Dr. Middleton Releases Statement in Response to COVID-19

In response to the growing danger of the coronavirus and mandatory state-wide shutdown of non-essential businesses, Dr. Middleton released the following statement:

I hope all of you are able to stay safe and healthy. As most of you know, we have had to make the difficult decision to close our office to keep us, our team, and the community safe from this very nasty virus. As of now, we are officially closed until April 13th but that date most likely will change.

Unfortunately, there is no way to no when it will be safe for us to go back to our regular routines. This may have many of you wondering what that means for you and your ever-important oral health.

If you are having discomfort, pain or swelling, please call me personally on my cell phone. The number can be found on our website or within the answering message when you call our office. I am here to treat emergency needs only and I am happy to advise you as to how we can manage any discomforts that you may have.

Due to the limited availability of dental care, it is more important than ever to practice good oral hygiene habits at home with brushing, flossing, and all the other things that Megan, Lori, and Rachel have been preaching for years.

These are extremely difficult times. We are all in this together. I have been in constant contact with my team of wonderful talented professionals. I know that this is hard for my team and myself to be at home knowing that so many of you are in need. We want you to know that we are ready to get back to work as soon as it is safe to do so.

At that time we plan to increase our hours of work if necessary to meet the ever-increasing need of you our dental family. I want you to know that on behalf of myself and my team, we are thinking about you and hope all of you remain safe and healthy. And please call text or email me with any questions, concerns or problems. I would love to hear from you.

-Dr. Middleton

The video in its entirety can be viewed on the Gerald Middleton DDS Facebook page here.

Five Top Tips to Prevent Tooth Decay

Preventing tooth decay for a perfect smile

We all know the spiel from our favorite local dentist: To prevent tooth decay, we need to brush and floss our teeth daily. It should be an easy solution, right?

Yet, tooth decay remains one of the most common medical conditions in the world. In fact, the World Health Organization estimates that a whopping 2.4 billion people suffer from some form of tooth decay.

Tooth decay has the potential to cause extreme discomfort in affected patients, from difficulty chewing to image problems due to discolored teeth. So it’s definitely something you want to watch out for (but you didn’t need me to tell you).

In order to avoid these problems, here are a few of the ways that you can prevent tooth decay in your personal life.

Supercharge your personal dental hygiene 

Ok, so you know you need to brush and floss your teeth daily. That’s good, but it shouldn’t be an end-all solution to preventing ugly cavities from showing. So how exactly should you approach dental hygiene in your personal life?

Here are a few tips to improving your dental hygiene:

  1. Brush your teeth after every meal and before you go to sleep. Microbes in your mouth feed on sugars that you eat, leaving behind waste known as dental plaque. Get rid of that plaque to prevent tooth decay before it begins.
  2. Perfect your brushing technique. While it may seem odd to say, there is an art form that goes into brushing your teeth. Make sure you use a soft-bristled toothbrush and gently brush your teeth at a 45-degree angle. 
  3. Replace your toothbrush after three to four months. Besides retaining gross bacteria, old toothbrushes are less effective at removing plaque from your mouth.
  4. Use an antimicrobial mouthwash. Besides making your breath smell like cool mint (or whatever flavor you prefer), mouthwash can remove many harmful bacteria that you miss while brushing.

Make sure to take advantage of regular professional cleaning

Going to the dentist gets a bad rap. People around the world dread the day that they have to get their checkup.

In fact, dental phobia is a real thing, with five to 10 percent of people experiencing intense fear of even approaching their local dentist – even in face of major dental issues, including tooth decay.

This is obviously not ideal, as regular dental checkups are essential to preventing tooth decay. Professional cleanings – at least twice a year – allow your dentist to make sure that you’re caring for your teeth and catch any issues before they become too serious.

If the thought of going to your dentist gives you such anxiety that you’d rather not go, perhaps it’s time for a change. It’s the job of the dentist to provide a safe, relaxing place for all of their patients. Look through customer reviews on Yelp or Google and find the best dentist for you.

Keep your sugar intake low

Your teeth are the first defense against anything you decide to eat. And just as eating poorly can cause you to gain weight, it can also increase your chances for tooth decay.

