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




How well do you know your dental insurance plan?

Did you know that each dental insurance plan can vary depending on the employer who has elected the plan on your behalf?  Each individual employer negotiates coverage and benefits on the employees’ behalf and believe me, employers work very hard to get the best coverage at the best price to help keep their employees healthy.  Unfortunately, and no secret being revealed here, health care costs are often difficult to manage.  There are ways you can help take matters into your own hands!

First, always keep your scheduled appointments!  Believe it or not, failing to show up for an appointment or cancelling an appointment the day before increases costs.  The people in the medical world know that it is very difficult to plan appointments ahead of time, we are human and share the same difficulties.  However, providers are still paid for time they were scheduled to be with a patient, whether the patient is at that appointment or not.  A new patient appointment at Midcoast Family Dentistry reserves time (up to an hour and a half) with a Dental Hygienist as well as time with a Dental Assistant and Dr. Randy.  One cancellation equals over two hours of sudden free time.

Second, and another great reason to keep your appointments, take a regular hygiene appointment for example.  If you are Susie Patience and you carry dental insurance, you are entitled to use $2000 a year in benefits including two regular hygiene visits per year.  If you come in February as planned, but then cancel your next appointment scheduled six months later, you are reducing the chance that you will be able to take advantage of the full $2000 if you need to have any kind of work done.  Trust me, we see it every year with a good amount of patients.  The sudden realization in the patient’s eyes saying, “Oh no, I still have money available that I could have used but I came in too late?!?”  You and your employer pay good money for these benefits…don’t miss out!  We often hear, “Well my employer pays my dental premium so it doesn’t cost me anything”.  Sure it does!  Any money out of your employer’s pocket is less money available for salaries, operating costs, etc.

Here is an example of how insurance plans vary drastically based on the employer.  Susie Patience works for a bank that has elected insurance through Dental Insurance of America.  Patrick Nicely works for a landscaping company that also selected insurance through Dental Insurance of America.  Susie has a higher maximum available ($2000) to use each year, a lower deductible ($25) and the coverage for a filling is at 80%.  Patrick has a lower maximum ($750), a higher deductible ($75) and the coverage for a filling is at 50%.  It is important for you to know what you have available to you and how much you are entitled to use every year!

Our friendly Treatment Coordinators are more than happy to help you understand your specific and very individualized plan.  It is impossible to know the intricacies of each employer’s plan, but we are very skilled at finding the information you need and we do our best to predict the out of pocket expenses for each patient for each visit.  For best results, we recommend requesting a predetermination (also known as preauthorization) to be sent on your behalf for follow up care.

We look forward to seeing you at your next scheduled appointment!  Your commitment to keeping your appointments with all of your service providers (dentists, doctors, hair stylists and auto care alike) is greatly appreciated!


90% paperless goal

You are probably expecting another “Let’s go green and save the planet!” article about how we need to save the trees.  Sorry to disappoint, but the team at Midcoast Family Dentistry has many reasons to strive towards a 90% paperless environment.  Despite how you feel about recycling (paper, plastic, glass, etc.) or your stance on renewable fuels, there’s one thing that everyone can agree on – the fewer resources we consume, the better.  Obviously it is better for the environment, but we jump to that so quickly.  What we don’t often think about is the time and expense that it saves.


So we all agree that it is better for the planet to use less paper.  It is better for our patients too.  When you call us with a question, we are able to access any information pertaining to your care with a click of a button rather than a “I will have to call you back after I have a chance to pull your file and look through your records” response.


Fees are reduced by:

  • ·        More efficient staff, less time spent in wages searching through and maintaining paper records
  • ·        Less paper and ink supplies required for maintaining paper records
  • ·        More communication via social media, email, etc. reducing postal fees
  • .        Reduction in storage needs (boxes, files, storage facility, etc.)     


A number of technologies have emerged that allow us to change our business culture and trends. Social media tools like blogs, email, texting and Facebook are drawing people into reading information online, interacting, and sharing experiences. Popular among the all the generations and certainly the modus operandi for the younger generations, these tools are also being used by Midcoast Family Dentistry to distribute informative articles regarding new dental research and products, fun things happening at the office, sharing promotions and many other events.


So, while you will continue to see some paper at Midcoast Family Dentistry, you can look forward to seeing less paper as we move forward with electronic signatures, social media communication and any means we can utilize to reduce our expenses and help our environment!



Do you suffer from migraines?

What is a true migraine?


A true migraine is defined by having the right combination of the following symptoms.

Does it interfere with your life?

Does it happen frequently?

Do you have light sensitivity?

Do you have problems with noise/sounds?

Do you have nausea?

Two out of the last three symptoms, along with pain that interferes with your life, is a migraine.


Because migraines are so complex with many contributing factors, medicine has traditionally looked to treat the symptoms with a quick approach. In general, these medicines are only able to treat the symptoms. What we offer is a treatment approach that addresses some of the underlying contributing factors that influence migraines and head/neck pain.


The NTI device, or Nociceptive Trigeminal Inhibition Tension Suppression System, is a small specialized mouthpiece worn at night. By wearing this appliance on the front teeth, we can decrease the amount of force placed on the teeth by 70 percent. When you cut down the amount of pressure on the system, you are less likely to reach the adaptive capacity, therefore lessening the chance of the pain response.


We have had great success with the NTI device in treating migraine symptoms and head, neck and facial pain. We encourage you to call us for a consultation if you have any of these symptoms, as we may be able to help.


You may also visit our website, or our Facebook page for more information. We look forward to helping you live pain free.


Snoring isn't just might be a sign of something else. 

