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.

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.

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.

Improving Your Smile with Dental Implants | Riverside Dentist

When we are deciding to improve our smile, there are plenty of ways to do so. Some like the look of white teeth, so they brighten their smile with whitening treatments. If you’re missing teeth, there are a few options, like crowns and veneers, but there is also another option – the dental implant.

Dental implants are the best long-term solution for missing teeth because it is a complete tooth replacement. There are three components: the post, abutment, and restoration. The dental implant post looks like a screw made of titanium and integrates into the jawbone like a tooth root. The abutment is attached to the post, and the restoration, or crown, is attached to the abutment. With dental implants there are plenty of immediate benefits including, improved speech, easier eating, improved comfort and overall improved oral health. Here are some others:

Conserve your jawbone. With a bridge, your jawbone will eventually begin to deteriorate underneath the missing tooth. The longer you wait, the more likely it is that your jawbone may lack the integrity to get implants in the future without a dental bone graft.

Stop your teeth from shifting.  When you lose a tooth, the surrounding teeth will eventually begin moving to fill in the space, causing complications. Placing a dental implant will keep your teeth properly spaced and make it easy to keep them clean.

Preserve your appearance.  When your jawbone deteriorates because of missing teeth, it often causes your face to appear sunken in, making you look older. People with dentures often complain of having thin lips and sunken cheeks. Dental implant posts provide the stimulation your body needs to produce dense, healthy jawbone material and keep your face looking full.

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 Aftercare: Eating After a Filling | Riverside Dentist

When we head over to the dentist with a cavity, we can be sure that a dental filling is on the docket to repair the situation. After your procedure, you will realize that it’s a bit difficult to eat. Don’t worry – anesthesia doesn’t last long. But it is likely that your mouth will a bit of tooth sensitivity, so here are a few helpful tips to getting through those tender couple days. If pain lasts longer, contact your dental professional for advice:

  • Chew on the opposite side of the mouth from your filling. If possible, avoid chewing with the tooth you just had filled to prevent pain and damage.
  • Chew slowly, bite lightly. Take your time and try not to bite all the way through. A lot of the pressure of chewing is from your top teeth and bottom teeth pressing together. By keeping your jaw loose, you can minimize pain.
  • Keep your mouth closed. This isn’t just to practice good manners – sometimes cold air can cause pain in sensitive teeth.
  • Skip sticky foods. Some fillings take time to set after you leave the dentist’s office. Eating sticky or gummy food could dislodge a new filling, so it’s best to avoid them for a little while.
  • Avoid very hot or cold drinks. High and low temperatures can trigger pain in sensitive teeth.
  • Pass on the sweets. Sugary foods and drinks can trigger sensitivity in your tooth and could even promote bacterial growth around or under your new filling.
  • Avoid hard foods. Foods like nuts, hard candy, or ice can cause more pressure on your tooth when you chew. Tough foods like steak, too. That pressure can dislodge your fresh filling if it hasn’t properly set yet.

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 Your Little One Needs Dental Surgery | Dentist in Riverside

It won’t be very often, but there may come a time when your little one needs to get some type of dental procedure done that will necessitate the use of anesthesia. As a parent, this could cause a bit of concern. After all, oral surgery is serious enough, but sedating your child is a completely different animal. And thus, we need to ask some questions. Thankfully, your dental professional will be more than happy to address any of your concerns. Because this will be new territory for many new parents, the American Dental Association some questions to ask through every step of the process.

Prior to the procedure:

Who will evaluate my child before the procedure, including their past medical history?

How long should my child go without food or drink prior to the procedure (with the exception of necessary medications taken with a sip of water)?

Will I be giving any sedation medication to my child at home prior to their coming to the office and, if so, what should I be on the look-out for?

What training and experience does the person providing sedation or anesthesia for the procedure have?

Do assisting staff have emergency training and renew it regularly?

Does the dentist have all the permits or licenses required by the state dental board to provide the planned level of anesthesia or sedation?

During the procedure:

In addition to local anesthesia, what level of sedation or general anesthesia will my child be given?

How will my child be monitored before, during and after the procedure until the child is released to go home?

After the procedure:

Will I receive instructions and emergency contact information if there are any concerns or complications after returning home?

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.

Learning to Care for Your Dental Veneers | Dentist in Riverside

Getting porcelain veneers is guaranteed to not only improve your smile, but also your dental health. And while they are made to last for twenty years, the longevity of your porcelain veneers greatly depends on how well you take care of them. It is important that you follow your dental professional’s advice for aftercare, but here are some additional tips you may want to keep in mind after you get your brand-new smile:

Proper dental hygiene. Every single day, twice a day, your teeth need to be brushed and flossed with a soft-bristled toothbrush and fluoride toothpaste. Good oral care at home helps prevent your gums from receding from periodontitis. Because veneers are placed right at the gum line, gum recession would compromise your veneers.

Avoid excessive force. Many patients have a bad habit of using their teeth as tools. Unfortunately, this is a terrible habit for your teeth, so there’s no biting your fingernails, hairpins, ice or hard candy going forward because these types of things can break or dislodge a veneer.

No clenching and grinding your teeth. This is one habit that many are unaware they are doing. Grinding your teeth can cause your veneers to become chipped or broken due to the force generated by these actions. If you find you’ve begun to grind your teeth, you may want to look for stress relievers to help curb that habit. If you suffer from bruxism at night, you may need a night guard while you sleep.

Avoid foods that stain. Yes, porcelain veneers are stain-resistant, but the cement holding them in place isn’t. Enjoy your favorite darker beverages like coffee and wine, but try to keep them to a minimum.

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.

Not All Dental Fillings Are the Same | Riverside Dentist

Back in the day, when we got a cavity, we expected to receive a little silver filling to remedy the situation. Wouldn’t big a huge issue for those cavities that resided in the back with the molars, but if it was one of the teeth people noticed when we spoke, it became a cause of embarrassment. Thankfully, dental technology has remedied that situation and we now have options.

Now, please keep in mind that the options vary depending on the patient’s health, where and how the filling is placed, the amount of chewing pressure the tooth will have to bear, components of the filling material and the number of visits needed to prepare and accommodate the tooth. But these choices include amalgam, composite and ionomers. Let’s us explain…

Amalgam fillings are what you know as traditional. They’re very durable, easy to use, and inexpensive when compared to other materials. Since amalgam fillings can sustain very heavy chewing loads, they are usually used to restore molars.

Composite fillings are made out of glass or quartz and resin, when mixed produces a tooth-colored filling. Composite fillings are durable and provide good resistance against fracture in small to medium restorations where there is moderate chewing pressure. Because less tooth structure is removed when using a composite, a smaller filling can be used.

Ionomers, on the other hand, are made out of a mixture of acrylic acids and fine glass powders. And they are usually utilized to fill cavities on the root surfaces of teeth or in small fillings that do not require any chewing resistance since they have low protection against fractures.

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.

Improve Your Smile with Inlays and Onlays | Riverside Dentist

When discussing ways to improve your smile, there are loads of options to consider. Inlays and onlays are the ideal dental restorations needed to repair damaged teeth, 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.

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. First, your dentist will remove the decay and shape the tooth, then put a soft material called composite resin to fit the tooth. The inlay is removed and hardened in a special oven, then cemented into your tooth.

Indirect. Your dentist will remove the decay, then make an impression of the prepared tooth and neighboring teeth. The tooth will get a temporary filling while the lab creates the inlay or onlay.At your second visit, your dentist will take out the temporary filling, then cement the inlay or onlay to the tooth.

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:

  • Material used
  • 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:

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.