Orthodontic treatment marks a major milestone in a child's dental journey, especially around 12, when most permanent teeth have fully emerged. It is important for parents during this period to know about costs, types of braces available, and qualifying criteria in the UK. Therefore, this guide seeks to elaborate on orthodontic treatment for children in the UK: the cost of braces for a 12-year-old, NHS treatment eligibility, and private treatment options.
Understanding orthodontic treatment for children in the UK
Orthodontics focuses on aligning teeth and jaws to improve both function and appearance. For children, early intervention can prevent more severe issues later in life. Children may need braces for a variety of reasons:
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Crowded or crooked teeth: Teeth that overlap or are misaligned can be challenging to clean, increasing the risk of tooth decay and gum disease.
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Overbites and underbites: Misaligned bites can interfere with chewing and speech.
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Protruding teeth: Teeth that stick out are more prone to injury.
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Jaw growth issues: Jaw size discrepancies or position can cause facial imbalance and functional problems.
NHS braces eligibility for kids
The right age
The American Association of Orthodontics suggests that children should have their initial orthodontic examination by the age of seven. During the initial examination, your orthodontist will aim to determine whether the issue is skeletal or dental, often using a dental X-ray that assists in the diagnosis. If dental issues such as malocclusion or potential crowding are identified during the screening exam, the orthodontist may initiate "interceptive" treatment to prevent the problem from progressing or worsening.
This will either include fitting a palatal expander or some other appliance to ensure the correct eruption of permanent teeth. This examination may also prove useful in specifying the need to manage some habits such as thumb sucking, which can inflict long-term damage to the child's oral cavity.
Who qualifies for free NHS braces?
In the UK, children under 18 may receive free orthodontic treatment through the NHS if they meet specific criteria. The Index of Orthodontic Treatment Need (IOTN) is used to assess the necessity of treatment. Grades 4 and 5 on the IOTN indicate a clear need for treatment. Grade 3 cases are borderline and may qualify based on appearance.
The assessment process
Your child's general dentist will refer them to an NHS orthodontist. If the specialist confirms eligibility using the IOTN, your child will be added to a waiting list for treatment. Due to high demand and limited resources, wait times can be long.
What if my child doesn't qualify?
If your child doesn't meet NHS criteria, you can still pursue treatment privately. While this involves out-of-pocket costs, it offers greater flexibility, quicker access, and a broader range of treatment options.
Types of braces for 12-year-olds
Traditional metal braces
Metal braces are the most prevalent braces for children because there are several kinds of braces; the NHS will support funding only for the same. Even for patients choosing private treatment, these options typically remain the most affordable among all available choices. Each tooth has a fixed bracket connected with a metal wire that passes through the whole tooth. Just by regularly adjusting and putting appropriate pressure in specific places, the dentist will gradually shift the teeth into the right position.
In the past, metal braces were often known for being bulky and uncomfortable. Thanks to advancements in technology over the years, brackets are now much smaller and significantly more comfortable to wear than they used to be. Additionally, children can choose different colours for their elastics during brace adjustments, allowing them to personalize and customize their braces. The use of metal braces can be helpful in all forms of alignment problems, with the average time for the treatment being 18 to 24 months.
Ceramic braces
These braces work in the same way as conventional metal braces, but the materials used make them less visible for the wearer. The brackets are made from a clear or tooth-colored ceramic material, which acts very well to make them less noticeable. The wire is usually metal but can be coated with a tooth-colored material.
Because the materials used to manufacture these braces frequently cost more than the metal options, this option is better for a child self-conscious about orthodontic treatment.
Lingual braces
Lingual braces use metal brackets and wires, but they are placed on the backside of the teeth, next to the tongue, making them hidden from view. Because of this placement, one can hardly notice them, making them another option for children concerned about braces being visible.
Clear aligners
Clear aligners offer a different and more modern approach to straightening teeth. A series of clear, removable aligners gradually shifts the teeth into position, eliminating the need for fixed brackets and wires.
