Effects of Diabetes During Orthodontic Treatment

We can’t deny that diabetes has become a common disease, but that doesn’t make it any less serious. It exposes you to the risk of developing heart diseases and affects your eyes, kidneys, nerves and even skin. But what’s often ignored is how diabetes affects your oral health which highly influences your orthodontic treatment. Keep reading to find out the threats of diabetes to your oral health.

Diabetes and Periodontal Disease

Periodontitis is a gum infection which affects the soft tissue and destroys the bone that supports the teeth. It is caused by the build-up of bacteria in your mouth and may result in the loss of teeth. To put it simply, it is caused by poor oral healthcare.

Periodontal Disease and Orthodontic Treatment

Diabetes increases the risk of gum disease since diabetic patients are more susceptible to infections. And people with periodontal disease face problem during their orthodontic treatment. This is how:

  1. Bone loss and inflammation during periodontitis move the teeth into an undesirable position during the treatment.
  2. Periodontitis stresses the gums and complicates the orthodontic treatment forcing you to stop it early.

Gingivitis – Gingivitis is the early stage of gum periodontal disease that results in red, swollen and tender gums. It makes the gums bleed easily and also results in bad breath.

Gingivitis and Orthodontic Treatment

  1. Gingivitis results in swelling in the gums. This brings the capillaries closer to the surface leading to bleeding if traditional braces accidentally tear the skin.
  2. Swelling in gums can obstruct the brackets if left untreated.

Tooth Decay

The most common of the oral health problems is tooth decay. It is caused by bacteria feeding on the sugar in your mouth which results in the accumulation of plaque over the surface of teeth. The saliva in our mouth balances the acid produced by the bacteria. However, due to high saliva and blood glucose levels in diabetic patients, the saliva fails to balance the acid.

Tooth Decay and Orthodontic Treatment

  1. The brackets and wires in your braces easily trap the food particles. And poor oral care during the orthodontic treatment results in permanent damage to your teeth making them brown and chalky.
  2. The loss of mineral of the tooth structure can even make the teeth crumble and break.

Oral Infections and Dry Mouth

Low saliva levels and high glucose levels due to diabetes make our mouth more vulnerable to oral infections, particularly fungal infection also known as thrush. And if you’re undergoing orthodontic treatment, infections can get worse. Moreover, diabetes reduces the production of saliva in your mouth which can leave you feeling thirsty all the time.

Oral Healthcare for Diabetic Patients

  1. Use an interdental brush. It is thin, round or cone-shaped brush with bristles held together by a wire. It is designed to be inserted between the teeth gently.
  2. Brush your teeth twice a day and complete your oral routine by a mouthwash to remove bacteria.
  3. Rinse your mouth after every meal.
  4. Drink water along with food to wash away the tiny food particles immediately.
  5. Check your mouth regularly for signs of gum disease such as inflammation, redness, or bleeding gums.
  6. Don’t smoke.

Traditional orthodontic treatment using wires can get complicated for people with diabetes. The alternative to braces is the Invisalign treatment which aligns the teeth using transparent Invisalign holders. It helps maintain good oral health since you can remove and put an Invisalign holder back on before and after every meal.

Ensure that you visit your orthodontist in Lawrenceville, GA regularly and remind them every time that you are a diabetic patient. Ensure that you take good care of your teeth to be rewarded with a healthy and beautiful smile.

Types of Malocclusion and How Orthodontic Treatment Can Help

Malocclusion is the medical term for misaligned teeth and bite. There are different types of malocclusions that range from crooked teeth and overbites to overcrowding and crossbites. If left untreated, malocclusion of teeth can even lead to oral health problems, speech problems, sleep disorders and severe headaches. Orthodontic treatment is a safe and effective option for correcting varying classes of malocclusion.

What Causes Malocclusion of Teeth

Generally, misaligned teeth are inherited and can be passed down in the family. However, certain habits and conditions can also induce changes in the jaw structure. These include:

  • Prolonged use of pacifier after 3 years of age
  • Thumb sucking
  • Oral tumors
  • Abnormal shape of teeth
  • Poor oral care
  • Impacted teeth
  • Ill-fitted crowns or braces
  • Injuries
  • Improperly fitting teeth fillings
  • Mouth breathing triggered by enlarged tonsils or allergies

Symptoms of Malocclusion

Depending on the type of malocclusion, the symptoms may be subtle or severe. Usual symptoms of malocclusion of teeth include:

  • Misaligned teeth
  • Altered facial appearance
  • Repeated biting of inner cheeks
  • Discomfort when chewing food
  • Speech problems
  • Breathing through the mouth instead of nose

Types of Malocclusions

Malocclusion of teeth is diagnosed during a routine oral checkup and can be classified into the following types:

  • Overcrowding

    This is a common oral health problem caused by lack of space in the jaw. This inadequate space results in crooked and overlapping teeth.

