We have set the photos up as a slide show, if you press on the photo, you can proceed slide by slide and read the captions to get an idea what we did for the day.
Day 2 – This is a busy visit! We administer nitrous oxide to Mike so we can extract two teeth and take master impressions that will lead to his new smile.
It is a few weeks before Christmas, and we are wondering if we can get this project done before the holiday. This second visit is a long one; we will break it up into three parts. In the first part, Dara lends a hand as we take photo records.
Dara takes photo records
This is day 2, we have a lot we want to accomplish today. Before we start aything, we will have Dara take photos for us.
We feel very fortunate to have Dara helping us out. Dara is our hygienist and normally would not be helping us out with this project. Her specialty is cleaning teeth. But Dara worked many years for Zanca Orthodoncs, where she learned how to take intraoral photos.
There are so many great cameras out there, and I’m sure many will look at the fact that we are taking photos with a iPhone 4s and think of it as very low tech. But I love the results, and it’s so easy to incorporate the photos for web site work.
This photo shows the maxillary arch. Everything looks good. We shouldn’t have any problems getting an upper denture to work here.
Lower Mandibular arch.
Lower Mandibular arch. There are only two teeth left. When we met Michael for the first visit, he still had two teeth left. From the first visit to the second visit, tooth #27 broke off at the gum line.
This photo shows Mike’s lower partial denture in place. When I fist met Mike, I was hoping we could keep those two lower teeth. They had no mobility, would have been good anchor teeth and his lower partial denture was relatively stable. Unfortunately after looking at the X-rays, the two lower canines were unrestorable.
We are making an important assumption here. Mike mentioned that he had dentures, and that he was pleased how they worked. Our overall goal is to make his new set as close as possible to his old set, as far as function.
Nitrous Oxide is used while removing teeth.
The following photos show the extractions of teeth No. 22 and 27. We offer the use of nitrous oxide Mike. I like nitrous oxide for a lot of reasons, one of them being that it is safe to administer and there are no long-term effects. Five minutes after we turn off the machine, all the effects of nitrous oxide have left the body; if Mike needed to drive home, it would not be a problem. Nitrous oxide is a sedative that has a calming, soothing effect; however, it cannot always be counted on to block pain.
In some ways, I think of its effect as a distraction for the patient, allowing me to go to work. It doesn’t work the same on all our patients, but for the ones that it does work for, it just, well, takes them to a happy place! Mike elects to use the nitrous oxide, and I’m glad. I want to make him as comfortable as humanly possible, considering what he has to go through.
Before we remove the two lower teeth, we have Anastasia check Michael’s blood Pressure.
Fortunately we have Nitrous Oxide for Mike. We will try to make this as pleasant as possible.
Nitrous Oxide is classified as a sedative. It doesn’t block pain, it basically helps you to relax. Helps you get to that happy place. Another reason that we are big fans of Nitrous Oxide is because it is so safe and is short lasting. 5 minutes after you turn it off, all Nitrous Oxide has left your body, allowing you to carry on with your normal activities.
Mike looks happy here. I think the Nitrous Oxide is working. The nitrous Oxide is a distraction from the pain. There may be better ways to describe what Nitrous oxide does, but that’s how I think of it.
I like this photo and what it represents. Mike will never have another tooth ache. I think his overall health will be MUCH better now that his body doesn’t have to struggle with infected teeth.
Dr. Medina and Anastasia at work removing extracting teeth #’s 22 and 27.
Dr. Medina and Anastasia at work removing extracting teeth #’s 22 and 27.
Making master impressions for upper and lower dentures.
The teeth have been removed, and we elect to go straight to taking master impressions.
We do dentures very differently than how they taught us in dental school. A few years back we went to some continuing education given here by the Maine Dental Association in Augusta. Dr. Joseph J. Massad, a denture specialist and well known lecturer a new and improved technique for taking impressions which is one of the first steps in making a denture. The following photos basically show our interpretation of his technique. For more information check out https://www.caulk.com/pages/products/Massad_main.html
The overall goal is to take a pre fabricated tray and make a custom tray. The upside to this is that you can condense two visits down to one visit.
