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Why We Experience Bad Breath | Dentist in Riverside

toothbrush

Even if we brush, floss, and use mouthwash before bed, we will likely wake up with less-than-favorable breath. Having halitosis, or bad breath, is normal- it happens to all of us. There are so many ways we can develop bad breath, so it’s important to understand what contributes to it, and how we can go about mitigating our chances of having and retaining the bad breath.

Bad habits may seem like an obvious contributor, but many who practice these habits, have become accustomed to or are disassociated from the connection between them. Habits such as smoking, chewing tobacco, and failing to maintain a proper oral hygiene routine will all contribute to bad breath.

The next one is food- onion, and garlic being the most notable two foods that play a part in our breath. Essentially, any food that one might find to smell bad (despite how delicious it may be), can contribute to bad breath. Then, there are bacteria. If you suffer from dry mouth or don’t drink enough water to generally keep your mouth moist and recycle food particles throughout the day, bacteria will begin to take over. Oral bacteria feed on the sugars left behind when we eat or drink sugary or acidic foods, producing foul-smelling acids in kind.

A lesser-known cause of bad breath is our tonsils. Our tonsils have deep holes called crypts that are commonly associated with bad breath. These crypts can harbor bacteria that is typically described as smelling like cheese which, you guessed it, gives you bad breath.

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.

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What Are Cavities and How Do They Happen? | Dentist in Riverside

Cavities are preventable and treatable; it’s important to be aware of what causes cavities and how dentists treat them. We have put together a quick guide on what can increase the likelihood a child or adult may develop a cavity, and the different treatments available depending on how advanced the decay is.

What Causes a Cavity?

Sugar– While sugar doesn’t cause cavities, like citric acid, it contributes to the likelihood you may develop one. Sugar is a harmful bacteria’s favorite food, so the longer sugar lingers on your teeth, the more likely that bacteria will begin to eat it. This weakens your enamel and creates opportunities for that harmful bacteria to hang around and cause a cavity.


Acidic Foods– Citric acid contained in lemons, limes and oranges also pops up as an ingredient in processed foods. Citric acid and others weaken teeth and put enamel in danger of erosion which in turn creates crevices for bacteria to stick and become a cavity. It would be difficult to avoid citric acid, so the best thing you can do is consume water throughout the day and keep the intake of acidic foods to a minimum.

Believe it or not, children are not more prone to develop cavities than adults, but there are factors that may put children and elderly individuals at more risk for tooth decay. Children tend to crave and eat sugary foods while doing a poor job brushing their teeth. The elderly tend to take medication that reduces the amount of saliva they produce thus reducing the neutralization properties of saliva.

Drinking water throughout the day and regular dental visits can help both children and their grandparents to reduce the chances harmful bacteria may cause a cavity.

What Are My Treatment Options?

If you wake up to a toothache or notice black spots on a tooth, you may have a cavity. Cavities are a common occurrence and dentists have several means of treating them. Treatment options vary depending on how advanced the tooth decay has become.

Simple Decay- Fluoride treatments and fillings are viable treatment options if the cavity is in its early stages. Your dentist will apply a solution to the decaying tooth to kill harmful bacteria and place a filling where the cavity was to seal the area to prevent further decay. This is a fairly simple and painless method for cavity removal, as well as the most common treatment option.

Serious Decay- If the cavity has progressed beyond the ability for a fluoride treatment to remove the bacteria, crowns, root canals and tooth extraction are a dentist’s next line of defense. Crowns are custom coverings for decaying teeth; typically made from porcelain, they work to strengthen your effected tooth once the bacteria has been removed. If the decay reaches the inner tooth, or pulp, your dentist will remove the pulp, medicate it to clear any infection and add a filling. Tooth extraction is a last resort option when the decayed tooth is beyond restoration. Your dentist may recommend a bridge or implant for the gap.

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.

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What You Should Know About Wisdom Teeth Removal | Dentist in Riverside

Wisdom teeth can crowd valuable gum space and can cause third molars to grow improperly and teeth to overlap one another; for individuals with small mouths and jaws, this is especially detrimental. Wisdom tooth removal is a very common procedure performed on a majority of young adults and is nothing to be afraid of.