  • Open Bite

    An open bite occurs when the front teeth don’t overlie the lower teeth. An open bite that impacts the front teeth is called an anterior open bite.

  • Missing Teeth

    Missing teeth occur when teeth don’t develop properly or when permanent teeth suffer accidental trauma. The clinical name of this dental condition is hypodontia.

  • Diastema

    This is space created between two adjacent teeth and it usually affects the front teeth.

  • Impacted Tooth

    An impacted tooth is the one that does not undergo the normal eruption process.

  • Spacing

    Spacing typically occurs between two or more than two teeth. It can be caused due to thumb sucking, tongue thrusting, small teeth or due to a missing tooth.

  • Overjet

    An overjet is when the top arch of teeth extends beyond the bottom arch horizontally, resulting in protruding teeth.

  • Overbite

    An increased overlapping of the upper front teeth on the lower front teeth results in an overbite. This can cause your upper front teeth to bite on the lower gums.

  • Crossbite

    A crossbite occurs when the upper teeth bite within the lower teeth. This can happen on either or both the sides of your jaw and adversely impact your front or back teeth.

  • Underbite

    A crossbite that is affecting only the front teeth is known as an underbite.

Orthodontic Treatment Available for Malocclusion of Teeth

Malocclusion of teeth mostly affects children and teens. So, the very first line of treatment is to extract some baby teeth and create room for the permanent teeth to erupt normally. Some children may need early treatment during their growth spurts to modify the jaw. They are required to wear a device that helps shift the jaw into the right position.

Following this phase of treatment, braces are placed. Braces are designed to apply gentle pressure on the teeth and to correct the bite. Orthodontic braces are an ideal way to correct misaligned teeth and jaw problems. However, an adult with malocclusion of teeth may need dental surgery, depending on the severity of the condition.

Teeth tend to drift out of their place even after wearing braces. So, you may be recommended to wear a device called a retainer to keep the teeth from moving out of their desired position following orthodontic treatment.

At Koch Orthodontics we use the latest technology to ensure that you get the best results. Besides the traditional, metallic braces, we also use self-ligating braces and undetectable Invisalign technology to make your orthodontic treatment quick and convenient. To book an appointment, call us at (770) 962-956.

6 Things to Consider When Choosing the Right Orthodontist in Lawrenceville, GA

If you have decided on getting braces either for you or your child, you are making a long-term commitment to one orthodontist. It’s a big investment you are making because a significant amount of time and money is involved. However, a right family orthodontist can make this entire process worth its while.

Here’s what you need to know when evaluating orthodontists in Lawrenceville, GA.

1. Collect information

Collecting information is a crucial step because it gives you the power to make the right choice. Here’s how you can get information to shortlist the best orthodontists in Lawrenceville, GA:

  • Find out what the former and current patients have to say about the orthodontist.
  • Look for reviews online.
  • Check out the websites of orthodontists in the Lawrenceville area to get a feel of the place and people working in there.
  • Ask your friends and family for recommendations.
  • Call up the orthodontic office to see how they respond to your queries.

Once you get the recommendations and information about the orthodontics in Lawrenceville, GA, take your time to shortlist the potential orthodontists based on the other parameters we’ll discuss next.

2. Compare specialties, treatment options, costs, and finance options

Today there so many types of braces and orthodontic treatment options available to straighten your teeth. And each orthodontic procedure requires special skills.

Unfortunately, not all family orthodontists are skilled to carry out specialized techniques needed for clear or Invisalign braces.

It is therefore important to choose an orthodontist who is skilled to carry out the treatment options of your choice.

The cost differs with the types of braces you choose. Traditional metal braces will cost comparatively lesser than clear or Invisalign braces. Most orthodontists in Lawrenceville offer payment options to make the financials a little easier on you.

Compare the specialties, treatment options, cost, and finance options before taking a final call.

3. Check the credentials & experience

It is always better to check out your orthodontist’s credentials, specialties and experience before you make the choice. You would want to choose an orthodontist in Lawrenceville, who is

  • A licensed member of the American Association of Orthodontist,
  • Has been practicing for a while and
  • Is up to date with the latest orthodontic technology.

Also, check their website to find out answers to these questions:

  • Are they certified to carry out orthodontic treatment with clear braces or Invisalign braces?
  • How many patients have they treated with this technology so far?
4. Check for time flexibility

Not all orthodontists in Lawrenceville, GA have flexible appointment schedules. Find out whether your potential orthodontist takes early or late appointments.

Ask about their policy about canceling or postponing the appointment. How open they are to see you when you have an emergency?

Find out this information about orthodontists in Lawrenceville, and choose the one, who is flexible enough to understand how valuable your time is.

