NHS Orthodontic treatment

At Orthokind we are proud of our reputation gained across the last 20 years, providing high quality NHS orthodontic care to children and young patients under the age of 18. We are committed to the continuation of this service so that the children in our community have the opportunity to benefit from lovely straight teeth and a beautiful smile. All of our patients receive the same high quality treatment and end result however they are funded.

Who qualifies for NHS funding?
Orthodontic treatment is only available free of charge on the NHS for young people under 18 years of age. They must be under 18 when the appliance is put on.

As an NHS patient you must be referred to us by your regular General Dentist
They will assess you during your regular appointments and decide whether they should refer you to us. Once referred you will have an initial consultation at which we will establish your needs and eligibility for treatment.

Eligibility for treatment under the NHS is determined using a rating system known as the Index of Orthodontic Treatment Need (IOTN).

The IOTN is made up of five grades:

Grade 1: Almost perfect teeth.

Grade 2: Minor irregularities with the teeth, such as slightly protruding upper front teeth.

Grade 3: Greater irregularities with the teeth that do not require treatment for health reasons. For example, upper front teeth that protrude less than 4mm more than normal.

Grade 4: A severe degree of irregularity with the teeth that requires treatment for health reasons. For example, upper front teeth that protrude more than 6mm.

Grade 5: Severe dental health problems. For example, when teeth cannot come into the mouth normally because of obstruction by crowding or other causes or upper front teeth that protrude more than 9mm.
NHS treatment is available for grade four or five cases. Grade three cases are usually judged on an individual basis. Treatment may be made available if the appearance of the teeth, jaw or face is of particular concern.

There is always a high patient demand for NHS specialist orthodontic treatment.


When an appliance is first fitted it can feel a little strange and the unaccustomed pressure on the teeth can cause some discomfort or pain for the first few days. This is nothing unusual and will normally wear off quite quickly. Simple painkillers such as paracetamol or ibuprofen can be helpful. Should there be any irritation to the lips and cheeks your orthodontist can provide soft wax to place over the brace where it is sore to help relieve any problems until they settle.
This always depends on each individual case, but active treatment typically lasts between 12 and 24 months, and visits to the orthodontist are needed every six to eight weeks.
You may not have enough room for all your permanent teeth. If so, you may need one or more permanent teeth taken out to make room. Every person is different and your orthodontist will tell you whether this is the case. Any teeth that need to be taken out will be removed by your usual dentist.
NHS braces are made of metal. (Ceramic and virtually invisible braces are only available privately.)
Yes – you can select the colour of your appliance at your appointment.
NHS care is only available to those aged under 18 years when the appliance is put on. The average age is 14 as teeth move more easily while you are still growing. Your General Dentist will know when it is the best time to refer you.

Initial consultation

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Tel: 01904 633061 
70 Low Petergate 
York YO1 7HZ