Pain Management: Q&A


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Q: I’ve been told to just “man up” and visit a dentist. Well, I don’t think I should have to! My teeth don’t seem to get numb with an injection, and I don’t like the sound of the drill. A dental appointment is a real pain. How can I get a great new smile without feeling discomfort in the dental chair?

A: If you could fall asleep wrapped in a warm blanket on a soft Tempur-Pedic cushion and wake up to a younger, healthier, beautiful smile, would you do it? That’s how easy it can be to transform your smile at the award-winning Cosmetic Dentistry Institute.

For people who are apprehensive about going to the dentist, sedation dentistry is a wonderful solution. “You can be completely relaxed while having a series of complex dental problems taken care of in as little as one visit. Sedation is great for those who have pain in areas of their body that make it difficult to sit in a dental chair,” says Dr. Craig Goldin, who has advanced training and certification in IV sedation. 

Drs. Craig and Marcy Goldin and Dr. David Whalen are skilled in advanced numbing techniques and dental pain management. They’re trained to help patients with jaw or TMJ pain, chronic headaches, and tooth pain. 

“If you’re uncomfortable having your teeth cleaned, be assured that our hygienists are skilled in the use of laughing gas and local anesthesia for a more relaxing experience,” notes Dr. Marcy Goldin, an adjunct clinical lecturer at the University of Michigan School of Dentistry. “Our beautiful office is nearly 6,000 square feet of the most advanced dental technology, along with soothing, spa-like amenities. Whatever dental needs you have, your visit will be efficient and high-tech as well as comfortable and painless.”

The Cosmetic Dentistry Institute provides all phases of general, cosmetic, sedation, and implant dentistry, so you can have all of your dental problems conveniently treated in one office. 

“We provide an array of the latest techniques, including porcelain veneers, one-visit CEREC porcelain crowns, Invisalign invisible braces, Fastbraces, and dental implants,” says Dr. Craig Goldin, who is a Diplomate of the International Congress of Oral Implantologists. That distinction means he can both place and restore state-of-the-art implants. “Whether you’re missing one tooth or more, we can replace them with beautiful, natural-looking dental implants that will allow you to smile, chew, and speak more confidently, for a better quality of life.” Dr. Craig Goldin is one of only 65 dentists worldwide to be an Accredited Fellow of the American Academy of Cosmetic Dentistry (AACD), one of the highest distinctions in cosmetic dentistry.

“If you have multiple dental health concerns — damaged teeth, alignment issues, overgrown or swollen gums — we can rebuild a comfortable, functional bite and a healthy, attractive smile with full-mouth reconstruction,” Dr. David Whalen says. “Through a combination of restorative procedures, you can have the picture-perfect smile you deserve in only two visits.” 

The Cosmetic Dentistry Institute is your source for excellence in dentistry and unparalleled patient care and comfort.

Cosmetic Dentistry Institute 

Craig P. Goldin, D.D.S. 
Marcy Greenbert Goldin, D.D.S. 
David P. Whalen, D.D.S.
3415 Livernois Rd. 
Troy, MI 48083 
P: 248-519-1919 

Q: What makes laser therapy the best solution for pain management?

A: Laser therapy is the only noninvasive pain management option available to people suffering from any type of pain. Pain Free Life Centers is the only pain management center that offers a state-of-the-art treatment program utilizing high-dose laser therapy.

No one else in the country is focused exclusively on the use of laser therapy for pain management. Pain Free Life Centers doesn’t use ineffective “low-level” lasers that don’t have the power or the wavelengths of light necessary to create photobiomodulation — a process that is needed to allow the body to heal. Pain Free Life Centers is equipped with the most advanced, FDA-cleared, high-dose lasers available. 

Most people who have tried drugs, injections, and even surgery to help manage their pain have experienced minimal success. Visit and watch testimonial videos from real people. Pain Free Life Centers helps people who have tried everything, and they can help you, too. Make the choice to live pain-free.

Because the team at Pain Free Life Centers is so confident in what they do, your consultation and first treatment are free. Make Pain Free Life Centers your first choice, not your last resort!

Pain Free Life Centers 

Troy 248-879-1100 
Shelby 586-459-0077 


Q: My back always hurts. Pain medication only helps temporarily — can physical therapy help fix my back?

