Latest / WCHS Network Podcasts / 04/23/2024 Ask the Expert with Ghareeb Dental Group

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04/23/2024 Ask the Expert with Ghareeb Dental Group · WCHS Network Podcasts

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Unlock your dream property with Meeks Realty Group, where Rich the realtor makes real
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estate dreams a reality, whether it's residential or commercial. We've got Charleston to
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Group. Contact us at Meeks dot us. The views and opinions expressed on
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this program do not necessarily reflect the views and opinions of five eight WCCHS,
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it's employees or WVRC media listening to. That's the expert on WCHS. The
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voice of Charles and I'm Deil Cooper. The other voice that you hear in
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the studio, that's doctor Stephen Greeb from Greed Dental Group. Appreciate you tuning
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in this morning. We have tons of things that we're going to talk about
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and let me get our contact information out to you one time or more than
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one time, but to begin the show so you can get ahold of us
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if you have any questions for doctor Greeb this morning, Doctor Stephen Greeve is
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here from Greed Dental Group. More information online Green Dental Group dot com.
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G H A R E. B. Greeb Dentalgroup dot com several locations located
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here around the Kanall Valley, Pocus Out, Charleson Cross Lanes, Tayste Valley,
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Saint Albans and Kanall City. All you have to do is call one
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hunter Great Care and that will take you to the closest location to you.
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That's one eight hundred. Great Care will take you to the closest GREEB Dental
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location and they can help you out over there. GREEB Dental Group, of
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course, is here on the fourth Tuesday of most months. Of course,
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the dental industry gets busy in certain months, so occasionally or during the holidays,
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when you have your times, you take off, So we take a
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pause every once in a while. But sure, back in the studio now,
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it's just doctor stephen this morning. Plenty of stuff to talk about.
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How you doing, doctor Steveh. I'm doing great, doing great. You
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get just me today. So Doctor Henley had some scheduling snaff foos, couldn't
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quite make it. So we're back to the original crew here. Well,
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I see how that goes. I see how it goes. That's okay,
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that's no problem at all. Right, he's distingus. I guess we're gonna
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have a good time this morning, and we'll be taking your phone calls you
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can give us called three zero four, three four five fifty eight fifty eight
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three zero four, three four five fifty fifty. You can also send over
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your text questions at three zero four nine through five five zero zero eight.
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We want to talk about this morning. We're talking about really large projects.
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I guess people that have a lot of work that needs to be done,
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multiple layers, multiple visits, and things that need to be done for the
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procedures, and we're going to talk about We're want to undwind that a little
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bit though, why you may have to have it done, that the procedures
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that Grieve Dental Group goes through to make sure that it's done correctly, and
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maybe some things that would clean up problems that you had in the past.
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We want to tie all that in together. Talk about that this morning.
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We're also going to talk about how sinuses can affect your teeth, which is
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going to be interesting. I think we've touched on that once before, but
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it's not some man right now. It is the season, that's for sure.
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People are feeling it. Well, let's start off. Let's start off
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with a story that I ran across and then we can do sinuses, and
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then we'll spend the second half of our show focusing on our main topic,
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which is these complex cases. One thing I've been writing across, I've almost
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completely disengaged myself from most social media. I'm on Facebook sometimes for like my
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parents, from my mom, just in pictures of the grand kid and stuff.
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You know, I'm not on most other social media. I'm not on
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Instagram, not on Twitter that much or ex or whatever. But the one,
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the one thing that I have is I do like TikTok. I know
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that it's it's like everybody's like it's everybody's like either they love it or look
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the algorithm. For me, I get nothing but like music and sports and
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funny stuff. You know. For me, I don't get any of the
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misinformation stuff. I don't give what you want to say. It's just it's
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I don't go down the dark rabbit hole. So I don't get this dark
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stuff that everybody gets, but I know it exists. And the other day
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I just happened to get one. And this was an AD. So this
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wasn't something that came up naturally in my algorithm, but it was an AD.
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And you know, if you've seen these TikTok advertisements, it looks like
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somebody just doing a regular video, you know. I mean that's the whole
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point with using an influencer to do it. But I noticed that, you
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know, I usually don't pay attention to these things, but I noticed this
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lady right away was starting to talk about her teeth. It's like, I'm
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always looking for content to talk to doctor rub about. What what's she talking
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about? And so this was a full, like three and a half minute
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ad with this lady unboxing her kit to do oil pulling my goodness and from
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home, and uh, I gotta say that. I was like, are
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you you know with all the misinformation that people talk about there that are that's
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on social media, and you know, there's all this stuff in Congress right
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now about misinformation on TikTok, there is, and they're they're talking about political
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stuff, but there's political misinformation everywhere. I mean literally, I mean you
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can watch cable news or whatever else and you're gonna get that. I mean
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that I think we maybe not everybody, but we know to bolster ourselves a
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little bit against it's this stuff that maybe you don't know not to trust,
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you know, so you're just flying around looking or let you look at some
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person that's just an average looking person, like, hey, I got my
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oil pulling kit and it's great. It really does everything that I need it
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to. And I mean that's not cool. Well, well, mean,
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first of all, it's amazing that someone is I don't know, bright enough
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to package together something like this. I guess they're selling a product, yeah
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right, obviously, which is oil pulling. From my understanding, is just
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like coconut oil you could go buy in the grocery store. So but now
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they've made a kid out of it. I guess. Yeah. It's like
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also exciting to open in all this all these super sleek, sleek packaging,
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so you know, kudos to whoever had the business foresight to do that.