It’s easier said than done, but avoiding snacks that are high in sugar is the best way to avoid tooth decay. Instead of drinking a soft drink at lunch, consider just drinking water.

You don’t have to cut sugar completely from your diet – it’s especially hard to avoid during the holiday season. But try to keep your sugar intake below 10% of your daily caloric intake and you should be fine.

Just don’t forget to brush!

Fluoride therapy

The effect of fluoride when it comes to preventing tooth decay cannot be understated – it’s almost like a secret weapon in your dental arsenal. 

Fluoride has many benefits for healthy teeth. It can rebuild weakened enamel, prevent the growth of bacteria, and even reverse the effects of the early stages of tooth decay. Make sure your toothpaste has fluoride in order to get the most benefit from brushing your teeth.

Other types of fluoride therapy involve fluoride supplementation through the consumption of water, salt, tablets, or drops. Ask your dentist if any of these are right for you.

Bring in the big guns: The power of dental sealant

If all else fails, it might be time to call in the professional. Yes, you’ll need to schedule an appointment with your dentist.

But what exactly is a dental sealant?

Quite simple actually: It’s consists of placing a thin plastic coating over one or more teeth, which eventually forms a protective shield over the enamel. 

Dental sealants protect the vulnerable areas that your toothbrush can’t reach by sealing out plaque and food, giving you an additional layer of protection against tooth decay. 

Tooth decay can be a difficult pill to swallow for anyone suffering from it. But if you take care of your teeth by following these five tips, you can ensure that you never experience the pain and embarrassment that comes with decaying teeth.

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

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

Is Toothpaste Really Necessary? | Riverside Dentist

Every day we brush our teeth. We wake up, slap some toothpaste on our brush and for the next two minutes, it’s just you and your teeth. But, have you ever wondered why we use toothpaste? We know brushing will not only remove food debris and plaque but will also protect your teeth against tooth decay and gum disease. The toothpaste you use cleans the teeth, protects them against tooth decay, and keeps them looking healthy and attractive to look at as well. It also ensures that your breath is nice and fresh as well.

While the brand of your toothpaste really doesn’t matter, neither does the flavor or whether it is in paste, gel or even powder form. All fluoride toothpastes work effectively to fight plaque and cavities and clean and polish tooth enamel. Your toothpaste brand should bear the ADA (American Dental Association) seal of approval, which means that adequate evidence of safety and efficacy have been demonstrated in controlled, clinical trials.

If your teeth are hypersensitive to hot or cold, consider trying a toothpaste designed for sensitive teeth. These desensitizing toothpastes, which contain strontium chloride or potassium nitrate, protect exposed dentin by blocking the tubes in the teeth that are connected to nerves. Toothpastes containing baking soda and/or hydrogen peroxide give the teeth and mouth a clean, fresh, pleasant feeling that can offer an incentive to brush more, but fluoride is the true active ingredient at work protecting your teeth. Some prefer a tartar-control toothpaste containing pyrophosphates to prevent the build-up on their teeth.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

Everyone Needs Prophylaxis Once in a While | Riverside Dentist

Dentists recommend you brush your teeth twice a day, floss every day, and have regular professional cleanings. While brushing and flossing help remove food and plaque at home, professional cleanings are necessary to clean surfaces you’re unable to reach effectively, and to remove substances you’re unable to remove safely.

The term for professional cleaning is prophylaxis – it involves the removal of dental plaque, dental calculus, and stains from both the exposed and unexposed surfaces of the teeth. The goal of dental prophylaxis is prevention of disease by removing bacteria.

During the cleaning procedure itself, the dentist will use techniques such as scaling (where a physical instrument will be used to physically scrape tartar from teeth above and below the gum-line) and polishing (where a high-speed tool will be used to clean the surface of the teeth, removing plaque and making the surface less likely to accumulate plaque in the future). Finally, the dentist will also inspect teeth for signs of decay, disease, or damage, and will help identify minor problems before they grow into larger problems.

Professional cleanings are important – not only does it provide the dentist with an opportunity to check on your dental health, it helps remove calcified tartar before it has a chance to contribute to tooth decay. While brushing and flossing are vital to oral health, they are imperfect, and professional cleaning is just as important. If you have questions about the cleaning procedure, cost, or scheduling, contact your dentist’s office and ask.


