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  3. /Federal Way Orthodontists
  4. /Cascade Orthodontics
AAO MemberInvisalign ProviderAccepting new patients

Cascade Orthodontics

Cascade Orthodontics in Federal Way, Washington provides orthodontic care for children, teens, and adults across two locations.

1109 S 348th St ste b, Federal Way, WA 98003
4.9(715 reviews)
Call Now(253) 944-1848Book OnlineWebsiteDirections

About Cascade Orthodontics

Dr. Hector Bush and his team handle complex bite and underbite cases, often avoiding surgery, with a particular focus on early phase-1 treatment for young children.

Reviews at Cascade Orthodontics frequently mention Dr. Bush's handling of severe overbites, underbites, and crowding, sometimes correcting these without surgery or extractions. Early treatment for young children comes up more often here than typical, alongside notes on the office's relaxed, non-clinical atmosphere with music playing. Families with multiple kids in treatment describe staff as attentive with all ages, and the practice offers flexible financing along with a free initial consultation.

Summary of 200 patient reviews, October 2023–September 2026, updated September 2026

Cascade Orthodontics in Federal Way, Washington provides orthodontic care for children, teens, and adults across two locations.

The practice offers comprehensive treatment options for patients seeking orthodontic solutions in Federal Way, WA. Treatment services include Invisalign clear aligners, lingual braces, self-ligating braces, early interceptive treatment for younger patients, surgical orthodontics, and TMJ disorder management. Dr. Hector Bush and Dr. Ehrmantrout hold Diamond Provider status for Invisalign, indicating substantial clinical experience with clear aligner therapy. The practice uses digital impression technology with iTero or equivalent intraoral scanning systems to capture precise diagnostic records without traditional impression materials. Both doctors are members of the American Association of Orthodontists. The practice operates two offices to serve patients throughout the Federal Way area. Cascade Orthodontics accepts dental insurance plans that include orthodontic coverage, and patients should contact their insurance provider to verify specific benefits and coverage limits for treatments such as Invisalign. Payment plans are available for treatment costs. The practice offers complimentary initial consultations and provides online booking for appointment scheduling. The practice has received a 4.9 rating from 715 Google reviews. Cascade Orthodontics serves patients throughout Federal Way and surrounding Washington communities, with treatment recommendations based on individual clinical assessment.

Treatments offered

Early TreatmentEarly TreatmentInvisalignInvisalignLingual BracesLingual BracesSelf-Ligating BracesSelf-Ligating BracesSurgical OrthodonticsSurgical OrthodonticsTMJ TreatmentTMJ TreatmentTraditional BracesTraditional BracesRetainersRetainers
GuidesHow much does Invisalign cost? →Adult braces cost guide →Teen braces cost guide →

Who They Treat

Cascade Orthodontics provides orthodontic treatment for the following age groups:

Children
Ages 6–11
Teens
Ages 12–17
Adults
Ages 18+

Technology & Equipment

Cascade Orthodontics uses modern orthodontic technology to deliver precise, comfortable treatment.

3D Digital Scanning
Digital Records
iTero/TRIOS

Orthodontists at this office

provider
headshot

Dr. Hector Bush

NPI verified · no bio or photo on file

Lead OrthodontistAccepting New Patients
provider
headshot

Ehrmantrout

NPI verified · no bio or photo on file

Accepting New Patients

Insurance accepted

If your dental plan covers orthodontic treatment, you may qualify for Invisalign treatment. Patients should contact their insurance provider to determine extent of coverage.

What patients say

Latest review 3 weeks ago

What patients praise

  • Dr. Bush is credited with correcting complex bite and underbite cases, in some instances avoiding surgery altogether.
  • Early treatment for young children is a recurring theme, including cases involving jaw devices and thumb-sucking correction.
  • The office is described as relaxed and comfortable, with music playing and a play area for kids.

Things to know

  • A few reviews mention difficulty reaching the office by phone or scheduling appointments promptly.
  • Some reviews describe treatment timelines extending well beyond original estimates.

Who it suits

  • Families with several children in treatment
  • Young children needing early treatment
  • Adults considering orthodontic correction

Doctors patients mention

  • Dr. Hector Bush · 137 reviews
Last 90 days
27 reviews
averaging 4.8★
Last 12 months
91 reviews
averaging 4.9★
Owner replies
1% of reviews
Compared with Federal Way
Higher rated than 63%
of 8 practices we track
Reviews per month
23
Oct 2023Sep 2026
Reviews per month
Oct 202322
Nov 20239
Dec 202320
Jan 20242
Feb 20243
Mar 20246
Apr 202410
May 20241
Jun 20240
Jul 20244
Aug 20246
Sep 20245
Oct 202415
Nov 20246
Dec 20249
Jan 20257
Feb 202518
Mar 202517
Apr 20251
May 20255
Jun 20253
Jul 20254
Aug 20259
Sep 202511
Oct 20259
Nov 20255
Dec 20254
Jan 20262
Feb 20262
Mar 202611
Apr 20262
May 202623
Jun 20263
Jul 20266
Aug 20266
Sep 202615
Average rating by year
  • 20215.0
  • 20225.0
  • 20235.0
  • 20245.0
  • 20254.9
  • 20264.8
1★5★
Treatments patients mention
  • Braces38
  • Invisalign / clear aligners17
  • Early (phase 1) treatment12
  • Retainers4
  • Jaw surgery3
What patients talk about
PraiseCriticism
  • The orthodontist63 / 1
  • Friendly staff55 / 1
  • Treatment results31 / 1
  • Gentle, comfortable care26
  • Great with kids23
  • Scheduling & wait times16 / 4
  • Clear explanations18
  • Cost, insurance & financing11 / 1
What patients talk about
ThemePraiseCriticism
The orthodontist631
Friendly staff551
Treatment results311
Gentle, comfortable care260
Great with kids230
Scheduling & wait times164
Clear explanations180
Cost, insurance & financing111

