The Beginning Stage of Gum Disease: Gingivitis | Dentist in Riverside

We can’t say it enough – dental hygiene is important. Not only for our smile’s appearance but for our overall health. Daily maintenance is important. Dental checkups will ensure that you are doing a proper job. Not only will your smile look great, but it will be healthy.

That said, if you don’t maintain your smile adequately, dental issues will likely arise. And one of the more common issues is gum disease. It’s so common that 3 out of 4 adults will have some form of gum disease at some point in their lives. The first stage being gingivitis.

Your gums attach to the teeth at a lower point than what we can see. This small space is called a sulcus where food can get trapped and cause an infection or gingivitis as your gums separate from the teeth. This can cause injury to the soft tissue and bone supporting the teeth, causing the tooth to become loose and unstable. If infection progresses, you may ultimately lose your tooth or need a dentist to remove it.

Now that you know what happens, take a look at common symptoms:

  • Gums that are red, tender, or swollen
  • Bleeding gums when you brush or floss your teeth
  • Loosened teeth
  • Pus between teeth and gums
  • Pain when chewing
  • Sensitive teeth
  • Bad breath, even after you brush your teeth

Gum disease may be common, but it isn’t harmless. The good news is gingivitis can be prevented by proper and consistent oral hygiene, so keep a balanced diet and visit the dentist regularly. And of course, brush your teeth twice daily and floss. Prevention is key to keeping your smile bright and healthy.

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 You Take Milk in Your Tea? | Dentist in Riverside

There are loads of reasons to enjoy a cup of tea. To warm (or cool) your insides, to gather with friends, to even get a good night’s sleep. No matter your reason, tea has become a favorite for people around the world. The problem is one similar to other dark drinks – they can stain your teeth over time. But it still doesn’t matter – tea is going to be a staple in everyone’s lives. So, to celebrate International Tea Day (May 21), let’s take a look at the pros and cons of our beloved leafy beverages…

First, let’s take a look at the pros: Black and green tea contain fluoride, which we all know helps ward off tooth decay while preventing cavities by controlling bacteria and reducing acid in your mouth. After all, saliva production is key to washing bacteria from inside our mouths. In fact, when making tea, use tap water for an extra fluoride boost!

Tea also contains polyphenols, which are micronutrients from plant-based foods that reduce gum inflammation and disease. Polyphenols are killing bacteria, while combatting bad breath better than a mint. If that’s not enough, tea is great for our overall health as it’s antioxidant-rich option that can even help slow the growth of certain kinds of cancer, including oral cancer.

And while this healthy drink can tinge our teeth, it isn’t a permanent feature. After your cuppa, why not give your teeth a quick brush? Not only will a teeth-whitening session improve your smile, but daily dental hygiene is the best way to slow down the staining process.

Do keep in mind that sugar and acidic add-ins can erode your teeth and make you more prone to cavities. So, try to limit the lemon, sugar and honey.

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 Health and the Elderly | Riverside Dentist

Aging is just a fact of life, but there are loads of lifestyle changes we need to get used to as we progress through time. Many of these changes will involve our health, but many forget that our dental health is part of it. Older Americans with the poorest oral health tend to be those who are economically disadvantaged, lack insurance, and are members of racial and ethnic minorities. But on top of that, additional circumstances, like being disabled, homebound, or institutionalized also increases the risk of poor oral health. Oral health problems in older adults include the following:

Untreated tooth decay. Nearly all adults (96%) aged 65 years or older have had a cavity; 1 in 5 have untreated tooth decay.

Gum disease. A high percentage of older adults have gum disease. About 2 in 3 (68%) adults aged 65 years or older have gum disease.

Tooth loss. Nearly 1 in 5 of adults aged 65 or older have lost all of their teeth. Having missing teeth or wearing dentures can affect nutrition, because people without teeth or with dentures often prefer soft, easily chewed foods instead of foods such as fresh fruits and vegetables.

Oral cancer. Cancers of the mouth (oral and pharyngeal cancers) are primarily diagnosed in older adults; median age at diagnosis is 62 years.

