Top Rated Orthodontist in Puyallup and Graham, WA

ORTHODONTIST PUYALLUP & GRAHAM WA

Discover Your Stunning Orthodontic Transformation

Founded with a commitment to excellence, Smiles Orthodontics has been proudly serving our community for many years. Our orthodontist Puyallup & Graham team lead by Dr. Bobby Virk, a top Invisalign expert, and Dr. Helena Skountrianos, a highly experienced board-certified specialist, is a practice with a passion for creating beautiful, healthy smiles and improving lives.
  • Reach out to us today to schedule a free consultation.
  • Pick the treatment method that feels just right for you.
  • Explore our flexible payment plans designed with your comfort in mind.
  • Get ready to kick back and start your journey to a brighter smile with us!

Are you struggling with smile-related concerns?

  • Crooked or Misaligned Teeth

  • Overbites and Underbites

  • Crowded Teeth

  • Gaps and Spaces Between Teeth

  • Gum Irregularities

  • Orthodontic Concerns in Children

Do any of these ring a bell? Smiles Orthodontics combines our expertise, modern equipment, and a variety of customized treatment choices to tackle any of these issues head-on!

Personalized Patient Care
We put your journey first and make sure that every part of your orthodontic treatment is unique and fits your needs.

Exceptional Team
For the best treatment experience, trust our certified orthodontic specialists and team to provide top-notch care.

Competitive Technology
We embrace technology to provide extensive treatment plans and seamless monitoring, enhancing the quality of your care.

Community Impact
We are committed to nurturing the youth of our community, creating beautiful smiles, and positively impacting lives.

Patient Testimonials

See Our Smiles in Puyallup, WA

Creating 5 Star Experiences

"The staff is so nice, friendly, and professional. They go out of their way to put you at ease. Dr. Ethan is the best! I would not trust anyone else to fix my teeth!"

Orthodontics Beyond Ordinary

WHAT WE OFFER

Experience discreet treatment with Invisalign. Enjoy the freedom to remove your aligners for eating and oral hygiene, making your journey to a straighter smile comfortable and convenient.
Choose from traditional metal braces or ceramic braces for effective tooth alignment. Metal braces are a robust option for all ages, while ceramic braces provide a more subtle appearance.
Our 3D scanning and printing technology ensures the utmost precision in treatment planning and orthodontic appliance fabrication, offering accuracy and efficiency at every stage.
We understand that unexpected orthodontic issues can arise. Our emergency care services are here to provide prompt assistance and solutions when you need them most.
Invest in your child’s dental health with early preventive measures. Our orthodontists assess your child’s oral development and implement proactive strategies to guide their growing smiles.

Yes, you can get orthodontic treatment as an adult. Millions of adults wear braces or clear aligners to straighten teeth, fix bite issues, and improve oral health. Age is not a limit as long as your gums and jaw bone are healthy. 

Completely free orthodontic treatment is extremely rare for adults. Government programs like Medicaid almost never cover standard braces for adults over 21 unless they are medically necessary for severe jaw reconstruction or trauma, and most non-profit charity programs focus strictly on children. 

Most dental insurance plans exclude adult orthodontics because insurers categorize adult braces as elective or cosmetic. Pediatric treatment is heavily subsidized because interceptive care guides jaw growth and prevents complex surgeries later, whereas adult coverage is viewed as high-risk and costly for pool payouts. 

Without insurance, orthodontic treatment typically costs between $3,000 and $10,000, depending on the complexity of your teeth and the type of braces chosen. To manage this without coverage, you can utilize in-house monthly payment plans, tax-free health accounts, dental school clinics, or third-party medical financing. 

Adult orthodontics refers to any teeth-straightening or bite-correcting treatment done for patients past their teen years, typically over 18. It addresses shifting teeth, overcrowding, bite misalignments, and jaw pain using discreet options like clear aligners, ceramic brackets, or lingual braces, keeping in mind that adult jawbones are fully developed. 

Yes, you can go straight to an orthodontist without a referral from a general dentist. Most orthodontic offices welcome direct calls and offer free initial consultations to check your teeth and bite. 

