: I just want to meet you, I just want to
• 19:50
  Speaker 4: see this is a good fit, and I go, of course,
• 19:51
  Speaker 4: let's let's do that. And that's all. That's always a
• 19:54
  Speaker 4: good start. You don't have to start off by saying
• 19:56
  Speaker 4: all right, open up. You can just say, hey, my
• 19:58
  Speaker 4: name is doctor Carson Henley. It's a pleasure to meet you.
• 20:01
  Speaker 4: Welcome to my office. I'm just so honored that you
• 20:04
  Speaker 4: chose us. How how did you hear about us? Okay, great,
• 20:07
  Speaker 4: thank you so much for telling me. Have you got
• 20:10
  Speaker 4: to uh did you get a chance to meet my
• 20:12
  Speaker 4: lovely dental assistant here?
• 20:13
  Speaker 3: The staff?
• 20:15
  Speaker 4: Did they greet you? Did they make you feel comfortable?
• 20:17
  Speaker 4: I usually asked that I want to make sure that
• 20:19
  Speaker 4: they that my staff, which they always do that my
• 20:23
  Speaker 4: staff kind of pointing out that they their first goal
• 20:26
  Speaker 4: is to make you comfortable, and so a lot of patients.
• 20:29
  Speaker 4: If if you just want to come in do a
• 20:31
  Speaker 4: quick consult, meet me, or meet doctor Stephen, or meet
• 20:34
  Speaker 4: any of our doctors. Uh, kind of set that stage.
• 20:36
  Speaker 4: Give us a call and set that up. We don't
• 20:39
  Speaker 4: have to talk dentistry. I can talk soccer, I can
• 20:42
  Speaker 4: talk here. You know, I can do all sorts of things.
• 20:45
  Speaker 4: So I don't know if I can I truly answered
• 20:48
  Speaker 4: that question, because that's not it's not really an answer
• 20:50
  Speaker 4: question without knowing someone exactly. But I would love to
• 20:54
  Speaker 4: chat with him or chat with you. Give me a
• 20:56
  Speaker 4: call doctor Henley's office directly.
• 20:58
  Speaker 2: Threes are A four non two five zero three two
• 21:00
  Speaker 2: two three zero four nine two five zero three two
• 21:02
  Speaker 2: two If if you want to take on.
• 21:05
  Speaker 3: That concentration, yeah, let's do that. Let's do this.
• 21:08
  Speaker 2: Let's ahead and take a break when we come back.
• 21:09
  Speaker 2: We saw plenty of things we're going to talk about.
• 21:10
  Speaker 2: We're going to talk a little bit about sedation and
• 21:14
  Speaker 2: other things along those lines when we come back. So
• 21:16
  Speaker 2: your text, your phone calls. The phone line is three
• 21:18
  Speaker 2: zero four three four five fifty eight fifty eight three
• 21:20
  Speaker 2: four five fifty eight fifty eight text three zero four
• 21:22
  Speaker 2: nine three five five zero zero eight. You're listening to
• 21:24
  Speaker 2: ask the expert. Doctor Carson Henley is here from GREEB
• 21:27
  Speaker 2: Dental Group one line, Grebdentalgroup dot com. We'll be back
• 21:29
  Speaker 2: right after this. You're listening to five adwchs thevoice of Charles.
• 21:32
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  Speaker 2: You're listening to as the expert w c HS the
• 23:16
  Speaker 2: Voice of Charleston. I'm del people, thanks for tuning in
• 23:18
  Speaker 2: onto this Tuesday morning, just after a Memorial Day, Doctor
• 23:21
  Speaker 2: Carson Henley, It's like it's like the right hand without
• 23:25
  Speaker 2: the left attached, Doctor Steven, I know, it's like the
• 23:29
  Speaker 2: cutout of his space. Isn't daring at his empty chair
• 23:32
  Speaker 2: in his nice new permanent studio. Yeah, we're we're back in.
• 23:35
  Speaker 2: Uh we've been in new studios for the last year
• 23:38
  Speaker 2: more that you've been listening. But we finally moved a
• 23:41
  Speaker 2: few pieces around in the Expert studio is now in.
• 23:43
  Speaker 2: It's a new permanent location, so it's a lot of
• 23:46
  Speaker 2: room in here.
