Braces and Clear Aligners in Cary, NC. One Doctor, Every Visit.
Dr. Patel personally designs every treatment plan and sees every patient himself – from your first consultation through your final appointment.
Real Tooth by Tooth patients
One Doctor, Start to Finish
You'll see Dr. Patel at every visit - not an associate, not whoever's available.
Free consultations
0% financing, and upfront pricing. No surprises, no pressure.
Independently owned in Cary, NC
Serving families in Apex, Morrisville, Holly Springs, and western Wake County.
Struggling with Crooked Teeth or a Misaligned Bite?
Crooked teeth and misaligned bites affect more than just appearance – they can make eating uncomfortable, affect how teeth wear over time, and knock someone’s confidence in ways that are hard to shake. Dr. Patel sees this regularly in patients of all ages at his Cary, NC practice.
Whether you’re a parent noticing your child’s teeth are coming in crooked, a teen who wants a straighter smile, or an adult who’s been putting off treatment for years – Dr. Patel will give you a clear picture of your options at a free, no-pressure consultation.
One Orthodontist. Every Patient. Every Visit.
Dr. Nishant Patel trained at the University of Illinois at Chicago, where he graduated at the top of his class, and earned his MS and orthodontic certificate from the University of Minnesota. His research has been published in the American Journal of Orthodontics and Dentofacial Orthopedics. He founded Tooth By Tooth in Cary, NC after leaving a corporate group practice – because he wanted to build something where every patient is seen by the same doctor, every time.
Dr. Patel is the real deal. Professional, kind, and incredibly thoughtful with every patient.
— Amanda R., Morrisville
Personalized Care, Real Results.
We don’t do cookie-cutter treatment plans. We offer orthodontic solutions designed to fit your smile, your life, and your budget.
Real Tooth by Tooth patient
Braces in Cary, NC
Real Tooth by Tooth patient
Clear Aligners in Cary, NC
Real Tooth by Tooth patient
Early Orthodontics in Cary, NC
Real Tooth by Tooth patient
Teen Orthodontics in Cary, NC
Real Tooth by Tooth patient
It’s Never Too Late to Love Your Smile
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Retainers in Cary, NC
Still Deciding Between Braces or Aligners?
We’ve created helpful guides to answer your questions
Real Patients. Real Confidence.
I’d put off braces for decades. Dr. Patel made the entire process easy and respectful. No pressure, no judgment, just a supportive, clear plan. The results have been life-changing.
— Mark L., Morrisville, NC
I was nervous about how braces would look, but the ceramic ones were barely noticeable. The team was always kind and helped me stay on track. Now my smile is one of my favorite features.
— Jordan R., Cary, NC
Dr. Patel and his team were amazing with our 11-year-old. They explained everything clearly, made her feel confident, and even made the process fun. Her smile looks incredible.
— Amanda T., Apex, NC
Getting braces at Tooth by Tooth changed everything for me. I’m smiling again, and my confidence has skyrocketed!
— Tooth by Tooth Patient
How We Work
It’s easy (and free) to take the first step:
We're Proud to Be Cary’s Neighborhood Orthodontist
We serve families from Cary, Apex, Morrisville, Holly Springs, and surrounding communities.
Request Your Free Consultation
A small step today can lead to big changes in just weeks. Feel confident in your own smile – or give your child a strong, healthy foundation for a lifetime.
Request your free consultation by completing the form, and we’ll reach out to help you get started.
Still have questions? Call (919) 466-9959—we’re happy to talk.
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Honest Answers, Helpful Tips, and Real Smile Stories
Looking for orthodontic advice that’s actually helpful? You’re in the right place.
