Category Archives: Restorative Dentistry

Should I Get Veneers? | Riverside Dentist

When you have a flawed smile, it is tough to find reason to use it. Fortunately, there are plenty of dental procedures you can do to remedy the situation – one of which is porcelain veneers.

Porcelain veneers are generally used for patients who have several cosmetic problems or want their entire set of front-facing teeth made over. Modern porcelain veneers tend to last many years, are easy to care for (normal brushing and flossing is fine, no special care is required), provide a very natural appearance, and offer a stronger alternative to other cosmetic options. Still wondering if veneers are the way to go? Here is a list of reasons you should choose veneers:

Natural looking. Porcelain is a translucent material that mimics the look, luster, and feel of enamel.

White and bright. When adhered to the front surface of your teeth, veneers you’re your teeth look instantly whiter.

Straighten the crooked. Veneers offer a great alternative for patients with crooked teeth who do not want to endure the process of having their teeth straightened with dental braces.

Fillers. Veneers can fill in any gaps and improve the look of teeth that are chipped or broken.

Fountain of youth. A whiter, brighter, more lustrous smile can immediately you’re your face a more youthful appearance.

Protection. Once applied, the veneers also serve to provide a protective shield to the front surface of teeth.

Stain-resistant. Porcelain is stain resistant, which will make your smile stay brighter and whiter longer.

Gum-friendly. Gum tissue is not irritated by porcelain.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

ZOOM Your Way to a Whiter Smile | Riverside Dentist

teeth whiteningEveryone loves having a freshly whitened smile. You just naturally smile more. But did you know they aren’t all the same? Teeth whitening restores natural tooth color and bleaching whitens beyond the natural color. There are many methods available, such as brushing, bleaching strips, bleaching pen, bleaching gel, and laser bleaching.

But even if you brush, floss and visit your dentist regularly, the outer layers of your teeth get stained over the years by consumption of beverages with certain foods, wine and smoking. When stains are left to sit on the teeth all day until your next brushing, the dentin on your teeth becomes yellowish or darkened. Contributing factors to yellowing, stained teeth:

  • Tetracycline based antibiotics used before the age of 8 years old
  • Excessive exposure to fluoride as a child
  • Internal bleeding due to trauma
  • Discoloration due to a health condition
  • Natural aging- as time goes by enamel gets thinner and thinner and will get a yellowish hue
  • Soda
  • Wine
  • Smoking

The most popular and convenient method is with the Zoom whitening technique. This procedure is done in our office in about an hour. Our trained clinicians first place a protective barrier on the cheeks and gums. The Zoom whitening gel is then applied to the teeth. This gel is used with the Zoom light which together gently penetrates the surface of the teeth to break up stains and discolorations. The gel is applied for three 15 minute sessions for a total of 45 minutes to 1 hour.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

Crooked Teeth Don’t Stand a Chance with ClearCorrect Aligners | Riverside Dentist

There is little one fears more growing up than finding out their permanent teeth are coming in crooked. When you’re young, it turns out to be a tough road to travel, especially when compounded with growing pains. But no matter what, when you set out to get a straight set of pearly whites, there are a few options on the market to go with. The problem is deciding which is the better choice, tried-and-true braces or the inconspicuous ClearCorrect aligners? At work, at play, out on the town, ClearCorrect fits your life and daily routine as perfectly as it fits your teeth – you don’t need to change a thing.

Common Problems that ClearCorrect Addresses

  • When teeth are too tight together they can become crooked and cause discomfort, difficulty cleaning and lead to other dental problems.
  • Gaps between teeth are generally undesirable cosmetically, but are also a dental concern for increasing the chance of tooth decay.
  • When lower and upper teeth are not aligned properly it can cause difficulty chewing and lead to jaw and other dental problems.
  • Aside from generally being a cosmetic concern, overbites can also cause eating problems and dental issues.

