Tag Archives: Restorative Dentistry

Inlays and Onlays: Which Is Which? | Riverside Dentist

We all want to have our best smiles and do our best to keep our smiles looking their healthy best. But sometimes, things happen that can give our teeth some flaws. Is all hope lost? Luckily, no. Damaged teeth can be returned back to new with dental restorations called inlays and onlays. The problem is – which is which?

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.

There are two types of inlays and onlays: direct and indirect. Direct inlays and onlays are made in the dental office and applied in one visit. Indirect inlays and onlays are generally made in a laboratory, which means you’ll need two visits.

Inlays and onlays are completely natural looking dental restorations that will restore the strength and stability to your teeth. But more than that, inlays and onlays can also make your oral hygiene routines easier! In only two dental visits, your oral health will drastically improve with these little dental restorations.

If you’re worried about having a natural look, worry not. Inlays or onlays can be made of gold, composite resin (plastic) or ceramics. And not only are they a temporary fix – they can last for 10 years or longer, depending on factors like which teeth are involved, how you chew and your dental hygiene practices. The better you treat them, the better they’ll treat you.

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.

When You Lose a Tooth | Riverside Dentist

Woman SmilingBelieve it or not, but millions of Americans will lose one or more teeth due to some combination of tooth decay, gingivitis, and physical trauma. Despite the prevalence of dentists and dental care, it’s still quite common for patients of all ages to suffer tooth loss of one or more teeth. While brushing, flossing, and routine professional cleanings are very effective at combating tooth decay and gingivitis, it is unfortunately quite common for patients to neglect professional cleaning, and teeth need to be removed.

In cases where the tooth must be removed, patients are typically left with a handful of options: either create fake teeth that cover the area, or replace the tooth with a combination of synthetic root and crown using a dental implant. While dentures and bridges have their advantages and disadvantages, implants are often recommended by dentists for a variety of reasons:

  • Closely match the appearance of natural teeth
  • Allow for natural eating, drinking, and speaking
  • Very comfortable, nearly indistinguishable from a normal tooth
  • Quite durable, often lasting decades

Dental implants are replacement tooth roots, often made of titanium, and fixed permanently into the bone of the tooth socket. The dentist then attaches a crown – often porcelain or ceramic above the titanium post, providing a structure that looks and feels almost exactly the same as a normal tooth, but without any natural tooth material. The implant can be brushed and flossed as if it were a normal tooth, but the crown surface is impervious to decay, and when properly installed, the titanium post will last for decades.

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.

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.

Diabetes Can Ruin Your Smile | Riverside Dentist

186932212Many are aware of serious diabetes-related complications such as heart disease, nerve damage, and limb amputation. But are you aware of the link between diabetes and your oral health?

One quarter of the 26 million Americans with diabetes, and 90 percent of the 79 million adults with pre-diabetes are unaware of their condition, according to the Centers for Disease Control and Prevention (CDC). We know that your mouth is the window to your health, and we are trained to look closely for signs. For those of you unaware if you may have diabetes, there are certain signs and symptoms can help diagnose the disease.

Periodontal disease, an infection that affects the gum tissue and bone that hold one’s teeth in place and can lead to bad breath, abscesses and tooth loss, may be a first indicator that a person may not have control of his or her blood sugar level. Diabetics have difficulty controlling their periodontal disease, and people with periodontal disease have difficulty controlling their diabetes. If we are able to control the periodontal disease, then their blood sugar levels are also much more in control.”

Diabetes also makes people more prone to other dental problems, including oral infections, thrush and dry mouth. A small amount of plaque on a non-diabetic patient may lead to gingivitis, but on a diabetic patient it may lead to rapid bone loss and the loss of teeth. We recommend regular dental visits to regulate the disease’s impact on your dental and overall health.

For more information about periodontal disease related to diabetes, 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 Are My Teeth Discolored? I Brush! | Riverside Dentist

close-up-smile-red-lipstickIf you’re tired of having yellow, stained teeth, you are not alone. 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. Teeth whitening has become the most requested procedure in cosmetic dentistry today. More than 100 million Americans whiten their teeth one way or another.

So, if you brush, floss and visit your dentist regularly, why are your teeth still discolored? This happens because the outer layers of your teeth get stained over the years by consumption of beverages with caffeine, soda, wine and smoking. In order to keep discoloration at bay, make sure you keep up with your daily dental routine, use toothpaste with whitening agents, make sure to rinse with water after eating anything and visit your dentist regularly. Here is a quick list of ways your teeth can become discolored:

  • 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
  • Caffeine

When these outside sources of staining are left to sit on the teeth all day until your next brushing, the dentin on your teeth becomes yellowish or darkened. The best way to help your stained discolored teeth is with one of the easiest cosmetic dentistry procedures, professional tooth whitening.

While there are many way products on the market to whiten your teeth, 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. And while they’re working some magic on your smile, you are just sitting back relaxing with your favorite movie or playlist. The gel is applied for three 15 minute sessions for a total of 45 minutes to 1 hour. One hour to a whiter, brighter smile!

For more information about ZOOM! Whitening Technique, 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.

To Veneer or Not to Veneer | Riverside Dentist

close-up-smile-red-lipstickPorcelain veneers offer superior benefits over other cosmetic dental procedures, such as dental crowns or braces according to Cosmetic Dentist Dr. Middleton of Riverside, CA. The fingernail-thin shells, which are adhered to the front surface, solve a myriad of aesthetic problems with just one treatment.

Porcelain veneers are fabricated from a solid piece of porcelain. They fit over the front and underside of your tooth covering the entire surface of visible tooth. Veneers can be fitted to lengthen or widen teeth to close gaps or fill in chips. 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. But if you are still wondering if veneers is the way to go, here is a list of the top 10 reasons you should choose veneers as your cosmetic surgery of choice:

  • Natural looking – Porcelain is a translucent material that mimics the look, luster, and feel of enamel.
  • Whiten – When adhered to the front surface of your teeth, veneers you’re your teeth look instantly whiter.
  • Straighten – 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.
  • Fix – Veneers can fill in and improve the look of teeth that are chipped or broken.
  • Fill in gaps – Veneers can be customized to repair smiles with unsightly gaps.
  • Youthful – A whiter, brighter, more lustrous smile can immediately you’re your face a more youthful appearance.
  • Conservative – Unlike other cosmetic procedures that require removing a large portion of healthy, natural teeth, veneers can be applied with little alteration.
  • 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.

Only your dentist will be able to give you a thorough examination in order to suggest which procedure is right for you. For more information about veneers or other cosmetic dentistry 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.