We are using Massad Edentulous Impression Tray by Caulk Densply.
First step, getting the tissue stops. Massad Edentulous Impression Tray.
Next step, we do a layer for the border mold.
Place it in the mouth, and wait for the impression material to cure.
We are almost there, making our custom tray.
We don’t want the pink material to distort against the soft tissue, so we trim it away.
Our custom tray, ready to go.
Now we will fill up our custom tray with wash. We are using Aquasil Ultra Impression material by Caulk Densply.
Now that the tray is in place, we ‘border mold’ to capture as much information as we can.
Waiting for the Aquasil Ultra Impression Material by Caulk Densply to set.
Now we do the same thing for the lower mandibular arch.
‘Border mold’ layer for the lower arch.
Master impressions ready for the lab.
Almost done making the custom tray for the lower, we still need to trim off the hard, pink, plastic tray material.
Ready to place it in the mouth.
Finally, we are done for this day. We packed up our master impressions and send them off to the lab to have the wax rims fabricated in time for the next visit.
Norman Medina DDS
Norman Medina DDS, graduated from Loma Linda University Dental School in 1994. He has been practicing dentistry in Midcoast Maine since 1994. He and his wife Lanita have four children.
Seasons of Smiles is a great practice. Very friendly and knowledgeable with exceptional results. I would recommend to anyone who is looking for a quality dental experience.
Fantastic. Brought some issues to Dr. Medina that he did not cause, and discovered that he is a ray of light in his profession. Dr. Medina has superb diagnostic and clinical instincts, an excellent facility, and really great staff.Looking forward to many years of excellent care.Thank you.
Seasons of smiles has been my dentist for many years. Very informative, We talk about the how and why of dentistry every time I'm there! Dr Medina always lets you know exactly what needs to be done, and how to improve your smile.
So far this is the best dental practice I have ever visited. State of the art tools, gorgeous atmosphere —and most important— down to earth, friendly, and professional team!
One more post today for Dr.Medina - although I love the background music that he plays to help the comfortable atmosphere in the office, I REALLY LOVED the Hawaiian music today! Loved Israel's singing and the relaxing music! Good choice, Dr. Medina!!!👍
My husband gets his treatment there. He is a veteran with many conditions. The staff makes him comfortable, and communication is fantastic. Dr. Medina and staff, he knows is 5 stars from the front desk to the clinical staff. He is very grateful. ❤️
Seasons of Smiles Dental is the best! When I was in school they worked around my schedule and always did their best to fit me in last minute! They care about my smile and dental health. They’re whole team is professional and kind, and they have constantly work to improve the office with new technology. Thank you Dr. Medina and staff!
Dr. Medina is one of the top dentists in Maine. I’m a dentist as well and was able to see him in action. He has the latest advances In the field, and is a competent, kind practitioner. His staff is friendly and experienced! You will be in great hands here!
I’ve recently graduated to having my teeth cleaned every three months. Mmmmm - The feeling of sparkly CLEAN teeth feels sooo good. Kim, thank you for making my smile shine!
Dr. Medina has assembled a truly collaborative and supportive team of very professional, knowledgeable, and equally friendly. They treat you like family. Together they provide excellent patient care. And they firmly stand by their work! Cutting-edge technologies are making great smiles!
My mom had the absolute best visit with the dentist. It was an emergency and she wasn’t even their patient and they were able to get her in in 2 days and temporarily fixed her problem. She will be going back for more work that needs to be done. But in the meantime they made it possible for her to not be embarrassed by her broken tooth. I would HIGHLY recommend using them to take care of any of your dental needs. Everyone in the office was wonderful to my mom!!!
I’ve had 3 dental emergencies over the last couple of years. Dr Medina and his staff have always accommodated me with a professional skill and grace you can’t find anymore. They have earned my trust and loyalty!
I'm a homeless traveler with my puppy Dr mendina saw me with out having medical insurance prescribed me antibiotics and pain meds had a very bad infection I just want him & others to know how great he is... God bless yall
I couldn't be more happier with my smile!!! I've tried Invisalign in the past, but Dr. Medina really listened to what I wanted and didn't stop until we got there with the results!!!Also, it's very affordable!!I highly recommend going to see Dr. Medina and staff!!!
