A New Smile for a New Year | Dentist in Riverside

Now that we are smack dab in a new year, we have begun to make subtle changes in our lifestyle to improve ourselves. Why not focus on another faction of ourselves – our smile? We know you’ve been putting it off getting a crown for as long as possible. Why not make it now?

Dental crown procedures are recommended to patients for the following reasons: a weak tooth that requires something to hold it together, a tooth so discolored that it can no longer be fixed through conventional means or cosmetic reasons. While most crowns are made out of porcelain or ceramic, you can also get resin or stainless steel. Do your research as there are pros and cons to each.

Installing a dental crown typically takes two visits – first for installation of the temporary crown and the second for the placement of the permanent one. But we use the procedure CEREC crowns in a day, cutting down time and inconvenience considerably. During your visit, the dentist will examine the problem tooth and begin filing it down in preparation of the crown. In cases of severely damaged and broken teeth, the dentist may have to fill the tooth in so it’s large enough for the crown.

Once the dentist has finished filing or filling the tooth, the dentist will then take an impression of the tooth and its surroundings to create a permanent crown will be made according to its measurements. Once created, it will replace the temporary crown with a special adhesive and 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.

When the Holidays Stain Your Teeth | Riverside Dentist

Preventing tooth decay for a perfect smile

We may be celebrating a different kind of holiday season, but it is likely that the comfort foods were not forgotten. And if you weren’t doing your best with dental hygiene, you may notice that your pearly whites have begun to stain and yellow. It’s very common – in fact, more than 100 million Americans whiten their teeth one way or another. But what is causing the discoloration? Here is a quick list of ways:

  • 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. So, as we wrap up this year, it may be a good idea to make an appointment in the new year for a professional cleaning/whitening.

While there are many way products on the market to whiten your teeth, the most popular and convenient method is with the KoR Whitening Technique. Our trained clinicians first place a protective barrier on the cheeks and gums. The KoR whitening gel is then applied to the teeth using trays to gently penetrates the surface of the teeth to break up stains and discolorations. But unlike other treatments, this one is working hard on those stains for at least six hours.

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.

Tooth Decay Prevention: Is It Possible? | Dentist in Riverside

If you think about it, our dental issues begin from two sectors – tooth decay and gum disease. But there is only one reason for these issues in the first place – bacteria.

Tooth decay is typically caused by acid produced when bacteria consumes food particles and sugars within the mouth. Similarly, periodontal disease occurs when bacterial colonies make their way beneath the gum line, causing damage to tooth roots and gum tissue, and eventual bone loss and tooth loss. In both cases, regular brushing and flossing can help remove plaque (bacteria-rich film on the surface of teeth) before it hardens into tartar, an advanced form of plaque.

You may think of mouthwash as merely something to freshen your breath, but it is almost the secret weapon to your dental routine. While brushing and flossing will help remove food stuck on the surfaces of the teeth, mouthwash may dislodge food particles throughout the mouth, which reduces the available food for bacteria that eventually cause tooth decay. For this reason, it’s actually wise to use mouthwash prior to brushing to prepare your mouth for a proper brushing by loosening up stuck on particles. Finally, use mouthwash containing fluoride – fluoride can help strengthen tooth enamel, which will help resist cavities and minimize the chances of cracked or broken teeth. And we know it can be overwhelming, trying to decide which brand is best for you. Next time you’re in for a checkup, talk to your dentist about any concerns or questions you have about keeping your mouth its healthiest. They’ll be happy to share their recommendation with 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.

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.

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.

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.