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But the question that meant you have nice little, nice little additive there.
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But the question is is it really effective? Is it worth the investment?
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And probably not is going to be the answer. I mean, I say,
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obviously not. But some people, you know, if it's something that
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really benefits you somehow, between you and your dentist making that determination, then
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you know, hey, I'm not gonna say absolutely, don't do anything.
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But from everything I've found with oil pulling in particular, is that, I
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mean, man, it takes a long time. What's it supposed to be
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supposed to be so with oil pulling from it's an older I believe, coming
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from the Indian type of you know culture, that what they do is take
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some coconut oil and put it in their mouth that melts, and then they're
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swishing with it. Now, the idea is that swishing with this oil somehow
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leeches toxins out of your gum tissue and helps balance things in there, and
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instead of brushing and flossing appropriately, this oil pulling is going to magically heal
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your gums. Now, would the oil give some amount of soothing characteristic to
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your gums? Maybe? Sure? Sure, But the recommended procedure for this,
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from my understanding, is that you swish with this oil for ten to
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fifteen minutes. Wow, what now, I mean, can you imagine oil
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in your mouth for that long? No? Not really, And I want
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bacon in my mouth for that long let alone some oil, I mean.
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And some people feel it does well for them, more power to them.
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However, I recommend just to take two minutes of brushing. Yeah, you
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know what I mean? Easier, right, be a little bit, and
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add another minute for flossing. So we're looking at maybe three minutes. Well,
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I guess less expensive too, because doesn't look cheap. Yes exactly.
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Yeah, a roll of full of floss will last you for a long time
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and it's not very expensive. But yeah, so you spend that time that
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three minutes instead of the fifteen minutes and doing the regular brushing and flossing,
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I'm sure your gums will be a lot better than if you're only doing this
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oil pulling with lackluster other or hygiene. It's odd the things that we replace.
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You know, a lot of times you think that people want to replace
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what's going on with something that's way easier or way less expensive or something like
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that. But it seems like sometimes we go to the opposite direction. We
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get things that are way more complicated that's way more expensive instead of just doing
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the thing that works. And you know, the other danger with this in
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particulars I think that where it really comes from is long term delayed cleanings and
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treatment. It really gives you periodonal disease that has that really really red irritated
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gum tissue that bleeds easily. Oh, I see so that's another claim.
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Although you know you have bleeding gums, let's do this oil pulling. Well,
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you have bleeding gums because you have tarder under your teeth. So if
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you add oil to that to soothe it a little bit, yeah, you're
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going to soothe the symptoms somewhat, but you're not going to treat the source,
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you know, And so then the underlying problems are still there. That's
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silently destroying the bone. And then yeah, you might be you can do
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things like oil pulling, like rinsing with other soothing medicaments over the counter things,
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but all you're going to do is soothe your way into tooth loss.
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You know, it's going to make that tooth loss more comfortable for you,
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I guess in the long run. But let's treat the issue and get you
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your gums nice and firm and healthy and eliminate the irritation in there. It
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seems like it makes a lot more sense. My antenta always goes up a
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little bit when I hear things like removing toxins and stuff like that, especially
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from a topical standpoint, because I'm no medical expert, but from what I've
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learned over tom this kind of amorphous toxins that people talk about. There's no
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speci identification of what these supposed toxins are that they're leaching out of the systems.
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And this idea that you can just slather something like on your skin or
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your gums and that's going to leach something of medical equivalents out that's going to
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actually do some good just doesn't make a lot of sense. I mean that,
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it just doesn't make sense to think that toxins are coming out that you
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can leach them out. It reminds me of my father in law. One
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time he had benign what ended up being a benign growth on his head.
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He thought it was cancer at the time before he went to the doctor,
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and he was really into like different alternative medicines and different things like that.
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He literally strapped tofu to his head. Come on, I'm not kidding,
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and his thought was it was going to leach out the toxins that were in
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the cancer that was in his head. So it was making direct con He
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was a bald man anyway, so it was making direct contact, and his
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thought was that it was going to leach out all of the toxins that caused
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the cancer. To magic fruit I mean, I'm sure that he probably made
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that one up. I don't know that you got that one from you know.