Results are faster the more you wear your aligners, and ClearCorrect was designed to be effortless and non-intrusive in your life so you can wear your aligners as much as possible. Your aligners are easy to put in and take out when needed—and you’ll really only need to when you eat or clean your teeth.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

Why No One Wants Gingivitis | Riverside, CA

dental fearGingivitis is one of those words a patient absolutely dreads hearing come out of their dentist’s mouth. You’ve basically just told your dentist that you have poor oral care habits and prefer to skip out on regular dental visits. It can’t get any more embarrassing, am I right? But why? Why is it such a bad thing? Because if you really think about it, you don’t really even know what it is. Let’s meet the periodontal disease known as gingivitis…

Gingivitis is inflammation of the tissues surrounding and supporting the teeth and is most commonly a result of poor dental hygiene. Gingivitis is a very common condition and varies widely in severity. It is characterized by red, swollen gums that bleed easily when teeth are brushed or flossed. Gingivitis is not the same thing as periodontitis, although sometimes a person may be affected by both. Gum disease is mostly caused by improper oral hygiene that allows bacteria in plaque and calculus to remain on the teeth and infect the gums.

But there are other factors that increase the risk of developing gingivitis. Some of the most common risk factors are as follows:

  • Smoking or chewing tobacco prevents the gum tissue from being able to heal.
  • Crooked, rotated, or overlapping teeth create more areas for plaque and calculus to accumulate and are harder to keep clean.
  • Hormonal changes in puberty, pregnancy, and menopause typically correlate with a rise in gingivitis. The increase in hormones causes the blood vessels in the gums to be more susceptible to bacterial and chemical attack.
  • Cancer and cancer treatment can make a person more susceptible to infection and increase the risk of gum disease.
  • Stress impairs the body’s immune response to bacterial invasion.
  • Mouth breathing can be harsh on the gums when they aren’t protected by the lips, causing chronic irritation and inflammation.
  • Poor nutrition, such as a diet high in sugar and carbohydrates and low in water intake, will increase the formation of plaque. Also, a deficiency of important nutrients such as vitamin C will impair healing.
  • Diabetes mellitus impairs circulation and the gums ability to heal.
  • Medications such as anti-seizure medications promote gum disease.

So, what causes us to get this site oral health issue? Gingivitis forms when food particles mixes with saliva and bacteria-plaque forms that then sticks to the surfaces of teeth. If dental plaque and tartar aren’t removed by brushing with toothpaste and flossing, it can become mineralized and form tartar. Tartar is very hard and can only be removed by a professional dental cleaning, which is why dental check-ups are so necessary. Untreated tarter can lead to major and costly dental problems.

Plaque and tartar are filled with harmful bacteria, and if they aren’t removed from teeth, they will begin to irritate the gums and cause gingivitis. If left untreated, gingivitis will often extend from the gums to the bone and lead to periodontitis. When the underlying bone gets infected, it will start to recede away from the teeth and form deep gum pockets. These pockets collect plaque and bacteria as they are very difficult to keep clean, and more bone loss occurs. As periodontal disease progresses into later stages and more bone tissue is lost, the teeth may eventually become loose and fall out.

For more information about gingivitis or other gum disease, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

CEREC Same Day Crowns | Riverside Dentist

tooth gold crown

Your teeth are everything. A poor smile could be brought on by poor dental health, an active lifestyle or a chance occurrence. If your teeth get chipped, cracked or some other form of damage, chances are you will need a crown to restore your tooth back to normal. In the past, this included a long, drawn out process with results that may or may not be the ideal replacement for your natural teeth. Today there is CEREC® technology, a revolutionary process that not only streamlines the entire process, but also benefits everyone involved.

One of the biggest benefits of CEREC® Same Day Crowns is that you can have the entire crown process done in one visit. In fact, in some cases, just a few hours! Not only does it cut down on time in the dreaded dental chair, but it also saves using up your vacation time you’re missing work to go to multiple appointments.

So, how do they do it? Instead of having that goopy impression stuff in your mouth so a mold can be made of your teeth, CEREC® does it all digitally with a machine, making the discomfort of creating your crowns a thing of the past. Once a digital impression is made by the computer, your crown is milling your new tooth with high-quality ceramic. This ceramic is not only compatible with the body, but has the same characteristics your own teeth do. If adjustments are necessary, everything is on-site to do so.

One of the main flaws of the crowns of the past were the chances that your crown will look and feel different slotspie.com than your natural teeth. With the CEREC® crowns, you will have a much more natural look. With 17 shades available, the odds of you not matching your natural teeth color is almost impossible. No more metal, no more black lines around the gum line… just a smooth polished crown that is fitted to your bite perfectly. Not only will it look and feel like your natural tooth, but there is an added bonus for CEREC® Same Day Crowns: they are very strong replacements. If you have sensitive teeth, your crowns will make that no longer an issue. They are designed to expand and contract to hot and cold temperatures so eat and drink to your heart’s content…but stay in moderation. Or you’re coming back… Less prone to cracks and flaws, making them the best version of other types of restorations.

