Cary’s Trusted Orthodontist for Braces & Clear Aligners
Confident smiles. Personalized care. Flexible payments that make it possible.
Real Tooth by Tooth patients
One Doctor, Start to Finish
No bouncing around, just consistent, expert care.
An Affordable Ortho for Real Life
Free consultations, 0% financing, and honest pricing.
Local, Loved, & Never Corporate
We’re proud to serve Cary families with care that feels personal.
Struggling with Crooked Teeth or a Misaligned Bite?
“Too expensive.” “Too confusing.” “Too late to start.” We hear it all the time — and we built Tooth by Tooth to fix that.
Whether you’re a parent trying to help your teen feel confident or an adult finally ready to do something for yourself, getting started shouldn’t feel like a hassle. We’re here to make it easy, clear, and judgment-free — with real guidance and real results.
Hi, I’m Dr. Nishant Patel.
At Tooth by Tooth, you’re not getting shuffled through a chain or passed between providers. I personally design every treatment plan and walk with you every step of the way. We care deeply, work precisely, and (yes) actually enjoy what we do. This is orthodontics done right—rooted in care, calm, and commitment.
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
Adult Orthodontics in Cary, NC
Real Tooth by Tooth patient
Retainers in Cary, NC
Still Deciding Between Braces or Aligners?
We’ve created helpful guides to answer your questions
Real Patients. Real Confidence.
Getting braces at Tooth by Tooth changed everything for me. I’m smiling again, and my confidence has skyrocketed!
Tooth by Tooth Patient
Dr Patel is friendly and caring, very helpful in making decisions. Within a few months of braces treatment, we saw the difference in tooth alignment. Our daughter is confidently smiling now.
— Sara K.
Dr. Patel and his staff are the best! The clinic is beautiful, always clean, and everyone is super friendly. Dr. Patel is always on time, he is patient and clearly explains the next steps of the treatment. He even took care of a loose bracket over a holiday weekend when the clinic was closed; I texted him on Friday evening, and he replied immediately and offered to see my daughter the next day. I truly recommend Tooth by Tooth Orthodontics!
— Mariell M.
Dr. Patel and his team are outstanding—professional, kind, and extremely knowledgeable. Thanks to their expert care, my teeth are straight for the first time in my life, and I couldn’t be more grateful. When my kids need orthodontic treatment in the future, I’ll definitely be bringing them here without hesitation.
— Jason R.
We love this practice and Dr Patel! My daughter has had a wonderful experience so far, and the staff is very welcoming. Dr Patel provides excellent care and always explains everything he is doing and what to expect. Communication is always very clear, and everyone is super helpful.
— Eric S.
I highly recommend Tooth By Tooth Orthodontics! Everyone here is incredibly kind, professional, and welcoming. From the front desk to the assistants and Dr. Patel, the entire team creates such a positive and friendly environment. I always feel well taken care of as a patient. If you’re looking for an orthodontist, this is definitely the place to go!
— Tamari K.
Dr. Patel saved my smile. I had really bad crooked teeth growing up, and I never really paid much attention to it until I noticed that my teeth were making my smile look weird. I’m still in the process of closing up gaps, but my overall experience was great. Such a friendly atmosphere, and it just feels like home every time I’m in there! I’m so happy to have met Dr. P ❤️
— Anna S.
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.
Schedule Your Free Consultation
Still have questions? Call (919) 469-959—we’re happy to talk.
Real Tooth by Tooth patient
Honest Answers, Helpful Tips, and Real Smile Stories
Looking for orthodontic advice that’s actually helpful? You’re in the right place.