Do you suffer from migraines?

Do headaches interfere with your life?

Do you have light sensitivity?

Do you have problems with noise/sounds?

Do you have nausea?

~Dr. Randy has studied treating migraines for years and we would like to see if we are able to help you.

Give us a call at 236-3100




There’s No Time Like the Present!  

Has your dentist ever recommended something that sounded unpleasant, like a filling, or a crown, or a deep cleaning, or a root canal?  These things are not fun to have done.  All our instincts tell us to put it off as long as possible.  

The truth is that the longer we delay recommended dental treatment, the worse the problem becomes.  We often want to wait for pain, or some other indication that a negative change is happening, before taking action.  But just like heart disease, many dental diseases are painless until some sort of catastrophic event happens.  Like a heart attack, the catastrophic dental events are usually significantly more painful and costly to fix than treating the smaller condition that preceded the event would have been.  

For example, a filling is usually recommended to fix a cavity, which is the process where bacteria rots away tooth structure.  Until a cavity is fixed, bacteria are in the tooth producing acids which destroys more and more tooth structure over time, eventually getting into the nerve chamber, which is deep within the center of the tooth.  Once bacteria gets into the nerve chamber, the tooth could no longer be fixed with a just a filling -- to save the tooth, it would require a root canal, buildup and crown, which is a much more expensive, invasive, and time consuming proposition.  

The bottom line is that there is no easier time to fix a dental condition then soon after it is identified.  Most dental problems are progressive in nature, which means they get worse over time.  Waiting too long to tend to an unhealthy condition usually results in an escalation of that condition, and a more expensive and time consuming path to fix it.  

So we encourage you to fix your dental problems now before they become bigger.  And with the end of the year approaching, we recommend that if you have unused insurance benefits, you use them before you lose them!


Perio, do you know what this word really means for you?

Do you ever wonder why we take gum measurements, or x-rays, or models of your teeth?  This is the first in a series information blasts to let you know why we do the things we do when you go to the dentist.  

Have you ever wondered why we spend time measuring your gum tissue when you come in for a cleaning?  We perform this “periodontal charting” to assess the health of your gums.  This part of the exam involves using a little ruler to see how deep it goes below your gum line.  When the gums are healthy, the ruler only goes down about 3 millimeters (mm).  When the gums are unhealthy, the ruler goes down deeper under the gum line, anywhere from 5mm to more than 10mm.  We measure 6 spots on every tooth, and we record these measurements at your first visit and then annually.  We make every effort to ensure your comfort as we take these measurements, and it is painless for the most part; however, if the gums are very irritated sensitivity can occur during this probing.  

It is important to know the status of your gum health so we can best help your teeth and gums stay healthy long term.  Bacteria live in plaque and tartar, which is a calcified form of plaque that develops when plaque sits on the teeth for too long.  When plaque and tartar build up below the gum line, the bacteria destroy the gum tissue and eventually the bone that holds the teeth in place.  That destruction results in deeper “pockets,” which are virtually impossible to clean at home, and usually lead to more buildup and more bone loss around the teeth.  This process is called periodontal disease, and if left untreated can lead to pain, tooth mobility, infection, and even tooth loss.  This is what we hope to prevent by keeping close tabs on your gum health.  

These measurements also help us know what type of cleaning you need and how often your teeth should be professionally cleaned.  There are different types of cleanings depending on how healthy your gums are, and how much buildup there is on your teeth.  The frequency that you should have your teeth cleaned is also determined by your gum health and those pocket measurements.  There is significant variability in the rate at which everyone builds up plaque and tartar.  Some people who build up plaque and tartar quickly, or have deep pockets, should have their teeth cleaned every 3 months; whereas, others who do not tend to build up much need only have a professional cleaning every 6 months, or even every year.  


Dr. Sarah Bouchard is an Associate at MidCoast Family Dentistry. To find out more about her or our office, please look around our website or on our Facebook page at

As always, we welcome new patients, please call 236-3100 for an appointment. 


Randy's Implant Reflections

Randy’s Implant Reflections:

Why would you consider having an implant?

Do you have a missing tooth and don’t like the space that has replaced it?

Do you have a spot that food gets stuck no matter what you do?

Has anyone ever told you that acid is eating away your teeth?

Do you have discomfort when chewing or can’t chew on one side because of missing teeth?

Do you have a flipper partial (a one tooth partial to fill in a space) that keeps breaking, moves, has clasps that bother or is just too bulky?

Do you have a denture that moves too much, is too bulky or your gums get irritated? 

Are you considering dentures in the future?

