Discover how modern dental restorations can truly stand the test of time with Dr. Feinberg, a leader in crown and bridge dentistry. We break down his innovative techniques that focus on strengthening the tooth root to prevent decay and enhance longevity. You’ll also hear about his influential works, including *Open Wide: Essays on Challenges Facing Dental Practitioners* and his textbook on precision attachment dentures.
- Pitfalls of "crowns in an hour" quick fixes
- Dr. Feinberg's approach to long-lasting restorations
- Literature contributions and educational programs
Explore the balance between cutting-edge dental technologies and foundational skills that every practitioner needs. Dr. Feinberg shares his unique experiences, including alternative dental practices and advancements in endodontics. Plus, learn about caring for older patients with innovative techniques like copper band temporaries.
- Pros and cons of modern dental tech
- Individualized care for middle-aged and older patients
- Onward: Dr. Feinberg's educational resources for dentists
**Listen now and learn how to elevate your dental practice!**
_____________________
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Links to Stay in Touch with Dr. Jewel W. Williams
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*Disclaimer: While our discussions aim to inform and educate, it's important to remember that the content provided here is for educational purposes only. We strongly advise consulting your healthcare professional before implementing any advice or recommendations from our guests.
Speaker 1: You mentioned, if they tell you it only takes two
00:00:04
settings or two days to complete the work.
00:00:09
Speaker 2: Oh, you mean like crowns in an hour?
00:00:10
That is junk.
00:00:12
And in dentistry, when I make crowns and bridges, what enabled
00:00:20
my dad and I to have so much success is that the crowns and
00:00:23
bridges are modeled on the idea of a mason jar cover, which is
00:00:27
the best known method of food preservations.
00:00:29
So I almost never get decay under my crowns and bridges
00:00:34
almost never.
00:00:35
And also because I have a good grip on the root, I don't have
00:00:42
crowns falling out or bridges falling out.
00:00:44
That is very unusual.
00:00:45
If I ever had that, I would do it over in a heartbeat.
00:00:48
I wouldn't even think about it and I'd want to know why that
00:00:51
happened.
00:00:51
And usually it's because you didn't get enough grip on the
00:00:55
root and you have to go and create a little bit more room
00:00:57
and then there's no problem.
00:00:58
And that's not what a lot of them are doing.
00:01:03
They're doing what you call butt joint restorations, where
00:01:07
you create a ledge all around on the tooth.
00:01:12
Speaker 1: You're listening to Cold Press Conversations with Dr
00:01:15
Jewel White-Williams, a lover of numbers, lists and a good
00:01:18
glass of cold press juice, who is sharing episodes each week to
00:01:23
help you explore the back end of healthcare and health
00:01:27
sciences, where a lot of that grit is done.
00:01:29
We'll dive into topics covering research, education and
00:01:33
clinical practices, as well as guest shows with other leaders
00:01:38
in the field.
00:01:38
Pull up a seat and let's dive into these amazing and
00:01:43
game-changing conversations.
00:01:45
Hello and welcome to cold press conversations.
00:01:49
This is dr jewel, and I am here with a very special guest.
00:01:54
I am your host.
00:01:55
We're going to delve into a critical topic and we're going
00:01:58
to talk about our teeth.
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Yep, we're talking about teeth today.
00:02:02
I'm making it very simplistic because Dr Feinberg, who is our
00:02:06
expert today, will give us such an insight about our health, our
00:02:10
teeth, and he's going to take us on a journey of his
00:02:13
background to where he is now and how he is assisting other
00:02:19
dentists, as well as his dad did , to ensure that we're meeting
00:02:23
the needs and health of those of us who are in our communities.
00:02:27
And we're going to even show even further the impact of our
00:02:32
mouth, our teeth, why we must clean the way we do, because
00:02:37
it's a huge impact to the health of which we live daily.
00:02:40
So, before I go any further, how are you doing, dr Feinberg?
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Speaker 2: I'm doing great, and you.
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Speaker 1: Awesome, awesome, awesome.
00:02:50
You know I've got to give them a little bio about who you are,
00:02:53
because you have a wealth of knowledge and I think they need
00:02:56
to hear this.
00:02:57
You know Dr Feinberg, isa graduate of Tufts University, he
00:03:00
has practiced dentistry for over 40 years, initially in
00:03:03
Scarsdale, new York, and is now in Arizona, trained by his
00:03:09
father, dr Elliot Feinberg.
00:03:11
A pioneer in full coverage restorative dentistry, he
00:03:14
continued a legacy documented with over 100 photographs
00:03:19
spanning over 70 years.
