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.

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.

Dental Restorations in a Day Are Possible | Dentist in Riverside

When it comes time to get a dental restoration, a typical restoration would take a few days in the dental chair. Not only is it time consuming but losing time at work in order to get this restoration makes many patients want to hold off getting them. In walks CEREC® dental restorations

CEREC® allows our doctors to quickly restore damaged teeth with natural-colored ceramic restorations, saving patients time and inconvenience. You can be in and out in a single visit with a permanent, all-ceramic crown, onlay, or veneer! For the patient this means fewer injections, less drilling, and less time out of your hectic schedule for dental care.

A tooth-colored restoration means no more silver fillings or discoloring smiles. The filling is natural-looking, compatible with tissue in the mouth, anti-abrasive, and plaque-resistant. We no longer need to create temporaries or take impressions and send them to a lab. Because of this, the traditional second visit has been eliminated.

The tooth that requires a CEREC® restoration is prepared and a 3D photograph is taken of the prepared tooth. From there, we use computer-aided design CAD software to create the restoration digitally.

Using a single block of porcelain that is color-matched to your current tooth shade, the digitally designed restoration is sent to a milling machine where your restoration is cut. The milling process usually takes about 15 minutes per restoration.

Once the restoration is finished being milled, it is fitted onto the prepared tooth and adjusted until the bite is accurate. This procedure is great for crowns, veneers and the replacement of old fillings to give you the longest-lasting, best-looking restorations.

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.

Ten for Porcelain Veneers | Dentist in Riverside

When it’s time to get start procedures to get the smile you’ve always wanted, you will be presented with an assortment of options to choose from. And depending on your specific issues, you and your dental professional will develop a treatment plan. One of these options will likely be porcelain veneers.

We have all seen veneers before – some of our favorite celebrities have veneers to give them that perfect Hollywood smile. But more than that, porcelain veneers offer superior benefits over other cosmetic dental procedures, such as dental crowns or braces. The fingernail-thin shells, which are adhered to the front surface, solve a myriad of aesthetic problems with just one treatment. Here is a list of the top ten:

Discrete. Porcelain is a translucent material that mimics the look, luster, and feel of enamel.

Quick whitener. When adhered to the front surface of your teeth, veneers will make your teeth look instantly whiter.

Straightening. Veneers offer a great alternative for patients with crooked teeth who do not want to endure the process of having their teeth straightened with dental braces.

Fixes and fills. Veneers can be customized to repair smiles with unsightly gaps, or teeth that are chipped or broken.

Youthful. A whiter, brighter, more lustrous smile can immediately give your face a more youthful appearance.

Conservative. Unlike other cosmetic procedures that require removing a large portion of healthy, natural teeth, veneers can be applied with little alteration.

Protection. Once applied, the veneers also serve to provide a protective shield to the front surface of teeth.

Stain-resistant. Porcelain is stain-resistant, which will make your smile stay brighter and whiter longer.

Gum friendly. Gum tissue is not irritated by porcelain.

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.

The ABCs of Dental Implants | Dentist in Riverside, CA

Dental implant is a pretty scary sounding procedure for many patients, but it shouldn’t be – so we are here to help. Let’s settle some nerves about this dental procedure so you don’t have to fear it when the time comes. This artificial tooth root is placed into your jaw to hold a replacement tooth or bridge when you 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, can last a lifetime.

There are two types of implants:

  • 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 the metal framework.

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. More of your own teeth are left untouched, a significant long-term benefit to your oral health.

Dental implants are secure. You don’t have to worry when speaking or eating. No messy pastes and glue. You will go about your daily routine with confidence and comfort.

Unfortunately, not everyone will be a candidate for dental implants. You need to be in good oral health and have adequate bone in your jaw to support the implant and healthy gum tissue. One more reason it is important to take care of your 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 and all surrounding areas.

Invisalign: The Way to Straighten Things Out | Dentist in Riverside, CA

Through the advances of cosmetic dentistry, Invisalign is one of the best ways to improve your smile without having to use traditional braces. Yes, Invisalign is the invisible way to straighten teeth using a series of custom-made, nearly undetectable aligners. Whether your teeth are crowded, too far apart or have shifted, Invisalign may be right for you. But before you go making your appointment, take a moment to find out all the information in order to make an educated decision. Because unfortunately, not everyone is a candidate for this discreet treatment option.

Upon an initial examination, your dental professional will decide if Invisalign is right for you. If you have a healthy mouth, it will be given as an option during your initial consultation. We will then write a treatment plan and take an impression of your teeth. Thanks to the latest advances in 3-D computer technology, Invisalign carefully translates the dentist’s instructions into a series of precisely customized aligners to fit your current mouth. The aligners will then begin to move your teeth gradually week by week until you achieve the smile you have always desired.

The clear trays are a very hand-free way to straighten your teeth without having the cumbersome idea of having the traditional metal appliances. There are some subtle changes that will need to be made to your lifestyle in order to have this option, because you may not have the heavy look of braces, but you will need to leave those trays in your mouth for most of the day in order for them to make the necessary changes, and make sure you have clean aligners every morning so some discipline will be needed.

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 and all surrounding areas.

When Your Mouth Is Under Construction | Riverside Dentist

When you have multiple dental issues, you will need multiple dental procedures in order to fix it. In fact, there is a term for this – a full mouth reconstruction. As the name suggests, full mouth reconstruction is a process where the patient’s mouth undergoes a series of treatment to restore the mouth’s function and structure.

