Do You Think You Have Sleep Apnea? | Dentist in Riverside

Now that we are beginning a brand-new year, many of us have begun to make subtle lifestyle changes. One aspect that can really work wonders for our overall health is our sleep patterns. The more sleep we get, the more time our bodies have to heal and refresh. However, if you have a sleep condition, like sleep apnea, it is difficult to get those sleep benefits. For many of us, life’s stressors leave us sleepless more than we’d like. For others, the issue is far deeper than that. If you are one of these people, taking the time to figure out why you are having these issues and ways to improve those issues.

Facts are facts, one in five people have obstructive sleep apnea. Obstructive sleep apnea, or OSA, is a sleeping disorder that is caused by the constriction of throat muscles while you sleep, causing the inability to breathe. Once the brain realizes there is no breathing, it jolts the body awake to restart it. Breathing is restored, but sleep has been interrupted.

Unfortunately, it’s likely someone sleeping around you is more bothered by it than you are, but if you find you have the following symptoms, it’s time to get checked out:

  • Loud snoring
  • Sleepiness or fatigue during the day
  • High blood pressure
  • Choking or gasping during sleep witnessed by others
  • Headaches, sore throat, dry mouth when you wake
  • Frequent urination at night
  • Poor concentration, reaction time, and/or memory
  • Poor decision-making
  • Loss of motivation, moodiness, loss of sex drive and work efficiency

A sleep study is the surefire way to diagnose any sleep issues you may have. If they find that it is OSA, there are ways to help you get your good night’s sleep back.

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 You Need to Know About Getting a Dental Crown | Riverside Dentist

Dental crown procedures are recommended 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.

It’s important that you take the time to do research on the pros and cons of each type of dental crown, based on what is best for your teeth’s specific situation.

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, then sent to a dental lab where a permanent crown will be made according to its measurements and a temporary crown is set.

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.

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.

Custom Design Your Smile | Dentist in Riverside

Preventing tooth decay for a perfect smile

Now that we are in the midst of celebrating the holiday season with friends and family, is your smile everything you want it to be? After all, if there is a holiday party, chances are there are loads of photos being taken and laughter is filling the room. Have you ever thought about a smile makeover? Nowadays, there are lots of options when it comes to improving your smile – all it takes is a visit to the dentist to discuss a treatment plan.

Some of the more common cosmetic dental options are bonding and porcelain veneers. But what is the difference between the two? Because both bonding and veneers are used to cover dental imperfections, but the procedures are quite different.

Dental bonding uses a smooth tooth colored solution which is applied to teeth. It covers stains and fills in small chips and gaps. After the dental bonding solution has been applied and shaped a specialized dental light is used to harden the bonding material. Once the bonding solution is dried and cured additional layers may be applied depending on your situation. When the process is complete the tooth is then polished. Bonding is used on patients who need one or two teeth corrected.

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.

So, as you can see, regardless of your dental ailment, there is a solution to remedy it. Time to schedule an appointment to discuss!

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 It’s Time to Get a Filling | Riverside Dentist

When we don’t take care of our teeth, we can develop cavities. Now it’s time to get a filling. When it comes to what your filling is composed of, there are a few options. And one of these options is amalgam fillings.

Amalgam fillings consist of a combination of metals, including silver, tin and copper, but the mercury allows the filling material to be soft enough to mix and press into the teeth. The compound hardens quickly and is durable enough to withstand the constant pressure of daily activities, such as biting and chewing, making it ideal replacement material.

Dentists have used this combination of metals to restore teeth and fill cavities for more than a hundred years. While it no longer is the only material available, as tooth-colored materials have also become a popular alternative, mercury fillings remain a popular choice because it is generally cheaper and more durable.

In recent years, it’s been shown that as the mercury filling wears, which happens over time, very small amounts of mercury in the form of vapor are slowly released into the human body. Just how much this affects the human body, if it does at all, is debatable and there are experts that conclude that the amount of mercury released is very low to pose any threat. Still, there has yet to be any conclusion as to whether or not mercury fillings are truly safe.

Thankfully, there are alternatives. You can choose from a wide variety of materials, such as composite resin, porcelain and gold. There are also dental amalgams that contain both iridium and mercury, as well as high-copper dental amalgams, both of which contain much less mercury compared to conventional dental amalgams or mercury fillings.

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.

Trust Us. You Don’t Want Gingivitis | Dentist in Riverside

There are loads of dental words that sends shivers down our spine. Dentures, root canals – so many words sound awful when presented to us during a dental checkup. It proves we aren’t holding up our share of the bargain and dropping the ball on our daily hygiene practices. And gingivitis is one of those words…

Gingivitis is a condition that falls in the gum disease family – an inflammation of the tissues surrounding and supporting the teeth most commonly a result of poor dental hygiene and characterized by red, swollen gums that bleed easily when teeth are brushed or flossed. However, there are other factors that increase the risk of developing gingivitis:

  • 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 can 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 will increase the formation of plaque, and a deficiency of important nutrients will impair healing.
  • Diabetes mellitus impairs circulation and the gums’ ability to heal.
  • Some medications promote gum disease.

If left untreated, gingivitis will often extend from the gums to the bone, leading to periodontitis. When the underlying bone gets infected, it will start to recede away from the teeth and form deep gum pockets, and more bone loss occurs.

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.

