Aaron Leishman

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9500 Corkscrew Palms Circle Suite 4
Estero, FL 33928
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By Aaron A Leishman, DMD, PA
October 22, 2012
Category: Oral Health
HowDentistrySavedKathyIrelandsSmile

It is not often that you find a celebrity who is willing to speak candidly about any cosmetic or restorative dentistry that he or she has had. Instead, most prefer that their fans just assume that their dazzling “Hollywood” smile is something that just happened naturally. However, that is not the case with Kathy Ireland, the former Sports Illustrated cover girl, current business mogul and founder of kathy ireland Worldwide, a billion dollar marketing and design firm. In a Dear Doctor magazine cover story she talks openly about her dental experiences, injuries and treatment so that people worldwide can understand what may be possible for them.

For Kathy, it happened several years ago when she was playing with her husband and children in their driveway. Kathy decided that she would stand in her children's wagon and surf across their driveway. Instead, she ended up “face-planting,” as she describes it, in a freak accident that left her with a broken nose, split forehead and several broken teeth. She recalls that it sounded like a watermelon had smashed. Luckily, her husband, an emergency room physician, was on hand to care for her. Kathy is just as thankful to her cosmetic and restorative dentist who restored her trademark smile with some veneers and a dental implant. Today, the only reminder she has from this accident is a small scar on her nose that she covers with a little makeup.

You would think that this accident would be enough trauma for one person; however, Kathy describes an earlier accident where she knocked out a tooth and then later knocked it loose again. Kathy also wanted to take the time to let readers know that her dental implant experiences were “pretty easy.” She did recall, “hearing all the sounds while all of it was going on” and then added, “but I have to tell you, that after being a mom and having kids, going to the dentist...is like going to the spa!” She said that she has even fallen asleep in the dental chair.

To learn more about Kathy Ireland, continue reading the Dear Doctor magazine article “Kathy Ireland.” Or if you think cosmetic or restorative dentistry is right for you, contact us today to schedule an appointment to discuss your specific goals.

By Aaron A Leishman, DMD, PA
October 12, 2012
Category: Dental Procedures
QuestionsYouShouldAskBeforeGettingPorcelainVeneers

Are you are considering a cosmetic procedure such as porcelain veneers? To assist you in making this decision, we developed the following list of questions you should consider asking before getting porcelain veneers.

  • Am I a good candidate for porcelain veneers?
  • Can you show me examples of your work?
  • How much will my veneers cost?
  • Will my insurance cover any portion of my procedure?
  • Do you offer any financing for my procedure or can you make any recommendations for financing?
  • Can you create a computer-generated image or mock-up of what my new smile will look like?
  • How will you chose what color to make my veneers?
  • How long will it take from my initial consultation until I receive my final, permanent veneers?
  • How much tooth reduction (drilling) will you need to do before placing my veneers?
  • How do veneers attach to my teeth?
  • Can you create a prototype or temporary veneers so that I can “test drive” my new smile before my permanent ones are made?
  • What do I need to do to clean and protect my veneers?
  • How long can I expect my veneers to last?
  • If at some point in the future I decide I want my veneers removed, what can I expect?

We hope that the above questions help you obtain all the answers you need as you consider getting porcelain veneers. If you have other questions, concerns, or if you are ready to take the next step and schedule a consultation, please contact our office.

ChildStarNolanGouldTalksAboutToothExtractionsOrthodonticTreatment

Nolan Gould of the hit TV show Modern Family has an uncommon gift for comedy, but he also has a very common orthodontic problem: too many teeth for the size of his mouth, which often results in “crowding.”

“My teeth used to be pretty messed up,” Nolan recently told Dear Doctor magazine in an exclusive interview. “I had two extra teeth when I was born. They hadn't come out (erupted) yet. And all the other teeth that were already there were starting to point backwards because it was getting so crowded in my mouth. They had to remove those two (extra) teeth,” he said.

Although being born with extra teeth is somewhat unusual, needing to have teeth extracted for orthodontic reasons is not. In fact, orthodontic treatment often involves removing teeth to relieve crowding. It makes sense when you think about it: When there are too many teeth for the size of the dental arches (upper and/or lower jaws) or the teeth are larger in size than the dental arch can accommodate, there may not be enough space to align them properly. The necessary space can be created by removing teeth.

The teeth most frequently extracted for orthodontic reasons are the first bicuspid teeth. These are the ones right between the cuspid, or eyeteeth (under the eyes) and the molars (biggest back teeth). Once there is enough space, the orthodontist can choose from a variety of orthodontic appliances to align the teeth, depending on the specific needs of the individual.

