NHS vs Private Orthodontic Treatment: Which Option Is Right for You?
When considering orthodontic treatments, you have the option of looking into NHS availability or going private for treatment. Here, we will look more in-depth into the pros and cons of both options, so you can make the right decision for you.

Orthodontic Treatment on the NHS
Getting orthodontic treatment on the NHS is typically available for under-18s, for individuals who have a significant health need for treatment, and would be at no cost. This is ideal in certain circumstances; however, treatment is often limited and may not be available for all children.
Waiting Times
Waiting times can be much longer than getting private treatment, averaging between 6 months to 2 years, but could be longer [1].
Eligibility for Adults
Adults are not typically eligible for NHS treatment, and it is decided on a case-by-case basis based on the severity of the health condition [2].
The IOTN System
The qualifications for NHS treatment are determined based on the Index of Orthodontic Treatment Need (IOTN) [3]. This is a system where your need is graded from 1 to 5, where grades 4 and 5, and sometimes 3, are eligible for NHS treatment. This is a fair system by which the most extreme cases will get the treatment they need.
Treatment Options
As for treatment options for those who are eligible, it can often be limited to the typical fixed metal braces, as opposed to transparent braces or Invisalign. You could also be limited by what appointments you are offered, usually during the week when children may be at school.
Private Orthodontic Treatment
Private orthodontic treatment is commonly an option if you were not eligible for NHS treatment, if waiting lists would have been outside the ideal treatment window, or if you just want to perfect your smile.
Costs of Private Treatment
The price range is from £2,000 to £6,000, but may be higher in more complex cases [3]. This can put some people off; however, it can be well worth the money for the very short waiting times and the full range of treatment options.
Benefits of Going Private
Upon deciding to receive private treatment, you will have an assessment where your orthodontist will provide you with a treatment plan, and your care will be personalised to your needs. This includes:
- A wider range of appointment times (including weekends or evenings).
- Access to a wider variety of treatment options (such as Invisalign).
- Adjusting treatment to suit your lifestyle and preferences.
References
[1] NHS Inform – Accessing Orthodontics
[2] NHS – Braces and Orthodontics
[3] NHS – Orthodontics Overview