Does my child definitely need treatment if we come in at age 7?

Not necessarily. Early evaluation doesn't always mean early treatment. In many cases, we simply monitor your child's growth patterns until the optimal time for treatment. Dr. Patel will explain every option so you feel confident in whatever you choose—whether that's treatment now or just a monitoring plan for later.

How much does Phase 1 orthodontic treatment cost?

We offer flexible financing for Phase 1 orthodontics. Most families pay around $500-700 down and $175-225 per month. We'll check your insurance coverage and find a payment plan that works for your budget.

What problems can early orthodontic treatment address?

Early treatment can address issues related to jaw growth and alignment (underbites, overbites, crossbites), correct harmful oral habits like thumb-sucking or tongue thrusting, create space for crowded teeth, guide erupting permanent teeth into better positions, and improve overall facial symmetry.

How long does Phase 1 treatment typically last?

Phase 1 orthodontic treatment typically lasts between 9 to 18 months, depending on the specific issues being addressed. After Phase 1, there's usually a rest period while remaining permanent teeth erupt, followed by Phase 2 treatment if needed during the teen years.

Will my child need braces again after Phase 1 treatment?

Many children who undergo Phase 1 treatment will need Phase 2 treatment (full braces or aligners) once all permanent teeth have erupted, typically during the teen years. However, Phase 1 often makes Phase 2 treatment simpler, shorter, and may prevent the need for tooth extractions or surgery.

Early Orthodontics in Cary, NC

Start Smart with Early Orthodontics.

The best time to guide your child’s smile? Sooner than you might think. We provide early orthodontics in Cary, NC—including expanders, evaluations, and Phase 1 treatment—to help prevent bigger issues later.

Real Tooth by Tooth patient

Book Your Free Consultation

Clear answers about when to see an orthodontist

Flexible monthly payments that won’t break your budget

One doctor. One location. All eyes on your smile

Clear answers about when to see an orthodontist

Flexible monthly payments that won’t break your budget

One doctor. One location. All eyes on your smile

Real Tooth by Tooth patient

Wondering If It’s Too Early for Braces?

If your child is around age 7, it’s time for a check-in. According to the American Association of Orthodontists, age 7 is when a child’s first permanent molars and front teeth typically come in—making it the ideal time to evaluate how their jaw, bite, and teeth are developing.

In Cary, we see families every week asking the same question: Does my kid need early orthodontic treatment? That’s what we’re here to help you figure out—no pressure, just clear guidance.

Hi, I’m Dr. Nishant Patel.

Dr. Nishant Patel is an orthodontist for young children in Cary—and a parent himself. He understands how overwhelming early decisions can feel.

He’s calm, informative, and committed to explaining every option so you feel confident in whatever you choose. Whether your child needs treatment now or just a monitoring plan for later, you’ll leave with clarity.

Dr. Nishant Patel

Real Tooth by Tooth patient

Cost of Early Orthodontic Treatment

We offer flexible financing for Phase 1 orthodontics. Most families pay around $500–700 down and $175–225/month. We’ll check your insurance and find a plan that works.

Why Families Choose Tooth by Tooth

One-doctor continuity from Phase 1 through teen treatment
No-pressure consultations—just honest guidance
3D scans for easy, goop-free imaging
Clear explanations in parent-friendly language
Flexible scheduling for busy family lives
Local care in Cary—not a corporate chain

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 your free consultation!

Get expert guidance on your child’s growth and development

Follow a custom plan—whether it’s monitoring or Phase 1 treatment

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.

When should my child see an orthodontist?

Around age 7, or earlier if your dentist spots issues. We offer free evaluations.

What is Phase 1 orthodontics?

It’s early treatment (usually ages 7–10) designed to guide jaw growth and prevent bigger problems.

Does my child need an expander?

Only if there’s a jaw width issue or crowding risk. We’ll assess and explain every option clearly.

Is early treatment always necessary?

Nope. Some kids just need monitoring—and we’re happy to do that until the time is right.

How much does early orthodontics cost in Cary?

Plans vary, but many families pay $175–225/month. We’ll go over everything before you commit.

Still have questions?

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