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I mean this was way before most of the stuff came out on the
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internet. But that is the type of thing that would catch fire today.
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It's like, oh, you know, I have a headache or whatever it
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is, let me put some tofu in my head and that's going to clear
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it right up. We really have to protect ourselves against believing in stuff that's
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kind of idie hyak oh man. Yeah. And that's what's tough, is
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alternative medicines like that. You know, I've been in medicine long enough to
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know that, you know, not everything's one hundred percent for everybody. I'm
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going to work effectively, and maybe there's some things out there that work,
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you know, for a certain you know group of people, and but it's
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just so hard to test it and to really get into a reliable, reproducible
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type of result that we can then as a medical professional come across saying,
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you know, this is really good that we should recommend for everybody. You
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know. So that's that's the difficulty in these alternative types of medications. Unfortunately,
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a lot of times it's just trying. Someone trying to sell products right
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from a medical standpoint from someone who's actually a doctor, has to be really
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discouraging sometimes when people come with with really kind of wild ideas or things that
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they're they're I heard this, This has got to be true, and you're
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sitting here with all your years of experience and knowledge and schooling and everything else,
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you're like, not really, you know, I mean, I don't
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know how to how else to describe it. It's got to be a little
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bit a challenge sometimes. But like you said, people can find things that
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can help them, and I think individually people can can find things that might
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help them in some way. A placebo effects. People identify that sometimes as
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being fake. Placebo is not fake. It actually does make you feel better,
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So people can feel better when they try something that maybe doesn't work for
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everyone. Yeah, for sure. And that's where I have those conversations with
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individuals that come in with with some very outlandish claims and ideas. I say,
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you know, you can try that, but you know, we also
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need to do what we can see obviously needs taken care of. You know,
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if you want to add that to your regiment, that's fine as long
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as we are, you know, being responsible with the treatment that we can
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deliver from aria, and you can do the additive things as much as you'd
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like, as long as it's not detrimental that I can find. It reminds
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me a little bit. I was reading about dermatology and skin and so this
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is yet another battle you have to fight, is the battle of plausibility but
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not actionable in the way that it's being used, you know, like if
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it's even as oil polling or something. I mean, there is a compound
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that is something that does something, but it's not doing the thing that you
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think it does. I had no idea that a lot of the dermatologist stuff
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like anti aging and making your skin look different ways and different things. Most
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of the delivery systems that's used in those lotions and things like that can't actually
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penetrate the skin barrier. You're just slathering the stuff on top of your skin
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and it's evaporating. It's not actually doing any of this. Like the retino
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that you get over the counter doesn't do anything. It has to be prescription
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based, you know for it. So the technical medicine does work, but
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the application that sold like over the counter in mass quantities or something does not
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and so there is another It's like, yes, technically retina will work,
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but it has to be you know, pharmaceutical grade. You can't just get
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this stuff at the store and smeared on your face and expect for it to
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work. Yeah, I mean even preparing foods like that. I mean that
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similar is true of spinach. You know, I heard another physician on you
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know, you can eat all the spine styles you want, it's not giving
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you as many nutrients as if it were cooked right and all this stuff.
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So it's yeah, you have to look at the delivery system as well.
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It's really interesting the way those things work out and how everything kind of ties
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in together. And of course Doctor Green's been doing this show for a long
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time and one thing that we've learned is through good dental hygiene, there's a
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lot of things that you can diagnose through that. There's early on sets disease
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that you can find through regular checkups. It's it's all part of your holistic
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health as you go to your doctors and you have regular checkups. We're in
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the season right now, and boy, my wife suffers from this every year.
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Shit, the allergy sign of seasons things along those lines just is basically
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crippling for her to some degree this time of year. And that yet is
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something else that has a relationship to our teeth, absolutely, and that's may
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our teeth live right below our sinus cavity. So it's very, very frequent
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that patients come in and they say, you know, I have this tooth.
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I know, I mean, this tooth is killing me and it is.
