Lawrence B. Evans DDS MS Jacob E. Koch DDS PC Orthodontics for Adults & Children

  • 55 Towler Rd
    Lawrenceville, GA 30046
  • (770) 962-9560

Lawrence Evans

“Am I Too Old for Braces?”

May 14th, 2012

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:
• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

April is Oral Cancer Awareness Month

April 4th, 2012

Visiting your dentist during your orthodontic treatment will not only help keep your teeth and mouth healthy while you have braces, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene while you’re undergoing orthodontic treatment.

Your dentist is specifically trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next adjustment appointment. Take care of your teeth!

Am I Too Old for Braces?

March 20th, 2012

Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

  • Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
  • Pain or pressure from crooked teeth or a misaligned jaw
  • A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

St. Patrick’s Day Fun Facts!

March 13th, 2012


At the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch, we want to know: Will you be wearing your green this Saturday? Whether Irish or not, millions of people around the world celebrate St. Patrick’s Day with toasts, parades and “the wearing of the green.” Here are some fun facts about St. Patty’s Day we know you will enjoy:

• St. Patrick’s Day is observed on March 17th because that is the feast day of St. Patrick, the patron saint of Ireland. It is also a worldwide celebration of Irish culture and history.

• The name “lephrechaun” has several origins. It could be from the Irish Gaelic word “leipreachan,” which means “a kind of aqueous sprite.” Or, it could be from “leath bhrogan,” which simply means “shoemaker.”

• Some American towns have Irish names. They include: Shamrock Lakes, Indiana; Shamrock, Oklahoma; Shamrock, Texas; Dublin, California and Dublin, Ohio and Mount Gay-Shamrock, West Virginia

• Despite what you may have heard, St. Patrick never banished snakes from Ireland. In fact, no snakes exist or ever existed in Ireland. Ireland is surrounded by icy ocean waters, much too cold to allow snakes to migrate from Britain or anywhere else.

• St. Patrick’s Day was first celebrated in America in Boston, Massachusetts, in 1737. Approximately 34 million Americans claim Irish ancestry. That’s almost nine times the population of Ireland, which has 4.1 million people.

If you have something special planned for St. Patrick’s Day, let us know by posting a comment on our Facebook page.

How do I prevent tooth decay during my treatment?

February 28th, 2012

Great question!
If you are brushing and flossing daily during your orthodontic treatment with, we think that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Tooth decay, which is caused by sugars left in your mouth, can turn into an acid, which in turn can break down your teeth. Children are at high risk for tooth decay because adolescents tend to be lax in their oral hygiene habits. Proper brushing and flossing routines, combined with regular dental visits, help keep tooth decay away.
If you have any questions, please be sure to ask our team during your next adjustment appointment, or ask us on Facebook!

Valentine’s Day and your teeth, from the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch

February 13th, 2012

With Valentine’s Day almost here, and all that candy making its rounds this week, it’s once again time to remind all our patients to be extra careful when choosing those candies and treats!

All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth, as well as braces! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.

The American Association of Orthodontists recommends softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, around brackets and at the gum line. If damage occurs, please call us as soon as possible.

Happy Valentine’s Day from all of us at the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch!

February is National Children’s Dental Health Month!

February 8th, 2012

Each February for the past 62 years, the American Dental Association (ADA) has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums.

For kids wearing braces, brushing and flossing can become more difficult, requiring extra time and vigilance to remove food particles that accumulate on and between the teeth and in braces.  New options for braces such as Invisalign Teen, which is removable, make it easier for kids to maintain good oral health during orthodontic treatment.

If the health of your teeth is ignored during treatment with braces, the results can be significantly compromised. Dr. Koch is available and happy to explain why effective brushing and flossing is one of the most critical actions needed from patients during orthodontic treatment. Have you visited us lately? Give us a call and schedule an appointment!

February is American Heart Month

January 31st, 2012

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Evans and Dr. Koch. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch. In observance of Heart Month, Dr. Evans and Dr. Koch says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch, please give us a call today.

