How Much Do NHS Braces Cost?
NHS orthodontic treatment falls under Band 3 dental charges. For patients who do qualify, a single Band 3 charge covers the full course of treatment from start to finish — including all appointments, adjustments, and retainers.
Children and young people under 18 who meet the eligibility criteria receive NHS braces at no charge (free at the point of use). The Band 3 charge applies to adults in some specific circumstances where NHS treatment is available.
Who Is Eligible for NHS Braces?
Eligibility for NHS orthodontic treatment is assessed using the Index of Orthodontic Treatment Need (IOTN). This scoring system grades the severity of orthodontic problems from 1 to 5, considering both dental health and aesthetic impact.
IOTN Grade 4–5: Eligible
Severe dental health or aesthetic need. NHS treatment is indicated. Examples include very crowded teeth, significant overbite, underbite, or crossbite.
IOTN Grade 3.6+: Borderline
Moderate need. The aesthetic component score (AC) of 6 or above may also be considered. Whether NHS treatment is offered can depend on local NHS resources.
IOTN Grade 1–3.5: Not Eligible
Little or no dental health need. NHS treatment is not routinely available. Private treatment is the option if you wish to proceed.
Adults (18+): Generally Not Eligible
NHS orthodontic treatment is primarily for children and young people. Adults requiring orthodontics for dental health reasons may in rare circumstances be referred, but this is not routine.
How to Get NHS Braces
Step 1: See Your NHS Dentist
Your regular NHS dentist can assess whether your teeth or bite may meet the IOTN threshold for referral. They will check your teeth and, if appropriate, complete an orthodontic referral to an NHS orthodontist.
Step 2: Orthodontic Assessment
An NHS orthodontist will carry out a full assessment, take X-rays if needed, and confirm whether you or your child qualifies. They will explain the treatment plan and expected duration.
Step 3: Waiting List
NHS orthodontic treatment often involves a waiting list. In some areas, waits of 12–24 months or more are common, particularly for children who are not yet at the ideal treatment age. Read our guide on NHS waiting lists.
What If You Don't Qualify or Face a Long Wait?
If you do not meet the NHS eligibility criteria, or if the waiting list is too long, private orthodontic treatment is the alternative. Private treatment offers more choice of brace type and is usually available much sooner.
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