Why Do I Have Gingivitis? | Dentist in Riverside

If there is anything a dental patient hates to hear, it’s that they have gum disease. You’ve just revealed that you have poor oral care habits and prefer to skip out on regular dental visits. But why is it such a bad thing? 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. 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 because hormones cause blood vessels 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.
  • Diabetes mellitus impairs circulation and the gums ability to heal.
  • Medications such as anti-seizure medications promote gum 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.

Teeth During the Holidays: Flossing Edition | Riverside Dentist

We are a week away from the tastiest holiday of the year. Sure, it is a holiday to be thankful for everything in our lives, but let’s be realistic – the food is the main event. And after we dive into our third helping of pumpkin pie, we all know a food coma is immanent. The problem is that all of that over-indulging could have a dire effect on our mouths if we aren’t careful. This is why it’s important to keep all of our dental hygiene routines intact. If we don’t, we will have some issues in the new year. We may not all have a toothbrush handy, but a quick flossing after dessert would work wonders.

Flossing is merely the act of wrapping a piece of string around your teeth, one by one, in order to remove any bacteria and excess material stuck between each tooth. In its conception, floss was made from strands of silk, but nowadays it comes from thin filament cord. There are also handy tools available to help in flossing properly.

The process itself is relatively simple. Cut yourself a piece of floss about 18 inches long. Wrap both sides around your fingers until you have a good two inches separating either side. Pull it taut between your thumb and index finger and guide the floss in between each tooth. With a downward zigzag motion, slide the floss around each tooth in a curved motion. The goal is to gently scrub the space between your teeth that your toothbrush can’t reach.

So after you’ve given all of your thanks and filled yourself to the brim in family favorites, take a quick moment to thank your smile as well.

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.

Keeping Away the Halloween Cavity Monsters | Dentist in Riverside

As parents, we want to give our children the world. If it’s possible, we want it to happen. But if we cater to their every whim, they will eventually become wild animals. Thankfully, we as parents have the good sense to restrict things we know aren’t good for them.

Things become a bit trickier when it comes to things like Halloween. Spooks, specters, and sweets is the name of the game on this scary holiday. You spend the other 364 days trying to keep your child healthy, then the calendar throws a holiday based on sugary confections. It is tough to impose good health when you’re surrounded by treats. Depriving your child of everything that this scary holiday celebrates won’t score you any parenting points, so it’s important to keep a balance between having spooky fun and continuing to stay good health.

Trick or treating is basically the best part of Halloween for a child. And let’s face it, you know candy is delicious. So, what is a parent to do? Many parents try to limit their child’s candy intake by having them choose a certain amount of candy from their tremendous haul, some reserve candy to certain times of the day or as reward for good behavior. Why not just weed out all of the really bad sweets? Chewy candy, hard candy and sticky candy can not only take a while to eat, but they can do lots of damage to dental work.

It isn’t difficult to keep your child’s teeth healthy, even when holidays like Halloween come around. Practice good dental hygiene and keep a healthy diet and that smile you love so much will be just fine. Have a happy Halloween!

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.

Eating After a Filling | Riverside Dentist

Now that we are on the cusp of Halloween, it is important to understand that after you have had your holiday fun, your teeth need to be looked after. Because if you don’t, it is likely that you will have yourself a cavity. The way to fix a cavity? Get a filling. It is a minor procedure but should be taken quite seriously. Because your dental filling treatment is done under a local anesthetic, your teeth will be incredibly sensitive for a while. Here are some things to keep in mind while you’re healing:

Hot and cold foods. Because your filling is a sensitive area, staying away from food that are too hot or too cold is a good idea. It will be easier, less painful, and more comfortable for you to eat your food at a neutral temperature. Say yes to salads and sandwiches, no to soups and milkshakes until your mouth feels better.

Avoid gum and sticky foods. This tip not only applies to all dental work but avoiding sticky foods is safer for your teeth altogether. And yes, that includes the Halloween favorites, like caramel or taffy. After your filling, the material used to fill in the tooth will still be somewhat malleable. In that case, you want to avoid chewing excessively for the sole purpose of making sure your filling stays right.

Getting a filling isn’t a life-altering issue, but it will take a few days to heal. You can avoid this altogether by practicing good dental hygiene after the spooky times have subsided.

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 to set up a teledental appointment

Teledentistry is a new, unique way that dentists are coping with the COVID-19 crisis. Because they are done completely online, teledental appointments limit social interaction while still allowing you to enjoy the quality dental care you deserve.

