Mike Wiegenstein: You are watching a special edition of Medical News Network, your trusted source for the latest information in medical and dental procedures. I am Mike Wiegenstein, thanks for joining us. We brought our cameras here today to the offices of Thomas Gonzales, a recognized leader in reconstructive and sleep or IV Sedation Dentistry to find out just what this can do for people. So, if you have bad teeth, you are afraid of the dentist, or you just need help and don’t know who to turn to. My recommendation is sit back and get comfortable and I will see you inside.
Female Speaker 1: Welcome to an educational and comprehensive discussion with today’s top medical experts, your trusted source for the latest in medical news and information. You are watching Medical News Network.
Mike Wiegenstein: Hi! Is Dr. Gonzales in and it’s Mike with Medical News Network.
Female Speaker: He has been expecting you, go right hand.
Mike Wiegenstein: Thank you. Dr. Gonzales.
Dr. Thomas Gonzales: Welcome Mike.
Mike Wiegenstein: Thank you very much. First of all I want to really thank you for actually welcoming in me or inviting me to come out today, a lot of people are really nervous when they hear I am come in poke around and around the business. I want to talk to you mainly because you know I do business a lot here in Vegas have show there, but over the last six months to year I received a lot of information about you in particular from people who are extremely afraid of dentist, people had been to dentist in 20 years and I walked from people who have their whole mouth according to them in one visit. Can you really do that?
Dr. Thomas Gonzales: Yes.
Mike Wiegenstein: So, damn sure every day.
Dr. Thomas Gonzales: Yes, I do.
Mike Wiegenstein: Is that the focus of your practice is it is pain or where you focus on?
Dr. Thomas Gonzales: We focus primarily on sedation dentistry, implants and cosmetics here.
Mike Wiegenstein: And then same goes your building is absolutely gorgeous.
Dr. Thomas Gonzales: Oh thank you Mike
Mike Wiegenstein: I mean its mostly when you go to a dentist office here you know I do with the lot of dentist all across the country. The reason -- somewhere, third floor, second door on the right, this is a standalone facility; obviously, right next to where the hospitals are but this building is beautiful. Did you design this, did you tell me about how this building came about?
Dr. Thomas Gonzales: Well, my wife and I do. We did design it. We sat down with an architect. We told him what we wanted, what colors everything we all put it together yes.
Mike Wiegenstein: It’s incredibly beautiful. So, before I get to talk to the patients take a few moments and show me around
Dr. Thomas Gonzales: Let’s go to the office.
Mike Wiegenstein: Right.
Female Speaker 2: Several years prior to meeting Dr. Gonzales I had had some dental work done primarily veneers and the work was pretty good, it is that I had noticed that over the years that the work had deteriorated, the discoloring had come back and I realized that may be I hadn’t chosen the right quality. There is a big quality difference. I believe that when I smile you cannot tell that I have had work done. When I smiled before, I think you could tell that I had work done. There is an association of the quality of person that you are the type of the person you are the level of person you are based on your smile and I am not saying that’s fair or that’s right, you have to go comfortable with the doctor.
I think that’s more important than a lot of other parts of the procedures is do you feel comfortable because that what takes away the anxiety. The second part is the quality of the work and I am lucky you know Dr. Gonzales hid all of the part with me, I got a high quality doctor and I have got an incredible smile, I feel like part of the family here.
Mike Wiegenstein: She mentioned about technology, lasers. How important is technology and equipment in what you do?
Dr. Thomas Gonzales: Well, let me give you an example that Mike this is called an iCAD and this is an extra machine that gives us 3-D imaging and what this does is
Mike Wiegenstein: Three dimensional, so you can see the bone as the bone versus a triple x-ray where as just want to mention.
Dr. Thomas Gonzales: Right, we can see inside the bone actually. So, what we can do is we are looking at the bone as if you went in and peeled the tissue back and take a look at the bone. So, that’s how
Mike Wiegenstein: As my understanding that most dentists lay your gums open and peel them back to work.
Dr. Thomas Gonzales: As we want to find out, yes, yes you have to do but what we can do with this we can look inside, and we don’t have to do with even picking up an scalp or anything. We can just turn it around, we can look take slices and we can see the thickness of the bone, the density of the bone, the quality of the bone, even the length of the bone. We can do all this planning just with this x-ray.
Mike Wiegenstein: Plus when you have it for down the road planning too, you don’t have to reopen that gum up or look at anything with the type of patients you do and obviously you do a lot of patients that are high fear, or high anxiety patients. Are you able to give them comfort in the fact that you don’t have to even open their mouth to see what’s going on.
Dr. Thomas Gonzales: Oh! Definitely, just as so much more that.
Mike Wiegenstein: Now do all dentists have one of these?
