Frequently Asked Questions (FAQs)

Your smile is one of the first things people notice and one of the most powerful ways you express joy, warmth, and confidence. But if you’re feeling held back by chips, gaps, stains, or uneven teeth, you’re not alone.

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we believe every patient deserves to feel great about their smile. That’s where cosmetic dentistry comes in: it’s not just about how your teeth look; it’s about how you feel when you show off your smile.

How Can Cosmetic Dentistry Improve My Smile?

Cosmetic dentistry is all about enhancing the appearance of your teeth while maintaining natural-looking results. Whether you're seeking a subtle refresh or a dramatic transformation, we offer solutions tailored to your goals and lifestyle.

Here are just a few ways cosmetic dentistry can help:

• Brighten stained or discolored teeth with professional whitening
• Close small gaps and reshape teeth using dental bonding
• Straighten misaligned teeth with discreet Invisalign® clear aligners
• Repair chips or worn edges with custom porcelain veneers
• Replace missing teeth with dental implants, bridges, or dentures
• Restore symmetry and balance to your smile with a complete smile makeover

Each treatment plan is tailored to meet your specific needs. We take the time to listen, plan carefully, and use advanced techniques to deliver results that look as good as they feel.

Let’s Design a Smile You’ll Love to Share

Ready to feel more confident every time you smile? Call Darren G. Koch, D.D.S., P.A., in Cary, NC, at (919) 859-6633 to schedule your cosmetic consultation.

Your dream smile may be closer than you think.

Worried your dental work will show? You're not alone. It's completely normal to wonder if a dental crown or bridge will look obvious, especially if it's restoring a front tooth. After all, your smile is one of the first things people notice.

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we understand that patients want both strength and beauty from their dental restorations. That’s why we use high-quality materials and personalized design techniques to make your crown or bridge blend in naturally so no one will notice but you.

Will My Crown or Bridge Be Noticeable?

Not at all! Modern dental crowns and bridges are crafted with aesthetics in mind. We use tooth-colored materials, such as porcelain or zirconia, that are carefully matched to the shade, shape, and size of your surrounding teeth. These materials reflect light much like natural enamel, making them nearly indistinguishable from your real teeth.

In your consultation, Dr. Koch will take time to examine your bite, tooth color, and overall smile to ensure your restoration looks seamless and functions comfortably. Whether you need a single crown for a damaged tooth or a bridge to replace a missing one, your restoration will be designed to feel like it’s always been there.

Thanks to advancements in dental technology, your crown or bridge won’t just restore function; it will restore your confidence.

Create a Smile That Feels Like You

If you're ready to restore your teeth without sacrificing your smile’s natural beauty, give us a call. Schedule an appointment with Darren G. Koch, D.D.S., P.A., today at (919) 859-6633.

We’re here to help you smile comfortably and confidently in Cary, NC.

Losing a tooth can be overwhelming, affecting everything from your ability to eat and speak to your confidence. At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we believe that no one should have to live with the discomfort or self-consciousness that comes from missing teeth.

That’s why we often recommend dental implants, a durable, natural-looking solution that does more than just fill a gap; it restores your smile and quality of life.

What Are the Benefits of Dental Implants?

Dental implants are widely considered the gold standard for tooth replacement, and for good reason.

Here’s what makes them such a strong choice:

• They will look and feel like your natural teeth.
• The titanium post integrates with your jawbone, preventing bone loss.
• Implants don’t rely on neighboring teeth for support, unlike bridges.
• With proper care, implants can last decades or even a lifetime.
• They help maintain your facial structure and prevent a “sunken” look.
• You can speak and eat with confidence without slipping or shifting.
• They’re easy to care for, just like your natural teeth.

Dental implants offer both cosmetic and functional benefits, making them an investment in your long-term oral health and daily comfort. Whether you're missing one tooth or several, implants can restore your freedom to smile, laugh, and enjoy life without hesitation.

Discover the Confidence of a Complete Smile

Are you curious if dental implants are right for you? Let’s talk. Call Darren G. Koch, D.D.S., P.A., at (919) 859-6633 to schedule a personalized consultation in Cary, NC.

We’re here to help you smile with strength and confidence again.

When you're in pain or facing an unexpected dental issue, the last thing you want is more uncertainty. Whether it’s a cracked tooth, intense toothache, or swelling that came out of nowhere, dental emergencies can be scary.

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we’re here to take the fear out of the unknown and help you feel cared for from the moment you call.

What Happens at an Emergency Dental Appointment?

