Yes, it is possible to get orthodontic treatment on the NHS in the UK, but it is only available in certain circumstances.
NHS orthodontic care is provided mainly for patients who have a clear clinical need for treatment rather than purely cosmetic reasons. This means the NHS will usually only fund braces if the teeth are significantly misaligned or if there are bite problems that could affect long-term oral health.
Most NHS orthodontic treatment is provided for children and teenagers under the age of 18. According to NHS data, around 200,000 children and young people receive NHS orthodontic treatment each year, but access for adults is very limited.
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To qualify for orthodontic treatment on the NHS, patients must meet specific clinical criteria. Dentists and orthodontists use a scoring system called the Index of Orthodontic Treatment Need (IOTN) to assess whether treatment is necessary.
This system measures how severe the dental problem is, looking at issues such as overcrowded teeth, large gaps, bite problems and teeth that have grown in the wrong position. The scale runs from grade 1 to grade 5.
Generally, patients who score grade 4 or 5 are eligible for NHS treatment, while those with grade 3 may sometimes qualify depending on the exact issue.
The purpose of this system is to make sure NHS resources are directed towards patients who need treatment for medical or functional reasons. If the concern is mainly cosmetic, NHS treatment is unlikely to be approved.
Patients usually need a referral from their general dentist to see an orthodontist for assessment. The orthodontist will then decide whether the case meets NHS criteria.
In most cases, no, adults cannot receive orthodontic treatment on the NHS. NHS orthodontic care is generally limited to patients under the age of 18 who have a clear dental health need.
Adults may only qualify for NHS orthodontic treatment in very rare situations. This might occur if the treatment is required as part of a wider hospital procedure, such as corrective jaw surgery. In these cases, orthodontic treatment is needed to support medical treatment rather than simply to straighten teeth.
Due to these restrictions, many adults who want braces choose to have treatment privately. The number of adults seeking orthodontic treatment has increased significantly in recent years. Estimates suggest that around 20–25% of orthodontic patients are now adults, often choosing modern options such as clear aligners or discreet braces.
For more information, visit our page on orthodontists for adults in Harley Street.
Children and teenagers are the main group who receive orthodontic treatment through the NHS. If a child has a significant orthodontic issue, they may be referred by their dentist to an orthodontic specialist for assessment.
Orthodontists often recommend that children have their first orthodontic check-up by the age of seven (see orthodontic treatment for children). This early assessment allows specialists to identify potential problems before they become more serious.
However, even if a child is referred, they will still need to meet the clinical criteria set by the IOTN scoring system to qualify for NHS treatment. If their dental issue is mild or mainly cosmetic, they may not be eligible.
Waiting lists can also be a factor in some areas. Demand for orthodontic care can be high, and it may take time for children to begin treatment after being approved.
For children who qualify, NHS orthodontic treatment is usually free. Most young patients receive braces for teenagers between the ages of 12 and 16, when most adult teeth have developed and are ready to be moved into better positions.
NHS orthodontic care typically focuses on traditional fixed braces, which use brackets and wires to gradually move teeth into the correct position.
These braces are very effective and have been used successfully for many decades. Treatment usually lasts between 18 and 24 months, depending on the complexity of the case.
Patients may also be given retainers once their braces are removed. Retainers help keep the teeth in their new positions while the surrounding bone stabilises.
Private orthodontic practices may offer a wider range of treatment options including clear invisible aligners, ceramic braces and lingual braces that are fitted behind the teeth. However, these more discreet options are rarely available through NHS treatment.
One of the main advantages of choosing a private orthodontist is having greater flexibility in treatment options.
Private orthodontists often provide a wider range of braces, including nearly invisible aligners and more discreet appliances. This can be particularly appealing for adults who prefer less noticeable treatment.
Another benefit is shorter waiting times. NHS orthodontic services can be in high demand, patients may face delays before treatment begins. Private practices often offer faster access to consultations and treatment planning.
Private orthodontists may also provide longer or more personalised appointments. This allows patients to discuss their goals and choose treatment options that suit their lifestyle and preferences.
Although private treatment involves additional cost, many patients feel the increased choice and convenience make it worthwhile.
Orthodontic treatment can improve both the appearance and function of the teeth, helping to create a healthier smile. In the UK, NHS treatment is available for patients who meet strict clinical criteria, particularly children with significant orthodontic needs.
For adults or patients who do not qualify, private orthodontic treatment remains widely available and offers a broader range of options. Speaking to a dentist or orthodontist is the best way to understand what treatment may be available and which option is most suitable for your individual needs.
