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Your Trusted Orthodontist in Portland OR
At Senestraro Family Orthodontics, we combine decades of specialized expertise with cutting-edge technology to deliver personalized orthodontic care. Our team of board-certified orthodontists and experienced professionals prioritizes patient comfort while achieving optimal dental alignment and facial harmony. With four conveniently located offices in Portland, Sherwood, Wilsonville, and Tualatin, we serve patients of all ages using proven treatments like traditional braces, Invisalign, and advanced surgical solutions.

Our commitment to community extends through pro bono services and partnerships with local schools, while our investment in state-of-the-art diagnostic tools and treatment methods ensures precise, efficient care. Backed by over 15 five-star reviews highlighting our compassionate approach and exceptional results, we maintain transparent communication and flexible payment options to make transformative orthodontic care accessible to every family.
Services
Braces Invisalign Phase 1 Treatment Airway Orthodontics Jaw Surgery
Highlights and features
  • Board-certified orthodontists with 20+ combined years of experience
  • State-of-the-art iTero scanners and 3D imaging technology
  • Community-focused practice with pro bono treatment programs
  • Four convenient locations across the Portland metro area
  • Flexible payment plans with transparent pricing options
What people say
Friendly staff Excellent results Compassionate care Accommodating anxious patients Complex cases handled
Services
Braces
Traditional metal braces remain the most effective solution for correcting complex dental alignment issues. Our practice offers multiple bracket and wire options tailored to individual treatment needs, including ceramic braces for discreet correction. Patients receive comprehensive care from initial consultation through final adjustments, with regular check-ups ensuring optimal tooth movement and oral health throughout the treatment process.
Invisalign
Invisalign treatment uses custom-made, removable clear aligners to gradually straighten teeth without traditional brackets. This option suits patients seeking discreet correction for mild to moderate alignment issues. Our specialists utilize 3D imaging technology to create precise treatment plans, with regular progress monitoring ensuring proper tooth movement while maintaining oral hygiene and dietary flexibility.
Phase 1 Treatment
Phase 1 treatment addresses developing bite and alignment issues in children aged 7-10. This early intervention creates proper space for permanent teeth eruption and guides jaw development. Our team employs specialized appliances and monitoring protocols to address crossbites, crowding, and other developmental concerns before comprehensive treatment in adolescence.
Airway Orthodontics
Airway-focused orthodontics addresses breathing difficulties through maxillary expansion and jaw development techniques. This specialized treatment improves nasal breathing and sleep quality by creating proper oral structures. Our approach combines orthodontic appliances with multidisciplinary coordination to address sleep-disordered breathing in both pediatric and adult patients.
Orthognathic Surgery
Orthognathic surgery corrects severe jaw misalignment through coordinated surgical and orthodontic treatment. Our specialists collaborate with oral surgeons to address functional issues affecting chewing, speaking, and breathing. Comprehensive pre- and post-surgical orthodontic care ensures optimal dental alignment and facial aesthetics while improving overall oral function.
People
Dr. Seth Senestraro
Orthodontist
Board-certified orthodontist with 15+ years of experience, Dr. Senestraro combines clinical expertise with personalized care. He focuses on creating beautiful smiles through comprehensive treatment plans tailored to each patient's unique needs.
Zulma Rey
Orthodontic Specialist
With extensive experience in orthodontic care, Zulma Rey works closely with Dr. Senestraro to deliver exceptional treatment outcomes. She specializes in patient education and treatment coordination for complex orthodontic cases.
Questions
What age should orthodontic treatment begin?
The American Association of Orthodontists recommends initial evaluation around age 7 to identify potential issues early while jaw development is still occurring.
Do you treat adult patients?
Yes, we provide comprehensive orthodontic solutions for adults, including discreet options like Invisalign and short-term braces focused on smile enhancement.
What technology do you use?
We utilize iTero digital scanning, 3D imaging, and soft-tissue lasers to enhance diagnosis accuracy, treatment precision, and patient comfort during orthodontic procedures.
Are emergency appointments available?
Yes, we offer same-day emergency appointments for urgent orthodontic issues like broken brackets or wires causing discomfort.
What payment options exist?
We offer flexible payment plans with no-interest financing options and work with major insurance providers to maximize benefits for orthodontic treatment.
Do you offer virtual consultations?
Yes, we provide virtual consultation options for initial treatment discussions and follow-up appointments when appropriate for patient care.