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Gentle Touch Smiles for Kids Dental & Orthodontics in Wilmington, Delaware, provides orthodontic care for children and teens.

About Gentle Touch Smiles for Kids Dental & Orthodontics
Dr. Patty is remembered by many families for years of patient, kid-friendly care through braces treatment, though scheduling and front-desk responsiveness draw frequent complaints.
This is a pediatric dental practice that also offers Invisalign, traditional braces, and early treatment for younger patients. Braces come up more often here than at similar offices, and reviews describe a gentle approach that keeps anxious kids calm through fillings and other procedures. Dr. Patty is frequently mentioned for building rapport with children over multiple years of visits and explaining what to expect before starting treatment. At the same time, a substantial number of reviews point to canceled or delayed appointments and a front desk that can be slow to respond, especially for the orthodontic side of care.
Summary of 206 patient reviews, October 2021–September 2026, updated September 2026
Gentle Touch Smiles for Kids Dental & Orthodontics in Wilmington, Delaware, provides orthodontic care for children and teens.
Dr. Patricia Rist and Dr. Era Pyakurel, both board-certified by the American Board of Orthodontics, lead the practice. The practice offers Invisalign clear aligner treatment and early orthodontic intervention for younger patients. Digital impression technology streamlines the treatment planning process, eliminating the need for traditional molds. Evening appointments are available to accommodate school and family schedules. Patients can book appointments online through the practice website. Gentle Touch Smiles for Kids accepts multiple insurance plans, including MetLife, Aetna, Cigna, Guardian, Delta Dental, and Ameritas. The practice also accepts Medicaid. Some HMO and DMO plans are not accepted. The office submits insurance claims directly on behalf of patients. For families without insurance coverage or those with out-of-pocket costs, payment plans are available. CareCredit financing is accepted as an additional payment option. The practice serves families throughout the Wilmington area. Individual treatment recommendations depend on each patient's specific orthodontic needs and developmental stage.
Treatments offered
Who They Treat
Gentle Touch Smiles for Kids Dental & Orthodontics provides orthodontic treatment for the following age groups:
Technology & Equipment
Gentle Touch Smiles for Kids Dental & Orthodontics uses modern orthodontic technology to deliver precise, comfortable treatment.
Orthodontists at this office
Dr. Patricia Rist, D.M.D.
NPI verified · no bio or photo on file
Dr. Era Pyakurel, DMD
NPI verified · no bio or photo on file
George Derenzo
NPI verified · no bio or photo on file
Insurance accepted
14 plans listedWhat patients say
Latest review 8 weeks ago
What patients praise
Things to know
Who it suits
Doctors patients mention
Orthodontic care in reviews
Orthodontic reviews describe multi-month braces treatment that some families found satisfying over time, alongside recurring complaints about slow callbacks for issues like a broken expander and communication that faltered once payment was made. A few reviews also mention switching to this practice mid-treatment and costs near $4,000 for braces.