• 23:46
  Speaker 4: For the last year, I practically like so so Doctor
• 23:49
  Speaker 4: Stephn would sit on one end of the table, they
• 23:51
  Speaker 4: would set on one and then I'd just be in
• 23:53
  Speaker 4: the middle without a microphone or so. We'd actually share
• 23:57
  Speaker 4: a mic, which was fine, but I always felt like
• 23:59
  Speaker 4: I was like the awkward step child. I was just
• 24:02
  Speaker 4: sitting there. And then also I always had to have
• 24:06
  Speaker 4: this chair that didn't slip. For some reason, the pants
• 24:09
  Speaker 4: I wear, I would like slip out of this like
• 24:11
  Speaker 4: leather chair, and so Doctor Stephen graciously would always sit
• 24:13
  Speaker 4: in it. But these chairs, I'm not slipping out of
• 24:16
  Speaker 4: these chairs. These are super nice anyway, So and I'll
• 24:18
  Speaker 4: have a full setup.
• 24:19
  Speaker 2: But doctor Steven's not here. Yeah, yeah, we're now. I
• 24:22
  Speaker 2: was it's a shame too, because yeah, yesterday I was
• 24:25
  Speaker 2: just thinking. I was like, you guys are are only
• 24:28
  Speaker 2: every week where we have two guests. There's some other
• 24:31
  Speaker 2: folks that bring in guests occasionally, but you're the only
• 24:33
  Speaker 2: folks that we have that are two guests every week.
• 24:35
  Speaker 2: And so last night, before I got your your text,
• 24:37
  Speaker 2: I was saying, man, I can't wait till doctor Carson
• 24:39
  Speaker 2: and doctor and Reeve come in tomorrow.
• 24:41
  Speaker 3: I finally have two mics to put them in front of.
• 24:43
  Speaker 3: And then doctor Greeve had to throw it off of them.
• 24:45
  Speaker 4: Maybe maybe Stephen knew we were gonna have two mics.
• 24:48
  Speaker 4: He's like, I don't want to be there, doctor. I
• 24:50
  Speaker 4: prefer to sit on top of each other.
• 24:52
  Speaker 2: That's much better when we're when we're all crowded in together,
• 24:54
  Speaker 2: sitting right on top of each other, much better.
• 24:57
  Speaker 3: Thanks for calling us this morning.
• 24:58
  Speaker 2: You're welcome to weigh in threes or four three, four
• 25:00
  Speaker 2: fifty eight threes or four nine, three, five five zeros
• 25:02
  Speaker 2: or eight. It's a text line number. Give us a call. Well,
• 25:04
  Speaker 2: doctor Henley, will try to navigate three of your questions. Whatever.
• 25:07
  Speaker 2: It might be a little difficult if your if your
• 25:10
  Speaker 2: spouse hasn't been to the dentist in eight years, maybe
• 25:12
  Speaker 2: you can't answer that one right off the bat, but
• 25:14
  Speaker 2: we'll try to work our way through that just a
• 25:16
  Speaker 2: little bit. One of the other things that you mentioned
• 25:18
  Speaker 2: that you want to talk about a little bit is
• 25:21
  Speaker 2: a sedation in the office, And that's one of the
• 25:22
  Speaker 2: things that's kind of interesting. For one thing, if you
• 25:25
  Speaker 2: guys you take sedation in the office, you do it
• 25:28
  Speaker 2: for one thing, and do it at levels that aren't
• 25:30
  Speaker 2: necessarily typical at every dentist office.
• 25:34
  Speaker 4: So I actually did some digging last week. I looked
• 25:37
  Speaker 4: into every single license for the state of West Virginia.
• 25:41
  Speaker 4: Trust me pay for a while for a class three
• 25:45
  Speaker 4: B and three A license or a sedation permit is
• 25:50
  Speaker 4: what it's called.
• 25:51
  Speaker 3: So what is three A.
