Aaron Leishman

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9500 Corkscrew Palms Circle Suite 4
Estero, FL 33928
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Posts for category: Dental Procedures

By Aaron A Leishman, DMD, PA
July 15, 2013
Category: Dental Procedures
HowDoILookAfterMyNewPorcelainVeneers

You've just had porcelain laminate veneers placed on your teeth to improve their appearance, color and shape. Now what? How do you maintain them and keep them looking their best?

A dental porcelain veneer is a thin layer of porcelain that is bonded to a tooth, replacing the enamel (the outermost layer of a tooth). Dental porcelain is a glass-like substance that can be used to mimic natural tooth enamel perfectly because of its bright, reflective and translucent (see-through) qualities.

To look after your veneers, it is important to maintain the health of the teeth on which they were placed, and of the surrounding gums.

  • About a week after your veneers have been placed, return to our office so that we can check them to make sure they are functioning well.
  • Brush and floss regularly using non-abrasive fluoride toothpaste; make sure you remove biofilm, the film of bacteria that collects on the teeth, every day. Flossing or brushing will not harm your veneers.
  • We recommend regular dental checkups to review the state of your veneers and your dental health in general.

Porcelain is a ceramic glass-like material, and like glass it is strong but brittle and can fracture when placed under too much stress.

  • You can eat almost all foods without harming your veneers, but avoid biting into hard things like candy apples.
  • Many people habitually grind or clench their teeth. If you are one of them, let us know. We can make a protective bite guard that you can wear to reduce stress placed on your teeth (and your veneers) while you sleep.

With good dental hygiene, and regular dental check-ups porcelain veneers can last from seven to twenty years or even longer. This makes them a good solution that will improve your smile for years to come.

Contact us today to schedule an appointment or to discuss your questions about porcelain laminate veneers. You can also learn more by reading the Dear Doctor magazine article “Smile Design Enhanced with Porcelain Veneers.”

DoYouWantAPerfectOrNaturalSmileWeNeedToKnow

Are you unhappy with the appearance of your smile? Do you get anxious about smiling in social settings? Have you ever wished you had teeth like your favorite celebrity? If you have answered yes to any of these questions it might be time to discuss a smile makeover with us!

During our initial meeting we will ask you exactly what look you are hoping to achieve. Open communication will help ensure ultimate success and satisfaction — you need to tell us what you want and we need to tell you what is actually possible. Then we can plan a solution that is both aesthetically pleasing and functional.

We will also decide which cosmetic materials and techniques to use; this can range from composite resins (tooth-colored fillings), porcelain veneers (thin layers of dental ceramic that are bonded to your tooth enamel) or porcelain crowns (which replace the entire external form of a tooth).

Essentially, most people seem to want one of two looks — a “perfect” Hollywood smile or a more “natural” look. For those who want a “perfect” smile, we will focus on achieving symmetry so that your smile appears perfectly balanced. We will also focus on achieving uniform and maximum tooth brightness and whiteness.

For those who want a more “natural” smile, we can enhance your smile by gently improving brightness while maintaining a more normal symmetry to each tooth shape and size. This can produce a more elegant, youthful smile, not just a Hollywood white smile. We can also maintain slight color, shape and shade variations throughout your mouth.

The best tool for testing our vision is with the use of a tool we call a “provisional restoration.” During this phase of the process we will actually create your new smile using temporary materials, allowing you to “test drive” your new look before committing to permanent materials. This way we can make sure you get exactly what you want. Once you give us the green light, these restorations will be replaced with your permanent new teeth.

Call our office today so we can get started! For more information on the importance of communication between dentist and patient during a smile makeover, read the Dear Doctor magazine article “Great Expectations: Is What You Get What You Want?

By Aaron A Leishman, DMD, PA
May 31, 2013
Category: Dental Procedures
WhatMadeAmericanIdolFinalistElliottYaminSmile

One day, while looking at old pictures of himself, 34-year-old American Idol finalist Elliott Yamin noticed something peculiar. “I [had] figured out how to kind of smile without displaying all my teeth,” he told an interviewer with People magazine. The reason: Yamin (like many other people) was unhappy with the way his teeth looked. And others noticed it too: “[They] wrote things in magazines, called me Snaggletooth and things like that,” he said.

Yamin's situation came to the attention of dentists from across the country, several of whom offered to fix his crossbite and other problems. One of them even provided the singer with computer-generated renderings of how he'd look after a total “smile makeover” — and that was enough to convince him. Finally, after receiving a set of porcelain veneers and other dental work — all provided free of charge by the concerned dentist — Yamin has the smile he always dreamed of.

You don't have to be an American Idol finalist to appreciate the benefit of having a super smile — and it's never too late to get started! As Yamin found out, a “smile analysis” is the first step, and it's a critical part of the process. This is the time when you and your dentist get to know each other, and begin talking about what kind of a look you want to achieve, and what you should realistically expect.

But it can be tough to express in words exactly what your idea of a perfect smile looks like. Are the teeth completely regular in alignment and “Hollywood white?” A little bit asymmetrical and more natural-looking — or something in between? And exactly how would that look on you? Fortunately, we have a variety of ways to help you make those decisions.