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You know, it's driving me crazy. I need to get it out
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of here, I need to get a root canal on it something. And
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then once we start looking at it and taking our X rays and doing everything
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that we need to do, start testing it like, you know what,
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this tooth is actually quite fine. Let's take a larger X ray and let's
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look at your sinus cavity as well. So we have that ability in our
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office to do what we call a panoramic film. Most stentus have that as
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well. It's the one that goes around your head, shows all of your
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teeth, also shows your sinus cavities. Many times, what we can see
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is you know, you're signed. Once we take that X ray, come
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back and ask the question do you have any sinus issues? And like,
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oh my goodness, they're killing me right now, you know. All the
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pollens come out in the air right now, and springtime is such a bad
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time for it, and even this past winter's has been really tough for everybody
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too for some reason. And a lot of times what happens is through that
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film and other diagnosing techniques, we can see that there's some cloudiness in the
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sinuses and that their sinuses are full of congestion. There can have cyst formation
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in there, and sometimes these cysts need surgically addressed. And that's where we
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have good relations with our oral maxiofacial surgeons and our you knows and throat physicians
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that we can refer to. So you know, we need to instead of
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jumping the gun and getting onto one tooth and doing an unnecessary root canal or
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an unnecessary extraction, let's take a look at what our other colleagues say with
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your sinus issues. And then a lot of times, you know, patients
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find relief in that and they say, you know, oh wow, you
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know, I'm happy to hear that we can do something like that. Other
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times we do our duetial just go through it and find that it could be
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a combination of issues could be a sinus infection plus a tooth problem, and
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that tooth problem maybe didn't show up on the X rays immediately. So it's
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a very can be very complex. Add another layer of complexity to our diagnosing
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in the dental world right now, while people's sinuses are really flared up and
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cause them reconhagig on them, create in more way, more more ways than
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one, what are some of the the pressures or discomforts that a patient might
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experience that could be signus related that might be worth either getting checked out or
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that's something that you're going to do at the natural course of things, if
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they come see you, if they're presenting some of these symptoms. But what
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with somebody at home maybe that's had some problems finding relief through straight dental examinations
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or something like that. What kind of pressures are discomfort would they feel?
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So, first of all, they if you're a regular sinus sufferer, you
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know that sinus pressure it just you know, goes drives you crazy when that
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flares up. Sometimes the teeth right below it on the top jaw, especially
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in the back, can really create it can create a toothache. So if
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it's really neat to look at when you when you start looking these X rays,
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how are sinuses. Let's see, for instance, our our roots on
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our back molars on the top there are three roots and inside of those roots,
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the sinuses can dip down in between them, so you're having very intimate
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contact with paper thin bone between the roots and your sinuses, and then there's
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just one thin membrane between those that if it's inflamed with an infection, it
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can actually elevate the tooth a little bit. It can constrict the blood flow
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to the tooth itself. It can create the tooth to feel like it has
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an infection in it, even though the infection is above it into the sinuses.
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So what you're gonna feel many times can be pressure in the teeth,
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very vague pain between the molars in the back. So patients will come in
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and say, you know, it's just hurting on that top left and I'm
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not sure which tooth it is. So we go through we test the teeth.
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There's not one single tooth giving them trouble. Maybe it's like, you
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know, one day it's one tooth, another day it's another tooth, and
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it's very inconsistent like that. It very much makes me think, Okay,
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we're probably looking at sinus issues that are kind of making that whole corner angry
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in a sense. So then if you may had that top tooth that's hurting
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and maybe elevated a little bit from some inflammation, then it can actually start
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banging on a bottom tooth. So patients come in with a toothache on the
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bottom, but we find that it's related to sinuses on the top. So
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it can all be kind of a domino effect. So you're looking at pressure,
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you're looking at vague pain, and also biting pain can cause an issue
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there too, So if you have biting pain on a tooth, then that
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that might be related to the sinuses kind of pushing that tooth down in a
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sense. I think this is something that I've been aware of, maybe not
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thinking about it in direct line, but there's been times that I know that
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along the along the back of my mouth my back teeth, when I have
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a lot of sinus pressure where I feel something in my face or cheeks or
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whatever, that I get a lot of pressure back there and occasionally it will
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hurt, and just taking like a ben a drill or something will actually relieve
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it. It's not terrible. I don't get the sinus issues like my like
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my like my wife gets. But I do get occasionally, especially after like
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mowing the lawn or something, I'll get like an influx of stuff up my
19:14
nose, and my sinuses will get really heavy and active for a while,
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and I can feel that pressure and sometimes at even borders on pain that's in
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the back of my teeth, that's set in the back of my jaw.
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And I came to find out years ago. In fact, I think it
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might have been a previous expert that was on here, doctor Pollard, who
19:29
was that eant. He suggested to me, you know, several things,
19:32
but one of the things he suggested was, you know, try taking some
19:33
an anti allergy to relieve some of that pressure. See if hell and it
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did. Sure, And so I could imagine if somebody had a little bit
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of a problem or more severe sinuss than what I have, because mine are
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relatively mild, that could really become a, if not depilitating. It's certainly
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very uncomfortable and distracting type of pain. Yeah, for sure. And you
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have a great point that of what do we do about that? What's the
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treatment? Is that many times I recommend get some over the counter pseudo fed.