• 25:52
  Speaker 4: That is the intro or where you take some some
• 25:56
  Speaker 4: sedative medication and put it and you can take it
• 25:59
  Speaker 4: by mouth. That's what doctor Stephen does, which has the
• 26:02
  Speaker 4: same effect. It's the same level of sedation, but it's
• 26:04
  Speaker 4: just by an oral route. And my sedation method allows
• 26:08
  Speaker 4: me to start an IV and actually put drugs through
• 26:11
  Speaker 4: the print route or through the IV, and so that's
• 26:14
  Speaker 4: a three B. There's only I believe I counted nine
• 26:18
  Speaker 4: or ten general dentists in the state that do a
• 26:20
  Speaker 4: three B or ivy sedation, and none of them are
• 26:23
  Speaker 4: within an hour. I think the closest one is up
• 26:27
  Speaker 4: near Clay County or Rhone County, something like that, and
• 26:29
  Speaker 4: so nothing in Huntington. So it's kind of neat that
• 26:34
  Speaker 4: I'm providing this service that no one in the valley's providing.
• 26:40
  Speaker 4: And at the same time, I'm very proud to do
• 26:44
  Speaker 4: that because if a patient needs a filling and they
• 26:48
  Speaker 4: need to be sedated, well, oral surgeons can sedate you,
• 26:51
  Speaker 4: but they don't do fillings right. Or if you need
• 26:53
  Speaker 4: a cleaning, I have some amazing, lovely hygienists that can
• 26:57
  Speaker 4: do some that can clean your teeth like crazy. So
• 27:01
  Speaker 4: if you're so worried or so anxious about just what
• 27:04
  Speaker 4: I what most would call just a simple procedure, we
• 27:08
  Speaker 4: can still get you sedated to a comfortable level and
• 27:10
  Speaker 4: do anything anything that I'm comfortable doing, which is basically everything.
• 27:14
  Speaker 4: So that's what's so neat, is there?
• 27:17
  Speaker 2: What's the big difference between and in the dental office,
• 27:20
  Speaker 2: there is we hear about of a sedation which you
• 27:22
  Speaker 2: were just talking about. You're talking about doctor Stephen with
• 27:24
  Speaker 2: oral sedation, and we talked about like nitrous and different
• 27:27
  Speaker 2: things like that. What's the basic difference between those? Oh,
• 27:30
  Speaker 2: good question. So sedation is a spectrum. You can go
• 27:35
  Speaker 2: from zero sedation all the way to general anesthesia, which
• 27:37
  Speaker 2: is in the hospital setting, and that's where you have
• 27:39
  Speaker 2: an ant caesiologist and you are out, your body is
• 27:43
  Speaker 2: paralyzed all the things.
• 27:45
  Speaker 3: We do not do that in the office.
• 27:47
  Speaker 4: We technically legally are not putting you to air quote sleep.
• 27:53
  Speaker 4: It is called conscious sedation. Now at the lower end
• 27:56
  Speaker 4: of the spectrum, when it comes to a lower, lighter sedation,
• 27:59
  Speaker 4: we start with nitrous which is a simple compound, a
• 28:03
  Speaker 4: simple molecule that helps that you breathe in. We put
• 28:08
  Speaker 4: a little mask over your nose and you breathe it in.
• 28:11
  Speaker 4: And do we know how on how it works, actually know,
• 28:15
  Speaker 4: which is kind of weird. Actually there's still research on
• 28:19
  Speaker 4: going like how does this actually make us sedated? But
• 28:22
  Speaker 4: we do believe it's on the GABB receptors, which is
• 28:25
  Speaker 4: the same effect as alcohol, which is a fun fact anyway,
• 28:30
  Speaker 4: So you breathe in the nitrous and it just makes
• 28:32
  Speaker 4: you less nervous. You just kind of calm down, and
• 28:37
  Speaker 4: that's so that's the start, and you're not just breathing nitrous.
• 28:40
  Speaker 4: We also provide oxygen. And so let's say you're breathing
• 28:43
  Speaker 4: in fifty percent nitrous, you're also breathing in fifty percent oxygen.
• 28:47
  Speaker 4: If a if a patient or a patient or a
• 28:51
  Speaker 4: mother of a patient is worried about breathing in too
• 28:54
  Speaker 4: much nitrous, always tell them this individual on nitrous is
• 28:58
  Speaker 4: breathing in more oxygen than we are current. So right
• 29:00
  Speaker 4: now Dale, you and I breathing in the era. It's
• 29:03
  Speaker 4: a twenty one percent oxygen and so providing fifty to
• 29:07
  Speaker 4: fifty nitrous oxygen, that's more oxygen than we're getting. At
• 29:10
  Speaker 4: the same time, we're also providing nitrous which helps to date.
