Fees

Band 1 can include:

• Examination, assessment and advice (a routine dental appointment).
• X-rays, if clinically needed.
• Put fluoride on the surface of your teeth.
• Simple management of gum disease, such as scaling (a thorough cleaning of the teeth and gums), may be recommended if clinically necessary.
• Molds of your teeth, for example, can be used 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.

Gum treatment, including scaling

If your dental healthcare professional recommends scaling as clinically necessary, you can receive it on the NHS. It can be done by a hygienist or dental therapist.

If the dentist says scaling is not clinically necessary, you’ll have to pay for it privately.

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

• Fillings.
• Root canal treatment is used 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.

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 prefer a white filling, your dentist will be able to advise you on the private costs, risks, and benefits.

Root canal treatment

Your dentist should be able to provide root canal treatment; however, if you require more complex treatment, they may refer you to a specialist.

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 be referred to an NHS specialist service, where available.

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.

Find out more about wisdom tooth removal.

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

• A type of cap that covers your real tooth (crown).
• Restoring damaged teeth with inlays and onlays.
• False teeth (dentures) are made from plastic or metal.
• A fixed replacement for a missing tooth or teeth (bridge).
• Orthodontic treatment, such as braces, is used to improve the appearance, position and function of your teeth.
• Other custom-made appliances, not including sports guards.

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.

Orthodontics

Your dentist or orthodontist will decide if you need orthodontic treatment using a standard assessment method. If orthodontic treatment is clinically necessary, you can get it on the NHS.

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

Urgent dental treatment: £27.40

You may have urgent treatment at an urgent or 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.
• Urgent treatment is needed for severe conditions that develop suddenly, such as ulcers and herpes 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.

Cost of further treatment

If you have dental treatment but need further treatment within 2 months, you do not have to pay extra if the further treatment is included in the same band or a lower band.

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

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

Dental treatments are available for free

You do not need to pay if:

• You’re having stitches removed.
• Your dentist has to stop the bleeding from your mouth, for example, after a tooth extraction.
• Your false teeth (dentures) need to be repaired – but if they cannot be repaired, you’ll have to pay for new ones.