Children's NHS Dental Care Costs

What's Covered for Free?

Every type of clinically necessary NHS dental treatment is free for children, including:

When Should Children Start Seeing a Dentist?

The NHS recommends taking your child to the dentist as soon as their first teeth appear, usually around 6 months old. This first visit helps your child get used to the dental environment and allows the dentist to check that teeth are developing normally.

Early visits are also important for parents to receive advice on teething, diet, and cleaning techniques.

How Often Should Children Visit the Dentist?

The NHS recommends that children see a dentist at least once a year, though your dentist may suggest more frequent visits based on your child's oral health. Children at higher risk of dental problems may be seen every 3-6 months.

Orthodontic Treatment (Braces)

NHS orthodontic treatment is available free for children if the treatment is clinically necessary. This is assessed using the Index of Orthodontic Treatment Need (IOTN). Not all children will qualify for NHS braces — the assessment considers:

• Severity of the alignment problem
• Impact on dental health (not just cosmetic appearance)
• How the teeth bite together

If your child qualifies, the full course of orthodontic treatment is free. This typically includes fixed braces (metal brackets). Clear or ceramic braces are usually a private option at additional cost.

Your NHS dentist will refer your child to an orthodontist if they believe treatment is needed. Waiting times vary by area but can be 12-18 months for a first appointment.

Preventive Treatments

Prevention is a key part of NHS children's dental care:

• Fluoride varnish: Applied to teeth 2-4 times a year from age 3. A quick, painless treatment that strengthens enamel and reduces cavity risk by up to 33%
• Fissure sealants: A thin protective coating applied to the biting surfaces of back teeth. Usually done when permanent molars come through (around age 6-7 and 11-13)
• Dietary advice: Your dentist can advise on sugar intake and foods that are good for dental health

What If My Child Is Nervous?

It's common for children to be anxious about dental visits. NHS dentists are trained to work with nervous patients and will:

• Take time to explain everything in child-friendly language
• Use a "tell, show, do" approach
• Allow breaks during treatment
• Offer sedation for complex procedures if needed (usually available by referral)

Registering Your Child

You can register your child with the same NHS dentist you use, or with a different practice. Some practices specialise in treating children. Call your chosen practice to check they are accepting new child patients on the NHS.