• 29:14
  Speaker 4: But it's so it's a very safe thing, and so
• 29:17
  Speaker 4: that's the lowest level of sedation. However, there's something called
• 29:21
  Speaker 4: blue gasing, which I don't know why I'm talking about this,
• 29:24
  Speaker 4: but it's just so cool. If you do one hundred
• 29:26
  Speaker 4: percent nitrous, obviously you will not survive because you need
• 29:30
  Speaker 4: to have oxygen, but you can actually sedate someone two
• 29:34
  Speaker 4: general anesthetic levels, and so just because you're providing nitrous
• 29:39
  Speaker 4: doesn't mean you can't get to a higher level of sedation.
• 29:41
  Speaker 4: So there is some caution there. At the same time,
• 29:45
  Speaker 4: we have some we have failsafe mechanisms and all our
• 29:48
  Speaker 4: machines where you can't actually you can't lower the oxygen
• 29:52
  Speaker 4: below three liters of oxygen flow per minute. You also
• 29:57
  Speaker 4: have something called a scavenger where we actually hook up
• 30:00
  Speaker 4: the suction to the hood, to the nasal hood, the
• 30:04
  Speaker 4: nasal kind of piece, so the air in the operatory
• 30:08
  Speaker 4: does not get filled with nitrous. So that's a safety thing.
• 30:12
  Speaker 4: And so we have these failsafe mechanisms. It's called to
• 30:15
  Speaker 4: make sure that we keep people safe. So that's the
• 30:18
  Speaker 4: lowest level, and I'm sure, doctor Steven, we're here to
• 30:21
  Speaker 4: be like, why are getting into the weeds?
• 30:22
  Speaker 1: I just love that.
• 30:23
  Speaker 4: And so that that's us the lowest level. And then
• 30:25
  Speaker 4: above that you can do something called an anziolysis. We
• 30:28
  Speaker 4: actually give them something like a valium of benzodazepene, and
• 30:32
  Speaker 4: that allows the patient to be sedated about an hour
• 30:35
  Speaker 4: prior to the appointment and it's it lasts for maybe
• 30:38
  Speaker 4: a few hours. Uh, and that does require someone to
• 30:42
  Speaker 4: drive you and drive you home because we don't want
• 30:44
  Speaker 4: to sedate.
• 30:45
  Speaker 3: Next question, Okay, yeah, and so that.
• 30:47
  Speaker 4: That's that's the next level up. And then you can
• 30:49
  Speaker 4: actually combine the two. You can do nitrous plus the
• 30:51
  Speaker 4: anziolytic drug, and that's actually very effective. That requires a
• 30:55
  Speaker 4: Class two permit, which not I think maybe a few
• 30:59
  Speaker 4: dozen have in the state. And so that's very effective.
• 31:02
  Speaker 4: And then above that is the oral sedation that doctor
• 31:04
  Speaker 4: Stephen does and then the ivy sedation from there. And
• 31:06
  Speaker 4: so what your permit allows you to do is to
• 31:09
  Speaker 4: sedate to a level. How you get there is up
• 31:12
  Speaker 4: to you. Pretty much. If I use nitrous, I can
• 31:15
  Speaker 4: actually get them up to conscious sedation. If I could
• 31:18
  Speaker 4: with nitrous, it's really hard to do. I can't really
• 31:21
  Speaker 4: do that with nitrous. But that's really what your permit
• 31:23
  Speaker 4: allows you to do. It's allows you to sedate to
• 31:26
  Speaker 4: a level. And so because of that, we are required
• 31:29
  Speaker 4: to have more higher advanced, higher advanced, more advanced emergency protocols.
• 31:37
  Speaker 4: My emergency drug kit is exhaustive. I have to I
• 31:43
  Speaker 4: check it monthly to make sure nothing is expired. There's
• 31:47
  Speaker 4: so many things that I need to do to make
• 31:49
  Speaker 4: sure that I can keep patients safe. That that's why
• 31:52
  Speaker 4: only ten Dennis in the state are actually offering because
• 31:54
  Speaker 4: it is very difficult to do, but I'm proud to
• 31:57
  Speaker 4: do it because not everyone can or will do it.