Emergency dental visits are designed to quickly relieve discomfort and address urgent issues. Here’s what typically happens during your appointment:

• Immediate evaluation — We’ll begin by listening to your symptoms and concerns to fully understand what’s happening.
• Digital imaging — X-rays may be taken to check for hidden damage, infections, or issues below the gumline.
• Diagnosis — Dr. Koch will perform a gentle, thorough exam and determine the cause of your dental emergency.
• Pain relief — Our top priority is making you comfortable. We’ll provide prompt treatment to reduce pain or swelling.
• Treatment plan — Depending on the situation, we may complete the procedure on the same day (such as a filling or temporary crown) or schedule follow-up care if more complex treatment is required.

Above all, we focus on providing fast and compassionate care so you can breathe easier and begin your healing journey.

Call Now for Prompt, Caring Dental Help

If you’re experiencing a dental emergency, don’t wait. Call Darren G. Koch, D.D.S., P.A., in Cary, NC, at (919) 859-6633.

We’re ready to help you feel better!

Yes! At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we proudly welcome patients of all ages, starting at three years old. Whether it’s your child’s very first dental visit, a routine checkup for a teen, or ongoing care for adults and seniors, we tailor our services to meet the unique needs of each stage of life.

Our compassionate team strives to make every appointment as comfortable and positive as possible. For our youngest patients, early dental visits build trust and set the foundation for a lifetime of healthy habits. For parents, it’s reassuring to know that the whole family can receive care in one conveniently located and friendly practice.

What to Expect at Your First Appointment

Whether you're 3 or 93, your first visit with us will be thorough, welcoming, and informative. Here’s what you can typically expect:

• A warm greeting from our front office staff
• A review of your medical and dental history
• Digital x-rays, if needed, to assess oral health
• A comprehensive dental exam, including your teeth, gums, bite, and jaw
• A gentle, professional cleaning to remove plaque and tartar buildup
• Time with Dr. Koch to discuss your oral health goals or concerns
• Personalized recommendations for ongoing care or treatment

Questions about Your Oral Health in Cary, NC?

If you live in Cary or the surrounding communities of MacGregor Downs, Preston, Regency, or Lochmere, we’d love to meet you!

Feel free to contact our dental office at (919) 859-6633 to schedule a consultation or to book an appointment.

If you’ve ever wished you could fix your crowded, gapped, or misaligned teeth without the look and feel of traditional wires and brackets, you’re not alone. Many adults and teens hold back on orthodontic treatment because they fear it will interrupt their lifestyle or draw unwanted attention.

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we believe everyone deserves a discreet path to a confident smile, and clear aligners may be just the solution.

Will Clear Aligners Work for Me?

We offer Invisalign®, the world’s most advanced clear aligner system, to help patients achieve beautifully aligned teeth. Invisalign can correct a wide range of orthodontic issues, including:

• Crowded or unevenly spaced teeth
• Overbites, underbites, and crossbites
• Open bites and rotated teeth
• Relapse after previous orthodontic treatment

Because each Invisalign treatment begins with a detailed 3-D digital scan and a customized treatment plan, we can accurately predict how your teeth will move and how long your treatment will take.

During your consultation, Dr. Koch will assess your dental health, bite, and alignment goals to determine if clear aligners are the right option for you. In cases of more severe misalignment, we may recommend combining Invisalign with other therapies or exploring alternative options.

Take the First Step Toward Your New Smile

Ready to find out if Invisalign clear aligners are your path to a straighter, healthier smile? Call Darren G. Koch, D.D.S., P.A., at (919) 859-6633 to schedule your personalized consultation in Cary, NC.

Your journey to a confident grin starts here!

Gum disease is more common than you might think, and it often starts silently. While early symptoms, such as bleeding gums or bad breath, may seem minor, untreated gum disease can lead to serious issues, including tooth loss, and can even impact your overall health.

The good news? Preventing gum disease is largely within your control, and it starts with proper daily care.

What Can I Do to Avoid Gum Disease?

Protecting your gums starts with consistency and awareness.

Here are some key steps you can take to keep gum disease at bay:

• Brush twice a day with a soft-bristled toothbrush and fluoride toothpaste.
• Floss daily to remove plaque and food between teeth and along the gumline.
• Visit the dentist regularly for professional cleanings and early detection.
• Avoid smoking or chewing tobacco, which significantly increases gum disease risk.
• Eat a balanced diet rich in vitamins and minerals that support gum health.
• Pay attention to early signs, such as redness, swelling, or bleeding gums.

