# Can I get braces on the NHS?

Source: https://thelocaldentist.co.uk/answers/can-i-get-braces-on-the-nhs/
Updated: 2026-07-13

## Quick answer

Under-18s get free NHS braces if their teeth meet the clinical-need threshold, assessed using the IOTN index — cosmetic-only cases do not qualify, and waiting lists can be long. Adults rarely qualify for NHS orthodontics; for most adults, braces or aligners are private treatment.

## Key facts

- Free for under-18s who meet the IOTN clinical-need threshold
- IOTN measures dental health need, not appearance — borderline cases include an aesthetic check
- Waiting lists for NHS orthodontics are often long — get assessed early
- Adults rarely qualify — only exceptional clinical need, usually via hospital services
- NHS treatment uses fixed braces, not clear aligners
- Private alternatives: aligners such as Invisalign typically £1,500–5,500

Editorial content from The Local Dentist — not clinical advice.