Records & diagnosis
Photographs, a scan or impressions, a panoramic X-ray and often a cephalometric film to assess jaw relationship.
Visit 1 · 60 minAny dentist may offer aligners. An orthodontist has completed a recognised residency after dental school and does nothing else. For simple cases either works; for anything involving the bite, the difference is real.
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We flag which listed providers hold a recognised orthodontic residency and which are general dentists offering aligners. Both are legitimate; you should simply know which you are talking to.
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Moving front teeth into a pleasing line is the visible part. What determines whether the result lasts, and whether your jaw is comfortable, is how the back teeth meet — the bite. Treatment that only addresses the front six teeth can look excellent and relapse within two years, because nothing was done about the underlying reason they crowded. That distinction is the main practical difference between short-term cosmetic alignment and orthodontics.
The active phase has an end date. The retention phase does not, and providers who gloss over that are setting you up for relapse.
Photographs, a scan or impressions, a panoramic X-ray and often a cephalometric film to assess jaw relationship.
Visit 1 · 60 minA 3D simulation of the predicted movement, with the number of aligners or the bracket prescription and a fixed fee.
1 – 2 weeksBrackets bonded, or the first aligners issued with attachments placed on the teeth.
Visit 2 · 60–90 minReviews every six to ten weeks. Aligners are changed at home weekly; braces are adjusted in the chair.
6 – 24 monthsA bonded wire behind the front teeth, a removable retainer at night, or both. Reviewed annually, worn indefinitely.
LifelongSubmitted by listed practices, with the patient's written release and the fee they actually charged.
Thirty-four aligners with one refinement round. Bonded retainer placed the week treatment finished.
Aligners had been declined by two providers as unsuitable. Fixed braces over nineteen months resolved both the crowding and the bite.
Retainers abandoned twenty years earlier. Eleven months of aligners, then a permanent bonded wire this time.
Individual results vary with your diagnosis, anatomy and healing. Fees shown are what those specific patients paid at those specific practices and are not a quote. Photography on this page is licensed stock imagery, not photographs of the patients described.
Ranges below are the 25th–75th percentile of fees published by listed practices. Any dentist we match you with has agreed to give you a written quote before treatment.
| Treatment | Typical range | With 0% plan |
|---|---|---|
| Clear aligners, simple caseFront teeth only, 6–10 months | $2,190 – $3,800 | $89/mo24 months |
| Clear aligners, comprehensiveFull bite, 12–24 months | $4,200 – $6,500 | $179/mo36 months |
| Metal bracesMost cost-effective for complex cases | $3,000 – $7,000 | $149/mo36 months |
| Ceramic bracesTooth-coloured brackets | $4,000 – $8,000 | $189/mo36 months |
| Lingual bracesBehind the teeth, invisible | $8,000 – $13,000 | $269/mo48 months |
| RetainersBonded wire and removable set | $250 – $700 | Usually included |
Orthodontic insurance benefits work differently from the rest of dentistry: most plans that include it pay a lifetime maximum of $1,000 to $2,500 rather than an annual amount, and many restrict it to patients under nineteen. Check both the lifetime figure and the age limit before assuming you are covered.
Every component on a separate line. It is the only way two quotes ever become comparable, and every practice on this list has agreed to give you one before you pay a deposit.
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Estimates only. Actual approval, APR and term depend on the practice, the lender and your credit. Promotional 0% offers are usually deferred-interest products — if the balance is not cleared inside the promotional window, interest may be charged retroactively from the purchase date. Always read the credit agreement.