00:03:20
As the director of Onward, an online teaching platform, dr
00:03:25
Feinberg has created more than 30 courses and provides an
00:03:28
extensive library of educational materials for dentists.
00:03:31
A nationally recognized lecturer and author, dr Feinberg
00:03:36
has contributed significantly to dental literature and serves
00:03:39
as a reviewer for the Journal of Oral Implantology.
00:03:43
He holds leadership roles in several dental associations,
00:03:46
including the American Dental Association, the Arizona Dental
00:03:49
Association.
00:03:50
He's received numerous awards for his service and he is also
00:03:56
an author of open, wide essays on challenges facing dental
00:04:00
practitioners and how to evade them to achieve excellence.
00:04:05
Now he also has a textbook.
00:04:07
Am I correct, dr Feinberg?
00:04:09
Speaker 2: Yes, I also have a textbook on a very niche subject
00:04:12
in dentistry.
00:04:12
And that subject is precision attachment removable partial
00:04:20
dentures, which very few dentists know anything about,
00:04:26
and it's a wonderful solution to a lot of restorative problems.
00:04:31
Speaker 1: And that's the key you focus on full coverage
00:04:36
restoration right.
00:04:39
Speaker 2: Yes, which really means crown and bridge work,
00:04:44
whether it be on natural teeth or on implants.
00:04:47
That's what that's what I really do.
00:04:50
So the whole point of doing that is to preserve the
00:04:57
foundation, which are the roots and the bone, so that you can
00:05:00
hold on to your teeth.
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Speaker 1: And I like that.
00:05:04
Now, one thing I did want to state is that when I was reading
00:05:08
everything in the book that I am going to probably be using
00:05:13
just a little bit just to help us with the flow of the
00:05:15
conversation, open wide the essays on challenges facing
00:05:18
dental practitioners and how to evade them to achieve excellence
00:05:21
.
00:05:21
I understand that you had a blog and you realized you didn't
00:05:24
realize the wealth of understand that you had a blog
00:05:25
and you realized you didn't realize the wealth of
00:05:26
information that you had and you thought you'd turn it into a
00:05:29
book.
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Is that true?
00:05:30
Speaker 2: That's correct.
00:05:31
Yeah, One day I looked at it and said this could be a book,
00:05:34
and so that's what I did.
00:05:36
I turned it into a book and I thought well, this might Okay go
00:05:46
ahead.
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Speaker 1: Oh, no, no no, I thought we were pros, that's
00:05:47
okay, but no, I thought that was pretty interesting because I
00:05:51
had a chance to read several of the essays.
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Speaker 2: They're impactful.
00:06:01
Yes, I originally wrote it for my profession and for dentists,
00:06:08
but I really think a lot of it has a public appeal and it
00:06:09
really gives an eye-opening look at some of the things that are
00:06:11
going on in our profession, some of which are good and some of
00:06:16
which are really terrible.
00:06:21
Speaker 1: Do you mind just giving us a little background?
00:06:22
I know I mentioned a little bit into your biography about how
00:06:26
Dr Elliot Feinberg, your father, and you discuss it in your book
00:06:31
, how you had an opportunity to learn from him.
00:06:35
Now, it was a little pivot that you had to take in order to
00:06:38
learn from him, because he had high expectations he had high
00:06:49
expectations.
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Speaker 2: Oh, he was a tough cookie, let me tell you, and I
00:06:51
learned he was a genius and a real pioneer in full mouth
00:06:52
reconstruction and crown and bridge dentistry and he was my
00:06:56
mentor and teacher.
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I learned everything from him and the techniques and basic
00:07:02
philosophy that I learned is completely different from what's
00:07:05
being taught in dental schools and in other mainstream
00:07:09
institutions Completely, and that's why I have this
00:07:14
collection of pictures that he started in 1950.
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Thousand pictures of quick cases that go back to 1950,
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where all the teeth were prepared and handled the same
00:07:29
way and the cases followed for decades with x-rays.
00:07:30
So I have a lot of cases that I did in the mouth 30 and 40
00:07:34
years with minimal changes in the bone, and I don't see that
00:07:39
from anyone else in my profession, which is very
00:07:42
upsetting, because my dad had a mentor.
00:07:45
His mentor was Dr I Franklin Miller, and what I'm doing
00:07:49
really is an extension from the very origins of Crown and Bridge
00:07:53
Dentistry and somewhere along the line the profession went off
00:07:57
in a different direction and that is one of the reasons why
00:08:00
they're having so much trouble with Crown and bridge and so
00:08:05
much so that they want to pull all the teeth out and put
00:08:08
implants in, and that's not as good as saving your own teeth I
00:08:13
don't think, but a lot of it is simply because they don't know
00:08:16
how, and that's why I started the teaching website.
