Adult cases, including the ones told to wait or accept it.
Orthodontics for adults in North Richland Hills, TX, directed by a Diplomate of the American Board of Orthodontics since 2007. This practice takes second opinions, complex bites, and teeth that have shifted after earlier treatment — and treats most of them with discreet aligners.
A grown patient is a different clinical problem.
Facial growth is complete, and adult mouths often carry prior dental work, wear, or gum history. That changes the plan — and it is exactly why the evaluation matters more, not less.
Adult treatment is planned around what the years have already done: existing restorations, worn or shifted teeth, and finished jaw growth that removes the developmental leverage a child's case has. These factors can affect how a case is sequenced, how long it runs, and whether specific movements are practical.
None of that means it is too late. It means the workup has to be thorough. Every evaluation here includes a low-radiation CBCT airway screening as part of a standard intake, so the plan accounts for your bite and airway — not only the alignment of the front teeth.
Alignment is a function problem before it's a visible one.
A misaligned bite makes teeth meet where they shouldn't. Over years that drives uneven wear and complicates cleaning. Correcting open bites, overbites, and underbites restores function and lowers long-term risk.
Many adults come in focused on how their teeth look and leave understanding that the bite underneath was the more consequential issue. Teeth that contact incorrectly wear down, and crowding that resists a toothbrush raises the risk of decay and gum problems. Straightening the arch is, first, a way to protect the teeth you have.
Clear aligners, reviewed weekly without weekly appointments.
Treatment is aligner-first: discreet, removable clear aligners exchanged on a set schedule, paired with DentalMonitoring so most check-ins happen from home.
You scan your teeth at home with a smartphone attachment, and Dr. Fallah reviews your progress personally every week. Because the monitoring is remote, in-office visits can be as infrequent as every six months — which is what makes treatment realistic around a job, and why patients travel from as far as Houston and Dallas to be seen here.
Because the aligners are clear and removable, treatment stays discreet through meetings and meals, and your hygiene routine doesn't change. When a specific movement genuinely needs brackets, sectional braces are used as a short, precise step, then set aside — aligner-first is not aligner-only.
Built for adults who work
If your teeth shifted after braces — or you were told nothing could be done.
Relapse after earlier treatment and cases declined elsewhere are a routine part of this practice, not an exception to it.
Teeth that were straightened years ago can move again, often because a retainer was set aside. That is a treatable problem, and it is common. So is the patient who was told a case was too complex for aligners, or not worth treating at all — 22 years of practice here have run toward precisely those cases.
A second opinion costs you an evaluation and gives you a specialist's read, with imaging, of what is actually possible. If braces are the honest answer for part of the plan, you will hear that too.
Explore further
Invisalign®
The aligner-first model in full — how weekly remote reviews and sectional braces work together.
Airway Evaluation
The CBCT airway screening included in every adult intake here.
Meet Dr. Fallah
The credential stack behind the complex and second-opinion case mix.
Considering treatment for a child instead? See children & teen orthodontics.
09 — Intake
Begin with an evaluation.
Your first visit at NRH Orthodontics is a full evaluation — CBCT airway screening included — and a treatment plan you understand before you commit to anything.
Accepting new patients — North Richland Hills, TX