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Cascade Orthodontics in Federal Way, Washington provides orthodontic care for children, teens, and adults across two locations.
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
Who They Treat
Cascade Orthodontics provides orthodontic treatment for the following age groups:
Technology & Equipment
Cascade Orthodontics uses modern orthodontic technology to deliver precise, comfortable treatment.
Orthodontists at this office
Dr. Hector Bush
NPI verified · no bio or photo on file
Ehrmantrout
NPI verified · no bio or photo on file
Insurance accepted
What patients say
Latest review 3 weeks ago
What patients praise
Things to know
Who it suits
Doctors patients mention
| Oct 2023 | 22 |
|---|---|
| Nov 2023 | 9 |
| Dec 2023 | 20 |
| Jan 2024 | 2 |
| Feb 2024 | 3 |
| Mar 2024 | 6 |
| Apr 2024 | 10 |
| May 2024 | 1 |
| Jun 2024 | 0 |
| Jul 2024 | 4 |
| Aug 2024 | 6 |
| Sep 2024 | 5 |
| Oct 2024 | 15 |
| Nov 2024 | 6 |
| Dec 2024 | 9 |
| Jan 2025 | 7 |
| Feb 2025 | 18 |
| Mar 2025 | 17 |
| Apr 2025 | 1 |
| May 2025 | 5 |
| Jun 2025 | 3 |
| Jul 2025 | 4 |
| Aug 2025 | 9 |
| Sep 2025 | 11 |
| Oct 2025 | 9 |
| Nov 2025 | 5 |
| Dec 2025 | 4 |
| Jan 2026 | 2 |
| Feb 2026 | 2 |
| Mar 2026 | 11 |
| Apr 2026 | 2 |
| May 2026 | 23 |
| Jun 2026 | 3 |
| Jul 2026 | 6 |
| Aug 2026 | 6 |
| Sep 2026 | 15 |
| Theme | Praise | Criticism |
|---|---|---|
| The orthodontist | 63 | 1 |
| Friendly staff | 55 | 1 |
| Treatment results | 31 | 1 |
| Gentle, comfortable care | 26 | 0 |
| Great with kids | 23 | 0 |
| Scheduling & wait times | 16 | 4 |
| Clear explanations | 18 | 0 |
| Cost, insurance & financing | 11 | 1 |
Recent reviews from Google
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.
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!
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!
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!
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.
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