• 32:00
  Speaker 4: So that's kind of the spectrum from nitrous all the
• 32:02
  Speaker 4: way up to what we provide, which is conscious sedation.
• 32:06
  Speaker 2: That's great information and really a lot of information for
• 32:09
  Speaker 2: you to to kind of work through there. And as
• 32:11
  Speaker 2: you were talking, kind of I meant that in a
• 32:14
  Speaker 2: good way because it made me think about our Texter
• 32:17
  Speaker 2: and her husband who hasn't been to the denist in
• 32:19
  Speaker 2: eight years. What if his issue is he gets anxious,
• 32:23
  Speaker 2: what if he's what if what if it's like he's
• 32:25
  Speaker 2: never been to a dentist before that we could give
• 32:27
  Speaker 2: him any sort of anesthesia or any sort of of
• 32:31
  Speaker 2: to help with his anxiety or whatever it might be.
• 32:34
  Speaker 2: And so is that I don't want to go because
• 32:36
  Speaker 2: I just get I don't want to be a nervous
• 32:37
  Speaker 2: right in the chair. Well, this might be one of
• 32:39
  Speaker 2: those things that helps you overcome that barrier for sure.
• 32:42
  Speaker 4: And I actually had a patient not too long ago,
• 32:44
  Speaker 4: who was so nervous about needles that I couldn't sedate
• 32:47
  Speaker 4: them through the day, right, And so we had to
• 32:51
  Speaker 4: Each patient is different, and so we cater to each
• 32:54
  Speaker 4: individual patient. We we get them sedated, or we get
• 32:58
  Speaker 4: them comfortable. Even without sedation, we get them comfortable. And
• 33:02
  Speaker 4: a lot of times whenever patients come in for sedation consults,
• 33:06
  Speaker 4: just by us reassuring them and giving them these options,
• 33:10
  Speaker 4: and they tend to get calm because they know that
• 33:12
  Speaker 4: there's options, as opposed to if they walk in and
• 33:16
  Speaker 4: I go, sorry, we don't have anything for you. Sit down,
• 33:18
  Speaker 4: we're going to do this now. No, no, we slow down.
• 33:21
  Speaker 4: We approach it from a very calm perspective. We make
• 33:25
  Speaker 4: sure that the patient is comfortable and relaxed, and we
• 33:29
  Speaker 4: make sure that everything that we do is slow and methodical. Now,
• 33:33
  Speaker 4: of course when we're working we go quick, but we
• 33:36
  Speaker 4: want to make sure that the patient is reassured that
• 33:38
  Speaker 4: everything we're doing is purposeful, to make sure that they're
• 33:41
  Speaker 4: comfortable with what we're doing. So it's not just about
• 33:44
  Speaker 4: the sedation. I mean truly, about half the patients that
• 33:48
  Speaker 4: come in for sedation consults, half of them say, actually,
• 33:51
  Speaker 4: I don't think I need any just because of this
• 33:54
  Speaker 4: conversation that we've had. I just I've met you. I've
• 33:57
  Speaker 4: didn't have any expectation of treatment today. Of talking and
• 34:01
  Speaker 4: just by talking, I think I'm comfortable with you, which
• 34:04
  Speaker 4: is kind of cool.
• 34:06
  Speaker 3: That's great.
• 34:06
  Speaker 2: Yeah, that's great information. Doctor Carson Hiley repping up our
• 34:08
  Speaker 2: conversation with doctor Carson Henley from Griebdental Group on line
• 34:11
  Speaker 2: Greebdentalgroup dot com. I wanted to kind of tie all
• 34:13
  Speaker 2: of these things together. We talked about the person whose
• 34:16
  Speaker 2: husband hasn't been for eight years. We've talked about maybe
• 34:20
  Speaker 2: some sort of anesthesia or sedation when you get into
• 34:25
  Speaker 2: the office might help you overcome those things. But let's
• 34:27
  Speaker 2: talk just briefly. You only have about two minutes here
• 34:30
  Speaker 2: or a little less about why it's so important to
• 34:33
  Speaker 2: get to the dentist and not let these things. If
• 34:35
  Speaker 2: you have a hygiene problem, not to let it build
• 34:38
  Speaker 2: because early detection with all, with everything medical, early detection
• 34:41
  Speaker 2: is key, and that is especially true of things that
• 34:45
  Speaker 2: are in your mouth, whether it be something that's degrading
• 34:46
  Speaker 2: or some other problem.