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we prioritize education and prevention to help you maintain a healthier smile.

Let’s Keep Your Gums Strong and Healthy

Your gums are the foundation of your oral health; let’s work together to keep them healthy. Schedule your next cleaning or periodontal checkup at Darren G. Koch, D.D.S., P.A., in Cary, NC, by calling (919) 859-6633.

Preventive care today means a stronger smile tomorrow.

Sleep apnea can leave you feeling exhausted, irritable, and even at risk for serious health problems like heart disease and high blood pressure. If you’ve been diagnosed with obstructive sleep apnea (OSA) or if you think you might have it, you may be wondering if there’s an alternative to the bulky CPAP machine.

For many patients, a custom-fit oral appliance provides a simpler and more comfortable solution.

Is An Oral Appliance Right for Treating My Sleep Apnea?

If you have mild to moderate obstructive sleep apnea, an oral appliance may be an excellent treatment option. These small, comfortable devices are worn while you sleep and work by gently repositioning your jaw or tongue to keep your airway open.

Oral appliances are often recommended for:

• Patients who can’t tolerate CPAP machines
• Those who travel frequently or prefer a more portable solution
• Individuals with mild to moderate sleep apnea
• People who snore and want relief without surgery or medications

At Darren G. Koch, D.D.S., P.A. Family & Cosmetic Dentistry, we offer custom-fitted oral appliances designed to enhance airflow, reduce snoring, and promote the restful sleep your body needs. Dr. Koch will work with your sleep physician to ensure your treatment is safe, effective, and tailored to your needs.

Get the Rest You Deserve

If you’re exploring sleep apnea treatment options, we’d love to help. Contact Darren G. Koch, D.D.S., P.A. in Cary, NC, at (919) 859-6633 to schedule a consultation and determine if an oral appliance is right for you.

A healthier night’s sleep could be just one appointment away.

Imagine smiling with total confidence every day and feeling proud of your teeth and the way you look. Sound too good to be true? A smile makeover can transform your teeth, boost your self-esteem, and improve how you show up in the world.

But is it the right choice for you?

Am I a Good Candidate for a Smile Makeover?

The goal of a smile makeover is to enhance the beauty and improve the function of your smile. We combine cosmetic and restorative treatments to give you the smile you've always dreamed of. Most patients who want to improve their smile are great candidates, but there are a few essential factors Dr. Koch considers:

• You’re in good overall oral health, with healthy gums and no untreated decay.
• You have cosmetic concerns, such as discoloration, gaps, chips, or worn teeth.
• You want to improve the alignment, shape, or size of your teeth.
• You’re committed to maintaining good oral hygiene and regular dental visits.
• You have realistic expectations about the treatment process and outcomes.

If you’re struggling with any of these issues or simply wish for a brighter, more confident smile, a smile makeover might be perfect for you.

Ready to Discover Your Smile’s Full Potential?

To get started on your smile journey, schedule a consultation with Darren G. Koch, D.D.S., P.A., Family & Cosmetic Dentistry, and let us create a customized treatment plan tailored to your goals and budget.

Your dream smile is closer than you think, and we’re here to help make it a reality!

Have you ever wondered if your beautiful veneers mean you’re completely cavity-proof? It’s natural to want to protect your radiant smile, and veneers are a fantastic way to boost confidence.

But you may be wondering, “Can I still get cavities with veneers?”

Can I Still Get Cavities with Veneers?

The good news is that veneers themselves don’t decay because they are made from strong, durable materials like porcelain. However, the natural tooth underneath and the surrounding gum tissue can still be vulnerable to cavities if not cared for properly.

Cavities develop when plaque builds up on your teeth, allowing bacteria to feed and produce acids that damage your enamel. If plaque accumulates around the edges of your veneers, decay can form on your natural tooth underneath or next to the veneer.

To keep your veneers and natural teeth healthy, follow these key steps:

• Brush twice daily with a non-abrasive toothpaste.
• Floss carefully around veneers to remove plaque.
• Avoid biting hard objects that could damage veneers.
• Visit Dr. Koch regularly for professional cleanings and exams.
• Maintain a balanced diet, low in sugary snacks and drinks.

Want to Keep Your Smile Shining Brightly?

If so, schedule a consultation with Darren G. Koch, D.D.S., P.A., Family & Cosmetic Dentistry, to learn how to care for your veneers and prevent cavities before they start.

Your smile deserves the best care, and we’re here to help every step of the way!