19:57
It's not as strong as it used to be, but it's the final
20:00
effort now, so it seems to work pretty well. Take that for consistently
20:04
for a day or two on a regular basis to see if that cuts back
20:08
on some of that sinus congestion. And that's the difficulty is that sometimes the
20:15
tooth pain outweighs the sinus congestion pain. So patients are saying no, but
20:18
it's a tooth issue. So if we can try that anti allergy medicine for
20:25
a couple of days and see if it subsides, makes the tooth issue subside,
20:27
then we're leaning more toward this being more of a sinus issue than a
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tooth issue. For sure. That's great information. As always, Doctor Steve
20:34
mcgreeve can grieve Dental Grip. Give us a call this one if you have
20:37
any questions about these. Maybe you're having some sinus issues. I wonder if
20:40
that might be tied into some tooth pains or vice versa. Give us a
20:42
call this morning. Any other problems that you have that come up with the
20:47
dentists. Maybe you're looking to have major procedure done or something not that major
20:51
that you've have looked at in the past you want to get a second opinion
20:52
on, or maybe it's something like dentures or something that you've looked into in
20:57
years ago and you're wondering if there's better options now. Yes, there are,
21:02
and you can find out about those by giving us a call three zero
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four three four five fifty eight fifty eight. Three zero four three four five
21:06
fifty eight fifty eight as a number you can call. We're going to talk
21:07
about some pretty massive procedures and staged treatments coming up in just a few moments,
21:14
but you can weigh in on the conversation as well at three zero four
21:15
three four five fifty eight fifty eight. Doctor Stephen Greeb is here from Greeb
21:18
Dental Group. You can find out more information online. It's Greeb Dentalgroup dot
21:22
com, gh A R E E B Greeb Dentalgroup dot com. And you
21:26
could call one one hundred Great Care at any time during business hours to get
21:30
routed to the closest Grieb Dental Group to you, and that could be in
21:33
Pocus Out, Charles and Cross Lane, Saint Auleans, Taes Valley and Kanall
21:36
City. We'll ahead and take a break and be back right after this.
21:37
You're listening to Ask the Expert with doctor Stephen Greb from Greeb Dental Group on
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be held accountable too. Like Pat Moore, as a DC lobbyist, Morrissey
22:02
helped steer taxpayer funds to a gender transition clinic for children and got rich loving
22:07
for a drug company peddling puberty blockers. Morrissey's family still owns the DC firm
22:14
that loveies for a child transition provider with a clinic in West Virginia, pro
22:18
transliberal lobbyist. That's Pat Morrissey, the pro Trump conservative businessman Chris Miller.
22:26
Miller supports Trump's plan to protect our kids. As the father and the eleven
22:30
year old girl, You're darn right, I don't want her sharing a locker
22:33
room with biological mails. Both doctors are literally practicing mutilation, not medicine,
22:38
and they should be in prison. I'm Chris Miller and I'll sign that loss
22:41
Governor paid for by Miller for Governor. You see HS the Voice of Charleston.
22:56
I'm Deel Cooper. Thanks for tuning in on this Tuesday Tuesday morning,
23:00
and looks like we have a pretty nice day ahead of us today. I
23:03
was checking out the weather before coming in. Yesterday was not a bad day.
23:06
It was nice and sunny, but a little bit on the chili side
23:08
got cold. It really was a little cold, especially when you got in
23:12
the shade. I took a little walk right before my afternoon show. I
23:15
tend to try to do that, especially when the weather's nice. It's just
23:18
a good way to clear your head and get a little exercise and things like
23:21
that. And yesterday when I did it, sun was fine. I've been
23:25
doing it for years now. I've been taking afternoon walks at wark time,
23:29
just before COVID, I think is when I started. So we're looking at
23:30
like five years I've done this. It's not every day, but it's staring
23:33
closed sometimes when I have the time, you know. But so I've learned
23:37
to play in my walks. I know what side of the streets which down
23:40
the day have the sun and don't have the sun and things like that.
23:42
So yesterday it was one of those days. I was definitely trying to walk
23:45
in the sun because in the sun it was perfectly warm, it was fine.
23:48
In the shade, it was actually kind of chilly. And of course
23:49
downtown Charleston could be a wind tunnel in some places, so it gets chili
23:52
uplus you get the wind and it gets a little cold. I was a
23:56
little cold, so you have to seek out the sun. Yeah, and
23:57
we're into our kids playing baseball right now, two of them. So there's
24:02
multiple baseball games a week, and you're like, it's not that, not
24:06
that April baseball's cold and it could be cold. And then you go out
24:08
there and you're sitting out there for like three hours. Yeah, by hour
24:12
two it's getting kind of chilly. Yeah, you expect it for football season,
24:15
you know, because football is a cold weather sports. So you need
24:18
you bunged to out. You bring your cowboll and your thermo's a hot chocolate
24:21
or whatever. You're good to go. For baseball, you know, it's
24:22
supposed to be like hot dogs and shorts. Yeah, you know, I
24:25
sit out there and enjoy the sun, Yeah, not quite. If you
24:27
want to join the conversation this morning and talk about some dental hygiene, doctor
24:30
Stephen Garib is here for you. Three zero four three four five fifty eight
24:33
fifty eight three four five fifty eight fifty eight. You can call in this
24:37
morning. You can also texting your responses or questions to three zero four non
24:41
three five five zeros or eight. So you sent me some information last night,
24:44
and we wanted to make sure that we have plenty of time to talk
24:45
on this because one of the things that of course, it's it's a major
24:49
it's a major component to a patient if they're looking at having to have severe
24:52
multi stage dental work done. Obviously, as a doctor communicating to a patient,
24:57
it's it's a major issue to go through. But let's talk about that
25:00
a little bit. The types of problems that you see come in and the
25:03
things that you do when you do need multiple layers of work, multiple levels,
25:07
for sure, and that's something that we started to see. I mean
25:10
in dentistry. I have mentioned this before. Things just go through cycles.
