NHS Eligibility

Orthodontic treatment is available free on the NHS for under-18s if a dentist feels it's needed, usually assessed using a standard scoring system that looks at both dental health and appearance. The ideal age for treatment tends to be around 12 or 13, while the jaw and mouth are still growing, though it can happen earlier or later depending on the individual.

NHS treatment for adults is uncommon, though it may be approved case by case where there's a genuine health reason. Outside of this, adults are generally directed towards private treatment options, including a wider choice of less visible brace types.

Fixed Braces

Fixed braces stay in place throughout treatment and are the standard option for NHS treatment in under-18s. They're made up of small brackets glued to the front of each tooth, linked together with wires, and are available in NHS-funded metal versions, or as less visible ceramic or clear options if paying privately.

Removable Braces and Other Appliances

Removable braces — typically plastic plates that clip onto some teeth — can help with more limited tooth movement, and are taken out for cleaning or eating. Functional appliances, usually a joined pair of removable plastic braces fitted to both the upper and lower teeth, are used to address issues with jaw position, and need to be worn as instructed to work properly. Headgear may also be used alongside other appliances, typically worn overnight.

In more complex cases, treatment may combine fixed braces with jaw surgery, carried out in hospital. Once active treatment finishes, a retainer is fitted to help hold the teeth in their new position — it's important to keep wearing this as advised, since teeth can shift back if it's stopped too soon.