00:08:19
And unfortunately, a lot of dentists are indoctrinated in
00:08:24
wrong thinking, so they never get on the right track and they
00:08:31
have ideas that are wrong, and it bothers me that they're
00:08:35
having trouble with things that were actually solved in the
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1930s.
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That's upsetting, and if we're going to live in I did- read
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something about that.
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Speaker 1: I thought that was pretty interesting how you
00:08:49
stated that, like from the 1930s .
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You said about 40 years ago we didn't have the problems that
00:08:55
we're having today because it's just the way that they're taught
00:08:59
.
00:08:59
I thought it was really interesting that you stated that
00:09:02
.
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Speaker 2: Yes, and it's the truth, the origins of Crown and
00:09:08
Bridge.
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They didn't have the problems with recurrent decay and crowns
00:09:13
and bridges falling out that most practitioners are having
00:09:17
today when they do Crown and Bridge, because their approach
00:09:21
was different.
00:09:22
That's what I'm doing.
00:09:23
Because their approach was different, that's what I'm doing
00:09:25
and I know why that happened.
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But it's very hard to get the profession back on track so that
00:09:32
we really do move ahead, because you know, a lot of
00:09:36
emphasis now is on technology and a lot of patients think, oh
00:09:41
that, you know.
00:09:41
Wow, they're using high technology and it came out of a
00:09:44
computer.
00:09:44
It must be better.
00:09:45
But nothing could be further from the truth, because
00:09:48
technology is just a tool, not an end in itself, and if it has
00:09:58
to conform to basic principles that are tried and true if it's
00:09:59
going to be any good.
00:10:00
So some is good and some is terrible, and I could look at it
00:10:02
one, two, three and size it up.
00:10:03
And some is terrible, and I could look at it one, two, three
00:10:04
and size it up.
00:10:04
But most practitioners, because they don't have the same
00:10:07
background, have no way of evaluating whether the
00:10:10
technology is any good.
00:10:18
Speaker 1: And that's that's a problem too.
00:10:19
Yeah, and it's interesting because that was one of the
00:10:24
things I know.
00:10:24
We learned a little bit more about your background, your
00:10:25
experience, and we went and touched into the current
00:10:26
practice of what you're doing and it sounds like being that I
00:10:28
talk about research, I talk about education.
00:10:30
It seems as though your father began a form of research and
00:10:34
which, which he was just taking pictures, you know, keeping
00:10:38
track of what he was doing, but he moved it into a port, where
00:10:42
now it is.
00:10:42
It's a legacy of where it's in your hands now and you want to
00:10:46
make sure that we're meeting the needs of the dental community.
00:10:52
There was a piece in here that was pretty interesting.
00:10:55
It was page 23.
00:10:58
And I think this is the part that I think you're leaning
00:11:02
towards.
00:11:02
That I think you're leaning towards.
00:11:03
Dentists have to effectively communicate that they can help
00:11:06
patients in ways that few practitioners can.
00:11:10
Onward skills have the potential to open doors in ways
00:11:15
one could never imagine, and that really was pivotal for me
00:11:21
to read.
00:11:24
Speaker 2: Yes, we've done miracles for patients that most
00:11:27
dentists have no idea can be done.
00:11:29
We save teeth that most dentists would extract in a
00:11:33
heartbeat because they would say they can't be saved.
00:11:36
But that's not true, and one thing your listeners should be
00:11:41
aware of is not to just take at face value what someone says
00:11:47
that they can and cannot do, because if one practitioner
00:11:51
can't do something well, maybe another one can.
00:11:53
So it's a good idea to seek other opinions before you go and
00:11:58
do something that you might regret later.
00:12:03
Speaker 1: Okay, so okay, I got to bring this up In your book.
00:12:07
I may not have it highlighted, but it's here.
00:12:08
There was a piece that you discussed.
00:12:11
I'm trying to see if I can find it.
00:12:13
It was some type of program that you went into where you had
00:12:21
an opportunity.
00:12:21
I didn't highlight it.
00:12:22
You had an opportunity to go and see other practices.
00:12:27
It was like the same.
00:12:29
Yes, yeah, this was exciting.
00:12:31
Speaker 2: I've done a lot of interesting things, and this was
00:12:34
one marketing thing.
00:12:36
I never did conventional type marketing and it was.
00:12:39
It was started by a chiropractor from Philadelphia
00:12:43
and he was going to match you up with alternative practitioners
00:12:47
in your area so you could meet them and establish a
00:12:50
relationship and maybe send each other referrals.