One is computer-generated images, like the ones that persuaded Yamin. Convenient and relatively easy to produce, they're a great way to preview possible changes before a single tooth is touched. However, some people may find it hard to picture their new smile from different angles and in different lights. If you'd like a better representation, it's possible to produce a 3-D model of the proposed work before it's done. This can let you truly visualize your new smile in a realistic way.

If you need even more evidence before deciding, there's still more that can be done. Your teeth can be built up to their new contours with composite resin, a tooth-colored restoration material that can change tooth shape and size with relative ease. A related procedure, the “provisional restoration,” gives you a complete preview of the final work. When you're satisfied, the “temporary” materials are replaced with more permanent ones, like long-lasting porcelain veneers. Whichever method you choose, you'll be on your way to a better looking smile.

If you would like more information about a smile makeover, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Great Expectations — Perceptions in Smile Design” and “Smile Design Enhanced with Porcelain Veneers.”

By Aaron A Leishman, DMD, PA
April 20, 2013
Category: Dental Procedures
BracesAreNoHurdleforOlympicTrackStar

Lashinda Demus holds the U.S record in the 400 meter hurdles, with a time of 52.47 seconds, the third fastest ever recorded. While her twin 5-year-old boys cheered her on, she brought home a silver medal from the 2012 London Olympics. But when it comes to her full set of upper and lower braces, there's no silver to be seen!

Demus is a top-ranked competitor, a wife and a mom — and an adult who is currently in orthodontic treatment. With her orthodontist's approval, she chose clear ceramic braces. These are just one of the treatment options available to adult patients, many of whom prefer a less noticeable style of orthodontic appliance.

As many as three-quarters of adults are thought to have some form of orthodontic problem. Common issues include teeth that are crowded too closely together, or ones that have drifted too far apart after an extraction or other tooth loss. It is believed that straightened teeth are easier to clean and better for chewing — they can also improve an adult's social life, and even his or her career prospects!

Some grown-ups may hesitate to consider orthodontic treatment because they remember the “railroad tracks” they saw in junior high school. In fact, there have been many changes in orthodontic appliances in the past few years. Two popular choices for adults are colorless braces (the kind Demus wears) and clear orthodontic aligners.

Colorless ceramic braces are made of high-tech composite materials. They resist staining, and are less noticeable because their translucent appearance blends with the teeth. Often, a single wire is the only part that's plainly visible. Sometimes it's even possible to place them on the lingual (tongue) side of the teeth.

Clear aligners are an alternative to braces that are available to adults and teens. Instead of wires and attachments, these consist of a series of transparent, removable trays that are placed over the teeth and worn 20 hours per day. Over a period of six months to two years, the teeth are gradually straightened as you progress from one computer-designed tray to the next. Best of all, you can remove the trays completely to clean your teeth, and for important occasions.

Which one is right for you? It depends. While aligners have been successful in treating mild to moderate spacing issues, more difficult problems with the bite may require a more traditional form of braces. Also, there are a few health problems which might need to be attended to before orthodontic treatment is begun. The best way to learn about your options is to come in for a consultation. But remember: if you want a better smile, it's never too late.

If you would like more information about orthodontic choices, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Orthodontic Aligners.”

By Aaron A Leishman, DMD, PA
March 22, 2013
Category: Dental Procedures
Tags: celebrity smiles  
JohnStamosBritneySpearsandHowtoRelaxDuringDentalTreatment

We're always tickled to see dentists represented in popular culture, especially when portrayed by an actor as handsome as John Stamos. On the hit television show Glee, Stamos played a dentist who made sure the glee club members cleaned up their act when it came to oral hygiene — though perhaps he used a bit too much anesthesia to achieve this admirable goal. While under his care — and lots of sedation — several Glee characters had music-infused hallucinations in which they danced and sang with pop star Britney Spears.

Far-fetched? No doubt. Still, it's worth mentioning that sedation has its place in dentistry. In fact, if you are someone who tends to get anxious or even fearful about dental treatment, you should know that sedation can help you relax both mind and body so you can feel peaceful rather than anxious in the dentist's chair. And that's the whole point: Fear of pain should not stand in the way of your getting the care that will keep you healthy and allow you to keep your teeth for as long as possible.

You may not know this, but when you are afraid, your threshold for pain is actually lower. You become hypersensitive to every sensation and sound, and you tense your muscles. Fear and anxiety trigger the release of certain chemicals that put you in “fight or flight” mode. In this heightened state of alert you experience more pain during and even after treatment.

The good news is that this response can virtually be eliminated with various oral sedatives and/or with nitrous oxide, which is inhaled. Both treatments will allow you to let your guard down and relax. Your apprehension and hypersensitivity to pain will disappear, even though you are still conscious. And when you are relaxed, we are better able to focus on the task at hand, knowing that you are comfortable.

The sedatives used in dentistry have been subjected to rigorous testing and have a strong safety record backed by decades of use. Several even have “amnesic” properties, meaning that you will remember little to nothing of your treatment — unless, of course, you end up singing and dancing with Britney Spears!

If you would like more information about sedation in dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Oral Sedation Dentistry.” Dear Doctor also has more on “Overcoming Dental Fear & Anxiety.”



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