In our previous blog article, we explored the emerging new field of teledentistry. We’re currently using teledentistry in our Riverside dental office to help speed up routine dental exams, dental emergencies, and in discussing treatment.

But how do you sign up for a teledentistry appointment? Fortunately, the process is very easy. This article will briefly show how you can make use of the teledentistry application and schedule a meeting with Dr. Middleton.

1. Gain access to our patient portal

As with anything involving confidential material, you first need to gain access to the application. Luckily, the process is very straightforward.

First, you need to request access to join our patient portal. You can do so by providing us with basic information in this web form. We’ll then provide you with the information to get access to the application.

2. Enter the portal

Now it’s time to enter the portal. Fortunately, this portal can be reached through any device that you have: your phone, tablet, or from your computer.

You can access the portal through the web app here or download the mobile app from the App or Android store on your smartphone or tablet. 

3. Send messages and schedule appointments

Once you’ve accessed the portal, you’re able to send messages to Dr. Middleton, upload any necessary documents, and schedule an appointment – all from the comfort of your own home.

Dr. Middleton will respond to your messages and let you know as to any documents that you need to fill out and bring before your appointment.

4. Prepare for the meeting

Before your appointment, make sure to send the required forms as well as any photos or videos to the portal. One of our hygienists will review them, take notes, and then send them over to Dr. Middleton for review in advance of a face-to-face call. 

Now you’re ready for the meeting. Make sure you show up on time and with all the required documents that you need in hand.

5. Meet with Dr. Middleton face to face

Finally, Dr. Middleton will meet with you. During the call, Dr. Middleton will be there to discuss any dental concerns you may have, and can even check out any problem areas and offer suggestions. Rest assured that this conversation will remain private between you and Dr. Middleton – just as it would in the office setting. 

Teledentistry is a quick and easy way to approach dentistry in the current setting. If you have further questions about teledentistry or are having trouble accessing the portal, please feel free to reach out to us through email or phone. Dr. Middleton looks forward to seeing your beautiful smile!

To set up a teledentistry appointment through our patient portal, sign up for an account through the link on our website.

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

Creature Comforts for Our Patients | Dentist in Riverside

dental fear

We realize that many people are nervous about seeing the dentist, and it is important to us that you are as comfortable as possible. After all, we are here to look after the health of your smile, so we don’t want you to didge your regular checkups out of nervousness. At Parkside Dental, your comfort is our first concern. Here are some of the comfort options we have made available to our patients:

Local anesthetic. Discomfort from a dental shot is mostly due to the feeling of pressure created by the flow of dental anesthetic. We use a computer-controlled injection system called the Wand, which greatly relieves this discomfort, especially because it doesn’t look like a needle and delivers anesthetic at an optimal flow rate for a comfortable, pain-free injection.

Relaxant gas. Nitrous oxide is a relaxant gas which you breathe in via a small nasal mask, making you very relaxed during your treatment. The effects of the gas wear off within a few minutes of stopping the gas, allowing you to drive home safely.

Dark lenses. We need the bright light in order to see into your mouth properly, so we provide you with tinted safety goggles to shield your eyes.

Headphones. CD players with a variety of music and Netflix movies are available for your listening and viewing pleasure.

Blankets. Ask us for a blanket if you are feeling chilly.

Coffee and juice bar. Yes, we even have complimentary beverages and cookies. We want you to be at your most relaxed.

Compassion. The human element of care, understanding, and compassion are probably the most important in eliminating nerves. We believe we score high in this category, as we are all genuinely nice to each other.

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.

Do We Need White Teeth During a Pandemic? | Riverside Dentist

We may be stuck in some type of quarantine and wearing a mask is required in most places, so most of us don’t exactly have a way to show off our smiles these days, but that doesn’t mean that we don’t want to have the prettiest, brightest smile possible. And if we have some staining issues, we do our best to try to brighten our smiles. There are many methods available, such as brushing, bleaching strips, bleaching pen, bleaching gel, and of course, professional whitening treatments.

But you may be thinking, I keep up with my regular dental hygiene – why are my teeth still yellowing> This happens because the outer layers of your teeth get stained over the years by consumption of beverages with caffeine, soda, wine and smoking. And 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.

The most popular and convenient method is with the KoR 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 KoR whitening gel is then applied to the teeth. Over the span of 6-10 hours, KoR whitening trays penetrate the surface of the teeth to break up stains and discolorations for a bright, healthy smile you’ll want to show off – once it is all safe to do so.

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 we use teledentistry in our Riverside dental office

In a previous blog, we covered the various tools and policies we use to keep you safe. In this article, we will discuss teledentistry and show you how you can set up a virtual appointment with Dr. Middleton – just like you were in his Riverside dental office with him.

