Cary’s Trusted Orthodontist for Braces & Clear Aligners
Confident smiles. Personalized care. Flexible payments that make it possible.
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
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:
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.