Clean inviting living room- like waiting room, friendly technicians, state-of-the-art dental technology, and a gentle dentist. Who could ask for anything more?I was always afraid of dentists because of past unpleasant brutal experiences. Dr Medina's office however, is a Good Practice. No need to fear here. They know what they're doing. 🤗
This was my first appointment with Dr. Medina and his staff. Not only were they accepting new patients, but Nellie squeezed me right into the busy schedule because I had concerns over a recent chipping experience on one of my front teeth. My examination and cleaning were outstanding, not to mention the plans that we made for preventing more chipping and the amazing package deal that this office offers. I’m so very pleased with my experience. Good dentists are very hard to find and I can say that I found one! Thank you to everyone at Seasons of Smiles for the first rate customer service and dental care today. Oh, and Samantha is a rock star hygienist, I would totally recommend her as well. She is professional, smart, and has a wonderful chair side manner!
If you are looking for a top notch dentist, then look no further than Seasons of Smiles and Dr. Medina! I am from out of town and scheduled an appointment. Not only did I get in right away but Kim was AMAZING! She did an outstanding job on my teeth and made sure I was comfortable! Thank you Kim!Shout out to the rest of the office as everyone, from when I first walked in the door till I left, was warm and welcoming! Seasons of Smiles has a fantastic team, offers a wide variety of services, and uses the latest technology!
Dr. Medina is always very good about being very quick, and making sure you are as comfortable as you can possibly be. I would recommend his office to anyone. Everyone is so nice. But Nellie needs to stop playing Christmas music BEFORE thanksgiving. Haha. 😆
Seasons of Smiles Dental is a wonderful dentistry experience. A buisness that has a welcoming vibe with wonderful people. I'm giving five stars for a multitude of reasons. The technology in getting the best care and the ability of explanation in work being performed. You guys/gals make me smile.
I just started going to Dr. Medino a few months ago. I have a great fear of dentists due to past uncomfortable experiences. Since I've been going not once have I suffered, I mean not ONCE.Between the friendly staff and the expertise of Dr. Medino, going to the dentist is no longer a stress, as I know I will be taken care of every step of the way.
If you're looking for a great dentist with great hygienist who will take excellent care of you this is the place. Been my doctor for over 20 years hope he is there for another 20!
Dr Medina and his staff are the best. My entire family has been going for more than a decade. Wouldn’t go to anyone else!!! Love hearing nellie’s friendly voice reminding me of my appointment!!
The staff here are very friendly and make u feel welcome . They are knowledgeable and walk you through everything step by step I highly recommend this team !!!
I've been seeing Dr Medina for 4 years now, and I've never seen another Dentist since. I'm very happy with his services. It's safe, as only one is allowed during this time, and comfortable. Highly recommended.
I had an excellent experience. The staff was professional and friendly putting me at ease for what could have been a painful procedure. My tooth was pulled quickly and with very little discomfort.
Always friendly and understanding to those who have a little fear about the dentist. The work is absolutely beautiful and speedy. Thank you for helping my smile better!
Very caring, kind, they took time to know me. To pull two teeth out much less one was disheartening. I thank God they took the time to see me and access my situation the night before and got me in bright an early the next morning. I was in so much pain. Really appreciated their sensitivity to my whole situation and being.
Dr. Medina and his staff are all amazing, I couldn't be happier with my results. I will tell everyone to go to Seasons of Smiles for any/all dental needs- even a brand new smile!
the staff go above and beyond, they are one of a kind. I have been to a few dentists in my life and they take the cake in every way. gentile, kind, understanding, fair prices and packages. 10 stars!
was very impressed with Dr Medina and his helper today got me in same day for an extraction practically painless has a really good attitude highly recommend him- thanks again
I’m a new patient. The staff made me feel very comfortable and didn’t pressure me into making decisions on the spot. I had gotten a lot of information to digest and certainly needed time to sort it. And I thank them for their patience.
