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.

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.

Natural Ways to Treat Obstructive Sleep Apnea | Dentist in Riverside

We all love getting some good sleep. Unfortunately, this isn’t a luxury for most of us. The National Sleep Foundation recommends adults get an average of 7-9 hours of sleep per night, but 80% of people use the weekends to catch up on sleep. And if a poor night’s sleep is a common occurrence, this could be a sign of a more serious issue, like obstructive sleep apnea.

OSA is a condition in which a person’s upper airways become partially or completely blocked, causing pauses in breathing while they sleep. Thankfully, there are lots of ways to treat this sleep issue and its varying degrees, both medically and naturally. Here are some of the DIY options:

Weight loss techniques. For some people, carrying excess body weight can increase the likelihood of sleep apnea. Losing excess weight could be a good first step in treating obstructive sleep apnea.

Healthful lifestyle changes. Other health changes could help a person reduce the symptoms of sleep apnea, including avoiding smoking or drinking, and taking allergy medications to open up airways.

Side sleeping position. One of the most common approaches to home remedies for sleep apnea is a body positioning pillow or another similar device to keep someone from sleeping on their back.

Raise the head of the bed. Sleeping at an angle of about 60 degrees may help reduce the number of apnea episodes for back sleepers.

Didgeridoo playing. The didgeridoo is a wooden wind instrument from Australia that requires a special breathing technique that could help strengthen the muscles in the upper airway.

Oral or dental appliances. Another home remedy for sleep apnea is wearing an oral device that holds the tongue or jaw in a certain position to help facilitate better breathing. See your dental professional for recommendations.

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.

The ABCs of Fluoride | Dentist in Riverside

We’ve all seen it before – fluoride in our water, in our toothpaste, everywhere. But what exactly is fluoride? And what exactly does it do to our teeth? Here is everything you need to know about this mystery additive.

Before teeth break through the gums, the fluoride taken in from foods, beverages and dietary supplements makes tooth enamel stronger, making it easier to resist tooth decay.

After teeth erupt, fluoride helps rebuild weakened tooth enamel and reverses early signs of tooth decay. When you brush your teeth with fluoride toothpaste, or use other fluoride dental products, the fluoride is applied to the surface of your teeth.

In addition, the fluoride you take in from foods and beverages continues to provide a topical benefit because it becomes part of your saliva, constantly bathing the teeth with tiny amounts of fluoride that help rebuild weakened tooth enamel.

So, now that we know it’s great for our teeth, how do we get fluoride?

  • Drink water with fluoride.
  • Use dental products with fluoride.
  • Brush twice a day (morning and night) or as directed by your dentist and physician.
  • Visit your dentist regularly.
  • Take a fluoride supplement.

For children younger than 3 years, start brushing their teeth as soon as they start to appear in the mouth by using fluoride toothpaste in an amount no more than a smear or the size of a grain of rice.

For children 3 to 6 years old, use no more than a pea-sized amount of fluoride toothpaste. Children don’t have developed swallowing muscles so stay away from mouthwash until they are at least seven years old.

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?

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.