In Nolan's case, it was the extra two teeth he was born with that were removed. Afterwards, the young actor's orthodontist was able to shift Nolan's remaining teeth into proper alignment using orthodontic appliances called Crozats. Made of metal wires, Crozats go around the back teeth and behind the front teeth, making them virtually invisible.

“You can remove them, which is really good for acting, especially because you can't see them,” Nolan explained. “I can wear them 24/7 and nobody will ever notice.”

Nolan's orthodontic appliances may not be noticeable, but his fabulous smile certainly is!

If you would like to learn more about improving tooth alignment with orthodontics, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Nolan Gould, please see “Nolan Gould.” Dear Doctor also has more on “Tooth Removal for Orthodontic Reasons.”

By Aaron A Leishman, DMD, PA
September 10, 2012
Category: Oral Health
RepairingChippedTeeth

Your son just crashed his skateboard and cracked a tooth, or maybe your daughter fell off the monkey bars at school and now has a chipped front tooth. For children, and some adults, repairing chipped or damaged teeth with tooth-colored restorative materials directly bonded to the teeth may be the perfect solution to restore their smiles.

What is Involved: Composite bonding is a technique that has been developed to correct chipped teeth and other minor dental imperfections. It may also be used to correct mild crookedness or gaps between teeth. The procedure requires the application of a tooth-colored composite resin material to the surfaces of teeth, which is then sculpted to the desired shape. It can be performed in a single visit for one or multiple teeth. The procedure usually takes between one and two hours, and the end result is a beautiful, natural-looking smile.

Advantages for Kids and Adults: Composite resin bonding is a good choice for kids and teens since their jaws are still growing and developing, and they may still be engaged in high-risk activities. After your child's teeth and jaws are fully developed, we can discuss options for more permanent restorations such as porcelain veneers or crowns. These require removal of more tooth structure, which could compromise the long-term health of your child's teeth if done too soon. Composite resin restorations, which bond straight to the teeth and require little to no tooth preparation or drilling are therefore a good option for fixing chipped teeth, and they're less expensive than choosing veneers.

Disadvantages: The longevity of composite resin restorations is related to how well you maintain your teeth. Many people can go for ten or fifteen years before they need to have the bonded resins repaired or replaced. Others will tend to stain and wear after only one or two years and will need some touch-up work.

Contact us today to schedule an appointment to discuss any questions you may have regarding dental bonding. Read more about this topic in the Dear Doctor magazine article “Repairing Chipped Teeth.”

Tooth-ColoredFillingsAretheRestorationofChoiceforBallroomDanceStarCherylBurke

If you've ever watched Dancing with the Stars on television, you've no doubt noticed the vivacious and talented Cheryl Burke, whose ballroom dance moves are as captivating as her bright smile. In fact, Cheryl considers her smile to be one of her most important assets as a professional dancer.

“As a performer, you're basically smiling the whole time,” Cheryl told Dear Doctor magazine recently in an exclusive interview. “It's just really important to take care of your teeth and have a great smile.”

Cheryl is very conscientious about caring for her smile, but that wasn't always the case. In the Dear Doctor interview, Cheryl revealed that her teeth suffered from ineffective oral hygiene when she was younger. “I definitely had my share of cavities,” Cheryl recalled, adding that she believed this was her own fault. “I didn't use floss,” She explained. “I think when you do floss frequently, it helps to reduce the chances of getting cavities. It took me a while to figure it out.”

Once Cheryl did figure it out, she was able to make cavities a thing of the past. But in order to make sure the effects of her prior tooth decay did not mar her lovely smile, she made sure her dentist — who is also her stepdad! — gave her tooth-colored fillings that could not be distinguished from the surface of a natural tooth. “It's important for me,” Cheryl said.

Lots of dental patients feel the same way, even if they don't spend time in front of television cameras. That's why the dental profession has developed tooth-like materials such as composite resins and porcelains that mimic natural tooth material exactly. These materials are also suitable for children's teeth and can incorporate fluoride to reduce tooth decay. It's even possible to replace old silver-colored fillings with these newer dental materials.

If you would like to learn more about tooth-colored fillings, please contact us to schedule an appointment for a consultation. To read Dear Doctor's entire interview with Cheryl Burke, please see “Cheryl Burke.” Dear Doctor also has more on “The Natural Beauty of Tooth-Colored Fillings.”





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