Dr. Thomas Gonzales: Not too many dentists have that. I will say less than one and half of a percent of dentists in the country have one of these machines.
Mike Wiegenstein: So, if somebody wants this kind of technology but do they only send them hospital for an x-ray, do they send them, do they make them drive somewhere else?
Dr. Thomas Gonzales: That’s exactly what they have to do. They have sent them to hospitals -- taken or to a diagnostic center where they do have them.
Mike Wiegenstein: Doing this machine, they calmly sit down once and again they don’t -- it just circles their head one time.
Dr. Thomas Gonzales: That’s right -- and for a 20 second scan, we get all that information.
Mike Wiegenstein: And there was no pain for them.
Dr. Thomas Gonzales: Not at all not
Mike Wiegenstein: No pain no worry
Dr. Thomas Gonzales: No, not at all. When -- first came in saw lady that was terrified. I mean I knew I couldn’t really touch her the first visit. I was just going to talk to her, find out what she needed and take a look at her mouth possibly and that was about all I was to get that. So, we took a look and we saw that she needed a lot of attention. We said we can fix her but she told me not when I am awake and I said her that’s no problem. I say we can do that also. So, we got her back and we sedated her and we put in some implants, root canals, did some fixed bridges, we aligned her jaw, we found -- should be and we did some parallel surgeries as she had she walked out of here with teeth all over.
Female Speaker 3: On my first visit when I came here I was terrified to come. It wouldn’t matter where I was going for dentist I wouldn’t be terrified and I was afraid what they are going to tell me. I thought they are going to tell me that a cancer in my mouth, or who knows what I just my mind was going. It was working all the time. So, that got me in a state and by the time I was here I was -- and then I believe I had not this not just oxide did I yeah and the IV but I had before both, I went before plan, I remember them putting them in the IV not feeling it, thinking well that’s nice because normally that’s kind of a scary time and that’s it. I woke up and it was over, don’t remember leaving, went home, slept, you called me that’s all I remember. That’s it.
Dr. Thomas Gonzales: When she first walked in she was totally terrified but then once she was sedated it is just like the most perfect patient because she is easy today. So, it is so easy to
Female Speaker 3: Not great not down.
Dr. Thomas Gonzales: If you try to work out her otherwise there is no way you could ever accomplish anything. Then under sedation we are able to do implants, extractions, root canals, perio surgery and not to mention putting crowns on all the remaining teeth. We did all this in basically one appointment.
Female Speaker 3: One appointment.
Dr. Thomas Gonzales: Yes.
Female Speaker 3: When I came in, I knew its going to have a lot of work but I dint know that it’s going to end up with this great amount. You know what I am saying I dint know that’s its going to be best good. Yeah, he is great he is the best.
Mike Wiegenstein: Now everybody we talked today has talked about getting things done in one visit. How do you do that?
Dr. Thomas Gonzales: Mike, let me show you my lab, okay.
Mike Wiegenstein: So, you build the teeth right here.
Dr. Thomas Gonzales: We built them right here.
Mike Wiegenstein: I am sorry, you don’t send them out.
Dr. Thomas Gonzales: Nothing is sent out.
Mike Wiegenstein: Normally, teeth are sent out.
Dr. Thomas Gonzales: In most -- everything we will sent out right.
Mike Wiegenstein: So, you are able to actually while the patients -- if they are under sedation or while they are you are able to actually build their teeth.
Dr. Thomas Gonzales: Right we can.
Mike Wiegenstein: While they are here.
Dr. Thomas Gonzales: Right.
Mike Wiegenstein: Now does the lab and do you think that gives you an idea for this is forgive me it gives you an unfair advantage of almost people.
Dr. Thomas Gonzales: I think it definitely gives us an advantage otherwise its unfair because they have the option that you do the same thing.
Mike Wiegenstein: Why do you think they don’t, I mean obviously and I am talking as a patient you know I have an implant and it was done and when I open my mouth up the tooth was a little bit different color than all the rest. So, I went back to the dentist and he says and he took it out and as about two weeks later the tooth came back. Are you saying is that the something you would do while they were here?
Dr. Thomas Gonzales: We will do it right then and there while the patient is still in the chair, we take it, we -- walk in here and he would keep you right back because it was a matter of fact the patient come in and watch doing this.
Mike Wiegenstein: I will not. I am not blowing or -- your horn or whatever but I spend my like inside dental offices and then I look at people smiles so for everybody that I have to at their smile was been natural, it doesn’t looks like it’s a veneer. Do you think that the lab tech, I mean do you let him actually -- to know.
Dr. Thomas Gonzales: Every patient before we start they need the lab technician. He comes into the room, they will explain to him --
Transcription by:
Scribe4you Transcription Services