Are there discreet options for adult orthodontic treatment?

Yes. We offer clear aligners and ceramic braces for a low-profile look. These options are perfect for professionals and adults who want to straighten their teeth without the visibility of traditional metal braces.

How long does adult orthodontic treatment take?

Treatment time varies based on your specific case, but many adults complete treatment in 12-24 months. We'll review your scan and walk through your options together, providing a clear timeline during your consultation.

Adult Orthodontics in Cary, NC

It's Never Too Late to Love Your Smile

We offer adult orthodontics in Cary, NC designed for real life—with discreet options, flexible payment plans, and personal care from a doctor who gets it. Whether it’s been years in the making or a new priority, we’re here to help you feel good about your smile again.

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?

In Cary, we see adults every week who thought it was “too late” to straighten their teeth. They’re busy professionals, parents, or just people who’ve always wanted to make a change but never had the right opportunity.

We get it. That’s why we’ve made it simple, low-pressure, and built around your real life. No lectures. No fluff. Just smart, supportive orthodontic care.

Hi, I’m Dr. Nishant Patel.

Dr. Nishant Patel is an orthodontist for professionals and adults in Cary who want results without the runaround. He’s calm, clear, and genuinely invested in helping you feel more confident every step of the way.

Whether you’re worried about treatment affecting your career, social life, or budget, Dr. Patel will guide you with care, clarity, and zero judgment.

Dr. Nishant Patel

Real Tooth by Tooth patient

Adult Orthodontics with Payment Plans

We make adult orthodontic care in Cary affordable. Most plans start around $750 down and $225/month. We’ll check your insurance, walk you through every detail, and help you move forward with confidence.

Why Adults Choose Tooth by Tooth

One-doctor continuity—no hand-offs, no pressure
Flexible appointment times that respect your time
Clear pricing, no surprises
3D scans, no messy impressions
Office vibe that’s calm and professional—not kiddie chaos
Trusted care from the best adult orthodontist near you

A Straight Smile Changes Everything

Before

After

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 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

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?

Not at all. Adult orthodontics is more common than ever—and we treat adults every day.

Will I need braces or can I do clear aligners?

That depends on your case. We’ll review your scan and walk through your options together.

Can orthodontic treatment affect my speech or work?

There may be a short adjustment period, but most adults adapt quickly—and discreet options minimize disruption.

Do you offer discreet treatment options?

Yes. We offer clear aligners and ceramic braces for a low-profile look.

How much does adult orthodontics cost in Cary?

Most plans start around $750 down and $225/month. We’ll customize a plan to fit your budget.

Still have questions?

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