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Are braces free in the UK? NHS vs. Private treatment explained

Thinking about getting braces? A Brave decision indeed! But do questions like Are braces free in the UK? or How to get braces keep popping up in your mind? You're not alone. With so many options out there, from NHS treatment to private clinics to at-home dental treatments , it can be hard to know what actually fits your needs and your budget. In this blog, we're breaking down the key differences between NHS and private braces, who qualifies for free treatment, what the real costs look like without NHS, and some affordable remote options to fix your dental issues.

Are braces free with the NHS?

The NHS was established in 1948, providing healthcare facilities to needy families, irrespective of how much they earn. Many parents often ask how much braces cost in the UK for those under 18 , especially when considering NHS options, or might wonder who qualifies for free braces in the UK. The answer is that the NHS offers free braces only to individuals who meet specific eligibility criteria. The following are some of the NHS orthodontic eligibility criteria for free braces.

  • The treatment should not be for cosmetic purposes, it should be medically necessary.

  • Patients under the age of 18 or 19, and patients who are in full-time education, may qualify for free treatment if it meets medical necessity.

  • Pregnant women and mothers who gave birth in the last 12 months.

Key advantages of NHS dental treatment

  • Affordability: NHS braces are free for children in the UK under 18, making essential orthodontic care accessible to families on a budget.

  • Medical necessity focus: Treatment is offered only when clinically required, ensuring resources are directed toward genuine dental health needs.

  • Standardized care: NHS orthodontists follow nationally regulated guidelines, so patients can expect consistent care quality across the system.

Private treatment for braces

Unlike NHS braces, private orthodontic treatment gives you more control over when, how, and where you get your braces. There's typically no waiting list, and you can choose from a wider range of options like clear ceramic braces, lingual braces (placed behind your teeth), or even clear aligners.

Private treatment is especially helpful if you:

  • Don't qualify for NHS braces

  • Want to avoid long wait times

  • Prefer a less noticeable or more modern option

  • Need flexible appointment scheduling

The cost of private braces in the UK varies depending on your location, treatment complexity, and the type of braces you choose. While the price is higher, the benefits include faster access to personalized care and more aesthetic choices. Some clinics also offer interest-free payment plans, making private treatment more accessible for all.

Key advantages of private treatment

Private orthodontic care comes with several benefits that go beyond what the NHS typically offers:

  • Greater comfort & customization: Private clinics offer tailored treatment plans and more advanced technologies for a better fit and smoother experience.

  • More discreet options: Choose from ceramic, lingual, or clear aligners that are far less noticeable than standard metal braces.

  • Flexible appointments: Evening and weekend slots make it easier to fit appointments around your schedule.

  • Faster start & finish: With minimal to no waiting lists, you can start treatment quickly and often complete it in less time.

NHS vs private braces - what's the real difference?

Here's a detailed comparison of NHS vs private braces, helping you understand the core differences between public and private orthodontic treatment in the UK.

Treatment options

If you're eligible for NHS orthodontic care, you'll typically receive traditional metal braces , which are effective but quite noticeable. The NHS doesn't usually cover cosmetic treatments or newer technologies unless there's a severe medical need.
In contrast, private orthodontic care opens the door to a variety of choices . You can opt for ceramic braces (less visible), lingual braces (placed behind the teeth), or clear aligners for a more discreet appearance. These options make private care attractive for teens and adults looking to maintain a smile during treatment.

Waiting times

NHS waiting lists can be long, depending on your region and the urgency of your case. For many families, this is a key drawback.
Private orthodontists, however, usually have shorter wait times . You can often begin your treatment within a few weeks of your initial consultation.

Appointment flexibility

Another practical difference is the flexibility in booking appointments.
NHS clinics often operate during standard weekday hours, which may require time off from school or work.
Private practices typically offer great flexibility, with evening and weekend slots, making it easier to fit treatment into your schedule.

Length & quality of treatment

While NHS treatment gets the job done for qualifying cases, private treatment may offer a more tailored experience . You may have access to advanced technology, custom treatment plans , and more frequent check-ins, which can enhance comfort and potentially shorten the overall treatment duration. Private providers may also offer 3D scans, digital progress tracking, and retainer packages , which are often separate or limited in NHS treatments.