Enjoy Your Halloween Candy, but Clean Your Teeth | Riverside Dentist

Now that you have your plans to devour candy later on tonight, it’s important to take the time out to schedule a dental appointment. Who’s thinking about the dentist on the sweetest of days? Your smile is. Not only are we getting close to the holiday season, but having a deep, thorough cleaning will only enhance your holiday photos. We hope that you brush and floss twice a day at home and use mouthwash, but a professional cleaning is also very important. Why? Teeth cleanings with your dentist are more thorough than the type of cleaning you do at home. Also, they help to prevent many other health problems.

So, as you can see, there are more reasons to consider a dental cleaning than a clean smile. Still not convinced? The following are the top five reasons you should go to your dentist for teeth cleanings:

Prevention of gum disease. Gum disease is an infection in your gums that can lead to tooth loss. Routine dental cleanings help to prevent gum disease.

Detection of oral cancer. With every dental cleaning you are screened for oral cancer. Early detection is extremely important.

Maintaining good oral health. Visiting your dentist regularly helps your dentist keep track of your oral health and any problems you have had in the past or are currently experiencing.

Beautiful smile. When your teeth are healthy and clean and white and you have a beautiful smile, you tend to become more confident and happier. Confidence leads to improved social life and career possibilities.

Maintaining overall health. Gum disease is linked to heart disease, stroke and low birth weight.

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.

Dental Care During Football Season | Dentist in Riverside

It’s Autumn – and for many of us, Autumn means it’s time for to cheer on our favorite football teams, from professional to peewee.

When we think of the game itself, it’s hard not to think of the injuries that come along with it. They wear lots of equipment to “soften the blow”, but there are times when even the most padding can help. When it comes to playing football and protecting our smile, there isn’t a whole lot you can do, but there is something – wear a mouthguard.

There are lots of sports that can cause injury. A mouthguard will help to protect your teeth from falling out or some other dental emergency. After all, most sports can injure an athlete in some way. If you find that you have knocked out your tooth on the field, there are a few things you can do to not only save your tooth but prevent further dental issues while you wait for your dental appointment. Because this is considered a dental emergency, it needs to be addressed immediately if you want to save your tooth. If you act quickly, your severed root will experience damage to blood vessels and tissue, but the ligaments connecting the tooth to the bone can be reformed.

Assuming you can find the tooth, avoid scraping off any dirt particles, as you risk damaging the root further. Instead, rinse it gently with a saline solution while carefully handling it by the crown. If possible, place the tooth back in its original socket, or store it in a small container with saline or milk. Your cheek will also work well for storage in the interim; just be careful not to swallow your precious cargo.

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.

Relax… It’s Just a Dental Appointment | Riverside Dentist

Because we realize that some of our patients are a bit skittish, we have provided a variety of relaxing items to help you to have the most enjoyable time possible. After all, we are a team working together to maintain your smile’s health. 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.

Looking to Whiten You Have Some Options | Dentist in Riverside

Now that the summer is over, it’s time to buckle down and prepare for the onslaught of holidays just around the corner. Not only is it a busy time of year, but it is also a time filled with reasons to smile. And if you aren’t happy with your smile’s brightness, you tend to shy away from smiling for the holiday photos. It’s time to do something about your dingy grin – it’s time to think about teeth whitening options.

Your next choice is the tougher one. In a world where our teeth whitening options have broadened immensely over the last couple of years, how do you choose the best option for you?

First thing’s first: professional or do-it-yourself? While both options do serve you with the same end result, there are differences. You must factor in your budget, the severity of you discoloration, and how dramatic you want your results to be. Once you have those answers, take a look at your procedural options:

Laser bleaching. With laser bleaching, your teeth are in essence bleached and then a light is used to activate the bleach for whitening purposes, performed in one office visit, with three 20-minute bleaching treatments. This is also the most expensive form of teeth whitening options, as the results are seen much faster than other teeth whitening options.

Bleaching trays. The most recognizable of the options includes your dentist taking an impression of your teeth to create custom bleaching trays, used with special bleaching solutions for one to two weeks.

Over-the-counter kits. You find these options at the grocery store in a variety of products, from toothpaste to trays. They are budget friendly, however don’t produce the most dramatic results.

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.

Are Invisible Braces for You? | Riverside Dentist

Do you hate the way metal braces look? Are you looking for the perfect alternative that will straighten your teeth? If so, Invisalign invisible braces is the ideal solution to solve your dental imperfections.

Invisalign invisible braces are unlike any traditional methods to straighten teeth. With Invisalign, patients do not have to endure the embarrassing look of metal brackets or wires because it uses customized, clear aligners that gradually straighten your teeth. But how does it work? Here is a quick rundown.

First, your dentist will take impressions, photos and x-rays of your teeth that Invisalign uses to create your custom aligners. These are sent to Invisalign, along with a prescription for your new custom aligners. A 3D model of your teeth will then be created so you and your dentist are able to see the projected results of treatment. When you are satisfied with the projected results, Invisalign will begin manufacturing your custom aligners.

You will wear the aligners at all times, except when eating, drinking and brushing/flossing. The Invisalign aligners are barely noticeable and won’t interfere with daily life. Your teeth will slowly adjust and align with each new aligner you receive, and eventually you will have the straight beautiful smile you have always dreamed of.

Parents and adults love invisible braces because your aligners are absolutely undetectable, perfect for the workplace or even at home. Traditional braces are now a thing of the past! Call Dr. Middleton today to determine whether or not Invisalign is a good option for you.

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.