For more information about CEREC crowns, call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Dr. Gerald Middleton proudly accepts patients from Riverside, Norco, Ontario, Murrieta, Fontana and all surrounding communities.

Inlays and Onlays: What’s the Difference? | Riverside Dentist

ThinkstockPhotos-512962507Inlays and onlays are the ideal dental restorations needed to repair damaged teeth, not only improving your oral hygiene, but enhancing the look of your smile.  Dental inlays and onlays are used when old fillings need to be removed or replaced. A dental inlay is similar to a filling and fits inside the cusp tips (top edges) of the tooth. A dental onlay is more extensive and extends over the cusps of the treated tooth. Both will rejuvenate your smile! Dr. Middleton can also use inlays and onlays to replace dark, old dental restorations that can look unappealing.

There are two types of inlays and onlays: direct and indirect. Direct inlays and onlays are made in the dental office. They are placed in one visit. Indirect inlays and onlays are made in a laboratory. Two visits are needed to place them. The type your dentist will use depends on how much of the tooth is left.

Direct Inlays and Onlays

Your dentist will remove the decay and shape the tooth. He or she will put a soft material called composite resin on the tooth. The composite resin is molded to fit the tooth. The inlay is removed and hardened in a special oven. Then, your dentist will cement the hardened inlay to your tooth. After the inlay is cemented, it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

There is also new technology that allows the dentist to have a ceramic inlay or onlay made in the office and cemented on at the same visit.

Indirect Inlays and Onlays

Your dentist will remove the decay. He or she then will make an impression of the prepared tooth and neighboring teeth. The tooth will get a temporary filling. The impression will be sent to a laboratory, which will make the inlay or onlay.

At your second visit, your dentist will take out the temporary filling and clean and dry the tooth. He or she will then cement the inlay or onlay to the tooth. Then it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

Some dentists have a machine that allows the dentist to take a picture (instead of an impression) of the prepared tooth. Then a computer guides the machine in making a ceramic inlay, onlay or crown. This process can take less than one hour. Your inlay or onlay can then be cemented into place at the same visit.

Inlays and onlays are completely natural looking dental restorations that will restore the strength and stability to your teeth. Dr. Middleton emphasizes that inlays and onlays will make your oral hygiene routines easier! In only two dental visits, your oral health will drastically improve with inlays and onlays.

A dental inlay or onlay is bigger than a filling and smaller than a crown. It is bonded or cemented into place. An inlay is actually similar to a filling, but it lies within the cusps (bumps) on the chewing surface of your tooth. An onlay is larger than an inlay. It replaces one or more decayed cusps.

Inlays or onlays can be made of gold, composite resin (plastic) or ceramics. They can last for 10 years or longer. How long they last depends on:

  • The material used
  • The teeth involved
  • The forces of chewing
  • How well you maintain them with good oral hygiene and regular visits to a dentist

Watch this informative video on Inlays and Onlays:

https://www.youtube.com/watch?v=d5Wu8_MCnJs (Source: YouTube)

Only Dr. Middleton will be able to determine whether or not inlays and onlays will be right for your situation.

For more information about bad breath prevention, call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Accepting patients from Riverside, Norco, Ontario, Murrieta, Fontana and surrounding communities.

Riverside, CA Dentist | What to Expect From Your Dental Crown Procedure

dental crowns riverside ca

Dental crown procedures are recommend to patients mainly because of the reasons: First, is that you have a weak tooth that requires a bridge or something else to hold it together; second is if you have a tooth has already been so discolored that it can no longer be fixed through conventional means; the third is simply for cosmetic reasons.

Regardless of which of the three categories you fall into, you’ll most likely have to choose the type of crown you want placed on your teeth.

The most common choices are resin and stainless steel. Though, cosmetic crowns are often made out of porcelain or ceramic.

It’s important that you take the time to do research on the pros and cons of each type, as well as ask your dentist to make a recommendation based on what is best for your teeth’s specific situation.

The Procedure

Installing a dental crown should only take two visits – first for installation of the temporary crown and the second for the placement of the permanent one.

During the initial visit, the dentist will examine the problem tooth and make sure that it is still able to support a crown. After this, the dentist will begin filing it down in preparation of the crown. Though, in cases of severely damaged and broken teeth, the dentists may have to fill the tooth in first so that it’s large enough for the crown to fit in.