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Starting around age 11 (when all permanent teeth have come in), children can start clear aligner treatment. Clear aligners for tweens and teens can be as effective in straightening teeth as metal braces without being noticeable.
Functional appliances
They are primarily used to correct jaw alignment in growing children. Appliances like Twin Blocks help guide jaw growth and are effective in treating overbites.
How much do braces cost UK for 12-year-olds?
Are braces free for children on the NHS?
For eligible children, NHS orthodontic treatment is completely free. This includes fixed metal braces and follow-up appointments.
Private braces for kids in the UK
The cost of private treatment depends on the type of braces and the case complexity. Here's a general breakdown:
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Metal Braces: £1,200 - £3,000
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Ceramic Braces: £2,000 - £5,500
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Lingual Braces: £2,000 - £8,000
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Clear Aligners: Starting from £749.
Advantages of private treatment
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Shorter waiting times: Private clinics often have shorter waiting lists than the NHS.
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More options: Access to advanced and cosmetic braces is not available on the NHS.
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Flexible appointments: Easier to book visits around school and family schedules.
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Many private practices offer interest-free payment plans, and some dental insurance plans may help with costs.
Ways to pay for braces
For traditional metal and ceramic braces, the initial payment typically involves covering around 50% of the total cost upfront. Then the remaining balance is paid during subsequent visits.
Orthodontists offering clear aligners typically require a 50% upfront payment, with the remaining balance paid in 2-3 monthly instalments during visits that include dental impressions and aligner fittings. With brands like Caspersmile, you can also get custom at-home clear aligners at a much more affordable cost and even monthly payment plans.
So, it is not just about the question, "How much do braces cost for kids?" Rather, it's about ensuring your child receives timely orthodontic care.
Does insurance cover braces?
If you have dental or health insurance, it's important to check with your provider whether orthodontic treatment, like braces, is included in your coverage. In most cases, insurance won't cover braces for adults over 18, but many plans will cover a portion of the cost for children under 18 who are listed as dependents.
If your current health or dental insurance doesn't include orthodontic benefits, you might consider adding supplemental orthodontic insurance. These add-on plans often come with monthly premiums and can help reduce out-of-pocket costs.
What to ask your insurance provider?
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Make sure to ask your insurer about:
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What percentage of the orthodontic treatment is covered
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Whether there's a lifetime maximum per child for braces
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If there are any restrictions or waiting periods
Coverage can differ widely between insurance companies. Many dental insurance plans will cover a set percentage of the cost, often up to a fixed maximum for each child.
Government support (e.g., Medicaid)
Government programmes like Medicaid typically offer limited coverage for orthodontics. In most cases, they only approve braces for children with serious medical needs, such as severe jaw or bite issues, not for cosmetic reasons.
Why It's Important to Keep the Same Insurance
Try to keep the same insurance throughout treatment. Most insurance policies won't cover braces that were put on before the policy began, as they're considered a pre-existing condition.
Before committing to braces, fully understand what your insurance will and won't cover. Contact your provider directly and ask for a clear explanation of your benefits.
Making the right choice for your child's orthodontic care
Starting orthodontic treatment for your child can feel overwhelming, but having a clear understanding of the options, costs, and steps involved can make the process much smoother. Whether you're considering NHS coverage or exploring private care, speaking with a qualified orthodontist is essential to choose the right path for your child's dental health.
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References
British Orthodontic Society. (2022). Orthodontic treatment for children: What you need to know.
https://www.bos.org.uk/Patients/Orthodontics-for-children
NHS England. (2023). Braces and orthodontics.
https://www.nhs.uk/conditions/braces-and-orthodontics/
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treatment in children and adolescents: A systematic review. Journal of Orthodontics, 46(2), 79-89.
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Richards, L., & Russell, J. (2020). Costs and access to orthodontic care in the UK: A review of NHS and private
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