25:12
There are times when we see a lot of patients coming in and everyone seems
25:15
to need to set adventures or everyone seems to need a filling on the single
25:22
tooth on the top right. That's the same tooth like four times in a
25:25
row. It's just crazy. It's just strange how the universe works like that.
25:27
But right now, seeing a lot of patients coming in asking questions and
25:30
seeking treatment for pretty large, complex issues that have been going on for a
25:36
very long period of time, and for one reason or another, they come
25:38
in they say, you know, either they know they have a lot of
25:41
issues that need treated or they are yet to discover that, but they're on
25:48
that path. So in order to address that, we treat just about every
25:52
patient the same when they come in in this fashion, because a lot of
25:56
times patients call in and say, you know, I need a cleaning and
26:00
I haven't had cleaning for a couple of years, but I need one,
26:02
or I just had one a year ago, and we say, you know,
26:04
well we need to see you first so we can properly diagnose and schedule
26:10
the amount of time, the right amount of time for us to get your
26:11
teeth cleaned. Well, well, then they come in and we find out
26:14
that not only do they need a cleaning, but they have very significant gum
26:18
issues. We need to schedule multiple appointments to get you healthy before we can
26:22
start talking about fixing that one tooth that you kind of see in your smile,
26:26
because no need to fix it if we're going to end up losing it,
26:30
you know, type of discussion. So these are kind of some minor
26:33
issues that go on with a regular new patient. But that's why I want
26:37
to go through a bit of the new patient experience, so we can also
26:41
direct these patients, if it's a more complicated treatment, down the proper path
26:47
as well. So when patient calls, our great staff answers the phone and
26:51
welcomes them and finds a convenient time for them to come in to see the
26:55
doctor to have a consultation. So that way we bring them in, we
26:57
take the appropriate X rays, we take, we listen to their concerns,
27:02
and we see what their main issues are. So, as I mentioned,
27:06
right now, a lot of patients are coming in saying, you know,
27:07
I know I have just a lot of things going on. I have maybe
27:11
one tooth that's hurting me, but cosmetically things are not looking right. I've
27:15
let this go for too long. Or my mom that's gotten her children through
27:18
school and now she's saying and now I've put off the lay treatment for myself
27:22
long enough, it's time to do something with that. So then what we're
27:26
going to do at that point is we're going to take a full series of
27:30
what I call cosmetic photos, So we're going to take pictures of the patients
27:34
face, seeing how their smile exhibits in their natural smile form, and then
27:38
also close ups of the teeth. And then what I like to do is
27:42
I like to put those on the screen and talk with the patient through their
27:47
own mouth. And it's really revealing to so many patients because you know,
27:51
in your brushing your teeth, you brush your teeth, you look in the
27:52
mirror a little bit. But when we can get those teeth big on a
27:56
screen and really talk about the issues, they say, Wow, maybe that's
28:00
why that tooth has been bothering me. I see this crack that you're talking
28:03
about. And then we also take a digital scan of their teeth, and
28:07
then we can really blow things up digitally and do a lot of different visual
28:11
treatments to the teeth so we can show where their bite really is hitting,
28:15
we can see the alignment of their teeth better. We can then also simulate
28:21
movement of their teeth to if we wanted to straighten things out a little bit
28:25
like that. So we're taking all of these records. We also take a
28:27
full series of X rays. We take a panoramic film that goes around their
28:30
head, shows the sinuses that we talked about, but also close ups of
28:33
the teeth so we can determine if there's any decay there. So that first
28:38
appointment is super important, so we can determine which path we're going to take
28:41
from there. Now, as I mentioned, now recently seeing a lot of
28:45
patients going down the path of more complicated treatment because they come in and for
28:52
instance, so you know this, I've been somewhere else and I've had a
28:57
couple fillings done on the other two teeth on the front to make things look
29:02
a little bit better, but those fillings just keep popping off. Well,
29:06
then we do our typical pictures and scans and we start talking about the bite
29:11
and we start showing the patient. You know, of course they're they're popping
29:14
off because they're the first teeth that hit in your mouth, and those little
29:18
fillings aren't going to be able to withstand the pressures that you're asking them to
29:22
In a sense, so now we start talking about, you know, there's
29:26
there are these two teeth that need corrected, but if we correct these two,
29:30
what about these on the other side, you know? And then they
29:32
say, you know, I've always looked at that. That's something that's always
29:33
bothered me, and i've and no one's been able to explain that to me
29:37
in the right way. And so suddenly we've gone from two fillings that needed
29:42
some attention, now we're talking about multiple teeth in the front, and then
29:45
also maybe some teeth on the bottom that need to be corrected in alignment or
29:51
with crowns and veneers to give them the right proper aesthetic look that they're looking
29:55
for. So that's one example of how things can get a little more complex.
