Understanding Dental Implants | Riverside Dentist

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people with good oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. Dental implants natural-looking and feeling and under proper conditions, such as placement by a diligent patient maintenance, implants can last a lifetime.

  • Replace one or more teeth
  • Support a bridge and reduce the need for a partial denture.
  • Provide support for a denture, making it more secure and comfortable.

There are two types of implants and which ones you use depend on your particular situation:

Endosteal (in the bone): Most commonly used type of implant. Screws, cylinders or blades are surgically placed into the jawbone.

Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework.

Esthetically, dental implants look and feel like your own teeth. Since dental implants integrate into the structure of your bone, they prevent the bone loss and gum recession that often happen with bridgework and dentures.

Neighboring teeth are not changed to support the implant as with a bridge. More of your own teeth are left untouched, a significant long-term benefit to your oral health. An because dental implants are secure, you don’t have to worry when speaking or eating. No messy pastes and glue. You will go about your daily routine with confidence and comfort, making them an excellent option for tooth replacement.

Ideally, you need to be in good oral health and have adequate bone in your jaw to support the implant, you will need healthy gum tissue, free of periodontal disease.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

How Gum Disease Can Harm Your Health | Dentist in Riverside

Periodontal disease, also known as gum disease, is caused by the bacteria found in plaque, that sticky film that forms on the surface of your teeth. If the plaque isn’t removed by preforming proper oral care, such as brushing and flossing, it will invade the small spaces in-between your gums and teeth.

If the plaque is left to settle, your gums can become inflamed and infected. And if left untreated, your overall health becomes at risk. Because if you think about it, your mouth is your first line of defense from the outside world. Here are a few examples of the way gum disease can affect your health:

Heart disease. Several studies have shown that people with gum disease are very likely to have poor health, including heart attacks. It is recommended that cardiologists ask about any gum disease issues, and periodontists ask patients about their heart health.

Diabetes. If you’ve been diagnosed with diabetes, you are more likely to have gum disease and inflammation may be partly to blame. Those with diabetes are also more likely to contract infections, one being gum disease, and if your diabetes isn’t under control, you’re at even higher risk to develop gum disease.

Premature births. Although studies are still ongoing, some research has found a link between premature birth and gum disease. A few researchers have found women that have had periodontal disease treated, helps them carry their baby to full term.

Dementia. Some studies have found that gum disease may raise the risk of dementia later in life. Others research shows that periodontal problems may be associated with mild cognitive impairment that can make daily life more difficult.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

What to Expect from a Professional Teeth Cleaning | Dentist in Riverside

While we know it is important to go to the dentist on a regular basis, it is more than just to check in with your dentist. Your dental appointment will entail lots of procedures to ensure that your mouth is still healthy, bright and ready to show off to the world. This will likely entail a professional cleaning. Yes, you have a daily dental routine, but a dental professional will give your smile a deep clean that is impossible for you to do on your own. But what does this procedure entail? Here is a step-by-step guide to your deep professional teeth cleaning:

Physical exam. A quick look inside your mouth will help your dental professional see what you’ve been doing with your dental health while you were gone. That little mirror? This is where they use it to check on your back teeth and gums.

Plaque and tartar removal. This is where your dental hygiene comes into play. If you don’t brush well, plaque builds up and turns into tartar. Tartar is removed with a scaler, the scraping sound you are familiar with.

Gritty toothpaste time. Once the tartar is removed, it’s time for a deep cleaning with an electric brush. This is the grinding sounds you hear. They use a gritty toothpaste that smells like the toothpaste we use every day but has a gritty texture that gets those hard to clean spots.

Flossing and rinsing. This sounds exactly like it is – a good flossing session and a refreshing rinse to remove any leftover debris.

Fluoride treatment. The final step is an application of fluoride. Fluoride will help keep cavities away in between dental visits.

