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 http://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.
Are you having a dental emergency? Has it been awhile since you've had your teeth cleaned? Do you need a Smile Makeover, full mouth reconstruction or cosmetic procedure like veneers or crowns? Set up an appointment now without even picking up the phone.
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Based on 153 reviews
Seasons of Smiles Dental
21:51 05 Aug 20
01:33 23 Jul 20
I feel like I've had some time at a spa. I was pampered by Samantha, an extraordinary hygienist, and my teeth are squeaky clean. Just what I needed. My children had their teeth cleaned by Kim, the ever patient and brilliant hygienist. We all commented in the car on the way home how great it felt to have sparkling teeth after months of quarantine snacking. I love everyone at Season’s of Smiles for going the extra mile to make sure going to the dentist is enjoyable, even with all the new COVID-19 protocols.
23:52 22 Jul 20
01:13 20 Jun 20
22:13 29 May 20
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.
21:05 30 Mar 20
00:05 17 Mar 20
Excellent and friendly as is usual.
21:51 12 Mar 20
23:41 05 Mar 20
22:32 06 Feb 20
03:30 29 Jan 20
01:40 21 Jan 20
00:08 15 Jan 20
22:38 18 Dec 19
00:28 21 Nov 19
The staff and Dr Medina are amazing! So friendly and helpful! Always know my teeth will be taken care of when I go for a visit.
23:33 18 Nov 19
22:04 06 Nov 19
21:07 16 Oct 19
Everyone is so nice and helpful
21:06 15 Oct 19
03:42 07 Oct 19
21:04 03 Oct 19
Kimberly Anne Nicoll
01:57 10 Sep 19
15:53 15 Aug 19
02:16 24 Jul 19
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.
12:57 23 Jul 19
00:57 11 Jul 19
12:19 13 Jun 19
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!
23:00 01 May 19
We receive excellent care at Seasons of Smiles. The staff is terrific.
23:18 29 Apr 19
13:18 17 Apr 19
I love the whole crew at Season of Smiles. They do wonderful work, and truly care about your health & well-being. It’s always the most pleasant experience and the staff are some of the kindest people you will meet!
23:06 21 Mar 19
00:23 21 Mar 19
Lovely & respectful people and everything went really quick.
23:03 18 Mar 19
Definitely the best dental experience I've ever had for as far as easy relaxing explaining everything to very good place to go I'd highly recommend them they've taken good care of me over the last few years
23:17 14 Mar 19
My crown feels like it is an original tooth. Dr Medina and Michelle did a great job in just over two hours.
17:22 25 Feb 19
Very happy with every the whole experience. Highly recommend !!
11:39 22 Feb 19
01:42 20 Feb 19
23:23 23 Jan 19
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. 🤗
12:24 16 Jan 19
I came in with a dental emergency and encountered a very professional team totally committed to making my patient experience a positive one. Looking forward to utilizing their services for all our future family dental needs.
00:34 16 Jan 19
I never have a hesitation when I have to make an appointment for Dr Medina and staff... they are all great and make you feel so comfortable. Would highly recommend if you are in need of a new dentist!!
Ruthie & Joshua Perry
02:11 09 Jan 19
Dr. Medina and his whole staff have been way over the top to our whole family. Today the TEAM took the time to assure my son (13) who was pretty nervous about his appointment and make it comfortable for him. And all this on top of the excellent dentistry we have experienced over the years! We are blessed to be patients of Dr. Medina and his knowledgable staff! Thank you all!This was my post 6 years ago...and again today we are still receiving caring attention and excellent dental care. Knowing our family and caring for us like family. Our favorite dentist!!
05:23 07 Dec 18
I cannot say thank you enough to the entire team at Seasons of Smiles! The technology is amazing, the staff is super kind, and my filling was PAINLESS. You're THE BEST!
11:33 28 Nov 18
Kim is a great dental hygienist. Gentle, thorough, and informative.Dr Medina also provides excellent care.Highly recommended!
23:15 26 Nov 18
I GOT A CROWN IN ONE DAY!! I was dentist shopping after recently arriving in Camden. Luckily, this was the first (and last) office I called. It was one of the best dental experiences I've ever had. Dr. Medina's office is the perfect blend of professionalism and family warmth. They explained everything to me and helped me understand all my options. Ultimately, we decided a crown was the best option--both dentally and financially--to get a crown. Allow me to repeat myself: I did not wait 3 weeks and two seperate visits for a crown. I, LITERALLY, GOT A NEW CROWN IN ONE DAY. He mills a custom crown for you in the office. I've found my dental office for life. Hopefully he's not planning on retiring anytime soon!
00:40 21 Nov 18
I'm not a fan of the dentist let me start there. But I went in was greeted but a friendly staff who got me everything I needed and once I was in the chair Dr. Medina and his staff did everything they needed to figure out the best plan to get my teeth back on track I am super happy with my decision to go here and cant wait to see the end result when all is said and done.
15:15 12 Oct 18
As you know, I'm an individual who makes tartar on my teeth overnight so I visit the Seasons of Smiles frequently; I spend a lot of time with Kim Pedersen who is both a good hygienst and great teacher. I highly recommend this practice. They want you to be a happy patient and they work to make that happen!
21:33 11 Oct 18
23:22 02 Oct 18
Seasons of Smiles has always been a great office with excellent professionals, thorough work and a caring attitude. I moved away and still travel back every 6 months for my cleanings and work because I just love this office!
21:55 01 Oct 18
I had my first cleaning in a longgg time here, so safe to say I was very nervous. I can’t express how comfortable they made me feel throughout the whole X-ray, cleaning and quoting process. Will definitely recommend them to anyone who will listen!
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!!
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 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!
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.
Best experience I've ever had at any type of doctor or dentist. The staff was more than accommodating and went above and beyond to make my children and I feel comfortable. Dr. Medina was awesome. Highly recommend this office.
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 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.