Most orthodontists do not put braces on during the very first appointment. The initial visit is usually a consultation to examine your teeth, take X-rays or digital scans, and design a custom treatment plan. However, some offices offer “same-day braces” if your teeth are healthy and you request it beforehand. 

It is generally better to get braces from an orthodontist. While some general dentists take extra courses to offer basic teeth-straightening, orthodontists complete an extra two to three years of specialized residency training focused entirely on moving teeth and fixing bite issues. 

All orthodontists are dentists, but orthodontists complete an extra two to three years of specialized residency training focused exclusively on moving teeth and aligning jaws. While a general dentist handles overall oral health, an orthodontist provides advanced bite correction, designs complex tooth-movement plans, and uses specialized appliances like traditional braces and palatal expanders. 

No, orthodontists do much more than just put on traditional metal braces. They are dental specialists trained to diagnose, prevent, and treat a wide range of bite issues, tooth misalignments, and jaw growth problems.  

Your Local Orthodontist in Puyallup: Get The Smile You Deserve

Smiles for All Ages

At Smiles Orthodontics, we’ve got smiles for everyone—from little kids to teenagers to adults, our orthodontic services are here to make your teeth beautifully aligned, no matter your age.

FOR KIDS

We turn orthodontic care into an adventure, making it fun and interactive. It’s all about laying the groundwork for a lifetime of smiles that beam with confidence.

FOR TEENS

Selfies? Bring ’em on! Our treatments are as teen-friendly as they come, fitting right into your lifestyle. Say goodbye to the awkward stage and hello to the perfect selfie.

FOR ADULTS

Who says you can’t have a dazzling smile at any age? Our adult-focused services are here to help you embrace a brighter, more confident future.

OUR SMILES CREATORS

Dr. Bobby Virk

Dr. Bobby Virk, DMD, MSD, is an experienced orthodontist dedicated to crafting beautiful smiles. He holds a Doctor of Dental Medicine degree and a Master of Science in Dentistry. With over 20 years of experience, he’s a Top 1% Diamond Plus Invisalign provider, merging expertise and modern technologies for efficient treatment.
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Dr. Helena Skountrianos

Dr. Helena Skountrianos, DDS, MS, brings a global perspective to orthodontics. With her Doctor of Dental Surgery degree from Greece and a Post-Doctoral Masters Degree in Orthodontics from St. Louis University, she achieved “Kois Recognized Specialist” status in 2010.
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Your stunning smile is within reach. Get in touch today to book your initial consultation with our orthodontist Puyallup & Graham team. It’s time to embark on your journey towards a more confident, radiant you!

Two Convenient Locations in Pierce County, WA

Puyallup

Graham

Frequently Asked Questions About Adult Orthodontic Treatment in Puyallup

Can you get orthodontic treatment as an adult?

Yes. Healthy teeth can be moved at almost any age.

The American Association of Orthodontists notes that adults commonly undergo orthodontic treatment for crowding, spacing, bite concerns, shifting teeth, and other alignment problems.

What matters more than your age is the health of your teeth, gums, and supporting bone. We evaluate those factors before recommending treatment.

What problems can adult orthodontic treatment correct?

Adults can develop many of the same orthodontic concerns as younger patients, including:

  • Crowded or overlapping teeth
  • Gaps between teeth
  • Overbites and underbites
  • Crossbites
  • Open bites
  • Teeth that have shifted after previous treatment
  • Uneven bite relationships

Some adults also begin treatment as part of a broader restorative or dental plan.

Is Invisalign or braces better for adults?

Both can work well, but the better option depends on your teeth, bite, lifestyle, and treatment goals.

Invisalign may appeal to adults who want a removable and less noticeable option, while metal or ceramic braces can provide dependable fixed treatment without requiring daily wear compliance.

We can compare both approaches after evaluating your smile rather than assuming one treatment is automatically better.

How long does adult orthodontic treatment usually take?

Treatment time varies from person to person.

In our adult orthodontic cost guide, we explain that treatment can range from about 12 months to more than two years, depending on the complexity of the case.