Visiting the dentist is something we need to do at least twice a year to keep our mouths healthy, so make your appointment today.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Teaching ‘Em Young: Brushing Your Teeth | Dentist in Riverside

When it comes to parenting, it seems like everyone has a different opinion on what you’re doing. It can be exhausting, trying to figure out how to raise your child to be a happy, healthy human. But one of the most important, yet overlooked, areas of parenting is dental health. Many new parents think that dental health isn’t a thing when no teeth are present. And when they do break through, you may feel dental health is unimportant while baby teeth are still around, but that is completely false. It is important to instill good dental hygiene practices, regardless of the teeth present and consistency is key. After all, our mouth is the first line of defense against many of our illnesses, so having a healthy mouth is of the utmost importance. Unfortunately, most parents will find that these hygienic lessons don’t happen easily. And for that, we present a few helpful tips to get those little humans to scrub their pearly whites:

Start earlier. If you start at a much younger age, they will be used to the times in the day our teeth are to be cleaned. And by slowly showing them what is to be done each time, they will begin to maintain these good habits as they get older and can do it all by themselves. Younger children love mimic what their parents do, so, take advantage of that habit by brushing your teeth alongside them.

Make it musical. Not only is brushing important but sufficiently brushing is just as important. Why not make this a fun event by adding some music. Choosing a song that is at least two minutes long will ensure proper brushing, so choose one your little one enjoys!

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Summertime Dental Hygiene | Riverside Dentist

Boy brushing his teeth

Now that we are smack dab in the middle of a heatwave, some of our dietary habits have begun to change. The warm drinks and cozy comfort foods have been exchanged for iced drinks and frozen confections. The problem is, we tend to forget our dental hygiene having so much fun in the sun. Instead of having a tough time at your next dental visit, keep your indulgences in check and take a moment to look after your smile. After all, summertime is a happy time of year. It’s important to make sure you have a smile to show off…

Brushing. It is no secret that you need to brush your teeth at least twice a day, and for at least two minutes – in the morning to start the day with fresh clean breath, and before bedtime to prevent any remaining cavity-causing bacteria from settling in your mouth while you sleep. If you happen to have a toothbrush handy, brushing between meals and sweet snacks won’t hurt.

Rinsing. Many of us have a tough time getting in all the nooks and crannies of our mouths. This is where mouthwash comes in handy. At what part of your dental hygiene routine doesn’t’ really matter. If you do it before you brush, you can loosen some stuck on foods; afterwards gets any remaining debris out while leaving your breath fresh. Just make sure you have a mouthwash with fluoride.

Flossing. One of the more neglected dental tasks has to be flossing. But in actuality, flossing plays a very important part in our dental routines. Not only does it get stuff stuck deep between each tooth, but it also keeps your gums healthy by preventing bacteria from getting inside and causing infection.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Learning to Care for Your Dental Veneers | Dentist in Riverside

Getting porcelain veneers is guaranteed to not only improve your smile, but also your dental health. And while they are made to last for twenty years, the longevity of your porcelain veneers greatly depends on how well you take care of them. It is important that you follow your dental professional’s advice for aftercare, but here are some additional tips you may want to keep in mind after you get your brand-new smile:

Proper dental hygiene. Every single day, twice a day, your teeth need to be brushed and flossed with a soft-bristled toothbrush and fluoride toothpaste. Good oral care at home helps prevent your gums from receding from periodontitis. Because veneers are placed right at the gum line, gum recession would compromise your veneers.

Avoid excessive force. Many patients have a bad habit of using their teeth as tools. Unfortunately, this is a terrible habit for your teeth, so there’s no biting your fingernails, hairpins, ice or hard candy going forward because these types of things can break or dislodge a veneer.

No clenching and grinding your teeth. This is one habit that many are unaware they are doing. Grinding your teeth can cause your veneers to become chipped or broken due to the force generated by these actions. If you find you’ve begun to grind your teeth, you may want to look for stress relievers to help curb that habit. If you suffer from bruxism at night, you may need a night guard while you sleep.

Avoid foods that stain. Yes, porcelain veneers are stain-resistant, but the cement holding them in place isn’t. Enjoy your favorite darker beverages like coffee and wine, but try to keep them to a minimum.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Not All Dental Fillings Are the Same | Riverside Dentist

Back in the day, when we got a cavity, we expected to receive a little silver filling to remedy the situation. Wouldn’t big a huge issue for those cavities that resided in the back with the molars, but if it was one of the teeth people noticed when we spoke, it became a cause of embarrassment. Thankfully, dental technology has remedied that situation and we now have options.

Now, please keep in mind that the options vary depending on the patient’s health, where and how the filling is placed, the amount of chewing pressure the tooth will have to bear, components of the filling material and the number of visits needed to prepare and accommodate the tooth. But these choices include amalgam, composite and ionomers. Let’s us explain…

Amalgam fillings are what you know as traditional. They’re very durable, easy to use, and inexpensive when compared to other materials. Since amalgam fillings can sustain very heavy chewing loads, they are usually used to restore molars.