Once the dentist has finished filing or filling the tooth, the dentist will then take an impression of the tooth and its surroundings. This impression will then be sent to a dental lab where a permanent crown will be made according to its measurements.

Since the permanent crown will take some time to finish, your tooth will be fitted with a temporary crown that will help protect it and keep it in shape until the permanent crown is ready for placement.

Caring For A Temporary Crown

Because they weren’t built to last for more than a few weeks, you will have to take extra care of your temporary crown.

Dentists will usually suggest a few precautionary tips before sending you off, including:

  • Staying away from sticky, as well as chewy foods as much as possible because they can grab and pull off the crown.
  • Make a conscious effort to chew on the side of your mouth where the temporary crown was not fitted.
  • Hard food, such as bones, raw vegetables, etc.  can break the crown and should be avoided.
  • When flossing, try to do it to the side rather than lifting it out. This way, you won’t pull off the temporary crown by accident.

The Second Visit

Your dentist will notify you once the permanent crown is finished and ready. By then, you will have your second visit, where the temporary crown is removed and the dentist will then position, as well as fasten the permanent crown. To do this, dentists will use a special adhesive and take extra care to make sure that the crown is placed properly.

Once placed and everything is taken care of, the dentist will send you off along with a few necessary tips and advises.

Do remember that crowned teeth require as much care as normal teeth, so don’t forget to brush and floss regularly, rinse using an antibacterial mouthwash, and of course, visit your dentist for regular checkups and cleaning.

If you feel you could benefit from a dental crown or would like to schedule an appointment call the office of Gerald Middleton DDS at 951-688-3442. Learn more about his practice by visiting his website at www.gmdental.com.

What to Expect During a Root Canal | Riverside, Ca Dentist

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To most patients the thought of needing a root canal is very stressful. With modern dentistry root canals are nothing to fear. Root canal procedures have the reputation of being painful. When in fact most patients report that the procedure itself is no more painful than having a filling placed.

So what exactly is involved in a root canal procedure? Well, a root canal is a treatment used to repair and save a tooth that is badly decayed or infected. It is performed when the nerve of the tooth becomes infected or the pulp becomes damaged. The nerve and pulp are removed, and the inside of the tooth is cleaned and sealed.

Signs you may need root canal therapy include:

  • Severe toothache pain upon chewing or application of pressure
  • Prolonged sensitivity (pain) to hot or cold temperatures (after the heat or cold has been removed)
  • Discoloration (darkening) of the tooth
  • Swelling and tenderness in nearby gums
  • A persistent or recurring pimple on the gums

 

The first step in the procedure is to take an X-ray to see the shape of the root canals and determine if there are any signs of infection in the surrounding bone. Your dentist or endodontist will then use local anesthesia to numb the area near the tooth. Actually, anesthesia may not be necessary, since the nerve is dead, but most dentists still anesthetize the area to make the patient more relaxed and at ease.

An access hole will then be drilled into the tooth. The pulp, along with bacteria, the decayed nerve tissue, and related debris, is removed from the tooth. The cleaning-out process is accomplished using root canal files. A series of these files of increasing diameter are each subsequently placed into the access hole and worked down the full length of the tooth to scrape and scrub the sides of the root canals.

The root canal procedure should relieve the pain you feel. Until your root canal procedure is completely finished — that is, the permanent filling is in place and a crown, if needed, is in place — it’s wise to minimize chewing on the tooth under repair. This step will help avoid recontaminating the tooth’s interior and also may prevent a fragile tooth from breaking before the tooth can be fully restored.

For the first few days following the completion of treatment, the tooth may feel sensitive due to natural tissue inflammation, especially if there was pain or infection before the procedure. Most patients can return to their normal activities the next day.

As far as oral health care is concerned, brush and floss as you regularly would, and see your dentist at normally scheduled intervals. Because the final step of the root canal procedure is application of a restoration such as a crown.

Root canals are highly successful; the procedure has more than a 95% success rate. Many teeth fixed with root canal therapy can last a lifetime.

If you have tooth pain or believe you may need a root canal, contact Dr. Middleton today.

For more information call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Accepting patients from Riverside, Norco, Ontario,  Murrieta, Fontana and surrounding communities.