• 34:47
  Speaker 4: It's part of your holistic health. You got to get
• 34:49
  Speaker 4: these things looked at. I think that's just a philosophy
• 34:52
  Speaker 4: for life. If you hear something ticking in your car
• 34:55
  Speaker 4: and you ignore it, your engine might blow up. Right,
• 34:59
  Speaker 4: you might just need a simple oil change. Same thing
• 35:01
  Speaker 4: in the mouth, if you have some sensitivity, it could
• 35:04
  Speaker 4: be a cusp of a tooth trying to break off.
• 35:07
  Speaker 4: And so just by adjusting your bite, just by starting
• 35:11
  Speaker 4: to wear an occlusal guard or a bite guard that
• 35:13
  Speaker 4: you were at night, or even if you need to
• 35:16
  Speaker 4: go through orthodontics to move your teeth, there are some
• 35:19
  Speaker 4: cost or the cost is going to be lower the
• 35:24
  Speaker 4: earlier you treat it normally, such as a feeling, it's
• 35:27
  Speaker 4: gonna be less costly than a crown. A crown is
• 35:30
  Speaker 4: gonna be less costly than an extraction and implant. So
• 35:33
  Speaker 4: and then if you end up losing all your teeth
• 35:36
  Speaker 4: and going to a denture, there's a cost to that.
• 35:38
  Speaker 4: And so there are all these I just kind of
• 35:41
  Speaker 4: want to kind of zoom out and say, just go
• 35:44
  Speaker 4: to your dentist, get that every six month exam. Make
• 35:47
  Speaker 4: sure that nothing is missing, make sure that everything is counted,
• 35:52
  Speaker 4: make sure that you do your oral cancer screening. Make
• 35:54
  Speaker 4: sure we're not that if there is anything happening that
• 35:57
  Speaker 4: would catch it early, and so early early prevention is
• 36:01
  Speaker 4: so much easier to treat, but also less costly. It
• 36:05
  Speaker 4: is so much cheaper to prevent than it is to treat.
• 36:09
  Speaker 4: And then it is cheaper to treat small than is
• 36:11
  Speaker 4: to treat big. And so come in early. Let us
• 36:14
  Speaker 4: take a look, make sure that everything is is honky dory.
• 36:18
  Speaker 4: As I like to say, great information is always in sage.
• 36:20
  Speaker 4: Advice from doctor Carson Henley from gariev Dental Group online.
• 36:24
  Speaker 4: It's Grebdentalgroup dot com. Greebdentalgroup dot com. You can call
• 36:27
  Speaker 4: one hundred Great Care one hundred Great Care to get
• 36:29
  Speaker 4: routed to the closest location to you. Locations all across
• 36:32
  Speaker 4: the Kanaal Valley that you can find and pocus out
• 36:34
  Speaker 4: Charles and Cross, Slaine, Saint albans Day's Valley, and Kanall City,
• 36:37
  Speaker 4: the Kannall City location where doctor Henley is located.
• 36:39
  Speaker 2: That's three zer of four non two five zero three
• 36:41
  Speaker 2: two two threes are a four non two five zero
• 36:43
  Speaker 2: three two two. And I hear the music.
• 36:45
  Speaker 3: That is the music?
• 36:46
  Speaker 4: Yes, indeed, oh man, this is great. I've hadphones.
• 36:49
  Speaker 3: Oh yeah, that's right. That's right, you're not used to
• 36:51
  Speaker 3: that's right. You guys have to have to share those
• 36:53
  Speaker 3: and doctor well you neither.
• 36:54
  Speaker 4: Of Yeah, actually weren't wearing them just because we were
• 36:57
  Speaker 4: just too cool for that.
• 36:58
  Speaker 2: Why if any if none? Right, if a fitting anyway,
• 37:01
  Speaker 2: Thanks for your tom this week. I appreciate it. The
• 37:03
  Speaker 2: Doctor hen mail Coming up next to the grand return
• 37:06
  Speaker 2: of Dave Allen on his six year anniversary of being
• 37:09
  Speaker 2: the host of Fave Dy Live. Give him a call
• 37:11
  Speaker 2: and say hello, won't you. Thanks for tuning in everyone,
• 37:15
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• 37:17
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