30:00
But also we're having many patients come in that their teeth when they smile
30:07
in our pictures. So, yeah, give me a big smile. Let's
30:10
take a picture of that. And they're smiling and you don't see any teeth
30:12
at all, because their teeth over time have worn down completely and they've really
30:18
taken away a lot of tooth structure, whether it be by trauma or whether
30:22
it be from consistent grinding over time, and just naturally and gradually wearing away
30:27
those teeth. So then we're able to have the conversation, you know,
30:33
if we could do what you want to know, what would you like to
30:36
have done? Well, they say, well, I don't know what's exactly
30:37
wrong, but i'd like to have my smile back, like to be able
30:40
to see some teeth, you know. So then we start talking about placing
30:45
their smile in the right position, because we can always go in and fix
30:49
the tooth where it is, but if it's not showing when you smile,
30:53
you're still not going to be able to see that. So what we're talking
30:56
about now is adding tooth structure somehow via either by moving the teeth themselves with
31:03
invisi line or some type of orthodonic treatment, or by restoring them with porcelain
31:08
or with composite filling material to give them back what they've lost. And that's
31:15
why that initial exam and initial consultation is so important, so we can know
31:21
what records we need, what labs we need to work with, so we
31:23
can create these prototypes to see where we're going to end up. Kind of
31:29
the finish line, visualize the finish line before we get there. And I
31:33
guess the thing that I've picked up over the years that we've done this show
31:36
and the way things have progressed and the way you've kept the folks up to
31:38
date on procedures and things that have done. Of course, you can say
31:41
this about pretty much anytime, but very truly now is about the best.
31:45
Obviously the best time, but it's a very good time to have these types
31:48
of procedures and things done. We have the technology to be able to lay
31:52
it out properly, to take the proper X rays, to stage it properly,
31:56
to come up with the proper strategy without it being guesswork. There's no
32:00
guesswork that could be involved with it. You can pretty much determine all of
32:02
this, and in the past that wasn't necessarily the case. So having this
32:07
all of this in front of someone able to go through one of these complex
32:09
issues, I think it's amazing that you can just reskald teeth if that's what
32:13
you need. You know, you're not regrowing them quite yet, maybe that's
32:15
in the future somewhere, but but you're you're creating an extending teeth that are
32:21
there, that are visible, I mean, and that's an incredible thing.
32:23
You know, even forty years ago or something, I'm sure that that was,
32:27
if not impossible, was certainly not something that was accessible very easily.
32:30
And now we're talking about having the materials and the technology to be able to
32:34
do that for someone that could be life changing for someone who, like you
32:37
say, missing their smile or maybe through trauma no longer has has a smile
32:40
that they're confident. That's a that's a pretty big is sure. And you
32:44
had a great point that materials are so important because right now, think,
32:47
thank god, we've got these advancements in dental technology to where we've got these
32:52
very strong materials that before you know, we've we would try to do some
32:57
of these treatments and the mouth is just too strong, it wouldn't hold up,
33:00
uh, And we would we try to make things as cosmetic as possible
33:06
with the materials that we had, but it always seemed to fall short,
33:08
fall short many times. But now the materials are better than, of course
33:13
they've ever been. But what we've got to do is properly stage things out.