| Oct 2023 | 15 |
|---|---|
| Nov 2023 | 8 |
| Dec 2023 | 6 |
| Jan 2024 | 8 |
| Feb 2024 | 2 |
| Mar 2024 | 1 |
| Apr 2024 | 2 |
| May 2024 | 2 |
| Jun 2024 | 0 |
| Jul 2024 | 0 |
| Aug 2024 | 14 |
| Sep 2024 | 6 |
| Oct 2024 | 6 |
| Nov 2024 | 7 |
| Dec 2024 | 1 |
| Jan 2025 | 10 |
| Feb 2025 | 7 |
| Mar 2025 | 16 |
| Apr 2025 | 8 |
| May 2025 | 1 |
| Jun 2025 | 3 |
| Jul 2025 | 5 |
| Aug 2025 | 9 |
| Sep 2025 | 9 |
| Oct 2025 | 4 |
| Nov 2025 | 2 |
| Dec 2025 | 3 |
| Jan 2026 | 3 |
| Feb 2026 | 5 |
| Mar 2026 | 8 |
| Apr 2026 | 5 |
| May 2026 | 5 |
| Jun 2026 | 6 |
| Jul 2026 | 3 |
| Aug 2026 | 5 |
| Sep 2026 | 1 |
| Theme | Praise | Criticism |
|---|---|---|
| Friendly staff | 50 | 21 |
| Scheduling & wait times | 10 | 39 |
| Great with kids | 41 | 4 |
| The dentist | 28 | 7 |
| Gentle, comfortable care | 24 | 4 |
| Clear explanations | 17 | 4 |
| Office & technology | 8 | 8 |
| Responsiveness | 1 | 10 |
Recent reviews from Google
My children have been patients at Gentle Touch Smile for years, and it has been the only dental office they have ever known. We have always had positive experiences, which is why today’s visit was especially disappointing. Today was my first experience where I felt a lack of warmth, patience, and genuine attention. My son’s appointment felt very rushed, both with the hygienist and the dentist. I understand that this is a busy time of year, and the dentist made that clear by mentioning it several times. However, when a child has a designated appointment time, I believe they should still be treated with the utmost respect, patience, and attention during that time. As a parent, I value not only the quality of care but also how my children feel while receiving that care. Today’s experience did not reflect the level of service we have come to expect from Gentle Touch Smile over the years. I’m disappointed with the experience today and hope this feedback is taken seriously so that future visits can feel more welcoming, patient, and attentive.
We were attempting to switch to a closer community dentist. Facility was nice, almost no wait time and most of the staff were friendly. You would think that’s all great but everything collapsed very quickly in the process. All haste just to keep things moving, not personalized, just looking to get the check cleared. Didn’t seem like they worked with young children nor cared about their needs or ours. Whenever we tried asking questions, we were met with very short or no answers. It was my younger child’s first time at a dentist and this one is very sensitive and cautious with doctors. We were hoping they would have a chance to get a more eased in, young child friendly approach to get him engaged. Even when we requested the process to slow down just a little for their sake, the request wasn’t exactly met with professional tact. Ultimately, nothing was able to be done because my child’s needs were being ignored. My older child, still very much a minor, familiar and comfortable with dentistry at another practice, was immediately bothered by the fast pace and lack of introduction. Early in, was confused by the directions being given by the dentist aid and expressed they needed clarification and was met with a rude response. Then was escorted to another part of facility without anyone telling either parent (we both were present). We had to go find my child ourselves. When I asked why and what for I was treated like I was a problem. By then my child was very uncomfortable and was ready to leave. So we left without creating anymore fuss, stress or discomfort for our children or ourselves, thus that child’s appointment was also left incomplete.. I don’t want to put them down like this but respectfully, I hope no one has an experience like this again and changes are made to make sure all the needs of all families are met when it come to their healthcare. Still I say, Thanks for your service to the children and community. P.S.- Huge shout out to the “silver teeth” ladies who came to us to investigate the problem and expressed some form of care and understanding!
My kids have been going to Dr. Patty for 9 years, and we absolutely love her! She always does amazing with the kids and is so kind, patient, and caring. Her assistant Crystal is always upbeat and cheerful, and everyone in the office is always so nice and welcoming. They make every visit a great experience, and I’m so thankful for the care they give my kids. Highly recommend!
Amazing dentist for my kids. They have been going for years. Friendly staff and very inviting.
Every time I contact this institution, I have problems. They are nasty. They do not work with you. I tried to give them one more chance after having issues years ago they still have not corrected those issues. Such a shame it’s a beautiful building, but the people inside are really nasty. They also canceled my appointment days before the appointment with claims that I was unable to confirm the appointment. However when I tried to confirm the appointment two days before, they still canceled it anyway. The receptionist and the manager on 6/16/26 at 1040 AM both said they cannot help me. They were both inconsiderate & rude. My appointment for my children was on Thursday and even though I tried to confirm Tuesday morning (way more than 24 hours in advance). They still canceled even though I called more than 24 hours ahead of time to confirm. Every time the people here are rude even years later still the same issue I had previously!!!!
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