COVID-19 has changed the way the entire medical field functions and operates – dentistry is no exception. Because of this, we’ve needed to get creative about how we interact and treat our patients. 

Teledentistry allows our office to quickly assess and devise a plan of action for your oral health – all from the comfort of your own home! Because it limits social interaction, it is one of the best ways to approach dental care during COVID-19.

First off: What is teledentistry? 

In normal times, a typical dental visit requires you to take time off from work, drive down to our Riverside dental office, receive the requisite dental care, and then go on to resuming your day. In our busy lives, it can sometimes be hard to schedule a time that works for you (as well as us). 

COVID-19 makes this even more complicated. Now, on top of everything else, we need to make sure that you stay safe and sound. This means adding a COVID-19 symptom screening, increased time as we sterilize each of the rooms, and other additional steps that make the process more complicated.

Teledentistry allows you to meet with Dr. Middleton from the comfort of your own home. Using a video chat application, Dr. Middleton is able to give essential oral health care without the need for in-person interaction. 

It’s easy to see why this is so important. During the pandemic, minimizing personal contact is critical – and these online dental visits help us do just that.

We use teledentistry to streamline multiple dental procedures

Teledentistry allows us to be flexible in the way we approach dentistry. Currently, we utilize teledentistry to help us streamline the following procedures.

  1. Dental emergencies: This allows for quick action in case of a dental emergency. If you have a dental emergency – severe pain, bleeding, or something more minor – Dr. Middleton can quickly assess and offer advice to mitigate the problem in the short term and schedule an office visit to ensure the correct treatment is given.
  1. Routine dental exams: As you know, your typical visit to the hygiene department involves an exam by Dr. Middleton. In order to reduce the amount of physical contact, we now offer this exam virtually. 

During your visit with the hygienist, your hygienist will capture images, video, and notes. At his earliest convenience, Dr. Middleton will review them, schedule a chat with you over the portal, and discuss his findings with you. This allows us to quickly and safely provide you with the high-level care you expect from us.

  1. New patient examinations: As you know, each of our new patients undergoes a comprehensive exam with Dr. Middleton. We’ve now decided to move this to our virtual portal. Rest assured that this will be a private conversation for you to comfortably discuss any dental concerns you have with Dr. Middleton.
  1. Discussing treatment: We also will utilize the patient portal to discuss recommended treatment with any of our patients. This allows you to meet with Dr. Middleton at a time of your choosing from the comfort of your own home.

Teledentistry is an exciting new trend in the dental field. We will continue to remain vigilant as to any new technologies that arise in order to give you the best – and safest – dental experience.

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.

When You Need a Tooth Replacement | Dentist in Riverside

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 in 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. Because of their versatility, dental implants can remedy an assortment of dental issues, sometime within one visit:

  • 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.

When it comes to choosing which dental implant is right for you, that will be discussed with your dental professional as you create a treatment plan, but here’s a quick rundown of the differences:

  • 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 metal framework.

Now that you are aware of the types of implants, you should know why implants are the most advantageous option for your dental malady. 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, leaving more of your own teeth untouched. And unlike dentures, implants are secure, so you can go about your daily routine with confidence and comfort.

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.

This Is Clearly the Answer | Riverside Dentist

When we have a flawed smile, it tends to become an issue in various ways. For some, it causes speech or issues when eating, for others it can just cause us to be self-conscious, which can hinder the social aspects of our lives. It is at this time we seek the help of our dental professional. In many cases, your smile can be fixed with braces.

The problem is traditional braces are made of metal. And depending on your age, if can be rather embarrassing. Metal braces are bulky and can break or become damaged if you aren’t careful. If you play sports, you can knock out a bracket. If you eat something too sticky or too hard, it can also lead to broken brackets and wires. The good thing is, we now have an alternative option – ClearCorrect invisible braces.

ClearCorrect Invisible Braces are unlike any traditional methods to straighten teeth. With ClearCorrect, patients do not have to endure the embarrassing look of metal brackets or wires because the metal appliances have been replaced with customized, clear aligners that gradually straighten your teeth. These aligners will gradually shift your teeth to create the smile you’ve been hoping for. As time goes by, your aligners are swapped out and replaced with the next set of aligners. There are a few rules to wearing them, but diet restrictions and other issues traditional braces are no longer an issue.

The best part is, if you are an adult, these clear aligners are straightening your smile in the most discrete way possible, making them perfect for the workplace or even at home. Call Dr. Middleton today to determine if you are a good candidate for ClearCorrect invisible braces.

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.