Take Care of Your Dental Fillings | Riverside Dentist

Now that it’s autumn, our diets will begin to change from cold to hot, so we should be aware of the effects it has on our teeth. If you are experiencing sensitivity to certain foods, having sharp toothaches, or having difficulty eating due to an excessive amount of pain, it may be time to make a dental appointment because you may need fillings.

Fillings are absolutely necessary in order to prevent further tooth decay from occurring. If left untreated, it can result in permanent tooth decay and the loss of teeth. With fillings, each tooth is healthy and less prone to infections. In order to guarantee your teeth are in top shape, regular dental appointments are necessary.

Your dental filling treatment is done under a local anesthetic, and once that anesthesia wears off, your teeth will be incredibly sensitive for the time being. Here are some food tips to follow after your filling.

Avoid hot and cold foods. Days after your procedure, your teeth will be incredibly sensitive to extreme temperatures. It will be easier, less painful, and more comfortable for you to eat your food at a “middle of the way” temperature.

Avoid gum and sticky foods. 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.

Avoid foods you need to chew. Pureed vegetable soup and fruit smoothies are great after procedure meal. As time passes by, you’ll be able to eat your normal foods again.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

No More Excuses for Those Snack Attacks! | Riverside Dentist

There you are, standing in front of the fridge or pantry, craving something to snack on. Then the thought hits, “but aren’t you trying to watch your diet?” It is important to understand that if we intend to stick to our good healthy diets, we need to re-calibrate some of the excuses we come up with to justify our poor snack decisions.

Sweet or salty, it’s no question some of our favorite snacks are not exactly the best options. “We’re at our most creative when we’re trying to justify giving in to a craving,” says David Colbert, MD, a coauthor of The High School Reunion Diet. So, it’s no wonder we can fully convince ourselves of that bag of chips or candies when the craving is unbearable.

The saying holds true: ‘We want what we can’t have’. The more we keep ourselves from a craving, the easier it is to justify indulging. Instead of depriving yourself of your favorite snacks, try enjoying them as a reward for a goal you’ve set for yourself. When you wait to indulge, you’re probably in less of an impulsive mind-set and in more of a reflective, ready-to-savor one. Not only will you be able to enjoy your favorite snack, but you will also be working towards goals bettering yourself. And if that’s too much for you to handle, try a healthier option for that snack. There are plenty of snacks out there that can satiate that desire.

Here’s something you may not know about your chocolate craving: Research shows that chocolate’s comforting effect lasts only three minutes. Is it really worth it?

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

Things on Your Toothbrush Aren’t Always Toothpaste | Riverside Dentist

toothbrushThere is one hygienic tool we interact with on a daily basis. In fact, if we are using it correctly, we use it on a couple of occasions throughout the day. That handy tool? The toothbrush. Manual or electric, soft or hard bristles, our toothbrush not only keeps our smiles bright, but it also affects our overall health. Unfortunately, there may be things left on your toothbrush after these cleanings you may not notice after the rinse.

Blood. When you brush your teeth, it is not uncommon to find traces of blood from time to time. It may be the way you are brushing, it may be something more serious, like the beginnings of gum disease. So, if you find that you have begun bleeding during a tooth-brushing session, make sure you rinse your toothbrush well so it doesn’t remain there until next time

E.Coli. We don’t want to bring up anything gross, but there is the likelihood of fecal matter being on your toothbrush. What’s worse is that dangerous bacteria, like E. Coli, can come along with it. If you brush with a toothbrush that has E. Coli on it, it can make you very sick.

Staphylococcus Aureus. These bacteria live in our respiratory systems and on our skin. While rare, if conditions are just right, it can lead to a MRSA infection.

Keep your toothbrush bacteria-free with these few tips:

  • Don’t let anyone use your toothbrush.
  • Let your toothbrush air-dry upright.
  • Store your toothbrush at least six feet from your toilet.
  • Replace every 3-4 months.

To set up an appointment, call Dr. Middleton in Riverside, CA at 951-688-3442 or visit www.gmdental.com.

Dr. Middleton proudly accepts patients from Riverside, Corona, San Bernardino, Redlands, Moreno Valley, Lake Elsinore and all surrounding areas.

