Dr. Thomas Gonzales: He comes into the room, he looks and anyone explain to him what they want to look like, are there any changes they want to make? Or if they have a picture of somebody else –
Mike Wiegenstein: You said that that you have the person actually bring a picture in it -- of like so that you can give a smile that was progressive what she was. Do you think that skin color, do you think that tones or teeth, I mean a person’s skin color or face shape changes how their teeth look?
Dr. Thomas Gonzales: Sure does. But everybody is different too on the perception of what they want, but I give you may be different to what I gave somebody else. That’s what they will communicate with us and the lab man. He will actually be like the patient will explain all that to us.
Mike Wiegenstein: Do you just -- why do you have the answer elaborate; do you think that being a benefit to the patient?
Dr. Thomas Gonzales: It’s a huge benefit to the patient. We can, like you mentioned before, we don’t have to send things back to our laboratory and get it back two weeks later. With that -- may be it’s then correctly this time.
Mike Wiegenstein: It’s part that your patients and I and I mean the majority of patients I met today have been high anxiety, high stressed, don’t like to go the general office and the most are now don’t want to come back visit you but do you think due to the fact that you can fix it one visit versus having to send it out and having to come back two or three times, do you think that helps their anxiety level? Do you think it makes it more viable?
Dr. Thomas Gonzales: Tremendously, tremendously because we don’t have to send it back. We get it in there; we can fix it and make it the way we want it to be.
Mike Wiegenstein: That’s incredible. How much oxidation are high-v dentistry?
Michelle: Anytime that I will walk into a dentist’s office, I would really crunch, perspired. When I first walked in, I was doing all of that. When I walked into, got into the chair, I told you can’t go in mouth at all, you can’t. At that point, he built up the relationship where he said, I don’t have to go in your mouth right now. So that was pretty good because he didn’t push himself upon me. In the last two years having extremely bad headaches, allergies, high fever, going to the hospital every other week and I was going to the hospital. Since I came to Dr. Gonzales, I’ve maybe had one or two headaches, very rare, not even migraines.
Dr. Thomas Gonzales: She did have an infection of the sinus and that could have been contributing to the headache so we cleared that up. But I think the more important thing was we used neuromuscular techniques out there where you relax your muscles, and found the correct position for her jaws. In other words, her muscles are in a more relaxed position now and that ends that whole cycle of muscle tension headaches. I would say, less than 1% of dentists are training to do neuromuscular techniques, most dentists don’t even know about it. But it is very important when you are doing reconstruction work because you can rebuild that bite to the same position, she would still have her headaches today had I done that.
Mike Wiegenstein: Alright. Earlier today we were talking to Michelle. She said, her headaches went away, other pains went away, all of this stuff happened because she had her bite rebuild. Now you said it’s neuromuscular dentistry, what is that really and how important is that to the outcome of a case?
Dr. Thomas Gonzales: It’s very important to the outcome of the case. The problem is that most dentists don’t take the time to learn about this or even know how to treat this. What we do is we align the jaws where the muscles are the most relaxed position. Then we rebuilt the bite around that. Then that allows the muscles to be in more relaxed position and that gets rids of headaches.
Mike Wiegenstein: Okay. She didn’t said that she came in here and even talked you about her headaches, that’s just – they happened to go away.
Dr. Thomas Gonzales: That’s correct.
Mike Wiegenstein: And you said it was because you practiced neuromuscular dentistry. Do you find that people have headaches all the time but they don’t realize they are related to their bites, may be they get their mouth reconstruction done and they get headaches, is that a common problem?
Dr. Thomas Gonzales: We hear this all the time. Patients come into us, then they do have headaches, and a lot of times it’s because they’ve had piecemeal dentistry, you might say they’ve had like a bridge placed here, bridge placed there and what’s been done then is they are perpetuating their problem rather than correcting the problem. So if you are going to have everything done, you need to do it in a more correct fashion so that everything is done so the patient will be in an optimum position.
Mike Wiegenstein: How important do you think neuromuscular dentistry or practicing it is to having the proper outcome in a case, is it really that important?
Dr. Thomas Gonzales: It’s extremely important, yeah.
Mike Wiegenstein: Is that something that you would may be want to find out about, the doctor before your --
Dr. Thomas Gonzales: Oh definitely, definitely.
Mike Wiegenstein: Okay there are a lot. I mean you said earlier there were few that do.
Dr. Thomas Gonzales: There is very few dentists that know about neuromuscular techniques to reestablish the bite. If you’re going to have like extensive reconstruction done, you should have somebody who is trained in neuromuscular techniques to rebuild your bite.