Milder alignment concerns may take less time, while significant crowding or bite correction can require a longer plan.

Can I get braces or Invisalign if I already have crowns, fillings, or missing teeth?

Often, yes.

Existing dental work does not automatically prevent orthodontic treatment. However, crowns, missing teeth, worn teeth, implants, or other restorations can affect how we plan tooth movement.

The American Association of Orthodontists also notes that adult treatment planning may need to account for existing dental work and sometimes involve coordination with your general dentist or another specialist.

Do my gums need to be healthy before orthodontic treatment?

Yes. Gum health is an important part of adult orthodontic planning.

Moving teeth when active gum disease is present can create additional risks, so periodontal concerns generally need to be evaluated and managed before or alongside treatment.

We assess your oral health before starting so tooth movement can be planned safely.

Can adults get orthodontic treatment for free?

Completely free adult orthodontic treatment is uncommon.

Insurance coverage varies significantly, and some plans exclude adult orthodontic benefits altogether. Instead of assuming treatment will or will not be covered, we can help you verify your specific benefits before you begin.

How can I pay for orthodontic treatment without insurance?

You still have options if you do not have orthodontic coverage.

We offer flexible financial arrangements, including a low down payment, interest-free monthly payments, and a discount for payment in full.

That can allow you to spread the cost of treatment rather than paying the entire fee upfront.

How much does adult orthodontic treatment cost?

The final cost depends on the treatment you choose and the complexity of your case. Adult orthodontics in the U.S. generally ranges from approximately $3,000 to $7,000 for traditional metal braces, $4,000 to $8,500 for ceramic braces, and $3,000 to $8,000 for clear aligners.

Those are general ranges, not guaranteed fees for your individual treatment. We can give you a more accurate estimate after evaluating your smile and treatment needs.

What is considered adult orthodontics?

Adult orthodontics refers to orthodontic treatment provided after the teenage years, when jaw growth is largely complete.

The same basic goals still apply: improving tooth alignment, bite relationships, and long-term function. What changes is the planning. Adults are more likely to have existing dental work, missing teeth, gum concerns, or restorative needs that must be considered as part of treatment.

Will I need a retainer after adult orthodontic treatment?

Yes. Retention is important after both braces and clear aligner treatment.

Teeth can shift at any age, so retainers help preserve the positions achieved during active treatment. We will give you specific instructions based on your final result and long-term retention needs.

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Frequently Asked Questions About Orthodontic Care in Graham, WA

Do I need a dentist referral before seeing an orthodontist?

No. You can contact an orthodontist directly without waiting for a referral from your general dentist. If you are considering braces, Invisalign, or simply want your bite checked, you can schedule a consultation with our Graham team directly. We currently offer a free initial smile analysis.

Will I get braces at my first orthodontic appointment?

Usually, the first appointment is focused on evaluating your teeth and bite, reviewing any necessary digital scans or X-rays, and discussing your treatment options. Braces are generally placed after a treatment plan has been created. If you are hoping to begin treatment quickly, let us know when scheduling so we can explain what may be possible for your specific case.

Should I get braces from a dentist or an orthodontist?

For orthodontic treatment, an orthodontist offers specialized training focused specifically on moving teeth and correcting bite problems. Orthodontists first complete dental school and then additional accredited orthodontic residency training. If you are considering braces, seeing an orthodontic specialist helps ensure treatment is planned around both tooth alignment and bite function.

What can an orthodontist do that a general dentist usually does not?

General dentists focus on overall oral health, including preventive care, fillings, crowns, and gum health. Orthodontists receive additional specialty training in tooth movement, bite correction, and jaw alignment. They diagnose and treat concerns such as crowding, spacing, overbites, underbites, crossbites, and open bites using braces, clear aligners, and other orthodontic appliances.

Do orthodontists only provide braces?

No. Braces are only one part of orthodontic care. Our orthodontist in Graham, WA may also diagnose and treat bite problems, monitor developing teeth and jaws, provide Invisalign and other clear aligner treatment, manage retainers, and address teeth that have shifted after previous treatment. At our Graham orthodontic office, we provide care for children, teens, and adults.