00:12:53
Well, I met so many of them that that became impossible, but
00:12:56
I had.
00:12:57
It was eye-opening because I realized that not all plastic
00:13:01
surgeons are the same.
00:13:02
I was in one office where they had four lasers in the operating
00:13:06
room.
00:13:06
So you know right then and there that nobody knows more
00:13:09
about lasers than that guy.
00:13:10
And then I was in another office where they were doing a
00:13:14
physical therapy and one of them was specializing in hand
00:13:17
physical therapy and something happened to my office manager
00:13:21
and she needed hand physical therapy.
00:13:23
Guess where I sent her?
00:13:24
Only because I did that program .
00:13:26
I would never have known otherwise.
00:13:28
So I learned a lot.
00:13:30
I got to yeah, because it was called alternative therapies?
00:13:34
Speaker 1: Was it called alternative therapies and it was
00:13:36
dealing with a?
00:13:36
Speaker 2: program where yeah, like adjunctive medical services
00:13:40
, like chiropractic, Right right .
00:13:41
I got to meet the.
00:13:43
I got to meet and became friends with the chiropractor
00:13:46
for the Yankees and he had a TV show.
00:13:48
He had me on his TV show.
00:13:50
It was fantastic.
00:13:54
Speaker 1: Yeah, and I thought that was pretty interesting.
00:13:56
Speaker 2: It was.
00:13:56
It was totally fascinating.
00:13:57
It didn't really result in many referrals because it takes time
00:14:03
to really establish a relationship.
00:14:05
You can't do it with one visit and I was meeting two and three
00:14:07
a week for with one visit and I was meeting two and three a week
00:14:09
for weeks on end and I was too much.
00:14:11
But in the meantime I really did learn a lot and it was
00:14:16
eye-opening.
00:14:19
Speaker 1: So I'm going to go to helping patients outside of
00:14:22
your field, which you give an explanation.
00:14:25
You stated that Dr Irving Shapiro, former clinical
00:14:29
assistant professor of preventive medicine and
00:14:31
community health, he noted the word doctor, which is derived
00:14:35
from the Latin doctor, which means to teach.
00:14:39
The word teacher, as well as the word learning, means
00:14:42
different things to many people and doctor means teacher, and
00:14:45
you give us an empirical article that goes along with it.
00:14:48
There was something that really hit me.
00:14:50
A great teacher this is you.
00:14:52
A great teacher does not have to have all the answers, however
00:14:55
.
00:14:55
A great teacher is willing to do whatever it takes to find the
00:14:58
answers.
00:14:59
A great teacher knows when that patient is better off in other
00:15:04
hands and finds the appropriate.
00:15:06
That was a powerful statement.
00:15:09
Speaker 2: Yes, you know, I give you a perfect example.
00:15:12
In the beginning of my career I was also doing some root canal
00:15:15
therapy, and that's one area of dentistry that has made huge
00:15:19
strides.
00:15:20
It's so much better than when I graduated from dental school,
00:15:25
but it requires very specialized equipment to do the best work.
00:15:29
Like, all good endodontists have the microscope, which I did
00:15:34
not have.
00:15:34
And then all good endodontists have a way of treating the
00:15:42
strange anatomy inside teeth that you can't get at and you
00:15:45
can't see.
00:15:46
So you can't get at that conventionally.
00:15:48
That's why a lot of root canals failed, even though they look
00:15:51
perfect on the x-ray, because there were side canals and
00:15:54
flutes with tissue that you can't see.
00:15:56
So there's two methods that both require specialized
00:16:00
equipment.
00:16:00
One is called the gentle wave, which is kind of like a washing
00:16:04
machine is the best way I can describe it, and the other is
00:16:08
lasers, and I've worked with endodontists who do both of
00:16:10
those things.
00:16:11
So because I couldn't do endodontics to that standard, I
00:16:16
stopped doing it.
00:16:17
So I knew that there were other people who could do it far
00:16:21
better than me, and I wanted the best for my patients.
00:16:24
My area of expertise is crown and bridge work, and that's what
00:16:27
I'm sticking to.
00:16:28
But at least I have a background, because all of the
00:16:32
specialties are related together in some way and if you're going
00:16:37
to do any kind of dentistry, you have to be aware of when to
00:16:42
ask for help from specialists to see what they could do for your
00:16:44
patient.
00:16:45
So I always do that.
00:16:47
I've gone to orthodontists and periodontists and oral surgeons
00:16:54
with x-rays and models what can you do for my patient?
