East Bradford Dental is a certified Invisalign provider serving adults in West Chester and Chester County. We focus on what we do well: adult crowding, spacing, and orthodontic relapse. Free consultation, iTero digital scan, and a preview of what your finished smile could look like.
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Most adults considering orthodontic work do not want to spend a year and a half with brackets and wires. Invisalign is the alternative: clear plastic aligners, worn 20-22 hours a day, swapped out for the next one in the series every one to two weeks. Over the course of treatment, your teeth move to where they're supposed to be.
For the adult cases we treat — mild-to-moderate crowding, spacing, and orthodontic relapse — Invisalign works just as well as braces, often in less time. The aligners are nearly invisible. You take them out to eat and brush. There is nothing to break, nothing to poke the inside of your mouth, and no monthly tightening visits.
The most common patient we see for Invisalign is someone who had braces as a teenager, stopped wearing retainers at some point, and watched their teeth slowly shift back over 10 or 20 years. That orthodontic relapse case is our sweet spot. Treatment is fast, the result is predictable, and you finish with a set of vivera retainers to keep things stable for life.
We focus on what we do well. For adults whose cases fall in our sweet spot, Invisalign at East Bradford Dental is faster, more predictable, and more personal than what you'd get at a high-volume ortho practice. For cases outside our scope, we'll tell you up front and refer you to an orthodontist we trust.
You had braces as a teenager. You stopped wearing your retainer at some point. Over years, your teeth slowly shifted back. This is the case we see most often, and it's almost always a perfect Invisalign candidate. Treatment is usually 4-9 months.
Adult patients whose teeth are slightly overlapping or rotated. Invisalign moves them into proper alignment, sometimes with help from interproximal reduction (IPR) to create needed space. Treatment 6-12 months.
Adults with small gaps between teeth, especially in the front. Invisalign closes spaces predictably. Often combined with cosmetic work (bonding, veneers) at the end for the best aesthetic result.
Minor crossbite, overbite, or underbite issues in adults. Invisalign with attachments can correct these. If the bite issue is significant or skeletal, we refer to an orthodontist for an opinion first.
We focus on adult cases. For teens and children, we refer to a local orthodontist who specializes in growth-related cases. Happy to make the referral and stay involved in general dental care.
Severe Class II or Class III bites, cases requiring extractions or expansion, surgical orthodontics. These need an orthodontist with the right diagnostic tools and treatment options. We'll tell you honestly when that's the right path.
You come in for a free consult — about 45 minutes. We take an iTero digital scan (no goopy impressions), review your case, and answer your questions. If you're a candidate, you'll see a digital preview of what your finished smile could look like. You leave with an exact price and timeline. No pressure to commit.
If you decide to move forward, we work with Invisalign to design your treatment plan — every aligner in the series, attachments, IPR, the exact tooth movements at each stage. We review the plan with you before any aligners are ordered.
Your first set of aligners arrives 2-3 weeks later. At your delivery appointment we bond small tooth-colored attachments to the teeth that need them (they help the aligners grip and control tooth movement), perform any IPR if planned, and walk you through wear, hygiene, and care.
You wear each aligner full-time, taking them out only to eat, drink (anything other than water), and brush. Most patients swap to the next aligner every one to two weeks based on the plan. Check-ins every 6-8 weeks to make sure tracking is on schedule.
At the end of the planned aligner series, we evaluate the result. If a small refinement is needed, we take another scan and order a short refinement series — included at no additional cost. Once treatment is complete, we deliver vivera retainers and recommend wearing them nightly for life.
One of our patients had a typical adult orthodontic story. Braces in middle school, retainers worn faithfully for a year, then forgotten in a drawer. Over the next two decades, their teeth gradually shifted — not dramatically, but enough to notice in photos and feel self-conscious in meetings.
We took an iTero scan, showed them the digital preview of the finished result, and got started. Eleven months later, the case was complete. They wear vivera retainers nightly now — the lesson learned from the first time. The result looks like the smile they remember having after braces came off, twenty years ago.
Mail-order aligners are cheaper for a reason. They skip the diagnostic exam that determines whether you're a candidate, and there's no in-person clinical supervision throughout treatment.
When you move teeth, things can go wrong. Bites can become misaligned. Roots can move in ways that aren't visible in your mouth but are visible on an X-ray. Attachments and IPR — small adjustments that determine whether the final result is right — aren't part of a mail-order treatment. We have seen patients come in after DIY aligner treatment with shifted bites, sore jaws, and teeth in worse positions than where they started.
For very mild cosmetic-only cases, mail-order can technically work. But you have no way of knowing whether your case is one of those, because nobody clinically supervised qualified you in the first place. The cost difference is real, but you're paying for the diagnostics, the supervision, and the ability to course-correct mid-treatment — all the things that determine whether the result is actually right.
Come in for a free consult. We'll give you an honest read on whether you're a candidate, what treatment would involve, and what it would cost — including telling you if we'd refer you to an orthodontist instead.
We don't run different "tiers" of Invisalign with confusing add-ons. One flat case fee covers your entire treatment, including the diagnostic scan, all aligners through completion, attachments, IPR, in-office monitoring, and one refinement if needed.
East Bradford Dental has been caring for West Chester families since 1993. Dr. Steven Casella is a certified Invisalign provider and has invested in the diagnostic technology — including iTero digital scanning — that makes adult Invisalign cases predictable and efficient.
We were named to Philadelphia Magazine's Top Dentists 2026 list. For Invisalign specifically, our approach is to do what we're good at and refer out what we aren't. Adults with crowding, spacing, or orthodontic relapse get a clean, fast, well-supervised treatment. Anything more complex, we'll tell you honestly and connect you with an orthodontist.
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Free consultation, iTero digital scan, and a preview of what your finished smile could look like. No pressure to commit. If you're a candidate, you'll leave with an exact price and timeline. If you're not, we'll tell you and refer you to the right specialist.