5. Is the location convenient?

Orthodontic treatment is a long process, so a convenient location of an orthodontist in Lawrenceville is a must. Also, inquire about the parking facility in the area as well.

6. Schedule an initial consultation

An initial consultation will help you get a first-hand experience of how it’s going to be if you decide you go ahead with the orthodontist. Your initial consultation will make you get a feel of the place and the people responsible for your care. Observation is the key here. Observe these things:

  • Is everything looking clean and sterile?
  • Are they using the latest technology?
  • Do the staff keep their patient’s comfort in mind at all times?
  • Is the office comfortable and the staff friendly?
  • Is the orthodontist attending to you makes you feel comfortable?
  • Is the orthodontist trustworthy and skilled enough to carry out your orthodontic treatment?

These things are important to know because you’ll be spending the next 2-3 years or even more with that orthodontist. So, you may as well analyze your experience to decide whether or not to go ahead with the orthodontist.

Once you have all the information required, weigh your options. Look at all the factors mentioned above, and then make your final decision. If you have any doubts or questions, don’t hesitate to call the orthodontist’s office.

If you are looking for the best orthodontist in Lawrenceville, GA, consider Dr. Jacob Koch of Koch Orthodontists. He stays current with all the important trends to offer you the latest technology in orthodontic treatment.

To find out what type of orthodontic treatment is best for you, call Koch Orthodontics, your orthodontist in Lawrenceville, GA today to schedule your initial consultation.

What is DIY Orthodontic Treatment and Why it is Dangerous

What Exactly is DIY Orthodontic Treatment?

DIY orthodontic treatments are all over the internet in the form of blogs and YouTube videos – all by individuals who are neither qualified nor trained in orthodontics. These people are using various methods like elastic rings, rubber bands, and plastic mold kits, claiming to close gaps and fix crooked teeth in as less as 45 days.

Most of these DIY orthodontic treatment videos feature teens using cheap elastic bands for tying the teeth they wish to move and none of these materials are medical grade quality. Bloggers also instruct you to wear the bands for a few weeks even if it is hurting because according to them, not giving up now makes it totally worth it when you see the results. But in reality, this initial pain is actually paving the way for irreparable damage to your oral health that can also result in permanent tooth loss.

How is DIY Orthodontic Treatment Hazardous for Your Oral Health?

While elastic strings and rubber bands seem harmless, they can actually slide up your misaligned teeth and become firmly fixed in your gums, cutting off blood supply. This can invite terrible complications like:

  • Oral infections that go undiagnosed
  • Gum damage
  • The possibility of moving your teeth in the wrong position or back to their original position
  • Restricted blood flow
  • Open sores
  • Bone loss
  • Tooth decay
  • Speech impediment

All of these physical alterations induced by DIY orthodontic treatment options actually lead to emotional trauma that originates from damaging your teeth and smile. This trauma can then result in body aches, insomnia, intrusive thoughts, depression and avoidance of activities.

If you hit or miss DIY projects that involve cooking, baking, painting, sewing or building your own bookshelf, you can give it another try but when a DIY orthodontic treatment goes wrong, the damage goes beyond repair. So, if you are considering the option of DIY orthodontic treatment to straighten your crooked teeth or to improve the appearance of your smile, then you must also be aware of the complications involved because the cost of DIY orthodontic treatment can go way beyond your desire to save money.

Why Consulting Your Family Orthodontist is Important

Considering all the consequences of DIY orthodontic treatment on your physical and mental well-being, it only makes sense to avoid altering your smile using at-home teeth straightening kits. So, if you don’t want to end up replacing your natural teeth with costly oral surgery or other complicated procedures, have the orthodontic treatment done right, the very first time by consulting your family orthodontist.

Orthodontic treatments have come long way now since the days of traditional metal braces that included wires and brackets. You now have access to a whole range of convenient, comfortable and completely natural-looking orthodontic treatments like Invisalign, removable retainers and self-ligating braces. So don’t get lured by cheap 3D braces and at-home teeth straightening kits because orthodontic procedures can only give you the best results when they are left to the experts.

If you want a straight and healthy smile, the safe way, schedule a consultation with Dr. Koch – a trusted and experienced orthodontist in Lawrenceville. Call (770) 962-9560 now to know your orthodontic treatment options.

Crooked Teeth – Causes and Treatment

A healthy smile is not only a reflection of good dental health but also good overall health. If the alignment of your teeth is crooked, it may be a source of embarrassment as well as a reason for your lack of confidence. Although the social reasons are good enough for you to seek orthodontic treatment, there have been a number of health related issues reported that arise due to crooked teeth.

What causes Crooked Teeth?