Braces cost NHS vs private

If your child is under 18 and meets the NHS orthodontic eligibility criteria, braces are typically provided free of charge through the NHS . This makes NHS treatment the most affordable option for families who qualify. However, NHS braces are limited to standard metal options and are only available if the case is deemed medically necessary.

If you're not eligible for NHS treatment or prefer more flexibility and options, understanding the cost of private braces in the UK is essential. While NHS dental treatment is free for qualifying children under 18, private treatment offers a wider range of solutions to fix your teeth. Though private treatment can be more expensive, it often comes with shorter waiting times, modern options, and greater comfort compared to NHS braces. Here's a quick comparison of the typical costs of different types of braces without the NHS:

  • Traditional Braces: £1,500 to £3,000.

  • Lingual Braces: £2,000 to £10,000

  • Ceramic Braces: £2,000 and £6,000

  • Clear Aligners: £1,500 and £5,500

Alternatives if you're not eligible for NHS orthodontic treatment

An image of a person's hand holding clear aligners

Not eligible for NHS braces and finding private treatment too expensive? Clear aligners have got you covered. Aligners offer a more discreet and affordable way to fix your smile from the comfort of your own home. Clear aligners can address various dental problems, including crossbite, overbite, deepbite, tooth crowding, tooth spacing, midline issues, and edge-to-edge problems. Clear aligners are a great alternative to expensive metal braces, suitable for mild to moderate cases.

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NHS or Private braces - Which one should you choose?

Free braces for children in the UK are available under the NHS. NHS dental treatment for under 18s includes orthodontic treatments only if you meet the NHS orthodontic eligibility criteria , which ensure your child is under 18 and the treatment is prioritized for genuine medical needs. Even if you meet the eligibility criteria, the wait is very long. However, if you're looking for faster results, more appointment flexibility, then private treatment is often the better path. While it comes at a higher cost, it also gives you more control over the process, comfort, and outcome. If private treatment feels too expensive, clear aligners offer a discreet, budget-friendly option you can use from home. Ultimately, the right path depends on what matters most to you: affordability, convenience, appearance, or speed. Take the time to weigh your options carefully and begin your smile journey.

FAQs

FAQs
NHS braces are typically limited to metal braces for patients under 18 who meet strict medical criteria. Private braces offer more options, including ceramic lingual and clear braces, along with faster access, flexible appointments, and personalized treatment plans.
Yes, NHS braces are free for eligible children under 18 in the UK if their case is deemed medically necessary by an NHS orthodontist. Adults are rarely eligible unless there's a serious health concern.
Without NHS support, brace treatments can cost between £1,500 to £3,000. Cost can vary depending on the type of braces and the complexity of the case.
Private orthodontic treatment typically starts at £1,500 to £3,000 for metal braces. Ceramic braces range from £2,000 to £6,000, lingual braces from £2,000 to £10,000, while clear aligners cost between £1,500 and £5,500.

Related Blogs

https://caspersmile.uk/blogs/blog/cant-afford-braces-what-are-the-options

https://caspersmile.uk/blogs/blog/braces-price-guide

https://caspersmile.uk/blogs/blog/braces-in-the-uk-for-under-18

References

How do I get my child braces on the NHS? (2023, July 31). Stoke Orthodontics.

https://stokeorthodontics.co.uk/news-and-updates/how-do-i-get-my-child-braces-on-the-nhs#:~:text=Who%20can%20get%20braces%20on,the%20cost%20of%20your%20treatment

What is the cost of clear braces and invisible orthodontics in the UK? (n.d.).

https://smile2impress.com/uk/blog/orthodontic-treatment-cost

Laidlaw, G. (2024, January 29). The Benefits of Receiving Dental Care from Private vs. NHS. Private & Cosmetic Dentist in Warrington - Dental Solutions.

https://gavinismydentist.com/the-benefits-of-receiving-dental-care-from-private-vs-nhs/

Kyi, C. (2025, February 24). Private Orthodontics vs. NHS Treatment - Key Differences Explained By Private Orthodontist.

West London Orthodontist Cosmetic Dental Studios.

https://www.westlondonorthodontist.co.uk/private-orthodontist-london/#:~:text=NHS%20treatment%20usually%20offers%20traditional,clear%20aligners%20such%20as%20Invisalign.