Very knowledgeable Dentist & staff, great communication, super friendly & kind! Very professional office setting, and tastefully done to put you at ease. And LOTS of SMILES!
I have been to a lot of dentists and I’m one tough customer. My mouth is very sensitive and I’m a big, fat cry baby.
Dr Medina (and crew!) is the best dentist that has ever worked on my mouth!
They are focused on keeping you comfortable and to have as minimal pain as possible. They are also “teeth perfectionists”. Everything they do is done right. I’m so happy to have Season of Smiles as my dental office! They are amazing! 👍🏻
I love the warm welcome at Seasons of Smiles Dental. Samantha and Kim are always very gentle and provide compassionate advice to myself and my children emphasizing the importance of keeping up our good work to keep our teeth shiny. Dr. Medina and his entire team are hands down fantastic in every way!
I have gone to them for just about my whole life! I’m terrified of the dentist but they give such a personal & caring experience, it makes it so much easier. The rest of my family hasn’t been in years, but the staff never forgets to ask how each family member is doing. Amazing people and great work!
If all dentist offices, including all personnel, were like this office my teeth wouldn’t be in such rough shape. They give good advice without criticizing. Very friendly staff. Highly recommend Seasons of Smiles. Jon Skinner
As someone with "white coat" anxiety, and very comfortable with the dental practice I used in NY, I did not look forward to starting all over after having moved to Maine. I'd just like to say that I was very pleased with all aspects of my experience at Seasons of Smiles. Good choice!!
Very professional service and a very welcome attitude. Everyone from Dr. Mendosa to each nurse works their best for us, customers. Thank you very much!
1. I am a tourist and needed ER assistance. The office called me on Sunday to see me first thing Monday morning! 2. Michelle and Dr. Medina saw me immediately. 3. Expert care, friendly, and fixed a difficult dental problem. 4. I was shocked by the low fee charged for their work. 5. What was outstanding to me was the respect and kindness all staff showed and spoke to one another and to patients. Really a lovely atmosphere.
Dr Medina and his staff are amazing! (and super funny) Michelle and him were great with me today! I get a little anxious to be at the dentist but they were so nice and made me feel better about being there! Also Nellie is always there to greet you with a smile! Thanks again guys!!! :)
I’ve been a patient at Season of Smiles for many years. Going to the dentist is definitely not my favorite thing but Dr. Medina and all the girls are super friendly and Kim is great with my cleaning!
I am someone who gets very nervous/anxious before having any dental work done. But at Seasons of Smiles I was made to feel very comfortable, and was treated very well. Michelle is amazing, and just the nicest, most professional person, and Nellie is super friendly and greets you with a smile! Dr. Medina and the rest of the staff is also very kind, understanding, and friendly! A great dental office all around!
I have always received excellent care from skilled professionals at Seasons of Smiles Dental. During my latest visit I benefitted from newly introduced cutting edge technology. A thoroughly pleasant experience.
Update. I had another appointment today 1/23. The process and outcome met all my expectations. Genial treatment in congenial surroundings.
Took my son here for his first visit ever. They were super patient, kind and involved him in everything which made the visit AMAZING! At three years old you never know how it will go, and they made it easy. We will definitely be returning here in 6 months. THANK YOU ALL!
Seasons of Smiles has a kind, knowledgeable staff with all the cutting edge technology for a superior dental experience! Dr. Medina made my husband a crown in ONE DAY with his new Glidewell milling unit. After all, who has time to wait for three weeks for a crown? Getting it made and placed in one day was AMAZING! We'll be back!
When I see the dental care providers at Seasons of Smiles I feel that I’m being seen as an individual and am receiving excellent care. I appreciate their consideration of my preferences and their creative suggestions for management of my dental care needs. I’ve been a patient of this practice for more than 20 years and have never considered going elsewhere. My daughter travels 2 hours back to Camden to have dental care at Seasons of Smiles!
I recommend going to Seasons of Smiles for the total experience of being taken excellent care of and for a dentist's office that is completely pleasant and warm. You will be feeling like family when you have dental work done! Bravo!
