Cost of braces and Invisalign^® in London

NHS orthodontic treatment is free for children under 18 who have an IOTN score of 4 or 5. Adults and children with milder problems can only have treatment privately, and at Orthosmile this can cost between £1,990 and £5,500, although the majority of our dual-arch comprehensive treatments cost between £3,000 and £4,500. This is an all-inclusive package that includes £900 worth of fixed retainer (a thin wire glued to the back of the six front teeth) and two sets of clear removable retainers. The payment can also be spread over the treatment period using a finance plan.

At our Orthosmile West London clinics we offer metal fixed braces at £1,990–£4,000, ceramic fixed braces at £2,490–£4,500, and lingual (behind-the-teeth) braces at £3,990–£10,000. We also provide free fixed retainers and 2 free sets of removable retainers post-treatment, worth £900, on all our adult and teenage treatments. Your 0% interest-free payment plan option will be discussed at your in-person consultation.

Invisalign® treatment at Orthosmile costs between £2,500 and £5,500 depending on the complexity of the case and its suitability for an individual Invisalign® package. Our prices include all the necessary refinements within the Invisalign® package to complete the treatment. At Orthosmile we provide free fixed retainers and 2 free sets of removable retainers post-treatment, worth £900, on all our adult and teenage treatments. Children under the age of 10 suitable for Invisalign® First treatment will also receive their removable retainers post-treatment free of charge, and we will continue to see them for further six-monthly reviews free of charge until all the permanent teeth have erupted. Invisalign® prices are generally comparable to, or in certain cases up to £500 more expensive than, metal fixed braces.

Yes. At Orthosmile we have 0% interest-free payment plans for all our braces, typically requiring a 20–25% deposit with the balance paid monthly. Your payment plan will be discussed at your initial consultation appointment and included in your treatment plan letter. For patients who need to spread payments over 18–24 months or longer, we can obtain a quotation through a registered finance provider such as Tabeo Finance, subject to a credit check and individual lending terms, with the specific rate confirmed at your consultation.

At our Orthosmile West London clinics we offer a free consultation for children under 16. Adults over 16 pay a £30 fee towards the consultation, redeemable against treatment costs. All the other tests necessary for diagnosis and planning — including radiographs, clinical photographs and a digital iTero scan — are provided free of charge. We also provide a written letter discussing your treatment options, costs and 0% interest-free payment plan.

There are no hidden charges in our quotation. It is an all-inclusive package covering all diagnostic tests, radiographs, clinical photographs and a digital iTero scan, appliance fitting and instructions, regular adjustment visits, and emergency repairs. We also provide free fixed retainers and 2 free sets of removable retainers post-treatment, worth £900, on all our adult and teenage treatments. Children under the age of 10 suitable for Invisalign® First treatment will also receive their removable retainers post-treatment free of charge, and we will continue to see them for further six-monthly reviews free of charge until all the permanent teeth have erupted. The price also includes your retainer review visits and any necessary fixed-retainer repairs during the 12 months post-treatment.

At our Orthosmile West London clinics our metal fixed braces range from £1,990 to £4,000. Our ceramic fixed braces cost £500 more than the metal braces, and lingual (behind-the-teeth) braces range from £3,990 to £10,000 due to the higher lab fees and greater clinical time involved.

Some dental insurance companies cover all or part of the orthodontic treatment cost; for this they usually require further clinical information and your IOTN score. This information can be provided free of charge in your treatment plan letter after your initial consultation.

The cost of private orthodontic treatment reflects bespoke laboratory work, precision appliances and expensive materials, as well as high practice overheads including rent, rates, specialist equipment, regulatory compliance and qualified, highly trained support staff. Specialist Orthodontists also typically spend five to seven years beyond dentistry completing their postgraduate training, and their treatments usually involve appointments spread over a period of around three years.

Orthodontic treatment fees are not usually negotiable the way retail prices are, due to the high cost of materials, lab fees and appliances. What we can help with is more flexible payment scheduling, and we do offer a courtesy reduction in fees if members of the same family start treatment at the same time.

NHS orthodontic waiting lists vary across practices, but anything between 12 and 24 months from referral to the start of treatment is common. Use the NHS 'Find a Dentist' tool at nhs.uk to find a dentist near you and register with them; they usually refer you to your local NHS orthodontic practice. At our Orthosmile West London clinics we offer a free consultation for children under 16 to assess your child's IOTN score and give you a free, no-obligation treatment plan discussing your options and costs.

At Orthosmile we offer an all-inclusive fee for all our orthodontic treatments, including free retainers, so treatment that takes longer than expected does not incur additional charges. For Invisalign® aligners, a supplementary fee may apply if the number of additional refinement aligners goes beyond the agreed package.