You won’t find any cookie-cutter smiles here. If you hear that all orthodontic patients should be treated the same way, we’re here to set the record straight. We want to give you the smile that looks the best for YOU— not the smile that would look the best for your sister, or your best friend, or your uncle who lives in Cataloochee. And we want to get you there using the techniques that will be the most efficient and comfortable for you. While every patient has their own set of orthodontic problems and challenges, and there are often many ways to fix each set of problems, there is often one BEST way to treat every individual patient. Part of the fun in our jobs is in helping you figure out which treatment option is right for you, your child, or your loved one.

Do you like taking goopy molds of your teeth? Neither do we. (Trust us, our classmates practiced on us in dental school.) From 3D scans of your teeth to customized treatments with clear aligners like Invisalign® and Clarity™, we’re here to make sure you benefit from the huge technological advances being made in orthodontics every day. We’re fortunate that orthodontics has been at the forefront of the digital revolution in dentistry, and we spend countless hours in continuing education every year to make sure we’re bringing those technologies to you, our patients.

Orthodontics is an investment—an investment in your self-confidence, oral health, and future success—and we want to make that investment affordable. We’re dedicated to working with every one of our patients to design financing and treatment options that can make orthodontics accessible, no matter what stage of life you’re in.

Drs. Small and Piers were both voted “Senior Class Clown” in high school, and while this is not usually something they put on their resumes, it tells you that they love to make people smile. While we’re deeply serious about our orthodontic treatments, we’re equally serious about having a blast at work and creating a space where our patients and teammates can share laughs that are as fantastic as our outcomes. We want you to leave your appointments with us ready to smile—for a whole world of reasons!

Drs. Small and Piers trained at top research-based residencies, and they believe that orthodontics is both an art and a SCIENCE. What does that mean? It means you won’t ever see us waving shiny, useless gadgets over your teeth and asking you to pay more for them, even if someone else says it’s “the next hottest thing.” Data doesn’t lie, and neither will we. We take our commitment to you as specialists seriously, and if you see something used in our office—a specific bracket, treatment philosophy, or medication—you can bet it’s supported by evidence. Period. That’s our promise to you.

Do you want to wait until you’re finished with treatment to start feeling good about your smile? We wouldn’t either. We want you to look and feel fantastic from Day One. Unless we’re doing something out of the ordinary (like preparing you for jaw surgery or making space to bring in an impacted tooth), we’re focused on getting you smiling with confidence as soon as we can. From color-customized braces for kids to school-color athletic mouthguards to esthetic and nearly invisible treatment for adults, we’re dedicated to making you feel good about your smile from the moment you first leave our office.