Not everyone gets wisdom teeth, but if your wisdom teeth do grow, this is the basic process you can expect to go through:

Consultation. If you are feeling the growing pains of new teeth coming in at the back of your jaw, it may be a sign your wisdom teeth are coming in. It is common for this set of teeth to erupt in young adults between one’s late teenage years to their early twenties.

Removal. The removal process will look a little different for everyone depending on the circumstances of tooth positioning, jaw size, and the angle at which wisdom teeth come in. For some, this set of molars does not impact their jaw or existing teeth and they can safely retain them. Most people however do require removal and have two options:

         IV Sedation. For those with dental anxiety or who are generally concerned about their procedure, IV sedation is a great option. Upon arrival, you are allowed a few minutes to breathe and relax as an IV drip slowly puts you to sleep. When the procedure is over, you will wake up and may experience a somewhat dazed feeling until the solution fades.

         Nitrous Oxide. Commonly known as “laughing gas”, nitrous oxide allows one to remain awake during the procedure and is administered as a means of relaxing an individual into their procedure. It’s important to note that nitrous oxide does not work for everyone and that increased amounts do not necessarily mean a more effective result.

Recovery. Initial recovery from the effects of sedation or nitrous oxide after surgery typically only lasts a few hours. Healing time for the gums can take up to two weeks and the reintroduction of certain foods follow this period so as not to further disturb your gums. Your dentist will speak with you about proper cleaning methods for the gums to ensure a safe and effective healing process.

Wisdom tooth removal can be viewed as either a rite of passage into adulthood or terrifying for someone to go through. Either way, the removal of our wisdom teeth for those who attain them is important.

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.

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Crossbites: A Guide | Dentist in Riverside

Learning that you or you or your child may have a crossbite can be an intimidating moment. A crossbite can seriously impact one’s quality of life, and treatments can seem scary. Yet, questions like “How soon should a crossbite be addressed” and “What means of intervention might we take” are better addressed sooner than later.

What does it mean to have a crossbite?

Simply put, a crossbite is when your upper and lower jaws do not align properly. Your upper jaw may rest to the right or left of your lower jaw, causing an improper alignment. This can cause a variety of issues such as grinding down your teeth, temporomandibular joint disorder, inability to chew effectively, facial asymmetry, uneven jaw development, and biting your cheek or tongue frequently.

Treatment options

Opinions are divided about when to begin treatment for a crossbite, some suggesting at the time of diagnosis (for a child, this could mean around the age of three), while others want to wait until a child’s molars arrive (commonly around the age of six). No matter when you decide to begin treatment, dentists and orthodontists alike agree a cross bit should not be left untreated for the reasons mentioned above.

Depending on the kind of crossbite, and how severe the misalignment is, its likely treatment will involve dental appliances that work to correct the bite pattern. This can be in the form of braces, sagittal expanders, and retainers that all work to correct the alignment over time. These methods are commonly employed when the entire alignment is off. If misalignment is being caused by a single tooth, it is more likely that a dental face mask, clear aligners, or braces are employed.

While crossbites are not very common, they are generally considered a genetic occurrence. In the case of discovering your young child has a crossbite, it should be treated before they sustain permanent damage to their face and jaw. Listen to all the options provided by your dentist, and choose the course of action that best suits your child.

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.

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Caring For Baby Teeth Is More Important Than You Think | Dentist in Riverside

Boy brushing his teeth

“Baby teeth” are the precursor for adult teeth, they are the placeholder and it’s important they be maintained for gum health and reduction of harmful bacteria. Our baby’s health will always be better off from early interventions in proper oral hygiene.

The Basics:

Oral hygiene for our children begins the day their first tooth breaks through the gum. With a damp, soft cloth, lightly wipe your baby’s gums after feeding. Once more prominent, you may begin using a soft toothbrush and non-fluoride toothpaste twice a day until preschool age. At that age, the amount of toothpaste that can be safely used increases to the size of a pea.

It’s Their Turn:

When your child is at that age and able to brush on his or her own, it’s important to keep an eye on them. Many children find the process of brushing their teeth to be boring or unimportant, but this is an important age to develop good habits. Singing toothbrushes and flavored toothpaste help encourage kids to find the process more enjoyable and help guide them towards brushing their teeth for two minutes. Another great way to encourage your child is to brush with them and show them how to get to their molars, the back of their teeth, and the front.

Parents who take their children’s oral hygiene seriously and encourage good habits aid the child’s adult teeth later- even if they don’t know it yet.

