If your child may need braces, you probably have a lot of questions. The NHS process can feel unclear, especially with long waiting times. Here’s a simple guide to help you understand what to expect and whether private treatment might be a better option.
How does my child get referred for NHS orthodontic treatment?
Your child must first be referred by their general dentist. This usually happens between ages 11 and 13, when adult teeth are developing and bite issues become clearer.
How can I track my child’s referral?
Once the referral is sent, your dentist will give you a Unique Reference Number (URN). You can use this to track progress online through the NHS dental referral system. - https://dental-referrals.org/patients/track-a-referral/
It’s important to know that:
Waiting lists are managed regionally
Your orthodontic practice cannot see your child’s position on the list
How long is the NHS waiting list?
Currently, waiting times are around 4 - 4 and a half years in many areas due to high demand.
Will my child automatically qualify for free braces?
No, not every child is eligible.
At the assessment stage, orthodontists use a grading system called the Index of Orthodontic Treatment Need (IOTN). Only children who meet specific criteria will qualify for NHS-funded treatment.
What happens when we reach the top of the waiting list?
You will be contacted for an assessment appointment. Make sure your contact details are kept up to date with your dentist, especially if you move house.
Is it worth waiting for NHS treatment?
That depends on your situation. While NHS care is free for those who qualify, the long wait can be a concern, especially if your child’s teeth or confidence are affected.
What are the benefits of going private instead?
Private orthodontic treatment offers several advantages:
· Start quickly – often within weeks, not years
· More options – including clear braces and Invisalign
· Flexible appointments – ideal for school schedules
· Earlier treatment – when clinically beneficial
If you are unsure whether to wait for NHS care or to pay on a private basis, we are happy to offer a free smile assesment to help you decide, with no obligation.
Here is a link to the private treatment options available at Aligned orthodontics www.alignedorthodontics.com/fees