Composite fillings are made out of glass or quartz and resin, when mixed produces a tooth-colored filling. Composite fillings are durable and provide good resistance against fracture in small to medium restorations where there is moderate chewing pressure. Because less tooth structure is removed when using a composite, a smaller filling can be used.

Ionomers, on the other hand, are made out of a mixture of acrylic acids and fine glass powders. And they are usually utilized to fill cavities on the root surfaces of teeth or in small fillings that do not require any chewing resistance since they have low protection against fractures.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

A Straight Smile Is on the Horizon | Dentist in Riverside

If you find that you are self-conscious of your less-than-ideal smile, you are not alone. In fact, most adults have some issue with their smile that prevents them from showing it off. Sadly, many will tell you that wearing traditional braces as an adult is almost as embarrassing as having the crooked smile. So, what are the choices? Is there no way a typical adult can straighten their teeth without anyone knowing? A few decades ago, the answer was no. But, these days, it doesn’t have to be this way. Invisalign is the invisible way to straighten teeth using a series of custom-made, nearly undetectable aligners. You’ve heard it right – whether your teeth are crowded, too far apart or have shifted, Invisalign may be right for you.

Upon an initial examination, you will find out if Invisalign is right for you. Unfortunately, not everyone is eligible for the Invisalign treatment. We will then write a treatment plan and take an impression of your teeth. Once that is complete, thanks to the latest advances in 3-D computer technology, Invisalign carefully translates the dentist’s instructions into a series of precisely customized aligners. Step by step, these clear aligners will move your teeth gradually week by week until you achieve the smile you have always desired. It’s just that simple.

So, if you’re ready to take that next step towards the straight smile you’ve always hoped for, make an appointment to see your dental professional for a consultation. Even if you aren’t eligible for the Invisalign system, there are plenty of ways to get your ideal smile.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Improve Your Smile with Inlays and Onlays | Riverside Dentist

When discussing ways to improve your smile, there are loads of options to consider. Inlays and onlays are the ideal dental restorations needed to repair damaged teeth, 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.

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. First, your dentist will remove the decay and shape the tooth, then put a soft material called composite resin to fit the tooth. The inlay is removed and hardened in a special oven, then cemented into your tooth.

Indirect. Your dentist will remove the decay, then make an impression of the prepared tooth and neighboring teeth. The tooth will get a temporary filling while the lab creates the inlay or onlay.At your second visit, your dentist will take out the temporary filling, then cement the inlay or onlay to the tooth.

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:

  • Material used
  • 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:

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.

Let’s Celebrate National Banana Day! | Dentist in Riverside

A favorite snack fruit for all ages is the banana. They’re tasty in cereal and other recipes, babies love to feed themselves with them and it’s the perfect accompaniment to a good workout because they help prevent cramps. The banana is a magical fruit that deserves its own day – April 15th. So, let’s take a day to celebrate this tropical fruit and the benefits this tasty treat has on our smile…

Nutritious. This curvy fruit is jam-packed with loads of vitamins (like C and B6) that are great for our insides, but the potassium, manganese and magnesium components work wonders on your tooth enamel. And unlike many of our go-to citrus fruits, the banana has a very low acidic level. And since acidity causes tooth decay, they are extra great for your teeth.

Unfortunately, these yummy snacks are also packed with a lot of high sugars and starches. So, while they are a great option, eating them in moderation would be best and giving your teeth a quick brushing or rinse with some water afterwards. Trust us, you can eat two bananas a day and it still wouldn’t have the adverse effects that junk foods would.

Teeth whitening. There is a rumor that the chemical makeup of the banana peel has some teeth whitening factors, but there really isn’t much evidence supporting it. It was the idea that the extraordinary levels of potassium and magnesium soak into your teeth, leaving a shiny whitened effect over time if you rubbed a bit of the peel over your teeth for a couple of minutes. But proper dental hygiene and regular dental checkups will be your best bet for a healthy, bright smile.

To set up an appointment, call Dr. Middleton’s office in Riverside, CA at 951-688-3442 or through the website

Dr. Gerald Middleton proudly accepts patients from Riverside and all surrounding areas.