Thanks again to dr Medina and his staff. Very understanding and always available when needed. I have never had a better dentist,and will highly recommend!!
After my initial visit in February, I thought I was finished with my teeth for a long while, but today I found myself back in the chair with a chipped tooth! The good news is that the trip to the dentist isn't a pensive as it used to be since I am now a patient of Dr. Medina. He's the best, and love Michelle, and Nellie. I wonder if they realize how important their work is? I for one am grateful. See you guys soon to get this chip tooth fixed!! Can't wait! (not really)
I cannot recommend Dr. Medina and team enough! I've never had a bad experience with them. They've always made me feel comfortable with every appointment. So glad I switched to them years ago! Thanks Kim for another comfortable teeth cleaning experience!
Fantastic! I always have a good feeling when I leave the office. My last visit was very successful and kind of fun! We played musical chairs! LOL I was in and out in record time and my problem was fixed. Thanks Michelle! Always nice to visit with you Nellie, we always have a laugh together.
5 stars in spite of the fact the dentist is not my favorite place to go. My great experience started from the initial call to Nellie...working with my availability and making it happen. Dr. Medina and Michelle were amazing. They made a difficult visit as easy as they could with sincerity and compassion. I will definitely be making the call to completely change my dental provider to Seasons of Smiles.
It's always a pleasure to go into a dental office that is always professional and makes you feel comfortable.....Thanks Kimmie, Michelle, Samantha, Nellie & Dr. Medina
The staff were courteous and professional. They made sure I was as comfortable as possible as well. I would recommend this dental clinic to anyone. Thank you for a great experience.
I have nothing but wonderful things to say about the staff at Seasons of Smiles. Everybody is friendly, kind, and knowledgeable. Dr. Medina and Michelle were so patient and gentle with my seven year old daughter. Thank you for the great care.
Kimberley Pederson is great! She hears my concerns, encourages my own efforts to improve my dental health, and then helps me plan next steps. They have been great providers; Dr. Medina is a wizard at crowns, and he also hears my concerns. Excellent care all around.
Dr Medina and his staff are like family to us, always friendly and welcoming. And the real bonus is the leading edge care that is given "with a smile"!
Dr Medina and his staff always treat me with the utmost courtesy and respect. They are upfront and honest about the treatment needed. I've had some pretty bad experiences with dentists in my past but at Seasons of Smiles I am always made to feel comfortable and cared about. Thank you all so very much for such great care.
Everyone there is very professional. Always fits me in when necessary . The office is always spotless. The hygienist is very thorough and gentle. Nellie is always pleasant and a great first person to represent the office when people come in !!!!
(this is Diane) I have been using this office for the past 17 years. I have never once even considered finding someone else to be my dentist. They are kind, smart, dependable, and fun! Thank you for making all my fears vanish!
They were so great about getting me in same day because I was in so much pain. The staff was super nice and so passionate and patient. They took the time to hear my concerns and really cared about the fact that I was in pain and not just another check coming in. Dr. Medina was so nice and thoughtful, patient and kind. That is the kind of person you want taking care of your teeth!
My family has been going to Dr. Medina for many years. Nellie has always been so accommodating with making the appointments for the whole family. She calls and sends out reminders for the visits. She is friendly and is happy to see you when you walk into the office. Our hygienists ( We have seen Kim and Michele) are kind and are very gentle. They care about you when you are in their chair and make you feel at home. Dr. Medina always comes in at the end of every cleaning. He goes over any treatment plan and spends time going over any questions that you have. He cares about you as a person, not just another patient. Seasons of Smiles even sends out birthday cards with all of their signatures. My family has always had great experiences and we will continue to be patients of Seasons of Smiles. It is a great place!
10/13/15: My family have been patients of Dr. Medina for 20 years. From the minute you walk in with Nellie's friendly greeting and making you feel like more than a number, to the knowledgeable hygienist (Kim this time) who take the time to answer ALL my questions, to Dr. Medina who will take the time to explain procedures and listens to concerns to give me quality dental care. This office seems to be genuinely concerned with preventative care: Save the tooth, don't replace it. I like that I am not a number in this office. Thanks.