Implants are great solutions for all of these issues.  Implants don’t decay and don’t erode due to excess acid from your diet or chemistry.  Implants are the closest option for “getting back to normal”.  When considering tooth replacement, they are the most like natural teeth of any of the options available.  One benefit of implants is that you do not need to alter any neighboring teeth.

Implants can give you back your smile!  They can provide a more comfortable chewing option.  If you are routinely bothered by intestinal discomfort or acid reflux, think about if you are able to thoroughly chew your food.  If not, talk to Dr. Randy about options.

Implant supported dentures and partials are a terrific way to assist you in getting back to your way of life.  Implant supported dentures are typically less bulky, more secure and don’t irritate the gums like traditional dentures can.

Implants are a good option for most people, and are normally placed when the tissue is done growing.  They can be placed as young as 15 years old, but most often recommended for females to wait until age 18 and males to age 21 or later.  Dr. Randy has been restoring implants (placing the crowns) for over 10 years and has been placing implants (including placing the implant cylinder) for a year.  He looks forward to participating in additional courses dealing with more complex cases over the next year.

Like all dental work, implant success depends on what you do.  You still have to keep your teeth clean, have regular checkups and come in for regular appointments with your hygienist.

Some insurance plans do provide coverage, some do not.  We invite you to work with our team of Treatment Coordinators to determine what insurance might help with.


Why Aren’t We Answering?!?

MidCoast Family Dentistry holds education and training for the team once a month, this month is January 22nd from 7:30-10:00AM.  In an effort to stay in touch with patients’ needs, current on changes to insurance policies, up to date on trends in the dental field, remain active in proposed legislation in Augusta affecting the dental community in Maine and so many other things!


At MidCoast Family Dentistry, we are proactive in planning for patients’ appointments.  Hygienists and Assistants meet with Dr. Randy on an every other week basis and review recommended treatment for upcoming appointments so we can present the best options available for you.  The Treatment Coordinators research options to assist patients overcome obstacles; whether the obstacles are financial, insurance, comfort, relaxation techniques, etc.  For example, Dr. Randy offers mild sedatives for our nervous patients, we offer blankets and pillows for comfort, we also have video glasses available which are a great distraction as well as entertainment during your appointment.  These educational meetings benefit our patients, even though it takes time away during the day!


We are certainly not closed during this time, even though we will not be answering the phone.  If you need us, call and leave a message and we will get back to you as soon as our meeting is over at 10:00!


We welcome your feedback and we always strive to provide superior care!


Always feel free to drop by our office for a complimentary tour. You may reach us by phone at 236-3100. We look forward to visiting with you soon.


Are you going to use it or lose it?

How often do we hear, “use it or lose it” in our lives? Vacation time, use it or lose it. Your brain, bones and muscles, use it or lose it. Many Health Savings Accounts, use it or lose it. Well, dental insurance money is no different.

Most insurance plans refresh on January 1st of each year. An average plan provides $1500 in coverage per year. If you have not tapped into that, you are throwing away $1500. Would you do that if your car needed help and you knew the insurance company would pay to replace your tires or battery? Would you get your car or house cleaned twice a year if it didn’t cost anything out of pocket? I am guessing you would work pretty hard to make sure your car and house got that attention! If you needed a new front door on the house and knew that the insurance company would pay $1000, would you have it fixed?

Unfortunately, the insurance benefits not used in 2013 will not roll over into 2014 and you will have to say good bye to the benefits you walked away from, and have already paid for. Yep, you paid for it! You and/or your employer paid a premium to carry the insurance. So let’s say your premium is $25 a week between you and your employer. Not too much, less than health insurance after all. Well, that is $1300 a year that you are spending and not taking advantage of!

So we already figured out that it is up to you whether you use what is yours or not. Let’s talk about your health. Fun topic right? Not if you are the kind of person who ignores the signs and has a “wait and see” approach when a tooth gives a zing or starts to get sensitive. Teeth don’t heal themselves, no secret there. Yes, symptoms can sometimes go away or at least get a little less bothersome. Most times the symptoms are just waiting for a late night return, possibly while you are on vacation or maybe during a long weekend. Certainly not when it is convenient for you! Why not get the problem addressed while you have insurance money and before it becomes a major repair?

We hope we can help you utilize your benefits before the end of the year! Our friendly Treatment Coordinators are more than happy to help you understand your specific and very individualized insurance plan.

We look forward to seeing you at your next scheduled appointment! Your commitment to keeping your appointments is greatly appreciated!

To schedule an appointment, call us at 236-3100.  For current news and promotions visit our facebook page,