Ask the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch: What’s the deal with mouthwash?

January 25th, 2012

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride – fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic – an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination – a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription – for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)

If you are curious about which kind of mouthwash would work best for you, be sure to ask us at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!

–The office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch

Dr. Evans and Dr. Koch, reminding you to protect your mouth this winter

January 18th, 2012

With winter sports under way for a lot of our patients, Dr. Evans and Dr. Koch thought it would be a good time to remind our young athletes wearing braces to take care of both their mouth and appliances while participating in contact sports (and non-contact sports) this winter.

More than half of the seven million sports and recreation-related injuries that occur each year are sustained by youth between ages 5 and 24. Sixty-seven percent of parents say their child does not wear a mouth guard, yet, 70 percent say their biggest fear when their child plays is that they will get hurt. Despite the risks, many kids are still not wearing mouth guards and facial protection during games and practices.

Many people think a mouth guard is effective just to protect your teeth. But research has shown mouth guards can also reduce lower jaw impact that causes concussions and other dental injuries. Our staff at the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch encourage you to head over to the American Association of Orthodontists’ website for a quick primer on the importance of mouth guards and facial protection.

We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in fall sports! We encourage you to give us a call if you have any questions or ask us on Facebook!

The benefits of a beautiful smile

January 11th, 2012

Dr. Evans and Dr. Koch and our team know having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer—give us a call today to schedule yours or your child’s orthodontic consultation.

Regular checkups & your oral health

January 5th, 2012

Are you brushing and flossing daily during your orthodontic treatment? If yes, that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.

Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of decay, treat oral health problems early and show you how to properly brush and floss your teeth.

During an oral exam your dentist can check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to the dentist in the last six months, let us know during your next visit and we will provide a few great references in the greater Lawrenceville area!

Make 2012 the year to improve your oral health

December 28th, 2011


Many folks in consider the beginning of a new year a time to not only reflect on the year that was, but also to set personal goals for the upcoming year. How are you planning to improve your health and happiness in 2012? Our team recommends that you make a New Year’s resolution to benefit your oral health!

It is important that New Year’s resolutions are reasonable and attainable, and that they improve your overall quality of life—for example, did you know that flossing every day is the very best way to prevent periodontal, or gum disease? Using a straw when drinking sugary beverages can also help prevent cavities. There are many small steps that you can take to prevent cavities, oral infections and bad breath.

Be sure to give us a call if you need a few suggestions on ways to improve your oral health. After all, we know your oral health is about more than just a beautiful smile.

Happy New Year!

-Your friends at the office of Dr. Evans and Dr. Koch

Beware of those Christmas goodies!

December 16th, 2011

At the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch, we know maintaining a healthy diet over the holiday season can prove a difficult task. After all, who can resist the tasty treats of Christmas? With grandma and everybody else offering you candy, chocolate logs or Christmas pudding, you just can’t say “I’ll pass” each time. But trouble lurks: every time you chow down on that chocolate or candy, the bacteria in your mouth have a feast on the sugar—at your expense.  The sugar turns into acid, and the acid eats away at the enamel on your teeth and between your braces. Then, you start getting cavities.

Instead, try fudgy cocoa bites, marvelous molasses cookies, wonderful waffles or other <a href="http://bracescookbook.com/recipes.htm">braces-friendly recipes</a>, courtesy of the American Association of Orthodontics, or AAO, and “The Braces Cookbook” by Pamela Waterman.

If you must indulge in chocolaty goodness this Christmas or holiday season, remember to brush your teeth after eating sugary treats. Hope this helps! Give us a call if you have any questions!

Happy Holidays!

Age 7 is the magic number for an orthodontic check-up

December 7th, 2011

Many parents assume they must wait until their child has all of his or her permanent teeth to see Dr. Evans or Dr. Koch for a consultation, only to discover treatment would have been much easier if started earlier. Did you know the American Association of Orthodontists recommends that every child have an orthodontic check-up no later than age seven?

