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NHS dental services

Overview of dental services

Healthy teeth and gums, and a mouth free from disease, are important. Everyone should therefore expect to be able to access good quality NHS dental services at a reasonable cost. 

Finding an NHS dentist

Whether you need urgent treatment or just a check-up, if you're having difficulty finding an NHS dentist, you can call the dental access helpline for your local primary care trust (PCT). In addition you can also:  

  • Use the Find and choose services option on this site and do a postcode search for local dentists. You can also search for your local PCT to find the number of the dental access helpline.
  • Text 'dentist' to 64746 or 'NHSGO' from your mobile phone. We’ll send you up to three text messages with the results that are nearest to your location from the area where you need a dentist. Learn more about NHS Choices mobile.
  • Or call NHS Direct on 0845 4647.

Shortages of NHS dental care exist in some places but NHS services are growing steadily and there is a continued NHS commitment to improving access.

Independent patient survey figures published by the Department of Health in December 2010 show that, nationally, 59% of adults tried to get an NHS dental appointment in the last two years, and of these 93% were successful. The success rate was higher for shorter periods: 96% for 3 or 6 months; and 95% for 12 months.

 

Rate and comment on dental services

When you find the information on dentists in your area, you can read what other practice users have said about them. You can use the Rate and comment on a dentist option to record your own opinions about the treatment you received.

 

General dental treatment

Most dentists provide both NHS and private treatment. The advantage of this is that you can have work that you need to keep your teeth healthy on the NHS, and cosmetic work privately, without having to go to two different dentists. However, sometimes it can be difficult to understand which elements of your treatment are provided by the NHS and which elements you need to pay for privately.

When you see your dentist for a Band 2 or 3 dental treatment, you'll be given a personal dental treatment plan (PDF, 19kb) that outlines all the treatments you are having on the NHS and how much it will cost. 

Simpler charging

You can have all your dental treatment provided under the NHS that your dentist feels is clinically necessary in order to keep your mouth, teeth and gums healthy. If your dentist says you need a particular type of treatment, you should not be asked to pay for it privately.

There are three standard charges for all NHS dental treatments. This makes it easier to know how much you may need to pay and also helps to ensure that you are being charged for NHS care (rather than private care).

  • the maximum charge for a complex course of treatment (Band 3) is £204
  • most courses of treatment (Band 1 and 2) cost £17.00 or £47.00

For detailed information about each band read the NHS dental treatments section.

You receive free NHS dental treatment if you meet the exemption criteria. For more information see our Help with dental costs section.

 

Out-of-hours dental treatment

Dental practices are normally open during the daytime and often at weekends. If a problem occurs outside of these hours, you may need to be seen urgently. If you are in discomfort, you can try helping yourself first by taking pain medication. You can call NHS Direct on 0845 46 47 for advice on treating yourself if the problem can wait until normal practice hours.

If your problem is more urgent, you can access out-of-hours dental services in your area by telephoning:

  • your practice, who should have an answerphone message with details of how to access treatment out of hours
  • your local PCT’s helpline
  • NHS Direct

If you are in severe pain, are bleeding a lot, have a major head injury or concussion, you should go to the accident and emergency department of your local hospital.

 

Complaining about dental services

If you wish to make a complaint about the care or service provided by your dentist or dentists' surgery, contact the person responsible for the practice complaints procedure. Your dentist will try to resolve your complaint.

If your complaint is not resolved to your satisfaction, contact the Parliamentary and Health Service Ombudsman.

Further information about making a complaint is available from the Patient Advice and Liaison Service (PALS), your local Independent Complaints Advocacy Service (ICAS) and the Department of Health website. You can also visit the NHS complaints section on this site.

If you wish to make a complaint about private dental services, contact the General Dental Council on 08456 120 540 or email complaints@gdc-uk.org.

Comments are personal views. Any information they give has not been checked and may not be accurate.

User636290 said on 20 January 2012

A few years ago I had 2 crowns fitted ( privately ) the wife had a dental plan at work. But this stopped.
I recently knocked them out at work I went to a nhs dentist and they said only 1 tooth was covered by the nhs and the other because it needed a re root canal could only be done privately
Why is this can anybody shed any light on this that one tooth is covered and the other is not they want £300 for the re root canal and £350 for the crown
I have paid £204 already for one tooth under the nhs
When I look at the website it says crowns and not a crown
Thanks

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cumbrian123 said on 28 December 2011

I'm at an nhs dentist, a new one, they have treated me badly wish i had a choice to leave but i waited 5years for this one. In a rural area like ours i couldn't even get in private, whenever i have a problem they just pull my teeth, no explanation, now on soft food and not many teeth left . Am worried.

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JonnyDee said on 07 December 2011

All very good comments but are any of these comments (that are really all questions - and very good ones) actually being given answers by the NHS? Or all we all wasting our time and being fooled into thinking the state gives a flying fig beyond balancing the books?

The guidelines are vague for dentists and in my experience are so complicated that it mitigates against consumer information and choice.

In the 20th Century, you could tell the social/economic background of a person by the state of their teeth. If we are not there already, I see history repeating itself.

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S7 said on 21 October 2011

I am shocked by the attitude of NHS dentists, I'm paying neary £400pm on NIC and and have little experience with the world of NHS until now when I neeeded some help. I developed a severe toothache, so I went to Imperial College and was told I need root canal treatment, that it was too complex for them to do as it 'might not work', I didnt have time to take my jacket off and was refered to a Private Specialist in Knightsbridge they highly recomended who could do it for a mere £800.