Crooked teeth can be caused by one or more of the following:
  • Premature loss of baby teeth
  • Facial injury
  • Genetic predisposition
  • Poor dental habits during childhood such as lip sucking, thumb sucking, excessive use of pacifier and chewing objects

How crooked teeth affects your general health?

  1. It causes periodontal/gum disease: Crooked teeth gives an opportunity to bacteria to proliferate and form a plaque in areas where the gums don’t fit securely around your teeth. This leads to periodontal disease that can even lead to tooth loss.
  2. It makes cleaning teeth a difficult task: It is a challenge to clean crooked teeth. The bristles of the toothbrush and floss do not reach the areas between crooked teeth. The bacteria in these areas survives the cleaning process and thrives in the environment making it conducive for itself and thus causing a lot of dental complications.
  3. It causes wear and tear of tooth: The misaligned teeth can make one or more teeth to rub against your other teeth while you eat or chew your food. Constant friction of one tooth with the other can cause undue wear of the tooth enamel that can lead to сrасkіng, erosion оr tооth brеаkаgе.
  4. It increases susceptibility to tooth injuries: Crooked or protruding teeth are more likely to chip, crack or fracture in event of an accident. Normal jaw actions while eating or a traumatic impact can make the teeth susceptible to injury.
  5. It causes difficulty in chewing: Protruding upper and lower teeth may hamper the normal jaw alignment thus making it difficult to chew. The teeth may rub against each other that can lead to problems related to inadequate digestion and poor absorption of nutrients.
  6. It causes bad breath: Bad breath is due to the bacteria which lingers on in the cracks between crooked teeth.
  7. It destroys self-esteem and confidence: Crooked teeth comes across as an embarrassment for many. They plays with your self-esteem thereby reducing your confidence levels.
  8. It hampers overall health: It is not just your oral health that is affected; crooked teeth can do more harm than you can imagine. The bacteria buildup is synonym with crooked teeth. Studies conducted by ADA have proved beyond doubt that oral infections caused by increased levels of bacteria thriving in the mouth may lead to serious health problems, including Alzheimer’s disease, diabetes, heart disease, pneumonia, stroke and even cancer.

What’s next? Find a Solution to Crooked Teeth

Teeth straightening is the solution. It is an orthodontic treatment that includes a wide range of techniques for straightening and realigning crooked teeth. It also corrects dental issues so that you steer clear of tooth decay and end up with healthier teeth and gums. Some of the different options for crooked teeth treatment available that can fix crooked teeth and correct your crooked teeth smile and your health are as follows:
  • Cеrаmіс ѕuрроrtѕ
  • Lіnguаl ѕuрроrtѕ
  • Mеtаl straps
  • Dental Brасеѕ/Teeth braces
  • Invіѕаlіgn раrеnthеѕеѕ
Now that you know that crooked teeth are much more than a cosmetic issue, it is always better to fix crooked teeth before it affects your heart and your mind. Teeth straightening is the only solution to eradicate the complications associated with crooked teeth. If you ignore misaligned teeth, then you are predisposing yourself to the risk of developing poor dental as well as overall health. To determine which type of crooked teeth treatment option will work for you, you need to consult your family orthodontist. If you want to find the best Orthodontist in Lawrenceville, contact Koch Orthodontics today!


Yes. Genetics could be one of the reasons you may have crooked teeth. If either or both of your parents have crooked or crowded teeth, it’s likely that you’ll have them too. You may also inherit their underbite or overbite problems.
Yes. Braces are usually very effective for people who use them, but their effectiveness depends on the person and how carefully the orthodontist’s instructions are being followed.Success rates of braces vary depending on the age you start the orthodontic treatment and your treatment goals.
Crooked teeth in adults could be due to the following factors:
  • One theory suggests the modern diet as one of the reasons why adults have crooked teeth. Thousands of years ago, humans had a tougher diet which involved a lot of chewing and grinding. That made the jaws stronger and larger. But today’s diet involves softer food that doesn’t require much chewing or grinding. The jaws are now smaller and the size of the teeth that erupt (made for larger jaws) do not fit in the jaws; hence adults face the problem of overcrowded and crooked teeth.
  • According to the American Academy of Pediatrics’ Campaign for Dental Health, proper nutrition and access to dental care could be one of the reasons for misaligned or crooked teeth.
  • Genetics play an important role in teeth misalignment (crowding, unevenly sized or shaped upper/lower jaws, missing teeth, and poor tooth or palate development, overbite/underbite problems).
  • External factors like jaw injuries, broken teeth, diseases, mouth breathing, and other maxillofacial conditions can cause crooked teeth.
Your crooked lower teeth can be straightened with the same types of treatments that are available for straightening the front teeth. If your concern is aesthetics, there are virtually invisible braces such as lingual braces or Invisalign® that can correct your teeth while being less conspicuous. The best way to discover which treatment option is more suitable for you, consult an orthodontist.