00:16:57
And I get the information and then I can present it to my
00:17:02
patient and we could figure out what's best for that patient,
00:17:05
because there is really no one size fits all.
00:17:08
We're all individuals and the patients are individuals and a
00:17:13
lot of times you have to have outside the box thinking in
00:17:16
order to come up with the solution that's really best for
00:17:20
each patient.
00:17:21
One of the problems that I see out there now in my field is
00:17:26
that a lot of practitioners become very adept at one
00:17:31
procedure and I'll say it's implants 99% of the time and
00:17:35
then the solution to that becomes every solution becomes
00:17:38
an implant solution.
00:17:39
That's not true Most of the time.
00:17:42
It should be a last resort, not a first resort.
00:17:44
Isn't that what you would want?
00:17:47
To save your own teeth?
00:17:48
That's what I believe in.
00:17:50
I think, except in certain circumstances, like somebody has
00:17:54
a perfect mouth and they were born with missing lateral
00:17:57
incisors, that's a perfect place for implants as a first resort.
00:18:00
But most of the time bridge work is a better choice because
00:18:05
you could do something good for the whole area.
00:18:08
You can correct all the problems that are wrong, bring
00:18:12
the forces up close to the bone and that's the end of it,
00:18:16
whereas an implant only fills a space and does nothing for the
00:18:20
teeth around it.
00:18:20
And if you go to the lectures or read articles on implants and
00:18:26
you look at the teeth around the space they're going to place
00:18:28
the implants, they're not virginal teeth, they're teeth
00:18:31
with big fillings, teeth with bone loss, teeth with crowns.
00:18:35
They're going to need crowns and bridges.
00:18:36
That makes no sense to put an implant in that space.
00:18:39
And yet that's what people are doing most of the time.
00:18:42
And it boggles my mind that people don't think of bridge
00:18:47
work first, when that would be a much better solution.
00:18:50
The whole area.
00:18:55
That would be the end of the patient's problem, because
00:18:56
they're going to need the work anyway.
00:18:57
So the other way, with the single tooth implant, their
00:18:58
problems are never solved and it's perpetual work that needs
00:19:02
to be done.
00:19:03
I don't think that's right.
00:19:04
I want to see the patients cured Well, not cured, because
00:19:09
dentistry is not really lifetime , but I have patients with
00:19:13
dentistry that I did in 40 years .
00:19:16
And because the changes were why?
00:19:18
Because their techniques violate basic principles that
00:19:31
allowed my dad and I to have success over the last 70 years,
00:19:36
and it's very hard to get them to appreciate what it is that
00:19:41
I'm showing.
00:19:42
I find it very, very difficult to connect with them, especially
00:19:46
the younger practitioners.
00:19:47
They're set in their ways and they're not so open-minded.
00:19:51
That's terrible.
00:19:52
So anyway, I don't want to be a whistleblower.
00:19:58
Speaker 1: No, no, you're fine.
00:20:00
You're fine.
00:20:00
There was something when you were talking.
00:20:02
You allowed me to think of one thing.
00:20:05
It was somewhere in there, and then I want to talk about
00:20:11
another thing you mentioned.
00:20:12
If they tell you it only takes two settings or two days to
00:20:16
complete the work.
00:20:20
Speaker 2: Oh, you mean like crowns in an hour.
00:20:22
That is junk.
00:20:23
And in dentistry, when I make crowns and bridges, what enabled
00:20:31
my dad and I to have so much success is that the crowns and
00:20:34
bridges are modeled on the idea of a mason jar cover, which is
00:20:38
the best known method of food preservations.
00:20:40
So I almost never get decay under my crowns and bridges
00:20:45
almost never decay under my crowns and bridges almost never.
00:20:49
And also because I have a good grip on the root, I don't have
00:20:52
crowns falling out or bridges falling out.
00:20:54
That is very unusual.
00:20:56
If I ever had that, I would do it over in a heartbeat.
00:21:02
I wouldn't even think about it and I'd want to know why that
00:21:03
happened.
00:21:04
And usually it's because you didn't get enough grip on the
00:21:06
root and you have to go and create a little bit more room
00:21:08
and then there's no problem.
00:21:09
And that's not what a lot of them are doing.
00:21:13
They're doing what you call butt joint restorations, where
00:21:18
you create a ledge all around on the tooth and then you make the
00:21:21
restoration to that ledge.
00:21:23
And so they came up with this machine called a CEREC machine
00:21:28
C-E-R-E-C and it mills the crown from a computer.
00:21:33
And the problem with butt joint restorations is that they can
00:21:37
never be sealed.
