NHS Dentistry

What’s included in NHS dental services

  • Dental appointments to check if your teeth and mouth are healthy, including check ups and emergency appointments
  • Treatments for problems and injuries affecting your teeth and mouth
  • Advice and treatments to help prevent dental conditions

Dental treatments are grouped into 3 bands, and each band has a different cost. If you need a mix of treatments from different bands, you’ll pay for the cost of the highest band of treatment you’re having. If you need a mix of treatments from the same band, you’ll only pay the band charge once.

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What does NHS dentistry include?

Band 1: £27.90

  • Examination, assessment and advice (a routine dental appointment)
  • X-rays, if clinically needed
  • Fluoride application to the surface of your teeth
  • Simple management of gum disease, such as scaling (a thorough clean of your teeth and gums), if clinically needed
  • Moulds of your teeth, for example to see how your teeth bite together
  • Minimal adjustments to false teeth (dentures) or orthodontic appliances, such as braces – for example, smoothing rough parts or tightening clasps

Band 2: £76.60

Band 2 treatment includes all items in Band 1, plus it may include:

  • Fillings
  • Root canal treatment to treat an infection or inflammation in the centre of your tooth
  • Removing teeth (extraction) and other oral surgery procedures
  • Sealant to fill small holes or grooves in your teeth
  • Adding to your false teeth (dentures), such as adding a clasp or a tooth, or making extensive adjustments, such as relining and rebasing
  • A bite-raising appliance to correct your bite (does not include a laboratory-made appliance)
  • Extensive management of gum disease

Band 3: £332.10

Band 3 treatment includes all items in Bands 1 and 2, plus it may include:

  • A type of cap that covers your real tooth (crown)
  • Restoring damaged teeth with inlays and onlays
  • False teeth (dentures) made from plastic or metal
  • A fixed replacement for a missing tooth or teeth (bridge)

Urgent dental treatment: £27.90

You may have urgent treatment at an emergency dental appointment. Urgent treatment can include:

  • Examination, assessment and advice
  • X-rays
  • Dressing of teeth (a temporary filling)
  • Emergency partial root canal treatment, for example, pulpectomy or vital pulpotomy
  • Management of a knocked-out tooth or any necessary treatment needed for an injury
  • Refixing inlays, crowns and bridges
  • Removing up to 2 teeth
  • Aftercare, including treatment for infections
  • Adjustment and alteration of false teeth (dentures) or orthodontic appliances, such as braces
  • Treatment for severe conditions that come on suddenly, such as ulcers and herpetic lesions
  • Treatment of sensitive teeth which affects parts of the tooth called the cementum or dentine
  • Draining a dental abscess and treating any infection
  • 1 urgent filling (routine and non-urgent fillings are a band 2 treatment)

You may need further dental treatment after your urgent appointment, which may have additional costs.

Our NHS treatments

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Gum treatment including scaling

If your dental healthcare professional says scaling is clinically needed, it will be done on the NHS by your dentist. Scaling is usually included in Band 1 (£27.90), but extensive treatment, or treatment for complex gum problems, may be charged as a Band 2 (£76.60) treatment.

If your dentist says scaling is not clinically necessary, you’ll pay for it privately with our dental hygienist or therapist.

NHS Dentistry
NHS Dentistry
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White fillings

White fillings are available on the NHS when clinically necessary. For example, if you need a filling in your front teeth, you may be given a white filling. If the filling is needed in one of your back teeth, a more effective option may be a silver-coloured (amalgam) filling.

Your dentist should explain your options to you. If you’d prefer a white filling, your dentist will be able to advise you about private costs and the risks and benefits.

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Root canal treatment

Your dentist should be able to provide root canal treatment, but if you need more complex treatment, they may refer you to another service. You may be offered the option to get root canal treatment privately as an alternative to getting it on the NHS.

It’s your choice whether you have private treatment or are referred to an NHS specialist service, where available.

NHS Dentistry
NHS Dentistry
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Wisdom tooth removal

Wisdom teeth can be removed on the NHS when clinically necessary. Your dentist may be able to remove them or may refer you to a specialist service.

You may also choose to be referred for private wisdom tooth removal.

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Crowns and bridges

You may be offered a metal-coloured crown on a back tooth. You could discuss alternative options which may be available privately with your dentist, as well as the risks, benefits and costs. Crowns may need to be replaced in the future.

NHS Dentistry
NHS Dentistry
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Orthodontics

Your dentist or orthodontist will decide if you need orthodontic treatment using the standard assessment criteria. If orthodontic treatment is clinically necessary, you can get it on the NHS if under the age of 18.

Your dentist or orthodontist will be able to discuss alternative options if you or your child are not eligible for NHS-funded orthodontic treatment.

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Cost of further treatment

If you have NHS dental treatment but need further treatment within two months, you do not have to pay extra if the further treatment is included in the same band or a lower band.

If you need further treatment in a higher band, you’ll have to pay the higher band fee.

You’ll have to pay for any further treatment after 2 months have passed.

For more information on exemptions for free and reduced cost dental treatment please visit nhs.uk/nhs-services/dentists/who-can-get-free-nhs-dental-treatment/.