Appearance is what people ask about. Case complexity is what should actually decide it.
| Clear aligners | Metal braces | Ceramic braces | |
|---|---|---|---|
| Cost | $2,190 – $6,500 | $3,000 – $7,000 | $4,000 – $8,000 |
| Visibility | Nearly invisible | Obvious | Discreet |
| Removable | Yes | No | No |
| Handles complex bite problems | Limited | Best of the three | Very good |
| Depends on you wearing it | 20–22 hrs a day | Fixed, no choice | Fixed |
| Eating restrictions | None — remove them | Hard and sticky foods | Hard and sticky foods |
| Best for | Mild to moderate crowding in a disciplined wearer | Complex cases, teenagers, and best value per outcome | Complex cases where appearance during treatment matters |
None of this is marketing gloss — each one measurably changes how predictable your result is. Ask the practices you shortlist which of the four they actually have.
A practice that turns the monitor towards you and walks through what it is actually seeing is a practice that expects to be questioned.
Ask to see your own scanEvery fee on its own line, handed over before you pay a deposit. Every practice we list has agreed to provide one.
Non-negotiable on this listSkill compounds with repetition. Each listing shows how many cases of this type the practice has completed in the last two years.
Case counts shown on every cardA named contact for the week after treatment, and a written policy on what a redo costs if something is not right.
Checked at every renewalWe visit or video-audit every practice before it goes on the list — the operatory, the sterilisation room, the imaging suite and the front desk that will handle your insurance claim.
Send this once and up to three matched orthodontists near you come back with a written fee, whether they hold a specialist residency, and what their plan covers — front teeth only, or the full bite.
Ninety seconds. Your ZIP, what you need, and your insurance if you have it.
We pick the three strongest matches on distance, case volume and price transparency — then send them your case.
Three written estimates in your inbox within two business days. Pick one, or none.
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Reviewed by our clinical advisory panel in January 2026. General information, not a diagnosis.
Talk it through with a care coordinator before you book anything. They don't work on commission and they can tell you when this is the wrong call.
Contact usAn orthodontist completed a two-to-three-year residency after dental school and treats nothing else; a general dentist may offer aligners after a manufacturer course lasting days. For mild front-tooth crowding, both routinely get good results. For anything involving the bite, jaw relationship or extractions, the depth of training genuinely shows. Every listing on this page states which you are looking at.
Six to ten months for mild front-tooth crowding, twelve to twenty-four for a comprehensive case that corrects the bite. The single biggest variable with aligners is not the case — it is whether you wear them twenty to twenty-two hours a day. Providers plan the timeline assuming you will; most delays we hear about come from patients who did not.
Yes, and any provider who suggests otherwise is not being straight with you. Teeth drift throughout life — that is why adults who had braces at fifteen turn up crowded again at forty. Retention is usually a thin wire bonded behind the front teeth, a removable retainer worn at night, or both. Budget for it from the start rather than treating it as an afterthought.
Sometimes, when there is genuinely not enough room in the jaw for the teeth you have. The alternatives — expanding the arch or slimming teeth slightly between contacts — have limits, and pushing past them produces results that relapse or leave teeth outside the bone. A provider who never extracts and one who always does are both worth a second opinion; the answer should come from your specific records.
No. Roughly one orthodontic patient in four in the US is now an adult. Teeth move at any age because bone remodels throughout life — adult treatment is often marginally slower, and gum health matters more, but the outcomes are comparable. The main practical difference is that adults are far better at wearing aligners as instructed.
Pressure and tenderness for two to four days after each adjustment or each new aligner, worst on the first day and manageable with ibuprofen. Braces can rub the cheeks for the first fortnight until the tissue toughens; orthodontic wax solves that. It is discomfort rather than pain, and it fades markedly after the first few weeks.
Yes, and short-term cosmetic alignment is a legitimate product for the right person — usually six to ten months and considerably cheaper. Understand what you are buying: it improves the appearance of the front teeth without addressing the bite that let them crowd, so the relapse risk is higher and retention matters even more. Ask providers to be explicit about which they are quoting.
Almost always. Moving teeth into position first means veneers can be far thinner, which preserves substantially more enamel and produces a more natural result. Veneering crowded teeth means grinding away healthy structure to compensate for position. The extra three to twelve months of aligners is usually the best decision in the whole plan.
Compare training, published fees, treatment scope and next available consultation.