Aaron Leishman

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9500 Corkscrew Palms Circle Suite 4
Estero, FL 33928
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Posts for tag: cosmetic dentistry

By Aaron A Leishman, DMD, PA
May 16, 2014
Category: Dental Procedures
FrequentlyAskedQuestionsAboutTooth-ColoredFillings

Are tooth-colored fillings safer than silver fillings?
No. Both are considered safe based on the most reliable and up-to-date scientific evidence. Still, tooth-colored fillings do have some definite advantages. Not only do they blend in with your smile far better than “silver” (dental amalgam) fillings, but they often require less removal of healthy tooth structure. That’s because in order to fill a tooth with amalgam, it is necessary to create indentations in the tooth called “undercuts” to hold the amalgam in; this requires the removal of some healthy tooth material. With a tooth-colored filling, we need only remove the decayed part of the tooth to place the filling.

Are there any disadvantages?
Yes, tooth-colored fillings don’t always wear as well as metal fillings — particularly on back molars where they are subjected to the most stress from chewing. They are also more expensive and less likely to be fully reimbursed under dental insurance plans.

Are there different types of tooth-colored fillings?
Yes, three different choices of tooth-colored fillings are available:

  • Composite — This mixture of plastic and glass is the most common type of tooth-colored filling. Newer materials can hold up almost as long as amalgam fillings and look very natural, though they can stain over time just as natural teeth do.
  • Porcelain — High-tech dental ceramics are considered the most aesthetic choice of filling material. They don’t stain as composites can, but their relatively high glass content can make them more brittle and prone to breakage. They may be more expensive than composites.
  • Glass Ionomer — Made of acrylic and glass powders, these inexpensive, translucent fillings blend in acceptably well with natural teeth and have the advantage of releasing small amounts of fluoride to help prevent decay. However, they generally don’t last as long as other restorative materials.

We would be happy to offer guidance on which choice would be best in your own unique situation.

If you have any questions about tooth-colored fillings, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “The Natural Beauty of Tooth-Colored Fillings.”

DidYouKnowMatineeIdolJamesDeanHadFalseFrontTeeth

Imagine how different things would have been for movie star James Dean, had he not managed to replace the front teeth he lost as a youngster. According to one biography of the 1950s heartthrob, Dean's teeth were knocked out while he was swinging around on a homemade trapeze. Because his smile was restored, Dean was able to land the plumb movie roles that catapulted him to stardom.

This is perhaps the ultimate example of how a smile makeover can create new opportunities for a person. But opinion polls confirm that nearly 90% of adults feel an attractive smile is an important social and career asset. And, an almost equal percentage of adults feel that their smile could use some improvement.

Are you unhappy with your smile? Is a smile makeover something you've ever thought about? Dear Doctor magazine has come up with a great list of questions you can ask yourself to figure out if you would benefit from this life-changing experience:

  1. Do you avoid smiling in photos?
  2. Are you conscious about spaces and gaps in your teeth?
  3. Are your teeth making you look older than you feel?
  4. Have you held back a smile?
  5. Do you feel that your teeth are stained or too yellow?
  6. Do you hold your hand up in front of your mouth when speaking or laughing?
  7. Do you notice areas of excessive tooth wear that make your smile look older?
  8. Do you have little teeth and a gummy smile?
  9. Are your teeth crooked, chipped or crowded?
  10. Do you wish you had someone else's smile?

If you answered “yes” to any of these questions, please come in and see us. We have an amazing array of cosmetic procedures available to us — far more than what was available to James Dean in the 1950s. These options range from relatively inexpensive teeth whitening treatments to more permanent cosmetic solutions such as porcelain crowns and veneers. Together we can come up with a plan to give you the smile you've always dreamed about.

If you would like more information about what a smile makeover could mean for you, please contact us or schedule an appointment. You can learn more about smile makeovers by reading the Dear Doctor magazine article “Beautiful Smiles by Design.” Dear Doctor also has more on “The Impact of a Smile Makeover.”

By Aaron A Leishman, DMD, PA
January 14, 2014
Category: Dental Procedures
UpdatingYourAppearanceDontForgetYourSmile

The world is full of options to improve your appearance. But if you really want a dramatic change for the better, don't overlook one of the more prominent features of your face — your smile. The field of cosmetic dentistry has developed a vast array of procedures, techniques and materials to work this transformation.

First, though, it's important to undergo a smile analysis. During this review, we examine the major components of your current smile: the condition of your teeth and their alignment; their natural color and hue; your gum health; and the relationship between your upper and lower jaws. We then analyze these findings in context with the shape of your face, your eyes and your skin. Any changes we propose to make to your smile must fit with this bigger picture.

Of course, nothing is more foundational to a beautiful smile than good, basic hygiene. Besides a daily regimen, regular visits to our office for cleaning and polishing not only remove entrenched decay-causing plaque or tartar, but also staining that can spoil your appearance. Whitening procedures, at home or in our office, can also brighten up an otherwise drab smile.

