The Ozempic Smile? How Weight Loss Drugs May Affect Your Teeth | Orthodontics in Portland

July 14th, 2025

Weight loss drugs like Ozempic and Wegovy have changed how many people approach weight management. These medications are in high demand, with some calling them the biggest health trend of the decade. But as with most changes to your body, there can be ripple effects, including for your mouth. That’s where your orthodontist comes in.

What Is the Ozempic Smile

The term “Ozempic smile” started popping up on social media and in dental offices earlier this year. It refers to reports of people experiencing loose teeth, receding gums, or sunken cheeks after rapid weight loss. While not officially recognized as a side effect, enough people have noticed changes that it’s become a trending topic. These changes are usually linked to overall shifts in hydration, bone density, facial fat volume, or nutritional intake. They are not unique to Ozempic, but may appear when weight drops quickly and the body has to adjust.

How Weight Loss Affects the Mouth

Your mouth is part of your overall health. When your body changes, so can your oral tissues, facial structure, and dental stability. Here are a few things that might be affected by significant or rapid weight loss:

Loss of collagen and facial fat can change the appearance of your smile
Nutrient deficiencies can impact gum health and enamel strength
Dehydration can lead to dry mouth, which increases the risk of cavities
Hormonal shifts may affect the soft tissue around your teeth

For patients in active orthodontic treatment, these changes can also influence how teeth move and how comfortable appliances feel. That’s why ongoing monitoring and communication with your provider are essential.

What We See at Garfinkle Orthodontics

As the best orthodontist in Portland, we’ve started getting more questions about GLP-1 medications and their dental impact. Patients using Ozempic or Wegovy sometimes ask if they should delay Invisalign or braces, or whether adjustments need to be made. For most people, the answer is no. Orthodontics is still safe and effective. But we may take a few extra steps to support your oral health during treatment:

Monitor bone health and gum tissue carefully
Recommend saliva boosters or fluoride products to protect enamel
Coordinate with your physician if you’re experiencing rapid weight loss
Offer flexible treatment pacing if needed

We also track how your facial structure is changing, especially in areas like the cheeks or jawline. Subtle changes in soft tissue can sometimes affect aligner fit, bracket positioning, or retention strategies. These are manageable, but they’re best handled proactively.

What to Watch for If You’re on Ozempic

You don’t need to panic or stop treatment. Just be aware of any changes in your mouth. These include:

Gum recession or increased tooth sensitivity
Loose-feeling teeth or changes in bite comfort
Dry mouth, bad breath, or more frequent cavities
Altered facial volume or cheek support

If you notice any of these, bring it up with your orthodontist. Early intervention can prevent minor issues from becoming major complications. As your care team, we want to know how your health journey is going so we can adjust your treatment as needed.

How Invisalign Fits into the Conversation

Patients seeking a less visible, more flexible treatment option often choose Invisalign. If you’re on Ozempic and experiencing mild oral changes, Invisalign Portland providers can work with you to modify aligner schedules or add more targeted retention steps. Clear aligners also give you full access to your teeth and gums, making it easier to manage hygiene and track changes. If you’re already considering Invisalign, this may be the best time to explore it. And if affordability is a concern, we offer flexible plans for those seeking affordable Invisalign in Portland without compromising care or safety.

The Importance of a Whole-Health Approach

Whether you’re taking Ozempic or simply undergoing big changes in your lifestyle, your orthodontic team should take your overall health into account. As a practice offering orthodontics in Portland, we work closely with you to understand your goals, habits, medications, and concerns. You’re not just a set of teeth. You’re a whole person, and we’re here to support your smile through every life stage.

Final Thoughts

Weight loss drugs like Ozempic and Wegovy are powerful tools, but they don’t work in isolation. Every part of your body, including your teeth and gums, can be affected by how you care for yourself while using them. The best orthodontist in Portland is one who listens, adapts, and puts your health first. If you’re on a new health journey and thinking about starting or continuing orthodontic treatment, we’re here to guide you every step of the way.

We're conveniently located in SW Portland, serving Beaverton, the Pearl District, Lake Oswego, and surrounding areas.

Start your smile transformation today

Are you ready to smile with confidence? Garfinkle Ortho can help you achieve the smile you’ve always wanted. Contact us today to schedule a consultation and learn more about our services.

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