00:21:38
So there's a lot of problems with decay under them and some
00:21:42
of these things coming out, because bacteria are microns and
00:21:45
you can't see what's sealed and what's not sealed.
00:21:48
We don't have any way of looking to see on that level
00:21:54
whether something is sealed or not sealed.
00:21:56
So the mason jar cover concept is a way of getting around that,
00:22:01
the fact that our techniques aren't that accurate compared to
00:22:04
a bacteria, and the fact that we do not have any bonding or
00:22:09
cements that can really seal the teeth properly.
00:22:11
So in any case, this end product from a computer is no
00:22:19
different from the old high-fusing porcelain crowns
00:22:23
that were baked in an oven in the 1960s.
00:22:25
They're both butt joint restorations.
00:22:28
You think we didn't know what was wrong with those things in
00:22:30
the 1960s.
00:22:32
And here now the young people don't understand what this is.
00:22:36
I looked in two seconds and knew it was no good.
00:22:38
But the poor patients who have no way of judging what they're
00:22:43
getting, they think, oh, this is high tech crams.
00:22:46
In an hour I don't have to come back, it's got to be better.
00:22:48
But that's not true.
00:22:49
Nothing could be further from the truth.
00:22:51
That's all I can say there.
00:22:55
On the other hand, I'm not one of those Luddites who doesn't
00:22:58
like technology, because I love technology, but it has to
00:23:02
conform to basic principles that I believe in.
00:23:04
So there is some good technologies that I believe in.
00:23:06
So there is some good technologies.
00:23:07
Milling of precious metals is going to replace the hundred
00:23:12
year old technique of waxing and casting.
00:23:14
There's still a few little problems to work out, but it is
00:23:18
superior.
00:23:18
So that's an example of good technology.
00:23:24
Speaker 1: Okay, I have this other piece that I want to talk
00:23:27
about stated.
00:23:28
I'm going to ask a question and hopefully you can help give me
00:23:54
some light.
00:23:55
What about the majority of patients?
00:23:58
Except for practices that specialize in pediatric
00:24:02
dentistry, the bulk of patients in most practices are middle age
00:24:06
and older.
00:24:06
Many have chronic conditions like diabetes, heart disease.
00:24:11
All right, how does dentistry uphold on these patients?
00:24:16
Speaker 2: Well, I know the techniques that I'm showing and
00:24:20
the cases that I'm showing are not cases on young people.
00:24:23
Like you see, when you go to the lectures most lectures you
00:24:28
only see people with perfect gingiva and perfect mouths and
00:24:32
they're having crown and bridge.
00:24:33
You could almost get anything to work under those
00:24:35
circumstances.
00:24:36
But I have those patients who were middle-aged, who got
00:24:40
diabetes, cancer, heart disease, and if you can get something to
00:24:44
work in those patients, when you have everything against you,
00:24:46
you know you're doing something right and that's what I have to
00:24:50
show, that's what I have to offer.
00:24:52
That's awesome and I wanted to bring that up?
00:24:56
Speaker 1: Yeah, I wanted to bring that up.
00:24:57
So my question is and this is my question then we know that we
00:25:01
have geriatric physicians.
00:25:02
Are there people who meaning people who specialize in
00:25:06
geriatrics?
00:25:07
Are there dentists who specialize in geriatric
00:25:10
conditions?
00:25:12
Speaker 2: Yes, there are.
00:25:13
However, I don't like to treat people that way.
00:25:17
I treat them as individuals and I can do things for them that
00:25:21
most dentists would never think of.
00:25:23
So I can help those people and I've helped.
00:25:27
I know how to make, for example , really good temporaries with
00:25:31
copper bands, and so somebody is not a candidate for
00:25:35
sophisticated dentistry.
00:25:37
I never let them walk around with no teeth.
00:25:39
I could make them something right then and there and you
00:25:42
know it's not going to last forever, but at least they have
00:25:45
teeth.
00:25:45
I think it's terrible.
00:25:47
I never let anybody walk out of my office with no, but at least
00:25:50
they have teeth.
00:25:51
I think it's terrible.
00:25:51
I never let anybody walk out of my office with no crown.
00:25:53
I wouldn't even care if it was completely flush with the gum.
00:25:57
I've saved all those teeth.
00:25:59
That doesn't bother me because while most of the profession is
00:26:03
concentrating on tooth structure above the gum, I only care
00:26:08
about what's below the gum and I get a good grip on the root.
00:26:11
I don't need anything sticking up above the gum.
00:26:13
I think all the teeth are the same and I handle them the exact
00:26:17
same way.