They really do not care one bit about NHS patients and want rid of you with the minimum of fuss.The worst part is you feel of helpless as nobody really cares and you just hear too many of the same stories. Im left with an infected tooth in pain wondering how I am going to get £800 together to fix this as its becoming unbearable.

I for one am disgusted with the NHS, give us back a portion of our monthly contributions and introduce private medical health schemes.

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User538360 said on 26 September 2011

In response to many of the comments on this page, I think the individuals should ask the dentist if they have doubts about what is available on the NHS.
The 2006 dental contract is deliberately vague and does not give any detailed guidance on what treatment is or is not available on the NHS. Unfortunately, what a patient feels is "necessary" (e.g a bridge) may have an adequate alternative (e.g. partial denture) that is less to their liking.
Some treatment is highly unlikely to be available at all (I have never seen a patient with an NHS implant in my couple of decades in dentistry) while the NHS regulations do specify that treatment must be "necessary" - and a lot is by choice rather than necessity. It may be counter-intuitive to most people, but we are frequently told by Dental Public Health Consultants that scaling and polishing teeth is of no benefit to oral health. In light of this advice from the powers that be, it is hardly surprising that some dentists consider hygienist appointments for scaling to be "not necessary" and so charged for privately.
I repeat my earlier advice, if in doubt, ask the dentist if you feel there is something not right - most will happily explain what can be a complicated issue.

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User319249 said on 22 September 2011

I visited the dentist this week as an NHS patient. On inspection i need to have 2 fillings and a crown, which i do not need to pay for because i am claiming job seekers allowance, I also need a scale and polish which he said i will have to go private for and pay £47!!

Is this correct???

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stephburt21 said on 05 September 2011

My Dentist has informed that it would cost over £300 for a root canal with a gold crown or I can have a white one which will have to be done privately (with him at his surgery) which will cost over £400. Why can't he give me the root canal and then just place a filling in the hole instead of putting a crown over the top??? I really can't afford £400 and don't really want a gold tooth or worse still to lose the tooth. Is there some kind of payment plan in place where you can have the treatment and then pay monthly unitl your bill is paid??

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Isis01 said on 07 August 2011

I have an appointment with my dentist who is new to me tomorrow for a small replacement filling. Somewhat belatedly I have been checking the potential charges. A previous x-ray has revealed that a root canal might be necessary to save the tooth, a fairly large molar which is visible when smiling. I am currently on job seekers allowance and thus far, I have not had to pay for treatment/check ups apart from the hygienist to treat my perio.. However, my dentist has said that a crown could be required at a cost of £200. I have been trawling through the various pages on this site and I would really appreciate clarification - the DWP maintain that one needs £73. a week to live on, the way prices are going up for food etc.. make £200. completely beyond my reach. Is this a charge I am in fact liable for, I just thought forewarned is forearmed. I am VERY loathe to lose the tooth unless I have to. One good thing is it doesn't hurt and I have seen the x-ray and wonder if the root is already dead. It didn't require antibiotics.

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KSheenie said on 03 August 2011

I went to my NHS dentist yesterday and was told that I needed a root canal but as it would be a difficult procedure due to the nature of the tooth I was told that it would need to be done by a specialist (who happens to be at that surgery) and that it would cost £375! Is this right that I must pay private price when I am an NHS patient?

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FrancescaHall said on 19 July 2011

I was due to have root canal treatment done on 1 tooth but i visited the dentist today and was told the tooth is badly damaged and the only option is to find someone who specialises in root canal or to have the tooth extracted and have an implant on the nhs. Any suggestions or anybody know how much an implant on the nhs would cost? It's a front tooth so needs sorting and i work full time so have to pay for all my treatment.

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Vincenza said on 03 June 2011

I have fallen victim to the NHS dentist telling me he can't do root canal on the NHS and I had to have it done privately (not with him) and then going back to him for the crown for which he charged me £198. I am in the middle of having root canal done on a second tooth, privately again, and then will have to go back to my NHS dentist for the actual crown. My question is, how much should I actually pay the NHS dentist for just the crown?

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Steve1973 said on 30 May 2011

Clarification required please! I have had the initial consultation and paid £17, then root canal treatment and paid £47. I now need a crown, which should cost £204. Will I have to pay an additional £204, or will I pay £140, making a total payment of £204 for all courses of treatment? Thanks.

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Last reviewed: 01/04/2011

Next review due: 31/03/2013

NHS dental charges from 1 April 2011

Band 1 course of treatment – £17.00

This covers an examination, diagnosis (eg X-rays), advice on how to prevent future problems, a scale and polish if needed, and application of fluoride varnish or fissure sealant. If you require urgent care, even if your urgent treatment needs more than one appointment to complete, you will only need to pay one Band 1 charge.

Band 2 course of treatment – £47.00

This covers everything listed in Band 1 above, plus any further treatment such as fillings, root canal work or if your dentist needs to take out one or more of your teeth.

Band 3 course of treatment – £204.00

This covers everything listed in Bands 1 and 2 above, plus crowns, dentures and bridges.

Help with dental costs

Find out what you are entitled to and how to get help with NHS dental charges.

Dental health

All about dental health, including caring for teeth, the dangers of plaque, treatments and how to have a healthy smile