Meet Dr. Gary Randall Middleton

Get to Know Dr. Gary Randall Middleton

Endodontist

Dr. Gary Randall Middleton II is an Endodontist and proud Dallas native. His fascination with endodontics began when he observed the level of precision and attention required to successfully perform root canal therapy. This passion led Dr. Middleton to pursue a career dedicated to saving teeth and providing patients with a comfortable, low-stress experience. By using the latest technology, instruments, and materials, Dr. Middleton ensures every patient receives the highest quality care.

Dr. Middleton earned his Bachelor of Business Administration from the University of Texas at Dallas before completing his Doctor of Dental Surgery degree at the University of Texas Health Science Center in San Antonio, where he graduated magna cum laude. Dr. Middleton then pursued a General Practice Residency at the Texas Health Science Center in Houston, gaining extensive experience in comprehensive dental care. His passion for endodontics led him to complete an advanced specialty program at the University of Nebraska Medical Center, where he honed his skills in root canal therapy, microsurgery, and pain management. As an active member of the American Association of Endodontists, the American Dental Association, and the Texas Dental Association, Dr. Middleton remains committed to ongoing education and staying at the forefront of advancements in his field.

Dr. Middleton takes great pride in providing personalized care, ensuring that each patient receives his undivided attention from diagnosis through treatment. His philosophy centers on making endodontic treatment as seamless and comfortable as possible while prioritizing the preservation of natural teeth.

Outside the office, Dr. Middleton enjoys an active family life with his wife and two sons. When he’s not treating patients, he can often be found on the golf course, exploring new travel destinations, or spending quality time with his family. Whether at work or at home, he brings the same level of dedication and care to everything he does.

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Dr. Gary Randall Middleton

April 24, 2024

Is my tooth infected?

A tooth infection, also known as a dental abscess, can cause a range of symptoms like pain, tenderness/swelling, sensitivity, fever, or bad odor. If you experience any of these symptoms, it’s crucial to promptly seek care from your trusted dentist to prevent the infection from spreading and causing more serious complications.

How do teeth get infected?

A tooth can get infected anytime it’s exposed to bacteria for a prolonged period of time, typically after experiencing damage or tooth decay. A tooth infection can also develop due to:

Cavities: Diets high in acid and sugar, or ineffective oral hygiene can cause plaque buildup leading to cavities. If left untreated, the bacteria from the tooth decay will reach the tooth’s innermost layer and cause an infection.
Trauma or Injury: Accidents or injuries to a tooth (like from a fall) can cause severe damage. If damage to the tooth leaves the pulp exposed to bacteria, you could be at risk for an infection.
Periodontal Disease: Periodontal disease is an infection that causes bleeding and inflammation of the gums. As the disease progresses, the infection can reach the bone and tooth roots and cause an abscess.
Failed Restorations: Over time, dental restorations like fillings or crowns, can loosen, allowing bacteria to infect the tooth.

How are tooth infections diagnosed?

If you experience the symptoms of a tooth infection, like pain, tenderness, swelling, sensitivity, or bad odor, you should visit your dentist as soon as possible for a thorough evaluation. During your evaluation, you’ll have an opportunity to discuss your specific symptoms with your dentist.

To determine if the tooth is infected, your dentist will likely:

Visually inspect the tooth and supporting structures for redness, swelling, or a visible abscess.
Tap and press gently on the tooth to test for sensitivity, tenderness, and pain.
Apply heat or cold to the tooth to test the sensitivity of the tooth’s nerve.
Review a series of dental x-rays that reveal a detailed view of the internal components of the tooth and jawbone.

What’s the process for treating a tooth infection?

Tooth infections are treated based on the severity of the infection. An antibiotic may first be prescribed to reduce the infection and prevent it from spreading. Then, your dentist may recommend treatment options such as root canal therapy and a dental crown, or a tooth extraction with a dental implant.

In the case of root canal therapy, your natural tooth is saved. The infected pulp inside the tooth is removed and the root canals are filled and sealed. Depending on the complexity of the situation, this procedure may need to be referred to a root canal specialist, also known as an Endodontist.

Alternatively, if the tooth is too damaged to be saved, your dentist may recommend a tooth extraction. Once the extraction site has healed, an implant and dental crown may be placed to restore the function and appearance of your smile.

Prompt and accurate diagnosis is essential for effective treatment for a tooth infection. If you suspect you may have an infected tooth, or are overdue for a dental wellness visit, schedule an appointment with our team today.