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

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

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The Real World Benefits of Smiling | Dentist in Riverside

There is no official evidence supporting the adage “it takes more muscles to frown than to smile” but there is evidence to support the positive effects of a smile. Everything in the human body is connected, and smiles have real-life implications for our physical and mental health. Friends may even encourage one another to smile during difficult times; that is because even a fake smile produces real endorphins.

Smiling and Our Relationships. People who smile more often are seen as being more approachable, likable, creative, and productive. Smiling can also have a “ripple effect” as one person’s expression of joy can cause an onlooker to also feel joy and smile too. The next time you are out with friends, or a loved one could use a pick-me-up, remind them of their positive attributes and share a smile with them!

Smiling and Our Overall Health. When we smile, our brains release neuropeptides and neurotransmitters that alleviate the stressors of our day. The most common hormones associated with these results are dopamine, serotonin, and endorphins. Dopamine and serotonin are “happy hormones”, acting as antidepressants. Endorphins offer mild pain relief; together, they have been shown to reduce stress and our heart rate. A smile a day can go a long way to making us feel better and look out for the world with a positive attitude.

It is important to note that there are individuals who experience smile anxiety and may hesitate to share in this exchange. Smile anxiety occurs when an individual becomes reluctant to smile in public because he or she dislikes, or is embarrassed by, the aesthetic appeal of their smile. There are many factors that may cause someone to feel this way including trauma, decay, or the way in which their adult set has grown.

Its important to retain gentle kindness if you know a loved one struggles with the appearance of their smile, though there are several means of restoration your dentist may accommodate.

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.

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Understanding Oral Infections | Dentist in Riverside

We all know that brushing our teeth for two minutes, twice a day along with regular dental visits contributes to positive oral health. You may not know the infections that can occur as a result of not practicing consistent oral hygiene routines. Here are some of the most common oral infections that may result from poor oral hygiene.

Gingivitis– Simply put, Gingivitis is inflammation of the gums. It is the precursor to Periodontitis, the escalation of Gingivitis should it go untreated. Gingivitis is the result of plaque buildup that spreads from the gums to the ligaments that support the teeth.

Periodontal Disease– When left untreated, Gingivitis may spread below the gum line, affecting the supportive tissues and bone of our teeth. This progression is known as Periodontal Disease which deteriorates these supports leading to the potential loss of teeth and may even spread to the lungs causing pneumonia.

Canker Sores– These are cuts that develop on the gums and other mouth tissues and are common in children and teens. Vigorous brushing, cheek bites, and sports injuries – as well as hormones and immune problems, may lead to canker sores.

Oral Herpes– According to centerforbeautifulsmiles.com, “50-80 percent of American adults” carry the Herpes Simlex Virus. This can lead to “blisters and ulcers on the gums and tongue, flu-like symptoms, or no symptoms at all.” While there are things individuals can do to keep the virus dormant, an outbreak may last ten days to two weeks.

Hand, Foot, and Mouth Disease– Toddlers and school-aged children are the most susceptible to Hand, Foot, and Mouth Disease. The virus Coxsackie A16 is spread by direct contact with saliva and mucus; children are particularly unconscious of their direct exposure to these fluids. Children may experience fever, sore throat, and the development of painful blisters on their body but should only last a few days.

Herpangina– Similar to Hand, Foot, and Mouth Disease, Herpangina typically affects children and presents itself with fever symptoms and difficulty swallowing. Yet, unlike Hand, Foot and Mouth Disease, it forms blisters on the back of the mouth that once ruptured, become ulcers. Symptoms typically only last a few days.

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.

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Is Mouthwash Essential for Oral Health? | Dentist in Riverside

Mouthwash is advertised to kill bacteria and give you fresh breath, but that isn’t the whole story. Mouthwash reduces the bacteria in your mouth and reduce the amount of plaque it forms. Regular use helps prevent periodontal disease, and those with fluoride work to reduce cavities when used as directed. 

Mouthwash, after proper brushing and flossing, can provide peace of mind to individuals who struggle to keep cavities at bay, despite their best efforts. Mouthwash isn’t exactly the first thing a dentist will mention when reviewing your regimen, but it shouldn’t be overlooked.

Is mouthwash safe for children?