33:16
Like we've talked about. So in dentistry, of what you do is
33:20
you bring a patient in and work did this work up? And we say
33:22
Okay, here's kind of the We've visualized where we want to go, Now
33:27
how are we going to get there? So it always starts with the periodonal
33:30
gum health first, and that's why we have a great set of dental hygenis
33:34
in all of our offices that we expect a lot from them because we expect
33:37
our patients to have very good dental hygiene treatment and that is the basis for
33:44
what we can build upon that of dentally speaking, So of course we're going
33:47
to bring them in and do the proper types of treatment that are needed to
33:52
get their gums healthy and where that needs to be first, and then we're
33:54
also going to look at the most urgent what we call disease removal. We
34:01
take out cavities basically, so we're going to get your teeth in a relatively
34:06
healthy position. So we can then build upon that cosmetically what we need to
34:12
do and functionally. So if you have, you know, five or six
34:15
cavities that are getting large, wh need to get those cavities taking care of
34:19
first, and then we can start talking about getting those pretty veneers in the
34:22
front if that's what we're going to do. But many times we can also
34:28
combine that with our treatment. Let's say that we are working on these front
34:31
six teeth to make them look better, but at the same time, you
34:36
have four fillings, four cavities in those six teeth. So many times what
34:40
we can do is remove that, remove the cavities and also prepare the teeth
34:49
for the veneers or the crowns at the same time, because we also want
34:52
to be cognizant of our patient's schedules. Right now, everybody's busier than ever,
34:55
so getting you know, when your patient comes in and they' common question,
35:00
how many how many treatment sessions are we going to have here? How
35:04
many appointments are we going to have? And so fortunately we're able to condense
35:07
those many times. But even a very complicated case, we could do that
35:13
and as little as two to four appointments many times to get the get the
35:17
final restorations in place. That's pretty incredible, And I know that you guys
35:22
can do. You can balance things between working between maybe using insurance care credit,
35:29
staging it between times of the year. You know, I know that's
35:30
a properly a popular strategy. We've talked, sure, we've talked a ton
35:35
on how dental insurance is different from medical insurance on this show, so traditional
35:39
medical insurance. So if you wanted to start later in the year, so
35:43
you have your stages that crossover December into January and you can get more done.
35:46
I mean, there's ways that you can stage those things out for yourself
35:51
too, you know, pay inform and stuff like that to make sure it's
35:52
done. But the bottom line is, and this is the part that I
35:54
that I know for me, this would be the biggest issue, the procrastination
35:58
that's got to be involved. From patient standpoint, it's like to get started.
36:01
Once you get started, it's probably not all that bad, you know.
36:04
You know, you get into the process, you schedule appointments, you
36:06
have it ready to go. It's that mental block that we have to get
36:08
started for us pay as patients on a big project like that, and that's
36:13
the one we just do it, you know. I mean, if this
36:15
is something that you're ready to do, this is a good time for it.
36:17
There's no there's no way for you to determine if if you for sure
36:22
want to take the steps and get this taken care of them, then if
36:23
just go see a doctor, go see doctor Garb. Get the plan in
36:25
place so you can see if it's something you want to do that's right,
36:28
and that's where we try to make it as easy as possible for the patients.
36:31
At that same appointment, we're going to talk about staging the treatment out
36:36
with the appointments we're going to need to make, and also figuring out any
36:38
financing questions that they have, any insurance navigation. We try to get it
36:43
all taken care of it that first appointment, so then from there it's smooth
36:45
sailing, you know, once we get that, once we cross that hurdle
36:49
of the first appointment, we have the plan in place. Now we just
36:52
have to execute it, and then that that can be as quick as one
36:57
one additional appointment we're going to get all the treat been done, or whether
37:00
it's going to be four or five or more if we need to. If
37:04
you do them out in that way, it's just a it's a there's no
37:07
time like the present, and there's no reason if you're suffering through some discomfort,
37:10
or if if it's a cosmetic thing that you just can't you can't tolerate
37:14
anymore, there's no reason to at least not get it evaluated to see if
37:16
it's something. Let's just check it out. Men, we'll come in.
37:19
I tell patients, you know, new patients come in. Well, you
37:21
can have a couple of coffee together and talk it through. You know,
37:23
let's hear what your issues are and we're happy to uh to address them if
37:27
we need to, and just give you some information if you'd like so,
37:30
no pressure, such great information. Let me get the information out for greed
37:31
Dental Group to you one more time. Uh. Doctor Green will be back
37:35
next month on the fourth Tuesday of the month, and you can find out
37:37
information online. It's Greebdentalgroup dot com. G h A R E E B.
37:40
Greebdentalgroup dot com. The phone number one one hundred Great Care one hundred
37:45
Great Care is the phone number that will take you to the closest location to
37:46
you. Pocus out Charleston Cross Lanes, Saint Albans, Tays Valley or Canaw
37:51
City. You can catch this podcast at WCHS network dot com slash podcast.
37:54
If you missed any portion of the show, Doctor gree appreciate your time.
37:58
Thank you so much. I appreciate it. Well, It's catch you next
38:00
time. That's doctor Stephen Greeb GREEB Dental Group. Have a great day everyone.
38:04
You're listening to the Voice of Charles and five AD w c HS.
38:06
Coming up next is gonna be Dave Allen with five eighty Live and then Hoppy
38:09
Curcible and talk Line will take us till noon. I'll be back this afternoon
38:13
at three oh six Hotline with Dave Weekly. Have a great day, everyone,
38:15
listening to five AD w c HS, the Voice of Charleston. W
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c HS A W two four three d r f M Charleston W two A
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