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NHS orthodontic treatment is available for children under the age of eighteen who demonstrate a clear clinical need for teeth straightening. Eligibility is determined using the Index of Orthodontic Treatment Need scale to assess dental health. Only patients with high ratings for functional issues qualify for government-funded care. Adults are generally not eligible for NHS braces unless treatment is required for severe medical reasons. The NHS provides standard metal braces to improve dental function and health. Cosmetic options like clear aligners and ceramic braces are not covered by the health service.

Adults qualify for NHS orthodontic treatment only when there is a significant medical or functional necessity. Eligibility is restricted to severe cases such as significant jaw misalignment, speech impediments, or difficulty chewing. Cosmetic concerns or minor crowding do not meet the criteria for government-funded care. Most adults face waiting times of twelve to twenty-four months because the health service prioritises children. Treatment usually involves traditional metal braces to correct functional health rather than clear aligners. Applicants must receive a referral from their primary dentist to an orthodontist for a clinical assessment of their eligibility.

Ceramic braces are not available for free on the NHS. The National Health Service exclusively provides traditional metal braces to patients who meet the clinical eligibility criteria for orthodontic treatment. Because ceramic brackets are more expensive to manufacture and are considered a cosmetic preference rather than a medical necessity, they fall outside the scope of publicly funded care. Patients who qualify for NHS treatment receive high-quality metal appliances to correct functional issues. Those who prefer the aesthetic benefits of discreet, tooth-coloured ceramic braces must choose private orthodontic treatment and cover the costs independently.