This is a question we hear a lot, so let’s address it first. Children under the age of 6 should not be utilizing mouthwash, as they are likely to consume it. Once your child has developed the muscle reflexes necessary to swish and spit the wash, with adult supervision, they can begin to incorporate it into their care routine.

What ingredients in mouthwash make it effective?

The bacteria-fighting active ingredient(s) in mouthwash are what make it an effective addition to your routine. Ingredients such as cetylpyridinium chloride, zinc gluconate, or quaternary ammonium are commonly found in washes. Just one of these will provide the bacteria-fighting benefits that enhance your routine.

Are natural mouthwashes effective?

Some people advocate for fluoride, and others want little to do with it. Many brands make natural alternatives, utilizing essential oils or harvested ingredients like garlic as an astringent. Whatever the formula, natural mouthwashes have been shown to be effective at preventing gum disease without adding to the rise of antibacterial- resistant bacteria.

While mouthwash isn’t going to make-or-break your oral hygiene, it is a great way to round out your routine. Mouthwash may bring you peace of mind between visits or be an effective way to keep bacteria at bay for cavity-prone teeth.

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.

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Communicate With Your Dentist: It Matters | Dentist in Riverside

Visiting the dentist is an essential part of your oral health. Many people are timid about regular cleanings and check-ins, but they help you notice warning signs sooner. You don’t have to wait until your next visit to discuss your concerns with your dentist, you can always call to gain clarity about the concerns you may have. 

If you are in person with your dentist or have been historically timid about sharing with your dentist, here are some things to consider sharing and why.

Any and All At-Home Concerns:

It’s important to remember that your dentist is on your team; they are open to answering your questions with knowledge and experience. If you have any concerns about your teeth, gums, or jaw, or are experiencing any pain it is important to share that with your dentist. It’s easy to turn to the internet for answers to these concerns, but lifestyle habits among other things are factors your dentist can consider with you. If any of the following apply to you, it is important to discuss them with your dentist before they potentially get worse:

  • Bleeding gums
  • Sores in the mouth that do not heal
  • Sensitivity or pain
  • Clenching your jaws
  • Grinding your teeth
  • Problems with brushing or flossing

If Have You Made Health and Lifestyle Changes:

If you make changes to your lifestyle, such as reducing or increasing medications or the consumption of coffee or nicotine, it’s important to let your dentist know. These seemingly nominal changes can have a huge impact on your oral health over time. The acid in coffee may weaken your enamel over time, whereas reducing consumption may allow it to remain intact. The potential impact of nicotine from cigarettes or chewing tobacco on your oral health is another important thing to share so your dentist can look for signs of change.

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.

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Don’t Forget to Floss | Dentist in Riverside

When traces of food remain tucked away between our teeth, it becomes a source of food for corrosive sugars to feed on; over time, this becomes the source of pockets in the teeth for bacteria to settle and the problem to compound. Flossing is a very important step for any oral care routine, and it’s usually one of the first questions posed during a visit. Routine flossing helps to ensure that the granules of residual food left after meals are removed to prevent cavities. If you haven’t maintained the best flossing routine, here are a few ways you can get into the habit:

1. Set a reminder

If it’s not currently part of your routine, or you have so much going on it’s hard to remember, setting a reminder on your phone or a notecard by your sink may help you begin to incorporate this practice until its second nature. If the technique of flossing is something you struggle with, employ this practice as a means to check in with helpful guides that walk you through the proper steps until you get the hang of it.

2. Explore Floss Options

Waxed, non-waxed, plush, disposable picks, threaders, and water flossers are all available options. If one type of floss doesn’t make you want to floss, it’s less likely you will do it. It’s important to find a way to floss that suits your tastes. The tried-and-true thin waxed threads may irritate your gums, so trying a plush thread may alleviate your disregard. If the notion of putting thread between your teeth is off-putting, a water flosser that shoots a stream of high-pressure water may do the trick.

3. Reward yourself

Marking off days on a calendar, watching an episode of your favorite show or brewing a cup of your favorite tea are all great ways to reward yourself for remembering to floss. As you go along, allow yourself a special treat once a week, every two weeks or once a month to reinforce the good hygiene habit you are forming. It takes about 21 days to form a habit, so whatever you do to encourage yourself to keep practicing for at least that long, will go a long way towards a lifetime of proper oral care.

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.