A: Increasing numbers of patients suffer from chronic pain lasting weeks or months, which can be debilitating. The Pilates Fitness and Physical Therapy Center successfully treats many patients with chronic pain. The difference? A Pilates-based physical therapy program. 

Why use Pilates for chronic pain? Pilates helps to strengthen core-stabilizing muscles, and patients benefit from addressing muscle imbalances and postural asymmetries — thus decreasing wear and tear on the joints. Owner and physical therapist Ron Jegadeesh says: “Starting with the first visit, I evaluate postural alignment and teach proper breathing techniques. Then the patient progresses to gentle exercises to encourage pelvic and spine stabilization. Most patients notice a difference after the first few sessions.” 

Pilates can be specifically tailored to meet the needs of a patient with movement restrictions and varying pain levels. A Pilates Fitness Physical Therapy Center trainer will design a program to strengthen the deep core muscles, optimizing pelvic and shoulder stabilization, and will use gentle stretching to lengthen tight muscles. Patients feel taller and stronger, and their pain levels dramatically decrease.

Pilates Fitness & Physical Therapy Center

Ron Jegadeesh, PT, MBA
Certified PMA, Polestar Pilates, Stott Pilates, Gyrotonic, and Gyrokinesis Instructor
17418 W. 10 Mile Rd. 
Southfield, MI 48075 

Q: My greatest fear going to the dentist is pain. Are there any new options for someone like me, who worries about experiencing pain?

A: As dentistry evolves, so, too, does Dr. Aziza Askari. When she realized there were ways to care for patients suffering from anxiety or fear of dental pain, she introduced sedation dentistry to her office. “Sedation dentistry techniques are safe for anyone who experiences anxiety, worry, concern, or preoccupation related to dental appointments,” she says.

Dr. Askari says that if you’re someone who has trouble sleeping before a dental appointment, becomes nervous in the waiting room, often cancels appointments out of fear, or feels ill at the thought of going to the dentist, then sedation dentistry may be the answer.

Dr. Askari is concerned with every aspect of her patients’ dental experience, including how they react to sight, sound, and touch. That’s why she likes the Waterlase dental laser, which uses water and laser energy to remove decayed tooth portions without the need for noisy equipment that may produce anxiety. She also uses DentalVibe pulse technology, to minimize any discomfort associated with dental injections.

Comfort Dental Spa

Aziza Askari, D.M.D., MBA, M.A.G.D. 
Sedation, Laser, and Cosmetic Dentistry for Families 
33966 West 8 Mile Rd., Ste. 104 
Farmington Hills, MI 48335 
P: 248-579-5012

Q: How can a comprehensive Return to Work program help minimize pain?

A: Team Rehab’s Return to Work program (TeamWorks) helps minimize pain and maximize recovery by using a variety of techniques and exercises. These techniques include mobilization of joints and soft tissues, to help gain better range of motion and ease of movement. The Return to Work program at Team Rehabilitation clinics focuses on strengthening and stabilizing exercises that improve the mechanics of moving, lifting, and performing the functional and routine aspects of any job. A physical therapist works with the employee to create specific exercises that mimic the exact movements and patterns associated with that employee’s position and profession. Modalities such as heat, ice, or electrical stimulation may be used at the end of a treatment session to reduce symptoms and speed healing.

Education is a critical component of the TeamWorks program, and physical therapists work on the specific mechanics that relate to the demands of a patient’s job, so they can maximize productivity while minimizing the risk of injury. Nutrition education, another important component of the treatment program, helps individuals reach their optimal weight and reduce the stressors that are often created by being sedentary after an injury. The comprehensive program maintains communication between all involved parties including physicians, nurse case managers, adjusters, physical therapists, and the employee. Team Rehab’s goal is to provide the treatment and confidence needed to reach the best possible outcome and achieve an unrestricted return to work in the quickest — and safest — time frame possible.

Team Rehab Physical Therapy

Work Smart, Work Safe, Work Hard
47 locations in Michigan – and counting!


Q: Are there ways to overcome the fear of going to the dentist?

A: The fear of pain associated with dental procedures keeps many people from living life to its fullest, yet it doesn’t have to be that way. With conscious sedation, dental work is completed while the patient is sleeping. IV sedation minimizes anxiety, and allows work to be performed without the patient feeling any anxiety or discomfort. 

