Advanced Dentistry of Collegeville . Orthodontics

Orthodontics in Collegeville, PA


Invisalign clear aligners planned by Dr. Nelly Silva, a general dentist with two years of orthodontic post-training who also looks at your jaw and airway.

  • 2-year post-training, International Association of Orthodontics
  • Diplomate in Dental Sleep Medicine (AADSM, ABCDSM)
  • iTero® Element™ digital scanning
  • In-network with all PPO dental plans
Dr. Nelly Silva, DMD, in her white coat at the entrance of her Collegeville office, where she provides orthodontic care with Invisalign
Dr. Nelly Silva, DMD
How It Works

Straighter Teeth With Invisalign Clear Aligners

Orthodontics moves teeth and guides the bite into a healthier position. We do it with Invisalign, a series of clear, removable trays.

Each set of aligners is shaped slightly differently from the last. Worn most of the day, every set applies gentle, steady pressure that shifts your teeth a small step toward the planned position. You switch to the next set on a schedule, and the steps add up to a straighter smile and a more even bite.

The trays come out to eat, brush and floss, so there are no brackets to clean around and no foods to give up. Because they are clear, most people will not notice you are wearing them.

  • Invisalign® alignersCustom clear trays made from your own scan, changed in planned stages.
  • iTero® Element™ scannerA 3D digital scan of your teeth replaces putty impressions and becomes the base of your aligner plan.
  • Vatech CT scan3D imaging of roots and jawbone when your case calls for a closer look before teeth move.
Who It Helps

Bite Problems Orthodontics Can Correct

Straight teeth look better, and they are also easier to clean and wear more evenly. These are the common problems orthodontic treatment addresses.

  • Crowded or Crooked Teeth

    Overlapping teeth trap plaque and are harder to brush and floss well.

  • Gaps Between Teeth

    Spaces can be closed by moving teeth together rather than adding material to them.

  • Overbite and Underbite

    Upper and lower teeth that do not meet evenly can wear down and strain the jaw.

  • Crossbite

    Some upper teeth sit inside the lower teeth, which can cause uneven wear and chipping.

  • Open Bite

    Front teeth that do not touch when you close make biting into food harder.

  • Teeth That Shifted Back

    Adults who had braces as teens often see teeth drift once a retainer stops being worn.

Every Age

Orthodontic Care for Children, Teens and Adults

The right timing and the right appliance depend on how far the teeth and jaws have developed.

  • Children

    Early Checks and Habit Appliances

    A first look while baby and adult teeth are both present can catch crossbites and crowding early. We also make habit appliances for children working to stop thumb or finger sucking.

  • Teens

    Aligners That Fit School and Sports

    Clear trays come out for meals and practice, and there are no wires to break. Wear time matters, so results depend on teens keeping the trays in through the day.

  • Adults

    It Is Not Too Late

    Teeth move at any age when the gums and bone around them are healthy. Many adults straighten their teeth to make cleaning easier, protect worn teeth or prepare for other dental work.

Our Approach

Your Bite, Jaw and Airway Planned Together

Dr. Silva's training goes beyond tooth position. She is a Diplomate in Dental Sleep Medicine, completed a TMD residency and is a Fellow of the American Academy of Craniofacial Pain. She also wrote the book Breathe Right: The Link Between Nutrition, Airway and Getting a Good Night's Sleep.

That background shapes the exam before any aligner is made.

  1. Teeth and Gums

    We confirm the gums and bone are healthy enough to support moving teeth, and treat any problems first.

  2. Bite and Jaw Joints

    We check how your teeth meet and how your jaw joints move, since a bite change affects both.

  3. Airway and Sleep

    If you snore, grind or wake up tired, we note it and discuss sleep apnea care alongside your plan.

Compare Your Options

Clear Aligners Compared With Traditional Braces

Both move teeth with steady pressure. The difference is in how they fit into your day.

FactorClear AlignersTraditional Braces
AppearanceClear plastic trays that are hard to noticeBrackets and wires bonded to the teeth
RemovableYes, taken out to eat, brush and flossNo, fixed in place until treatment ends
FoodNo food restrictions while trays are outHard and sticky foods are avoided
CleaningBrush and floss as usualExtra time to clean around brackets
Your PartWear trays 20 to 22 hours a dayWorks without daily wear decisions
PlanningDigital scan and a staged 3D planWire adjustments made at visits

Not every bite suits aligners. At your consultation, Dr. Silva will tell you whether Invisalign is a good match for your teeth.

