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Dental treatments explained

23 treatments in plain English: how each one works, the honest pros and cons, how long it lasts, whether you can get it on the NHS, and what to ask your dentist.

Orthodontics

Braces, aligners and retainers that move teeth and hold them in place.

Fixed braces with tooth-coloured brackets that blend in more than metal, while working in much the same way.

Usually private only

A series of clear, removable plastic trays that move teeth in small steps. Best for mild to moderate problems after a proper in-person…

Usually private only

Fixed braces bonded to the inside surfaces of the teeth so they are hidden from view. Discreet, but they take some getting used to.

Usually private only

Brackets glued to each tooth and linked by a wire - the most widely used brace and the standard NHS option for eligible under-18s.

Sometimes on the NHS

Removable or fixed appliances that hold teeth in their new positions after braces or aligners. Essential in almost every case, usually…

Sometimes on the NHS

Restorative

Repairing and replacing teeth: fillings, crowns, bridges, implants, dentures and root canals.

A fixed false tooth held in place by the teeth next to the gap. Conventional and minimal-drilling resin-bonded bridges compared.

Available on the NHS

A custom-made cap that covers a weakened, broken or root-treated tooth to restore its strength, shape and appearance. An NHS Band 3 item.

Available on the NHS

A titanium post placed in the jawbone to act as an artificial root for a crown, bridge or denture. Fixed and long-lasting, but usually…

Sometimes on the NHS

Removable false teeth that replace some or all missing teeth. Plastic, metal and flexible types, NHS availability and how to care for them.

Available on the NHS

Repairing a hole or damaged area of a tooth with white composite or silver amalgam. The most common restorative treatment - and an NHS…

Available on the NHS

Laboratory-made fillings cemented into or onto a back tooth - stronger and longer-lasting than a normal filling, while keeping more tooth…

Available on the NHS

Removing infection from inside a tooth, then cleaning and sealing it so it can be kept. Should feel similar to having a filling.

Available on the NHS

Cosmetic

Changing how teeth look: bonding, veneers and professional whitening.

Tooth-coloured composite resin added directly to teeth to repair chips and cracks or rebuild worn teeth, usually with little or no drilling.

Sometimes on the NHS

Lightening natural teeth with a peroxide gel, legally only by or on the prescription of a dentist. Home-tray and in-surgery options…

Usually private only

Thin porcelain or composite facings bonded to the front of teeth to change their colour, shape or size. Effective, but a long-term…

Sometimes on the NHS

Preventive

Stopping problems before they start: cleaning, fluoride, sealants and guards.

Professional fluoride varnish, prescription-strength toothpaste and protective sealants for back teeth - simple ways to prevent and even…

Available on the NHS

Treating gingivitis and periodontitis with better home cleaning, professional cleaning above and below the gums and, occasionally, surgery.

Available on the NHS

A custom-made guard worn at night to protect teeth from grinding and clenching, and to ease strain on the jaw.

Sometimes on the NHS

A professional clean by a hygienist or therapist to remove hardened plaque (tartar) and surface stains. Free on the NHS only when…

Sometimes on the NHS

A cushioning guard worn over the teeth for contact sports. Custom-made guards from a dentist offer the best fit and protection.

Usually private only

Surgical

Taking teeth out, including wisdom teeth.

Removing a tooth that cannot be saved or is causing problems. What happens, NHS costs, and how to look after the socket afterwards.

Available on the NHS

Removing one or more wisdom teeth that are causing problems. Usually quick under local anaesthetic, with a couple of weeks of recovery.

Available on the NHS

Home care

What you do every day, at home, to look after your teeth and gums.

Brushing twice a day with fluoride toothpaste and cleaning between your teeth - the evidence-based routine that prevents most decay and…

Available on the NHS