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.
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Everyone in the office was so thoughtful and nice. Dr. Medina was as well. He asked very important questions during my first visit that made me feel confident he listened to my answers and was willing to meet all my needs. In the end,, we came up with a great dental plan that also included Invisaline for straightening my teeth. I am very excited!!read more
ANOTHER GREAT VISIT! I have been going to Seasons for quite awhile now, and every visit just gets better and better. It seems like every time I go they have new technology or a new trick to make my visit smooth and painless, while providing cutting-edge care. Kim was awesome as usual and my cleaning was quick and didnt hurt a bit. THANKS SEASONS OF SMILES.read more
Everyone that works here is passionate about the job they perform and the Dr. Is a perfectionist ! The Quality Dental Program alone is an affordable plan to consider and this office offers it. Check them out !!!!read more
My husband and I have been patients at Seasons of Smiles since 1999. I cannot say enough about how comfortable and confident we are as patients. The entire office is kind, competent, and skilled. We are always totally trusting and satisfied with our treatment from the time of the phone call to leaving the office. The entire office is responsive and without fail follows up.We highly recommend this office. You will feel like well cared for family, as we do.read more
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.
They got me in the day I called! Very thorough, knowledgeable and kind. Medina is my favorite by far out of any dentist, any doctor I have ever had. He was personable, sensitive and I didn’t feel rushed at all. The nurses were all wonderful as well and were sensitive to the fact that I hadn’t been to a dentist in years and was nervous. They explained everything before they did it and talked me through everything. I felt like their only priority was me at the moment and they weren’t mentally somewhere else and that’s rare to find.
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.
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.