NHS dental care is designed to cover treatments that are clinically necessary to protect and maintain oral health. This includes everything from routine check-ups to more complex procedures. Treatments such as fillings, extractions, and root canals are commonly covered. But many people are unsure whether advanced treatments like crowns and bridges are included. The answer is yes—they are, but only when medically required. This article will explain how NHS dental charges work, when crowns and bridges are available through the NHS, what they look like, and what to expect if you’re considering this form of dental care.
What Are Dental Crowns?
A dental crown is a tooth-shaped cap that covers a damaged, broken, or weakened tooth. Its purpose is to restore the tooth’s function and prevent further damage. A crown can also be used after a root canal or to support a large filling. Under the NHS, crowns are provided when they are essential for oral health—not for cosmetic reasons. This means you won’t be able to get a crown simply to improve the appearance of a slightly discoloured or uneven tooth. Your dentist must determine that the crown is necessary to maintain your dental function.
What’s the Difference Between Private and NHS Dentist?
What Are Dental Bridges?
A dental bridge is used to replace one or more missing teeth. It consists of an artificial tooth supported by crowns on the neighbouring teeth. The bridge helps restore chewing function, improves appearance, and stops surrounding teeth from shifting into the gap. As with crowns, bridges are only available on the NHS when needed to restore dental function. If the gap left by a missing tooth causes problems with eating, speaking, or tooth alignment, you may qualify for a bridge. For advice tailored to your needs, the Best NHS Dentist Aberdeen can guide you through eligibility and treatment options.
What is the 2-Month Rule for NHS Dentistry?
NHS Eligibility for Crowns and Bridges
To get crowns or bridges on the NHS, your treatment must be considered clinically necessary. This decision is made by your NHS dentist based on your oral health needs. If the crown or bridge is required to restore function, support surrounding teeth, or prevent future dental problems, it will usually be approved. However, NHS treatment will not be offered for purely aesthetic improvements. If you wish to change the shape or shade of your teeth for appearance reasons, you would need to pay for private treatment instead. Your dentist can explain both NHS and private options if required.
Why Are Dentists Stopping NHS Treatment?
How Much Does It Cost?
NHS dental treatment is divided into three pricing bands. Crowns and bridges fall under Band 3, which is the highest band. As of 2024, Band 3 costs £306.80 in England. This fee includes everything from examination and diagnosis to impressions, lab work, and the fitting of the crown or bridge. The fee remains the same regardless of how many crowns or bridges are done under the same course of treatment. While NHS dental care is more affordable than private alternatives, it’s still important to confirm with your dentist what is included in your treatment plan beforehand.
What Do NHS Crowns and Bridges Look Like?
Crowns and bridges provided under the NHS are mainly designed for function rather than aesthetics. For back teeth, metal-coloured crowns are commonly used, which are durable but not tooth-coloured. For front teeth, a white-coloured material is generally offered, although it often comes in a limited range of shades. This means the crown may not match your natural tooth colour exactly. NHS crowns may also contain a metal core, which can sometimes become visible along the gum line. While this may not suit everyone, it’s a practical and cost-effective solution for restoring dental function.
Is There a Time Limit on NHS Dental Treatment?
Limitations of NHS Treatment
There are a few limitations with NHS crowns and bridges. The materials used are generally basic, focusing on durability rather than appearance. You may also face longer waiting times for appointments and lab work compared to private treatment. Some areas may have limited availability for NHS dental services, which can delay care. Additionally, NHS treatment does not provide advanced materials like all-porcelain or zirconia, which are commonly used in private dentistry for a more natural look. However, if the priority is to protect your oral health, NHS treatment offers a reliable and budget-friendly solution.
Can an NHS Dentist Remove You Without Warning?
Mixing NHS and Private Dental Treatment
Many patients choose to combine NHS and private care. For example, you could receive a medically necessary crown under the NHS and choose to have a more aesthetic crown placed privately on a visible tooth. NHS dentists must explain the differences between what is available on the NHS and what is offered privately. They should also give you a written treatment plan, including the costs for both options. This allows you to make an informed decision and manage your budget accordingly, especially if you want a balance between function and appearance in your dental treatment.
Can You Get Same Day Dentures on NHS?
Final Thoughts
Crowns and bridges are available on the NHS, but only when needed for dental health reasons. If your dentist decides the treatment is clinically necessary, it will be provided under Band 3 and charged at a set rate. NHS options may have limited aesthetic choices and longer wait times, but they are reliable and affordable. Always speak with your dentist about your needs, expectations, and eligibility. Understanding your options will help you make the right decision for your oral health. Whether through NHS care or a mix of NHS and private treatment, your smile can be restored with confidence.
Need Help with Crowns or Bridges?
At Holburn Dental & Implant Centre, we’re here to guide you through your NHS and private treatment options with care and clarity. Whether you need a crown to protect a damaged tooth or a bridge to replace a missing one, our experienced team will help you understand your eligibility and recommend the best solution for your smile. We’ll ensure you receive a detailed treatment plan and answer any questions you have along the way.
Contact us today to book your consultation and explore your options with confidence.
Frequently Asked Question
Can I get a crown on the NHS for a chipped front tooth?
Only if the chip affects your ability to bite or causes pain. NHS crowns are offered for clinical need, not for cosmetic reasons. If the damage is minor and doesn’t impact your function or comfort, the crown would need to be done privately.
Are dental bridges always covered by the NHS for missing teeth?
Not always. NHS bridges are only provided when the missing tooth causes issues with chewing, speech, or alignment. If the gap is not problematic for your oral health, the bridge may not be considered necessary and will not be offered under NHS care.
Can I choose the material for an NHS crown or bridge?
Choice is limited. NHS crowns for back teeth are usually metal, while front teeth may be white but in basic shades. High-end materials like porcelain or zirconia are typically only available through private treatment, as they are considered cosmetic upgrades.
Is there a difference in durability between NHS and private crowns?
Both NHS and private crowns are durable, but private options often use advanced materials that may last longer and look more natural. NHS crowns prioritise function over aesthetics. With proper care, both types can last many years, but materials and longevity may differ.
How long does it take to get a crown or bridge on the NHS?
Waiting times can vary depending on your location and the practice’s availability. Generally, NHS crowns or bridges may take several weeks from impression to fitting. Private clinics may offer faster turnaround times due to shorter waiting lists and in-house dental labs.