Improve your smile with Inlays and Onlays | Riverside CA Dentist

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Inlays and onlays are the ideal dental restorations needed to repair damaged teeth, not only improving your oral hygiene, but enhancing the look of your smile.  Dental inlays and onlays are used when old fillings need to be removed or replaced. A dental inlay is similar to a filling and fits inside the cusp tips (top edges) of the tooth. A dental onlay is more extensive and extends over the cusps of the treated tooth. Both will rejuvenate your smile! Dr. Middleton can also use inlays and onlays to replace dark, old dental restorations that can look unappealing.

How it’s done:  

There are two types of inlays and onlays: direct and indirect. Direct inlays and onlays are made in the dental office. They are placed in one visit. Indirect inlays and onlays are made in a laboratory. Two visits are needed to place them. The type your dentist will use depends on how much of the tooth is left.

Direct Inlays and Onlays

Your dentist will remove the decay and shape the tooth. He or she will put a soft material called composite resin on the tooth. The composite resin is molded to fit the tooth. The inlay is removed and hardened in a special oven. Then, your dentist will cement the hardened inlay to your tooth. After the inlay is cemented, it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

There is also new technology that allows the dentist to have a ceramic inlay or onlay made in the office and cemented on at the same visit.

Indirect Inlays and Onlays

Your dentist will remove the decay. He or she then will make an impression of the prepared tooth and neighboring teeth. The tooth will get a temporary filling. The impression will be sent to a laboratory, which will make the inlay or onlay.

At your second visit, your dentist will take out the temporary filling and clean and dry the tooth. He or she will then cement the inlay or onlay to the tooth. Then it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

Some dentists have a machine that allows the dentist to take a picture (instead of an impression) of the prepared tooth. Then a computer guides the machine in making a ceramic inlay, onlay or crown. This process can take less than one hour. Your inlay or onlay can then be cemented into place at the same visit.

Inlays and onlays are completely natural looking dental restorations that will restore the strength and stability to your teeth. Dr. Middleton emphasizes that inlays and onlays will make your oral hygiene routines easier! In only two dental visits, your oral health will drastically improve with inlays and onlays.

A dental inlay or onlay is bigger than a filling and smaller than a crown. It is bonded or cemented into place.

An inlay is similar to a filling, but it lies within the cusps on the chewing surface of your tooth. An onlay is larger than an inlay. It replaces one or more decayed cusps.

Inlays or onlays can be made of gold, composite resin (plastic) or ceramics. They can last for 10 years or longer. How long they last depends on:

  • The material used
  • The teeth involved
  • The forces of chewing
  • How well you maintain them with good oral hygiene and regular visits to a dentist

Watch this informative video on Inlays and Onlays:

https://www.youtube.com/watch?v=d5Wu8_MCnJs (Source: YouTube)

Only Dr. Middleton will be able to determine whether or not inlays and onlays will be right for your situation.

For your next dental restoration call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Accepting patients from Riverside, Norco, Ontario, Eastvale, Murrieta, Fontana and surrounding communities.

Riverside Dentist | CEREC® One Visit Dental restorations

What is CEREC®? |

 

CEREC®, allows our doctors to quickly restore damaged teeth with natural-colored ceramic restorations, saving patients time and inconvenience.

CEREC® is the world’s only system for the fabrication of all ceramic dental restorations in one office visit. With CEREC® you can be in and out in a single visit with a permanent, all-ceramic crown, onlay, or veneer! For the patient this means fewer injections, less drilling, and less time out of your hectic schedule for dental care.

What does this innovation mean for a patient?

A tooth-colored restoration means no more silver fillings or discoloring smiles. The filling is natural-looking, compatible with tissue in the mouth, anti-abrasive, and plaque-resistant. We no longer need to create temporaries or take impressions and send them to a lab. Because of this, the traditional second visit has been eliminated.

How does it work?

The tooth that requires a CEREC® restoration is prepared and a 3D photograph is taken of the prepared tooth. From there, we use computer-aided design CAD software to create the restoration digitally.

Using a single block of porcelain that is color-matched to your current tooth shade, the digitally designed restoration is sent to a milling machine where your restoration is cut. The milling process usually takes about 15 minutes per restoration.

Once the restoration is finished being milled, it is fitted onto the prepared tooth and adjusted until the bite is accurate.

This procedure is great for crowns, veneers and the replacement of old fillings to give you the longest-lasting, best-looking restorations.

For your next dental restoration call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Accepting patients from Riverside CA, Norco CA, Ontario CA, Eastvale CA, Murrieta CA, Fontana CA and all surrounding communities.