Because it is a combination of restorative, neuromuscular and cosmetic procedures, a full mouth reconstruction’s goal is to not only restore and improve the look of the patient’s teeth, but its structure and overall function.

Most of the time, a full mouth restoration is recommended for those who have a lot of missing teeth, and those who have several discolored, worn out, chipped and broken teeth. It may also be necessary for those who’ve been experiencing chronic pain, or a clicking or popping sound in their jaws, or suffering from frequent headaches and back pain may also benefit from a full mouth reconstruction.

To know the scope of the full mouth reconstruction, it is best to have your dentist evaluate the overall status of your oral health to get a better idea on what type of treatments are necessary or available. After this, your dentist will be able to discuss with you the different types of treatment available, depending on what goals you have in mind. Be honest and don’t forget to ask about the overall costs of the procedure, as well as what your dental insurance covers. Ask for a timeframe for the whole process and any other questions you may have in order to be confident in your future treatments.

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 and all surrounding areas.

Waking Up Without Coffee | Riverside Dentist

We all know that coffee causes our teeth to stain. But did you know that it can also contribute to the buildup of plaque and tartar, and accelerate the progression of periodontal disease. Don’t worry, periodontal disease is actually one of the most common dental problems in general dentistry, but it isn’t something you want to acquire.

There are two forms of periodontal disease: gingivitis – an inflammation of your gums caused by plaque, and periodontitis – a more advanced version of gingivitis that results in a gap between your teeth and your gums. Gum disease, when caught in the gingivitis stage, can be treated and prevented. Periodontitis, on the other hand, is more difficult to treat because of the resulting gap between the teeth and gums. If left untreated, periodontal disease may cause your teeth to become loose and fall out.

Now let’s look at how it comes into play with your coffee consumption. Coffee affects your mouth in two ways. First, it lowers the temperature of your mouth and gums. Second, it reduces the blood flow. The combination of lowered temperature and restricted blood flow means your gums do not get the oxygen needed to function properly.

Saliva contains oxygen and specialized enzymes which help prevent gum disease by killing the unnecessary bacteria in your mouth. However, drinking coffee causes dehydration and reduces the amount of saliva you produce, increasing your chances of developing gum disease. So, when you are thinking about that second caffeine boost, make sure you take good care of your teeth afterwards.

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.

The Ins and Outs of CEREC Restorations | Riverside Dentist

When thinking about a smile makeover, dental restorations may be a necessary part of your treatment plans. If this is the case, your dental professional may suggest CEREC dental restorations. Sounds fancy, doesn’t it? It really isn’t, but it is truly revolutionary. Not only because they will improve your smile and make them look natural, but they can be created in a single appointment. You heard it correctly – CEREC restoratives save you time in the dental chair. Unfamiliar? Here’s a quick rundown…

CEREC® or Ceramic Reconstruction is a method used by thousands of dentists since 1987 not only to replace old fillings, but also to restore any tooth that is decayed, weakened, broken, etc. to its natural strength and beauty. CEREC® allows our doctors to quickly restore damaged teeth with natural-colored ceramic restorations, saving patients time and inconvenience.

A tooth-colored restoration means no more silver fillings or discoloring smiles. The filling is natural-looking, compatible with tissue in the mouth, anti-abrasive, and plaque-resistant. We no longer need to create temporaries or take impressions and send them to a lab. Because of this, the traditional second visit has been eliminated.

When you visit the dentist, your tooth requiring a CEREC® restoration is prepared and a 3D photograph is taken of the prepared tooth. From there, we use computer-aided design CAD software to create the restoration digitally. Once the restoration is finished being milled, it is fitted onto the prepared tooth and adjusted until the bite is accurate.

This procedure is great for crowns, veneers and the replacement of old fillings to give you the longest-lasting, best-looking restorations.

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 and all surrounding areas.

Lasers at the Dentist? | Dentist in Riverside, CA

When you think about lasers, what is the first thing that comes to mind? A sci-fi movie? Chances are you aren’t thinking about your dentist, but lasers are actually more commonplace than you may think. Why? Laser dentistry can relieve and cure several dental conditions you may encounter with added benefits.

A laser is a device that emits a very narrow, intense beam of light energy. When that beam of light comes into contact with tissue, it causes a reaction that can remove, vaporize, or shape tissue. Lasers have been used in several other industries; however, in 1990 they became a common tool for dentists. So, as much as we have come to expect sharp metal objects fixing your smile, you may be pleased to know a laser has replaced many of those tools.

Some of the scenarios where lasers can be used in dentistry are: correcting tongue speech problems, uncovering partially erupted wisdom teeth, removing decay from a cavity prior to filling, removing muscle pulls, managing gum tissue, performing biopsy procedures, reducing the amount of bacteria in periodontal pockets, treating infections, reducing discomfort from canker or cold sores, and activating whitening chemicals when bleaching teeth.

Then there are the advantages: no need for anesthesia or drilling, reduction of symptoms and healing times as well as bacteria in gums and teeth and controlling bleeding during a surgery.

Sounds like a dream come true, right? Well, unfortunately using lasers is not suitable for all dental procedure. Make sure to call your dental professional to set up an appointment to discuss treatment options.

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 and all surrounding areas.