I can't recommend this practice enough, as it is the gold standard in the Portland area for orthodontic treatment. This practice uses all the latest advances in equipment and technique, which I appreciate as an adult patient in braces for the second time, 40-plus years after the first treatment. This time around the treatment process is much more enjoyable and comfortable! Dr. Howard has been an inspiring and highly skilled orthodontist with long-term experience. I will miss her, her humor, and our enjoyable conversations over my past year of treatment. She too is in braces now, so it's nice to have that empathy! I interviewed four orthodontists including Dr. Howard before I made my choice, and she was the last of the four I consulted. I chose her because in addition to her kindness, patience and understanding, she was the only one of the four who recommended a periodontal consult before treatment, as I had significant bone loss and moderate gum disease and she wanted to make sure we could accomplish the goals I had. After consultation and treatment from a periodontist, and much long-overdue general dental work, I was ready for orthodontics. Dr. Howard even recommended the periodontist who first treated me (now retired) and the general dentist I still use today. She is leaving the practice with a highly qualified successor, Dr. Christopher Murphy. Although I haven't yet consulted frequently with Dr. Murphy, each time he has done an adjustment, his extensive skill, knowledge and experience are apparent. This is impressive because he is a young doctor and from what I have observed, relates well to patients of all ages. He is an approachable, friendly person with a good sense of humor and quick to address any concerns I have. All the staff are equally congenial and helpful. Although I am one of the "senior" patients in the waiting room, I do feel like all patients at the practice are treated as if they are new to the process, and are being welcomed like family members.