00:26:18
When I make dentistry.
00:26:19
I let the patients wear it on a trial basis with Vaseline,
00:26:23
ointment or a rubber material or silicone, something like that,
00:26:29
on a trial basis.
00:26:30
So when I'm satisfied, I cemented it and they don't fall
00:26:33
out and I don't build them up, I don't put posts, I don't do any
00:26:38
of that.
00:26:38
And this is this is the years I've been doing this and I can't
00:26:43
reach people in my profession to let them know that they are
00:26:48
going in the wrong direction.
00:26:49
And all of the because I'm an outsider.
00:26:52
I don't know how I got to be an outsider, coming from the
00:26:55
origin of the profession and crown and bridge, because that's
00:26:59
where I'm from, but I'm considered a radical and an
00:27:03
outsider and what I'm doing my dad's teacher did that amazes me
00:27:09
.
00:27:10
Speaker 1: Yeah, no, no, no, and that's the reason why I wanted
00:27:12
you on here.
00:27:13
We talked about a lot to our audience.
00:27:17
We talked about bridge work, crown work, all in four implant.
00:27:20
I would love to go even further in regards to this.
00:27:23
What is one last thing that you would like for our audience to
00:27:27
know?
00:27:27
And then I'm going to have you kind of do a call to action in
00:27:30
regards to your Onward program, so dentists can get that wealth
00:27:35
of information, because, as you state, doctors are learning.
00:27:39
It's a teaching, it's a teaching platform for us?
00:27:42
Speaker 2: Yes, well, we are supposed to be a learned
00:27:44
profession and I myself take a lot of continuing education
00:27:47
courses.
00:27:48
I don't know everything.
00:27:49
I want to see what they're doing, even if I don't agree
00:27:52
with it, and so I've taken a lot of.
00:27:55
I was told in 1989 to start keeping a list of all of the
00:28:00
courses that I was taking.
00:28:01
It's now 51 pages.
00:28:03
Are you serious is?
00:28:11
Are you serious?
00:28:12
I'm serious.
00:28:12
I'm always taking continuing education and I'm involved with
00:28:15
the dental association in putting on some of the big
00:28:16
meetings.
00:28:17
I've served on the ADA's council on annual sessions,
00:28:19
where you put on the big meeting for 50 people, and the
00:28:22
greater New York dental meeting, also the largest meeting in the
00:28:25
country, and I'd have a blast doing it.
00:28:27
And then you always learn something, always.
00:28:30
So not only like to teach courses, but I also like to take
00:28:34
courses, and I think that's very, very important.
00:28:39
Speaker 1: It's clearly noted when I read your book.
00:28:42
It really is One thing that they didn't hear beforehand,
00:28:46
because you and I were just talking about our periodontal
00:28:50
disease and how it correlates to our health.
00:28:52
Can you give just a little?
00:28:54
We don't have much time, but just a little bit about the
00:28:56
importance of why people need to go to the dentist.
00:28:58
Speaker 2: This is a problem of dentistry.
00:28:59
Prevention is everything.
00:29:01
The problem in dentistry is that the teeth are connected to
00:29:04
the bone by a ligament.
00:29:04
The problem in dentistry is that the teeth are connected to
00:29:06
the bone by a ligament, and the way most people get into trouble
00:29:10
with losing their teeth is not so much from decay but from bone
00:29:15
loss, and one of the things that we know causes bone loss is
00:29:23
letting tartar and plaque and calculus build up, because that
00:29:25
can cause the gums to become inflamed and that can spread to
00:29:27
the underlying bone and, as we were talking about at the
00:29:31
beginning, unhealthy gums is a direct route into your body for
00:29:35
the bacteria in the mouth and can certainly cause systemic
00:29:38
problems and other problems like missing teeth or a bad bite.
00:29:45
When you have missing teeth, for example, the teeth around the
00:29:48
space shift and the teeth opposite the space erupt and
00:29:52
they start taking forces in abnormal directions and nobody
00:29:55
knows when the body's not going to tolerate that and when it
00:29:59
can't.
00:29:59
Something gives and either the teeth wear or the bone goes, and
00:30:03
now you're talking about upper and lower the whole area and the
00:30:06
whole mouth collapsing.
00:30:07
That's why it's so important to replace missing teeth to
00:30:11
prevent that from happening, because as you get older, the
00:30:17
body can tolerate less.
00:30:18
But the single best thing that you could do for your oral
00:30:20
health is to have regular hygiene.
00:30:22
Maybe some people need more than every six months, and every
00:30:27
three or four months is the best thing you could do for your
00:30:29
mouth to keep yourself healthy.