Chronic disease. People with chronic diseases such as arthritis, diabetes, heart diseases, and chronic obstructive pulmonary disease (COPD) may be more likely to develop gum (periodontal) disease, but they are less likely to get dental care than adults without these chronic conditions. Also, most older Americans take both prescription and over-the-counter drugs; many of these medications can cause dry mouth. Reduced saliva flow increases the risk of cavities.

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.

Nibbling on Foods that Brighten Your Smile | Dentist in Riverside

During the holiday season, it is almost impossible not to indulge in the delicious foods everywhere we look. Whilst gathering with friends and family, breaking bread is always a given, whether it be just nibbling on snacks or having a meal.

Luckily, there are loads of foods that are great for our smile – some brighten, others strengthen, but all are delicious. And once the new year hits, take a moment to stop in for a quick check-up.

Here is a general breakdown of beneficial foods during this delicious time of year.

Crunchy fruits and veggies. Crunchy fruits and veggies like carrot, celery and apple are just some of the foods that prevent tooth decay, due to a high fiber content that stimulates the flow of saliva throughout your mouth. The saliva you produce when you eat crunchy veggies, in particular, rinses any remaining sugar away from your teeth before it has a chance to attack healthy tooth enamel.

Dairy. Cheese is full of protein and calcium – both of which are important for the strength and health of your enamel and actively protects the teeth from cavities. And drinking milk after eating sweets also reduced the amount of plaque buildup on one’s teeth.

Seafood. Fish, lobster and shellfish are an excellent source of lean protein, which can help keep your teeth healthy and strong in general. They also contain fluoride, which helps reduce your risk for tooth decay just like the fluoride incorporated in your tap water.

Nuts and other proteins. Nuts contain a good amount of protein, as well as calcium and phosphorous, which help strengthen your teeth’s enamel and stimulates saliva production. Chicken, eggs and other types of lean meat are great for your teeth thanks to their own protein.

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.

It Is Important to Keep Your Tools Sharpened | Riverside Dentist

toothbrush

We all know that maintaining a bright healthy smile requires some work on our part. Not only do we need to visit the dentist regularly but keeping our mouths clean will help prevent issues from developing in the future.

As important as it is to keep your teeth brushed and cared for, did you know that it is equally as important to keep your toothbrush well maintained? After all, your car won’t run as well if you don’t check the oil and rotate the tires. Your smile is no different. Your mouth is home to a multitude of microorganisms, which can most definitely be transferred onto your toothbrush as you brush your teeth. Here are some tips to make sure your toothbrush remains effective and keeping your smile the best it can possibly be:

  • Refrain from sharing your toothbrush with anyone. Sharing a toothbrush could result in the exchange of body fluids and or microorganisms between users, ultimately leaving teeth more prone to infections of some sort.
  • Rinse your toothbrush with tap water after brushing to remove any toothpaste and debris. Store your toothbrush upright and allow it to air dry before you use it again.
  • Replace your toothbrush every three to four months. The bristles become frayed upon frequent use and therefore it’s overall effectiveness in cleaning your teeth decrease.

Now that we are getting into the holiday season, tempting treats are going to be abundant; it is our job to stay on top of our dental hygiene as we indulge in the delicious festive treats this time of year has to offer. 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.

Why Professional Teeth Cleanings Are Healthy | Dentist in Riverside

You brush and floss twice a day at home and use mouthwash, to the point of extreme diligence. In fact, your dental checkups are raving. So, why go to the dentist for teeth cleanings? Isn’t this redundant? Not at all. Your teeth can never be too clean, but there are other perks to having your smile professionally cleaned. Teeth cleanings with your dentist are more thorough than the type of cleaning you do at home. Not only do they improve the appearance of your smile, but they also help to prevent many other health problems. So, before you dodge your next dental appointment, take a look at the pros:

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

Oral cancer detection. With every dental cleaning you are screened for oral cancer. And with any cancer detection, the earlier the better.

Good oral health. Visiting your dentist regularly helps to keep track of your oral health and any problems you have had, currently have and may have in the future.

A beautiful smile. When your teeth are healthy and clean and white and you have a beautiful smile, and when you have a beautiful smile, you are more confident, and it has been proven that this confidence leads to improved social life and career possibilities.

Maintaining overall health. We tend to center oral disease to the mouth, but this isn’t the case – gum disease is linked to heart disease, stroke and low birth weight so these dental procedures can help detect future issues.

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.