That’s right—seven.

Ok, so what’s so great about age seven, you ask? Enough permanent teeth have arrived for Dr. Evans and Dr. Koch to make a determination about whether any problems are present. The first molars have come in, providing an opportunity to check for malocclusion, or “bad bite.” Also, the incisors have begun to come in, and problems such as crowding, deep bites and open bites can be detected.

Orthodontic evaluation at an early age provides one of two positive outcomes: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future. For others, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene. So, if your child is nearing his or her seventh birthday, give us a call at the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch to schedule an appointment.

10 tips to keep your BRACES sparklin’ clean

December 2nd, 2011


Dr. Evans and Dr. Koch will tell you that keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.

3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.

4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.

6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.

7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.

9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.

10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

Hope this helps!

Happy Thanksgiving

November 22nd, 2011


With the hustle and bustle of the holiday season knocking at our door, our entire team at the office of Dr. Evans and Dr. Koch wanted to stop for a moment and extend our best wishes to you, our patients, referring doctors and families, for a wonderful Thanksgiving.

As always, if you know anyone we can help, just let us know. We promise to give them the same quality orthodontic care that we have given you.

We hope that this Thanksgiving and holiday season brings fond memories. Thank you for being part of our family.

What can Invisalign® do for my oral health?

November 17th, 2011

When considering treatment options, patients often ask us how Invisalign treatment is so different than traditional braces. Well, there are more reasons to smile about Invisalign with our office than you may know. Invisalign is a series of removable aligners that are nearly invisible, and besides straightening your teeth, can improve your oral health.

Here’s how:

Healthy Gums: Straight teeth allow a close fit for gums. This lessens the gum stress that is caused by crowded or widely spaced teeth, thus also reducing red and swollen gums.

Easy cleaning: Invisalign is removable, therefore brushing and flossing is easier and you are able to maintain a healthy mouth. These habits are vital to avoiding tooth decay, plaque and even gum disease.

Improved speech and chewing: Properly-aligned teeth don’t have the discomfort or compound speech impediments that can be caused by crowded teeth or a deteriorating jawbone.

If you have any questions about Invisalign, just ask Dr. Lawrence Evans or Dr. Jacob Koch the next time you’re in for an appointment. Or, you may post your question on our Facebook page! You can also read this article for more information on Invisalign and your oral health.

You're Never Too Old to Treat Yourself to a New Smile!

November 10th, 2011

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best with the office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment with Dr. Evans and Dr. Koch. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give our Lawrenceville office a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Halloween TIPS from the American Association of Orthodontists

October 27th, 2011


It’s almost that spooky time of year again and Drs. Lawrence Evans, Jacob Koch, orthodontists serving Lawrenceville, Suwanee, and Snellville, thought we’d share some Halloween tips from our friends at the American Association of Orthodontists.

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

To protect your braces, steer clear of the following Halloween treats, or recipes with these ingredients:

• All hard candies
• All chewy candies
• Caramel
• Nuts
• Licorice
• Taffy
• Jelly beans
• Hard pretzels
• Bubblegum
• Popcorn (including unpopped kernels)
• Ice

Of course, Halloween does not have to be completely treat-less. Braces-friendly Halloween treats can help you enjoy the “spook-ta-cular” holiday. For example, plain chocolate candy is okay, provided you remember to brush and floss afterwards. Bobbing for apples as well as caramel apples are not recommended. However, you can enjoy thinly sliced apples, dipped in yogurt or creamy chocolate sauce.

Dr. Evans and Dr. Koch suggest looking for foods that are soft, such as soft chocolate that can melt in one’s mouth or peanut butter cups. Overall, candies that aren’t sticky, chewy, hard or crunchy are generally acceptable.

HAPPY HALLOWEEN from the entire team at the orthodontic office of Dr. Lawrence B. Evans and Dr. Jacob E. Koch!

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