It’s Never Too Late to Love Your Smile

Adult Orthodontics in Cary, NC

You’ve been thinking about it for a while. Dr. Patel makes the first step easy — come in, ask questions, no pressure.

Real Tooth by Tooth patient

Book Your Free Consultation

Braces or clear aligners tailored to adult needs and goals
Flexible monthly payments that won’t break your budget
One doctor. One location. All eyes on your smile
Braces or clear aligners tailored to adult needs and goals
Flexible monthly payments that won’t break your budget
One doctor. One location. All eyes on your smile

Real Tooth by Tooth patient

You’ve Got One Smile—Why Keep Putting It Off?

Most adults who come to Tooth By Tooth have been thinking about their smile for years. Some had braces as a teenager and skipped the retainer. Others never had the chance to address it. A few are dealing with a shifting bite that’s starting to cause real discomfort.

Whatever brought you here, Dr. Patel will give you a straight answer about what’s possible – no sales pitch, no pressure to commit on the spot.

Hi, I’m Dr. Nishant Patel.

Dr. Patel trained at the University of Illinois at Chicago, where he graduated at the top of his class, and completed his orthodontic residency at the University of Minnesota. His research has been published in the American Journal of Orthodontics and Dentofacial Orthopedics — the field’s leading peer-reviewed journal. He’s been practicing orthodontics for over 12 years.

He’s also the only doctor at Tooth By Tooth. That means you’ll see him at every visit — not an associate, not a rotating staff member. Just the same doctor who did your initial scan making every adjustment along the way.

Dr. Nishant Patel

Real Tooth by Tooth patient

How Much Does Adult Orthodontics Cost in Cary?

Most adult treatment plans at Tooth By Tooth start around $750 down and $225/month, though the exact cost depends on your case and how long treatment takes. Dr. Patel accepts most major insurance plans — his team will verify your coverage before your first appointment so there are no surprises.

Flexible financing is available if you don’t have insurance or want to spread out payments. See full financing details →

Why Adults Choose Tooth by Tooth

A Straight Smile Changes Everything

How to Get Started

It’s easy (and free) to take the first step:

Book a free consultation (online or by phone)
Get a 3D scan and personalized treatment plan
Start with confidence—on your schedule and terms

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.

*Limited consult spots available this month*

Schedule Your Free Consultation

Don’t wait another year to feel good about your smile.
*Limited consult spots available this month*

Schedule Your Free Consultation

Don’t wait another year to feel good about your smile.
*Limited consult spots available this month*

Real Tooth by Tooth patient

FAQs

If you’re feeling uncertain, we totally get it.
Get the clarity you need to take the next steps.

Is it too late for me to get braces or aligners?
No. Teeth move at any age — that’s basic biology. Adult orthodontics is more common than ever, and Dr. Patel treats adults at every stage of life. The key factors are the health of your teeth and gums and the complexity of your case, both of which Dr. Patel will assess at your free consultation.
That depends on your case. Clear aligners work well for mild to moderate crowding or spacing. More complex bite corrections typically require braces for the most precise result. Dr. Patel will review your 3D scan and walk you through the options that actually make sense for your situation — not a one-size-fits-all recommendation.
There’s typically a short adjustment period with any new appliance, measured in days rather than weeks. Most adults adapt quickly. Clear aligners and ceramic braces are the most discreet options and cause the least disruption in professional settings. Dr. Patel will walk you through what to expect for whichever option fits your case.
Yes. Tooth By Tooth offers clear aligners and ceramic (tooth-colored) braces for adults who want a low-profile look during treatment. Clear aligners are removable and nearly invisible. Ceramic braces use the same mechanics as metal braces but with brackets that blend with your teeth. Dr. Patel will recommend the option that fits both your case and your lifestyle.
Adult orthodontic treatment at Tooth By Tooth typically starts around $750 down and $225/month, though the exact cost depends on your case complexity and treatment length. Dr. Patel accepts most major insurance plans — his team verifies your coverage before your first appointment so there are no surprises. Flexible financing is available for patients without insurance or those who prefer to spread out payments.

Still have questions?

Reach out to us at our office— we’re happy to help!