What to Expect

Your Orthodontic Treatment, Step by Step

Treatment length depends on how far your teeth need to move. You get an estimate with your plan, before you commit.

  1. 01

    Consultation

    We talk about your goals and examine your teeth, gums, bite and jaw joints.

  2. 02

    Digital Scan

    An iTero Element scan maps your teeth in 3D, with CT imaging when needed.

  3. 03

    Your Plan

    Dr. Silva maps each stage of movement and gives you a time estimate.

  4. 04

    Wearing Aligners

    Wear each set 20 to 22 hours a day and move to the next as directed.

  5. 05

    Progress Checks

    Short visits confirm your teeth are tracking with the plan.

  6. 06

    Retainers

    A retainer holds teeth in their new position once movement ends.

Portrait of Dr. Nelly Silva, DMD, the Collegeville dentist who provides Invisalign orthodontic treatment
Dr. Nelly Silva, DMD
Who Treats You

Meet Dr. Nelly Silva, DMD

Dr. Silva provides Invisalign in our office, and she asks patients to call her Nelly. She is a Clinical Associate Professor at Temple University's Kornberg School of Dentistry, where she earned her DMD.

  • 2-year post-training program, International Association of Orthodontics
  • Diplomate in Dental Sleep Medicine (AADSM, ABCDSM)
  • Fellow, American Academy of Craniofacial Pain, TMD Residency
  • Fellow, International College of Dentists
  • Graduate, Las Vegas Institute for Advanced Dental Studies
  • Author of Breathe Right
★★★★★

The positive energy, professionalism, modern tools and techniques, and personal touch all keep me and my family coming back.

Steven Meyers, Google Review
★★★★★

Takes time for questions and gives detailed explanations.

Lynn Maison, Google Review
Paying for Treatment

Insurance, Payment Plans and Savings

Every plan is priced after your exam and scan, because cost follows how much your teeth need to move.

  • PPO Insurance

    We accept all PPO dental insurance plans. Orthodontic benefits differ from plan to plan, and we go over yours with your estimate. We do not accept Medicaid.

  • Payment Plans

    Payment plans let you spread the cost of treatment over time rather than paying all at once.

  • Dental Savings Plan

    No dental insurance? Our dental savings plan is an option for patients paying on their own.

FAQ

Orthodontics Questions We Hear Most

Straight answers about aligners, timing and cost. Anything else, ask us at your consultation.

Do orthodontics work on adults?

Yes. Teeth can move at any age as long as the gums and bone around them are healthy. Clear aligners are a common choice for adults because the trays fit easily into work and social life. We check your gum health first, because healthy support is what lets teeth move safely.

How much do braces or Invisalign cost in Pennsylvania with insurance?

Cost depends on how much your teeth need to move and how long treatment runs, so we price each plan after your exam and scan. We accept all PPO dental insurance plans, and orthodontic benefits differ from plan to plan. We'll show you what your plan covers, and payment plans can spread the balance over time.

Is Dr. Silva an orthodontist?

Dr. Silva is a general dentist, not a specialist orthodontist. She completed a 2-year post-training program with the International Association of Orthodontics and provides Invisalign. She will tell you plainly at your consultation whether your bite is a good match for clear aligners.

How long does Invisalign take?

It depends on the case. Closing small gaps or easing mild crowding can take a matter of months, while bite corrections take longer. Your plan includes an estimate, and wearing the aligners 20 to 22 hours a day keeps you on that schedule.

When should my child have an orthodontic check?

Around age 7 is a common time for a first look, while baby and adult teeth are both present. Early checks can spot crossbites, crowding and habits such as thumb sucking. We also make habit appliances for children who need help breaking those habits.

Will I need a retainer after treatment?

Yes. Teeth tend to drift back toward their old positions, especially in the first months after they move. A retainer worn as directed protects the result you worked for.

Can straightening my teeth help with snoring?

Tooth alignment on its own is not a treatment for snoring or sleep apnea. Dr. Silva is a Diplomate in Dental Sleep Medicine, so if you snore or wake up tired, tell us at your consultation. We can evaluate your airway and discuss oral appliance therapy for sleep apnea alongside your orthodontic plan.

Get Started

Start Your Straighter Smile in Collegeville

Find out whether clear aligners fit your teeth, how long treatment would take and what your insurance covers. You leave your consultation knowing your options.

399 Arcola Road, Collegeville, PA 19426

Reception and waiting area of the Collegeville dental office where patients start orthodontic treatment