Inlays and Onlays: What’s the Difference? | Riverside Dentist

ThinkstockPhotos-512962507Inlays and onlays are the ideal dental restorations needed to repair damaged teeth, not only improving your oral hygiene, but enhancing the look of your smile.  Dental inlays and onlays are used 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. Both will rejuvenate your smile! Dr. Middleton can also use inlays and onlays to replace dark, old dental restorations that can look unappealing.

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 Inlays and Onlays

Your dentist will remove the decay and shape the tooth. He or she will put a soft material called composite resin on the tooth. The composite resin is molded to fit the tooth. The inlay is removed and hardened in a special oven. Then, your dentist will cement the hardened inlay to your tooth. After the inlay is cemented, it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

There is also new technology that allows the dentist to have a ceramic inlay or onlay made in the office and cemented on at the same visit.

Indirect Inlays and Onlays

Your dentist will remove the decay. He or she then will make an impression of the prepared tooth and neighboring teeth. The tooth will get a temporary filling. The impression will be sent to a laboratory, which will make the inlay or onlay.

At your second visit, your dentist will take out the temporary filling and clean and dry the tooth. He or she will then cement the inlay or onlay to the tooth. Then it will be polished. Your dentist may have to shape it slightly to adjust the way your teeth come together.

Some dentists have a machine that allows the dentist to take a picture (instead of an impression) of the prepared tooth. Then a computer guides the machine in making a ceramic inlay, onlay or crown. This process can take less than one hour. Your inlay or onlay can then be cemented into place at the same visit.

Inlays and onlays are completely natural looking dental restorations that will restore the strength and stability to your teeth. Dr. Middleton emphasizes that inlays and onlays will make your oral hygiene routines easier! In only two dental visits, your oral health will drastically improve with inlays and onlays.

A dental inlay or onlay is bigger than a filling and smaller than a crown. It is bonded or cemented into place. An inlay is actually similar to a filling, but it lies within the cusps (bumps) on the chewing surface of your tooth. An onlay is larger than an inlay. It replaces one or more decayed cusps.

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:

  • The material used
  • The 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:

https://www.youtube.com/watch?v=d5Wu8_MCnJs (Source: YouTube)

Only Dr. Middleton will be able to determine whether or not inlays and onlays will be right for your situation.

For more information about bad breath prevention, call Dr. Gerald Middleton in Riverside, CA at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com.

Accepting patients from Riverside, Norco, Ontario, Murrieta, Fontana and surrounding communities.

Six Fun Facts About The Beloved Toothbrush

toothbrushYou’ve heard it over and over again, about how important brushing our teeth with a soft-bristled toothbrush, whether manual or electric, is to our oral and overall health. However, as much as you know about the importance of brushing, you probably don’t know much about your toothbrush.

Let’s see. You do know that it’s a dental appliance, and that it comes in many different types, with some with much softer bristles compared to others. But, what else?

Given how February is national children’s dental health month and how children love fun facts, here’s five about the beloved toothbrush.

  • The average person spends around 38 to 39 days brushing their teeth over their lifetime. While that number is daunting, most dentists claim that the number shows just how people neglect oral care, as it would only equate to around 40-seconds per brushing session, which is far from the recommended two-to-three minutes. Dentists believe that if people followed recommendations, the number should be around 122 days
  • Did you know that the materials used initially for toothbrush bristle was cow hair or boar bristles? It was only until 1938 that commercial toothbrush stopped using other materials and opted for nylon bristles thanks to Dupont De Nemour’s introduction of “Doctor West’s Miracle Toothbrush”.
  • Toothbrushes can be traced as far back as 3,000 B.C where ancient civilizations used a thin twig with a frayed end as a makeshift toothbrush.

The Chinese would then on “refine” this and in 1498, used a toothbrush made from stiff hairs from a hog’s neck and with bone or bamboo as its handle.

By 1780, William Adis would invent the modern toothbrush while in prison and make money by mass-producing it.