Mike Wiegenstein: Okay, we’ll go meet your next patient.
Male Speaker: I had not been to the dentist in a long time, I mean it was by far the worst fear I’ve ever had in my life, I mean I had nightmares about it. My wife was constantly asking me to go to the dentist. I was walked in Dr. Gonzales office for the first time was as I mentioned, it was probably in my mind the bravest thing I’ve ever done, I was so scared, I couldn’t sit down. He didn’t do any work, he just talked to me. Then he noted my teeth at first, it was tart and just make me feel come close sitting in a chair as this was something I can never do in the past. He made a detail of what each tooth needed, have done to it. I looked at the list and I was like, lot of stuff had we done I knew that. Then I said, well, that’s going to take several visits. He said, no, well I’ll do it on next Thursday.
I walked in here with by far the worst teeth in my family and walked out here with the best teeth in my family and with absolutely no pain. He even gave me a prescription for some pain killers I took. Really, it was a little solid but I really didn’t have any pain. I can tell, before you even looked into my mouth that that was giving me embarrassed by what, you know, because I don’t know, it’s just to me or is it just one that was like if I was to take a look and we’ll see what we work with here. And he was very -- as I said very soft spoken and very -- I just all of a sudden, I was immediately comfortable with him. He treats incredibly and I don’t have any bad experiences here, I mean every member of the staff, Dr. Gonzales, everybody is been incredible.
Mike Wiegenstein: What is the difference between a pain free dentist to sedation dentist and IV sedation dentistry?
Dr. Thomas Gonzales: I’ll start with a pain free dentist, that just means uses local anesthetics.
Mike Wiegenstein: So if I read the form of pain free, that doesn’t really mean anything?
Dr. Thomas Gonzales: No, that doesn’t mean anything. Most dentists are called pain free dentists, we may be using local anesthetics. You mention sedation dentists, sedation a lot of dentists --
Mike Wiegenstein: The pill, I heard about a little bit of pill --
Dr. Thomas Gonzales: Yeah, that usually means a little bit of pill. That is a form of sedation but it’s not very deep. What it does? It takes people to relax, they make you feel like a -- and some people have no memory, they don’t know what drugs are given to them.
Mike Wiegenstein: Okay.
Dr. Thomas Gonzales: We as IV sedation put us in a totally different category. We put them completely asleep.
Mike Wiegenstein: So they are out just like they would be for a surgery.
Dr. Thomas Gonzales: Well, they are out like a surgery but their reflexors are still intact, their heart is beating on a tone, and they are responsive but they are completely asleep.
Mike Wiegenstein: So they -- you know we met people today, we are in the chair for a considerable amount of time. I met one lady, she was supposed to have ten or 12 visits, and you did it all in one sitting.
Dr. Thomas Gonzales: That’s correct.
Mike Wiegenstein: She said, she woke up, she went home, she slept for four hours, she got up, no pain, no swelling. And knowing what she had done, I would expect -- I call a mouthfuls of -- you know they are talking their mouth and they are -- does IV sedation dentistry allow you to do, I don’t want to say better but more complete or does it allow it you to offer things to patients that you couldn’t do under a little bit of pill or relaxation dentistry or whatever out there?
Dr. Thomas Gonzales: Yeah definitely. We want to start off with, we give them other drugs till they are sedated. We give them something to put into sleep and makes them relax but we also put in the pain medication. We use something called fentanyl, which is similar to morphine but it’s like 80 times stronger.
Mike Wiegenstein: So they have no pain?
Dr. Thomas Gonzales: They have no pain.
Mike Wiegenstein: Now when they -- she said she woke up, went home, slept for four hours, woke up, no pain, no swelling, felt great and her teeth well done.
Dr. Thomas Gonzales: Right.
Mike Wiegenstein: It was a woman that had been to the dentist for 20 years, was told to me, ten or 12 days, I was supposed to have a gums lay open and you fix the gums with laser device. I would assume but may be I don’t know that that person would be in tremendous pain or in my experience, could be have a lot of pain and a lot of swelling, is it because there body is relaxed, is it the drugs you put in, you know, is it you, what is that, because everybody, if it was then one person I talked to and I was there talk to a lot of people so we didn’t get to show their interviews, they also said the same thing, there are these massive mouth completely rebuilt and none of them have swelling or pain. The only thing that was common was they all had IV sedation dentistry.
Dr. Thomas Gonzales: That’s right.
Mike Wiegenstein: Is that a common occurrence? Do people wake up and not have that pain and swelling that they normally expect to have afterwards?
Dr. Thomas Gonzales: It’s very common for several reasons. One, we use cutting edge techniques, our techniques are less --
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