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Recent reviews from Google

4.9
715 reviews
Tyler Howe
Tyler Howe
3 weeks ago
“

After having a great bite, I used a device for scoring. This changed the position of my teeth to where I had an underbite. I did not want to have surgery. Dr. Bush has saved me from having to do so with Invisalign! My bite is finally back to normal, and wouldn’t have without Dr. Bush and his amazing team.

Review from Google

Jazzy c
Jazzy c
Edited 3 months ago
“

I highly recommend Cascade Orthodontics! Dr. Bush and the entire team are amazing—kind, professional, and genuinely care about their patients. My very first visit has been a great experience, and made me feel comfortable and well-informed. The office is welcoming, and the level of care is exceptional. Thank you, Dr. Bush and the Cascade Orthodontics team, for helping me achieve the smile I want!

Review from Google

Danielle Frank
Danielle Frank
3 months ago
“

Dr Bush is super friendly and knowledgeable in his treatment plans. I saw 3 other orthos for consults before landing on Dr Bush for his true compassion and care for the comfort and value of his patients. I've had a pretty complicated open bite to treat and he's been so patient and encouraging. You're in great hands if you choose Dr Bush!

Review from Google

Lynnsey Riley
Lynnsey Riley
3 months ago
“

This is the best dental office I’ve ever visited! The family oriented, cozy environment made the experience way less stressful and seriously put me at ease for all the work that needs done. If I could give 100 stars, I would!

Review from Google

Lisa Walker
Lisa Walker
4 months ago
“

Dr. Bush and his entire team are kind, wonderful, and professional. The greatest thing about the experience is the end result—you’ll have a gorgeous smile. If you need an orthodontist, this is your guy.

Review from Google

Read all 715 reviews on Google →

Questions about this practice

What orthodontic treatments does Cascade Orthodontics offer?+
Cascade Orthodontics offers: Early Treatment, Invisalign, Lingual Braces, Self-Ligating Braces, Surgical Orthodontics, TMJ Treatment, Traditional Braces, Retainers.
Does Cascade Orthodontics offer free consultations?+
Yes, Cascade Orthodontics offers a free initial orthodontic consultation. Call (253) 944-1848 or book online to schedule.
Is Cascade Orthodontics accepting new patients?+
Cascade Orthodontics is currently welcoming new patients in Federal Way, WA. Call (253) 944-1848 or book online to schedule.
Where is Cascade Orthodontics located?+
Cascade Orthodontics is located at 1109 S 348th St ste b. Get directions: https://maps.google.com/?cid=5017503002245926047&g_mp=CiVnb29nbGUubWFwcy5wbGFjZXMudjEuUGxhY2VzLkdldFBsYWNlEAIYBCAA
What are the office hours for Cascade Orthodontics?+
Cascade Orthodontics office hours: Mon 8:20 AM–5:00 PM, Tue 8:20 AM–5:00 PM, Wed 8:20 AM–5:00 PM, Thu 8:20 AM–5:00 PM, Fri 8:30 AM–5:00 PM, Sat Closed–Closed, Sun Closed–Closed.
Does Cascade Orthodontics offer payment plans?+
Yes, Cascade Orthodontics offers flexible payment plans to make orthodontic treatment affordable.
Who are the orthodontists at Cascade Orthodontics?+
Cascade Orthodontics is staffed by Dr. Hector Bush, Ehrmantrout. The practice is a member of the American Association of Orthodontists (AAO).
What is the patient rating for Cascade Orthodontics?+
Cascade Orthodontics has a 4.9-star rating based on 715 patient reviews on Google.
How long has Cascade Orthodontics been in practice?+
Cascade Orthodontics has been providing orthodontic care since 2008, serving the Federal Way, WA community for over 18 years.

Research with AI

ChatGPTPerplexityClaude
1109 S 348th St ste b
Federal Way, WA 98003
Get Directions
(253) 944-1848
smilesbycascadeortho.com/
Book Online
info@smilesbycascadeortho.com
Open in Google Maps
Accepting new patients
Est. 2008
Free Consultation
Payment Plans Available
Weekend Hours
Evening Hours
Online Booking Available

Programs & Discounts

Referral Program

Accessibility & Parking

Wheelchair Accessible Entrance
Wheelchair Accessible Parking
Wheelchair Accessible Restroom
CashCredit CardsDebit CardsContactless / NFCCareCredit
Mon8:20 AM – 5:00 PM
Tue8:20 AM – 5:00 PM
Wed8:20 AM – 5:00 PM
Thu8:20 AM – 5:00 PM
Fri8:30 AM – 5:00 PM
SatClosed
SunClosed

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