00:30:31
So that's, that's the best advice I could give.
00:30:34
I think that's, that's, that's.
00:30:38
If that helps somebody, it's all worth it.
00:30:41
And just you know, just something simple like that.
00:30:44
Speaker 1: Now I thank you, I really thank you for this.
00:30:46
You just you bring light to dentistry for me and I do love
00:30:52
teeth.
00:30:52
It's just one of my passions.
00:30:55
I believe in carrying that toothbrush and toothpaste
00:30:57
wherever I go, and I know a lot of people fear the dentist, so
00:31:03
that's the reason why I really wanted you on, so they can hear
00:31:06
that it's not just you know, let me come in here, take a tooth
00:31:09
out, or let me come in here and just sort of like clean it.
00:31:11
There's a background to why we go to see the dentist.
00:31:14
There's a background to why the dentists go to school to learn.
00:31:18
There's a background to the purpose of a crown versus a
00:31:21
bridge versus an implant, partial implants versus full.
00:31:26
I mean, there's so many things we could talk about.
00:31:30
Speaker 2: There's one last thing I want to say.
00:31:31
The best thing about being a dentist is the relationships
00:31:35
that you make with people.
00:31:36
I loved my patients.
00:31:38
I really cared about them.
00:31:40
I love the staff members I worked with.
00:31:43
I had amazing people.
00:31:44
We're still in contact to this day, even though we all moved to
00:31:48
different States.
00:31:49
Um, we're still in contact and they're just.
00:31:52
They were just so wonderful.
00:31:53
We we were such a great team and that I miss.
00:31:58
Speaker 1: I'm sure you do.
00:31:59
Um, before we go, just a quick announcement.
00:32:02
Uh, dr Feinberg has a program called Onward, something that
00:32:07
your father started, that you continued and is out there for
00:32:10
other dentists.
00:32:11
I know that we are here for the general public, but we are also
00:32:15
here for the community, for the patient.
00:32:17
We are here for the community person as well as for medical
00:32:22
professionals so they can gain additional insight.
00:32:25
Speaker 2: So, dr Feinberg, would you mind just giving us
00:32:27
just a quick bit about what Onward is and how they can the
00:32:30
other dentists can learn how to get your program so they can
00:32:34
advance themselves as well, the Onward website is the place
00:32:38
where I cover every aspect of the philosophical approach that
00:32:43
I was talking about, and I have videos of how to do the
00:32:48
techniques and why you're doing what you're doing, and each
00:32:52
video is an hour in length, because most people don't have
00:32:56
an attention span longer than that.
00:32:59
I found that out, so I make the videos myself and now I have to
00:33:04
update them, because some of them are five years old.
00:33:07
But I'd like to update them and make them a little bit more
00:33:12
current, and I'm better at it now than I was when I started
00:33:16
and I also have a blog which I send out to a lot of like over
00:33:20
2000 people in my profession so that I can discuss these issues,
00:33:26
and I have all different things in my book from these blogs.
00:33:31
Some are uplifting, some are about these marketing things
00:33:34
that we talked about, and some are scathing indictments of
00:33:38
things that I don't like and that I know we're going in the
00:33:41
wrong direction.
00:33:43
Speaker 1: No, he's honest.
00:33:44
He's honest, so that may not adhere me to some people.
00:33:48
No, no, you're honest about it.
00:33:49
You're honest, you know.
00:33:54
Dr Feinberg, I just want to say thank you once again for just
00:33:56
joining me here on Cold Press Conversations.
00:33:57
This was a delightful interview .
00:33:58
I'm sure that people will continue to stay tuned to learn
00:34:00
more about what you can offer Later on.
00:34:02
We hope to have him back so we can delve into so much more.
00:34:05
Oh, my gosh, my notes are ever ending in regards to dentistry,
00:34:10
but because we know that our mouth, it, predicts a lot, so we
00:34:16
just need to learn even more.
00:34:17
And I just want everyone until next time this is Dr Jewel
00:34:20
signing off I just want everyone to remember, to take care and
00:34:23
remember.
00:34:24
This is in regards to your health and your cognitive health
00:34:28
.
00:34:28
Thank you very much, dr Feinberg, and may everyone have
00:34:31
a beautiful day.
00:34:32
Speaker 2: Thank you.
00:34:35
Speaker 1: You're welcome.
00:34:35
I hope you enjoyed this episode of cold press conversations.
00:34:41
If you love this episode as much as I did, I need you to
00:34:44
head on over and subscribe so you never miss an episode.
00:34:48
This is Dr Jewel signing off to health and cognitive happiness.
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