  • According to research, the average person buys about three toothbrushes every two years, or about once in roughly every eight or nine months. Again, this is far from the recommended every three to four months.
  • The journey of the toothpaste, the  toothbrush’s best buddy, is also quite intriguing. It’s believed that the first toothpastes were used back about 5000 years ago in Egypt using a formula consisting of oxen hooves, pumice and burnt eggshells.  This would then be refined over time until the 1800s, when the first semblance of the toothpastes we use today would also be used, with the collapsible tube being introduced in 1892 by Dr. Washington Sheffield of Connecticut.
  • In America, around 25,000 tons of toothbrushes are thrown around every year, leading to enormous amounts of waste. To cut down on this, manufacturers have begun selling toothbrushes made of recyclable plastic, as well as those with replaceable heads.


In line with the celebration of National Children’s Dental Health month, let us not forget to teach children the basics of proper oral hygiene. This includes, of course, the use of a soft-bristled toothbrush and brushing with it twice a day, flossing at least once and last, but not the least, visiting the dentist as regularly as every six months.

That said, now that you know all these fun facts about toothbrushes, why not share it with your friends and with kids? They will surely love it!

Call Dr. Gerald Middleton DDS in Riverside, CA at 951-688-3442 to schedule an appointment. To learn more about the practice visit www.gmdental.com.  


Call Dr. Gerald Middleton DDS in Riverside, CA at 951-688-3442 to schedule an appointment. To learn more about the practice visit www.gmdental.com.  

Are Dental Implants for You? | Riverside, Ca Quality Dentist

implant diagramMillions of Americans will lose one or more teeth, yearly – primarily due to some combination of tooth decay, gingivitis, and physical trauma. Despite the prevalence of dentists and dental care, it’s still quite common for patients of all ages to suffer tooth loss of one or more teeth. While brushing, flossing, and routine professional cleanings are very effective at combating tooth decay and gingivitis, it is unfortunately quite common for patients to neglect professional cleaning, or otherwise allow tooth decay to advance to a point where simple fillings are insufficient, and entire teeth need to be removed.

Whether it be from injury, decay, or gum disease, once a tooth root is damaged, it becomes very difficult to save the tooth, or to artificially cap it with a synthetic cap such as a crown. Because crowns rely on the tooth’s root to provide strength, a damaged root often means that the full tooth must be removed. For multiple tooth loss, procedures such as dentures and bridges provide synthetic tooth-like replacements. While dentures are removable, bridges are semi-permanent – typically cemented to teeth on either side of the missing tooth/teeth. However, recently dentists have another permanent solution that has a number of benefits over dentures and bridges: implants.

In cases where the tooth must be removed, patients are typically left with a handful of options: either create fake teeth that cover the area (such as with dental bridges or dentures), or replace the tooth with a combination of synthetic root and crown using a dental implant.

While dentures and bridges have their advantages and disadvantages, implants are often recommended by dentists for a variety of reasons:

 – They very closely match the appearance of natural teeth

– They allow for natural eating, drinking, and speaking

– They’re typically very comfortable, with most patients feeling the implant to be nearly indistinguishable from a normal tooth

– Implants are quite durable, often lasting decades

Dental implants are replacement tooth roots, often made of titanium, and fixed permanently into the bone of the tooth socket. The dentist then attaches a crown – often porcelain or ceramic above the titanium post, providing a structure that looks and feels almost exactly the same as a normal tooth, but without any natural tooth material. The implant can be brushed and flossed as if it were a normal tooth, but the crown surface is impervious to decay, and when properly installed, the titanium post will last for decades.

The actual implant procedure typically takes a number of visits. Typically a small titanium post is implanted into the bone socket where the tooth was removed, and the jawbone is allowed to heal around it. Six to twelve weeks later, a small post is attached to that titanium root, and the dentist creates a model for a crown to be placed onto that second post. That crown, once attached, will provide a nearly permanent replacement tooth, allowing the patient to brush, floss, eat, drink, and speak normally, without worrying about dentures coming loose, or requiring the extra hygiene procedures associated with dental bridges.

If you have a missing or damaged tooth, and you feel an implant may be an appropriate solution, speak with Dr. Middleton. While the procedure does take a number of visits, it has a high success rate and can last many decades.

For more information on your dental implants call Riverside dentist Dr. Gerald Middleton at 951-688-3442. Visit our website for special offers, updates and to make an appointment, www.gmdental.com

Accepting patients from Riverside, Norco, Ontario,  Murrieta, Fontana and surrounding communities.