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  4. /Gentle Touch Smiles for Kids Dental & Orthodontics
Board CertifiedAccepting new patients

Gentle Touch Smiles for Kids Dental & Orthodontics

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

4201 Miller Rd, Wilmington, DE 19802
4.6(909 reviews)
Call Now(302) 765-3373Book OnlineWebsiteDirections
Gentle Touch Smiles for Kids Dental & Orthodontics

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

Early TreatmentEarly TreatmentInvisalignInvisalignTraditional BracesTraditional Braces
GuidesHow much does Invisalign cost? →Teen braces cost guide →Braces cost for kids →

Who They Treat

Gentle Touch Smiles for Kids Dental & Orthodontics provides orthodontic treatment for the following age groups:

Children
Ages 6–11
Teens
Ages 12–17

Technology & Equipment

Gentle Touch Smiles for Kids Dental & Orthodontics uses modern orthodontic technology to deliver precise, comfortable treatment.

3D Digital Scanning
Cone Beam CT (3D X-Ray)

Orthodontists at this office

provider
headshot

Dr. Patricia Rist, D.M.D.

NPI verified · no bio or photo on file

Lead OrthodontistNPI VERIFIEDAccepting New Patients16 yrs experience
provider
headshot

Dr. Era Pyakurel, DMD

NPI verified · no bio or photo on file

NPI VERIFIEDAccepting New Patients12 yrs experience
provider
headshot

George Derenzo

NPI verified · no bio or photo on file

NPI VERIFIEDAccepting New Patients

Insurance accepted

14 plans listed
AetnaAmeritasCareingtonCignaDelta DentalDelta Dental PPODelta Dental PremierDentegra
Gentle Touch Smiles for Kids Dental & Orthodontics accepts Medicaid. Coverage varies by plan tier — confirm with the office before your first visit.

What patients say

Latest review 8 weeks ago

What patients praise

  • The office is described as especially good with young children, using games, characters, and a kid-friendly arcade area to ease nerves.
  • Many reviews note a gentle approach that leaves kids calm and tear-free during fillings and other procedures.
  • Dr. Patty is called out for patience with kids over the years and for explaining the braces process before starting treatment.

Things to know

  • A significant number of reviews describe last-minute cancellations, long waits, and difficulty getting the orthodontic department to return calls.
  • Some reviews describe front-desk interactions as rude, dismissive, or slow to respond, particularly by phone.

Who it suits

  • Young children
  • Families with multiple kids in treatment
  • Anxious or nervous patients

Doctors patients mention

  • Dr. Era Pyakurel · 2 reviews
  • Dr. Patty · 23 reviews

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.

Last 90 days
10 reviews
averaging 3.1★
Last 12 months
56 reviews
averaging 3.6★
Owner replies
86% of reviews
Reviews per month
16
Oct 2023Sep 2026
Reviews per month
Oct 202315
Nov 20238
Dec 20236
Jan 20248
Feb 20242
Mar 20241
Apr 20242
May 20242
Jun 20240
Jul 20240
Aug 202414
Sep 20246
Oct 20246
Nov 20247
Dec 20241
Jan 202510
Feb 20257
Mar 202516
Apr 20258
May 20251
Jun 20253
Jul 20255
Aug 20259
Sep 20259
Oct 20254
Nov 20252
Dec 20253
Jan 20263
Feb 20265
Mar 20268
Apr 20265
May 20265
Jun 20266
Jul 20263
Aug 20265
Sep 20261
Average rating by year
  • 20214.8
  • 20224.6
  • 20234.6
  • 20244.2
  • 20254.1
  • 20263.6
1★5★
Treatments patients mention
  • Braces12
What patients talk about
PraiseCriticism
  • Friendly staff50 / 21
  • Scheduling & wait times10 / 39
  • Great with kids41 / 4
  • The dentist28 / 7
  • Gentle, comfortable care24 / 4
  • Clear explanations17 / 4
  • Office & technology8 / 8
  • Responsiveness1 / 10
What patients talk about
ThemePraiseCriticism
Friendly staff5021
Scheduling & wait times1039
Great with kids414
The dentist287
Gentle, comfortable care244
Clear explanations174
Office & technology88
Responsiveness110

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Recent reviews from Google

4.6
909 reviews
Crysta Harris
Crysta Harris
a month ago
“

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.