There are two reasons to treat snoring and apnea. The first is to improve your quality of life. Apnea and snoring can result in altered sleep patterns; and as we know, sleep is very important to the healing process and our ability to perform normally throughout the day. Snoring, of course, can be a nuisance to a bed partner as well. The second reason is the relationship of apnea to serious medical consequences. Untreated sleep apnea can cause or worsen the following:

High blood pressure and other cardiovascular disease

Risk for heart attack

Risk for stroke

Pulmonary hypertension

Weight gain

Migraine headaches

Morning headaches

Hyperactivity in children


Depression and anxiety

Bruxism (teeth grinding)

Oral Appliance Therapy (OAT) is often a viable alternative to CPAP therapy. A specially designed and adjusted customized oral appliance repositions the jaw and tongue during sleep. The oral appliance creates support for the airway that tends to collapse during sleep, stiffens the soft palate, and can be highly effective therapy for snoring and sleep apnea. There are several appliance choices. One of the purposes of the first visit is to decide which is best for you. The oral apppliance has been shown to effectively control snoring in over 90% of patients. Mild and moderate sleep apnea responds extremely well; even many cases of severe apnea have been resolved with oral appliance usage.

To speak with one of our trained professionals, please call (207) 236-3100.

One year, no interest financing available.



Why would a dentist be treating somebody‚Äôs migraine?

That’s an interesting question. Well. . . I have been doing a lot of work with people that have had different kinds of pain for some time. Whether it is tooth pain, obviously being a dentist people have an infected tooth we try to help them out or whether we can do a root canal and save the tooth or if we have to remove the offending cause of the pain. Sometimes pain in and around the teeth isn’t just from the teeth. Now, you may have heard of Trigeminal Neuralgia. That’s a pain that comes from nerves carrying the wrong messages. I have a number of patients with that and have worked with the neurologist to help them. Sometimes you will have pain that is not from the teeth, but is from the muscles. Do you ever wake up in the morning and your face feels tired and right in front of your ear it’s sore and achy? Well, those kinds of pain are often caused from clenching and grinding your teeth. It’s like you are working hard all night and I have had a number of people over the years that have had that type of problem.


I have taken the time and effort to learn to help this. As I continued to learn more about how I can better help people I came across a course with Dr. Jim Boyd and Dr. Barry Glassman and the title of the course was Tooth Wear to Migraine. So I spent some time studying with these doctors and I realized there can be a very strong connection between what we can do with our teeth and the pain that we have in our head. There has been shown to be a connection between overactive muscles and

the muscles that you use to grind up your food and chew. When they aren’t used properly or when they are over used is probably a better way to put it they can set up a cascade of problems that for many people leads to a migraine. The process of controlling those forces and controlling those problems has been shown to help minimize the frequency and in many cases the intensity of migraine. Dr. Boyd trying to treat his own migraine headaches had developed an appliance which is know as an NTI, it is short for “Nociceptive Trigeminal Inhibition - Muscle Suppression System”. We just call it an NTI. It helps to cut down on the activity of those muscles that can over load the system and lead to headaches. We used to think there was a big separation between a tension headache and a migraine headache, but more recent scientific research has shown that the clear cut delineation is not always so clear. So what might start out as muscle tension can begin that cascade of chemical and neurological processes that actually end up causing a migraine where your head is pounding, or it’s on one side or you feel nauseous, noises bother you, bright light bothers, all these things together make it a migraine. Well, again, if you’ve got just a tension headache, its all over, it feels like pressure, any noise that bothers me, sure it makes hurt more and sometimes it hurts so much I feel nauseous, but movement may not bother or it may be both sides of your head, it may not fit the strict criteria for migraines so now you’ve got a tension headache with a migrainous component. It gets confusing but my real point here is if we can help to control some of these forces, some of these poorly controlled and often poorly understood forces we can help minimize the frequency and the intensity of migraine. So here’s a dentist who starts trying to help people with pain around the face. First there teeth, than there jaws, eventually I find out it’s all connected and isn’t that the way we see it so often, we hear more and more about whole body health, well one thing is connected to the next and we can’t afford to just keep everything separated. So if you do suffer from migraines, and I know a lot of people who do, some that work with me do, we have a way now that we can provide a different approach and hopefully help people that suffer with those problems and work with you as long as you are interested in working with me at fighting this issue, I have some tools, some weapons to use against the beast but I don’t have the silver bullet, I don’t have the magic pill. It’s got to be a team effort. You are working with the neurologist, your nutritionists, your allergist; it’s not just us for you. You’re part of the team too, because every little change that happens, it tells us something it tells a little bit more about how your issues or how the factors affect your body and how it gets manifested in your pain cycle or presentation. A migraine isn’t a migraine isn’t a migraine. That’s the other part I want to get to.

A headache isn’t a headache isn’t a headache. They used to think there was a real separation between tension headaches wasn’t a connection between


Cluster headaches and migraine headaches. The latest research shows that it is not a bunch of separate different things there is a chronic daily headache with a migraine as a component, or there’s a cluster that has a tension component, it is not well defined. That is what we are addressing another common factor, muscle strain injuries that contribute to this pain cycle. So just because you have just have tension headaches, is it always on one side? Does it sometimes make you nauseous? That is a tension headache with a migraine as a component. So what’s a true migraine? A migraine is just having enough of these particular things. Does it interfere with your life? Does it happen freq. Do you have problems with light, do you have problems with sound, and do you feel nauseous? If you have 2 out of these 3 problems, along with pain that influences your life, that is a migraine. It’s the new definition for migraine; I may want to look that up so I have that exactly for you. If you have A or B and then you’ve got one of the first two you’d have to have two of the next three and I have that in the stuff from Costa Rica.  Tell a Friend

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