For patients with gum disease or gum recession, conscious sedation and minimally invasive technology have had transformative effects. Using the pinhole technique, treating gum recession is far more comfortable and predictable than in the past. The procedure eliminates the need to cut tissue from the palate or other areas to cover receding gums. Instead, a small pinhole is made in the gum tissue above or below the receded roots of the teeth, and special instruments are used to loosen and bring healthy gum tissue over the receded tooth roots, improving the appearance of the teeth and eliminating sensitivity and discomfort. Material is then placed through the pinhole, to thicken and stabilize the tissue that’s in place. The pinhole technique is designed to be scalpel-free and suture-free.

Dr. Nemeth also performs LANAP, a laser procedure for treating gum disease that eradicates bacteria under the gums and permits new bone growth and gum reattachment. The benefits of healthier gums can reach far beyond oral hygiene — studies link gum disease to many other serious illnesses including heart disease, diabetes, Alzheimer’s disease, and certain cancers, so it’s crucial to attend to your dental health. There’s no need to fear the dentist, because conscious sedation and noninvasive procedures have made pain-free dental visits a reality.

Joseph R. Nemeth, D.D.S. & Associates

Joseph R. Nemeth, D.D.S. & Associates
29829 Telegraph Rd., Ste. 111
Southfield, MI 48034


Q: I’m extremely afraid of going to the dentist, but I need dental work — and I hate my CPAP, too. What are my best options?

A: First of all, with sleep dentistry you can put aside your fear of the dentist. Dr. Dolores Baran offers a range of sedation methods, so you can be totally relaxed and have most or all of your dental work completed in one visit.

“In our office we provide IV sedation where the patient is in a twilight sleep — they don’t feel any pain and they don’t remember the experience,” she says. “Another option is nitrous oxide or laughing gas, a minimal sedation that makes you feel calm and comfortable while awake. There are also other methods for relaxation that are discussed and tailored to the patient’s specific needs.”

Dr. Baran and her team provide all phases of dentistry and use advanced technologies like the CEREC CAD/CAM machine, which creates crowns and caps in a single office visit without messy impressions or painful temporaries. Dr. Baran is also the Face of Fastbraces, and is able to straighten teeth in as little as three to 12 months. “From fillings and root canals to crowns, gum treatments, and implants, patients can have everything done here while they’re asleep,” she says.

Dr. Baran is helping patients get a good night’s sleep with the Oral Sleep Appliance, which can replace the use of the CPAP (continuous positive airway pressure) machine. Many people don’t wear their CPAP at night as they should because it’s annoying and uncomfortable to wear, but sleep apnea can be life-threatening. Dr. Baran can perform an evaluation to see if you’re a candidate for the Oral Sleep Appliance, which can also be used to control snoring.

Call for a consultation. Wake up with a new smile and a get good night’s sleep!

Dolores Baran, D.D.S.

Dolores J Baran D.D.S., PC & Associates
“The Face of Fastbraces”
General and Cosmetic Dentistry
1103 N. Main St., Ste. A
Royal Oak, MI 48067
P: 248-548-1440
F: 248-548-3880

Q: What’s different about Holistic Dentistry?

A: Holistic dentistry performs all the same services as traditional dentistry, but we choose materials and methods that are as individual as you are. After all, every breath and every swallow starts in your mouth.

Think of it this way: someone with an allergy to peanuts cannot eat peanut butter cookies or eat foods processed in even a little bit of peanut oil. That same person may be able to enjoy chocolate chip cookies or foods cooked in olive oil with no negative reaction on their health.

Dental filling materials contain many ingredients, some of which are more biologically compatible than others. We know that nothing is as 100% compatible as the natural tooth that grew into your mouth. We also know that mercury is a neurotoxin, and it is still in use today as half the components in a silver-colored filling.

You can question your dentist about any of the products he or she uses or recommends, and there are many. What’s in the prophy paste used to polish your teeth? What about any of the smells from interim materials? Products can be chosen for durability, less harmful effects as well as beautiful, youthful aesthetics. It’s important to have a truly healthy smile. We believe in helping you achieve it!

Regiani Holistic Dental Center 

David W Regiani, D.D.S., NMD, IBDM, MIOAMT
Stephen A Harlow, D.D.S.  
Invisalign Certified Adults & Teens 
10435 Ortonville Rd., Ste. B
Clarkston MI 48348 

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