Review from Google

H.S. Triple Stix
H.S. Triple Stix
2 months ago
“

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!

Review from Google

Jackie Bakalenko
Jackie Bakalenko
2 months ago
“

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!

Review from Google

Kristin Flemming
Kristin Flemming
3 months ago
“

Amazing dentist for my kids. They have been going for years. Friendly staff and very inviting.

Review from Google

Rachel Ryan
Rachel Ryan
3 months ago
“

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!!!!

Review from Google

Read all 909 reviews on Google →

Questions about this practice

What orthodontic treatments does Gentle Touch Smiles for Kids Dental & Orthodontics offer?+
Gentle Touch Smiles for Kids Dental & Orthodontics offers: Early Treatment, Invisalign, Traditional Braces.
Does Gentle Touch Smiles for Kids Dental & Orthodontics accept dental insurance?+
Gentle Touch Smiles for Kids Dental & Orthodontics accepts Aetna, Ameritas, Careington, Cigna, Delta Dental, and others.
Does Gentle Touch Smiles for Kids Dental & Orthodontics offer free consultations?+
Yes, Gentle Touch Smiles for Kids Dental & Orthodontics offers a free initial orthodontic consultation. Call (302) 765-3373 or book online to schedule.
Is Gentle Touch Smiles for Kids Dental & Orthodontics accepting new patients?+
Gentle Touch Smiles for Kids Dental & Orthodontics is currently welcoming new patients in Wilmington, DE. Call (302) 765-3373 or book online to schedule.
Where is Gentle Touch Smiles for Kids Dental & Orthodontics located?+
Gentle Touch Smiles for Kids Dental & Orthodontics is located at 4201 Miller Rd. Get directions: https://maps.google.com/?cid=3497980684565896169&g_mp=CiVnb29nbGUubWFwcy5wbGFjZXMudjEuUGxhY2VzLkdldFBsYWNlEAIYBCAA
What are the office hours for Gentle Touch Smiles for Kids Dental & Orthodontics?+
Gentle Touch Smiles for Kids Dental & Orthodontics office hours: Mon 8:00 AM–5:00 PM, Tue 8:00 AM–5:00 PM, Wed 8:00 AM–5:00 PM, Thu 8:00 AM–5:00 PM, Fri 8:00 AM–2:00 PM, Sat Closed–Closed, Sun Closed–Closed.
Does Gentle Touch Smiles for Kids Dental & Orthodontics offer payment plans?+
Yes, Gentle Touch Smiles for Kids Dental & Orthodontics offers flexible payment plans to make orthodontic treatment affordable.
Who are the orthodontists at Gentle Touch Smiles for Kids Dental & Orthodontics?+
Gentle Touch Smiles for Kids Dental & Orthodontics is staffed by Dr. Patricia Rist, Dr. Era Pyakurel, George Derenzo. The practice is board-certified.
What is the patient rating for Gentle Touch Smiles for Kids Dental & Orthodontics?+
Gentle Touch Smiles for Kids Dental & Orthodontics has a 4.6-star rating based on 909 patient reviews on Google.

Research with AI

ChatGPTPerplexityClaude
4201 Miller Rd
Wilmington, DE 19802
Get Directions
(302) 765-3373
gentletouchsmiles.com/
Book Online
4109mea@sonrava.com
Open in Google Maps
Accepting new patients
Free Consultation
Payment Plans Available
Weekend Hours
Evening Hours
Online Booking Available

Accessibility & Parking

Wheelchair Accessible Entrance
Wheelchair Accessible Parking
Wheelchair Accessible Restroom
CashCredit CardsDebit CardsContactless / NFCCareCredit
Mon8:00 AM – 5:00 PM
Tue8:00 AM – 5:00 PM
Wed8:00 AM – 5:00 PM
Thu8:00 AM – 5:00 PM
Fri8:00 AM – 2:00 PM
SatClosed
SunClosed

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