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Author Topic: is there an orthodontic differential between "needing" and "wanting" braces?  (Read 1907 times)

Offline spryte

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i had braces for 18 months when i was 11, but i was left with gaps and uneven teeth (the front gap itself doesn't bother me, i just wish it was centred so my lip ring doesn't sit skewed).

i've made an enquiry about getting them fixed, because i've been having trouble with the gaps that were left behind when i was a child. trouble is, i don't know if what i would like done falls within the "needs" or the "wants" remit of the NHS.

is there a set of guidelines out there i can take a peek at?

TIA :)
of all the things i've lost, i miss my chocolate the most...

Offline Hiheels

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There is indeedy...it's the index of orthodontal need, but isn't a small subject http://www.dentalgain.org/orthodontics.html#iotn

Offline spryte

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oooh that gives a fairly good indication, even to my slightly fried brain! thanks!
of all the things i've lost, i miss my chocolate the most...

Offline Hiheels

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Shucks, 'tweren't nuth'n.

Offline robinsamuels

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You won't get that done on the NHS.

Regardless of what the rules may say, the dentist will simply fall back on the principle that the NHS does not pay for cosmetic dentistry that has no orthodontic benefits. Trust me, my wife had loads of complaints over this sort of issue and none of them ever got beyond a phone call to the PCT, where they were told in no uncertain terms that if they want to improve their looks, go private. Where we live now, there isn't even an NHS orthodontist in the county's main hospital!

If you had been in an accident, or fight etc, and major trauma had happened, then there may be grounds for something like this. The NHS charter states that for treatment to be carried out at NHS rates, there must be clinical need in order to provide oral health.

Also, don't forget, whatever you have done to you comes out of the dentist's pocket! If the lab bills exceed roughly £100, then the dentist is paying for your treatment. They don't get the fee you pay, only half of a small fee from the NHS based on the nature of your treatment.