But what if you have chipped or broken teeth, or some other abnormality? That's where our artistry as a cosmetic dentist can truly make a difference. In some cases, using bonding materials, tooth-colored restorations or veneers may be the best option, if enough of the tooth structure is still intact. If not, porcelain crowns may be in order.

Nor are we limited to those options. Your particular situation may call for a more integrated approach to smile enhancement. Orthodontics to realign teeth and treat for malocclusion (where the teeth on the upper and lower jaws do not meet properly) could be part of that approach, as well as replacing missing teeth with dental implants that replicate the teeth they replace.

The key is to devise the best approach that couples reality with your expectations. It will change not only your smile, but also your life.

If you would like more information on cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Cosmetic Dentistry: A Time for Change..”

By Aaron A Leishman, DMD, PA
December 30, 2013
Category: Dental Procedures
BillRancicsSmileHelpsClosetheDeal

Can having a great smile help land you a high-level business position, a TV show, and a bride? Maybe — at least if you go by the example of Bill Rancic.

The 42-year-old Chicago native is well known as the first winner of NBC-TV's The Apprentice, a reality show where contestants vied for a job with Donald Trump's organization. Shortly after his selection as Trump's newest hire, Rancic met his future wife, Giuliana, when she interviewed him for E! News. Flash forward a few years, and the couple is now hosting their own reality TV show on Style network.

So how much has Bill's winning smile helped?

“I think a great smile says a lot about a person — especially in our professions,” Bill recently said in an interview with Dear Doctor magazine. He also mentioned that having a few cosmetic dental treatments helped him close the deal.

As a child, Bill wore braces to correct an overbite. For both kids and adults, orthodontic treatment is often the first step toward getting the smile of your dreams. The practice of orthodontics has changed dramatically in the past 20 years and there are now a number of choices available in lieu of traditional metal braces.

Not Your Father's Braces
For those who need to maintain a “professional” image, tooth-colored braces offer a less noticeable way to straighten your teeth. Lingual braces are another option that's suitable in some situations. These are truly invisible: bonded on the tongue side of the teeth, they can't be seen from the front.

Or, you may be able to forego braces altogether and use a series of clear plastic aligners to gradually bring your teeth into alignment. Not only are these difficult to notice, but they can be completely removed for short periods of time — at important board meetings, for example.

Red-Carpet Tooth Whitening
More recently, Rancic had tooth whitening treatments. Depending on the degree of lightening needed, these can range from custom-fitted bleaching trays that you wear at home under the supervision of a dentist, to in-office whitening treatments that work in far less time. Both can be effective in lightening your teeth by six shades or more.

But if you need the ultimate in whitening, veneers may be the best option. These are fingernail-thin coatings, made of pearly-white porcelain or composite material, that are placed directly on the tooth surfaces. Realistic and durable, they can provide a “Hollywood white” smile that's ready for the red carpet.

Did Bill's cosmetic dental work really improve his life? We can't say for sure — but as his wife Giuliana recently told Dear Doctor, “First impressions are very important, and having a beautiful smile will help anyone make a great impact on others.” So perhaps it worked on her!

If you would like more information on how cosmetic dental treatments can improve your smile, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Important Teeth Whitening Questions Answered.”

By Aaron A Leishman, DMD, PA
December 27, 2013
Category: Dental Procedures
ScienceandArtPartnersinCraftingaSuperiorSetofDentures

Edentulism — the complete loss of all the permanent teeth — is a condition that affects over one-quarter of all Americans over the age of 65. For many seniors, it can be a devastating blow to their confidence and self-image. Worse, if left untreated, it may lead to nutritional problems, periodontal disease, and bone loss.

Fortunately, an affordable, time-tested treatment option is available: full denture prosthetics, or false teeth. Denture technology has changed over time, but one aspect of the process remains the same: making a superior set of dentures requires an equal blend of science and art.

To replicate the look of a patient's natural teeth, a dentist must make many choices: What size should the new teeth be? How much of them should show above the gum line? How should they be spaced? Photographs of the patient before tooth loss can help in making the decisions. We will use these, combined with clinical acumen and an artist's eye, to achieve the best aesthetic results.

But dentures not only simulate the teeth and gums they replace — they also help support the facial skeleton and the soft tissues of the lips and cheeks. Balancing the muscular forces of the jaws and tongue, they help restore natural functions like speech and eating. In order to perform these tasks properly, it is essential that they be well crafted.

At each stage of their progress, from temporary wax rims through the hard plastic resins of the final product, the dentures are carefully custom-fitted to the contours of the patient's mouth. Their bite must be balanced, meaning that upper and lower dentures come together to properly stabilize each other. This ensures that they will be comfortable to wear and will function properly.

Most people have only minor issues as they make the adjustment to wearing dentures; but for some, it's more troublesome. There are various options available to those patients, including implant-supported hybrid dentures. We can recommend alternatives based on your individual needs and preferences.

If you would like more information about dentures, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removable Full Dentures.”



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