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Advice

HSC or private braces in Northern Ireland?

How the two routes compare.

Your £155 assessment fee comes off your treatment price. If you go ahead with private treatment after your private assessment, we take the £155 you paid off the total cost of your braces or aligners. On our payment plan, the £155 comes off your £900 deposit, so you pay a £745 deposit and your monthly payments stay the same. This does not apply to the cross-border (HSE) scheme.

Advice · 11 October 2026

In Northern Ireland, braces can be provided by the health service (NHS) or privately. Here is how the two compare.

Health service (NHS) braces

  • Only provided when the teeth are significantly out of position. The orthodontist checks this using a scoring system called IOTN.
  • You need a referral from your dentist.
  • Waits are usually 6–12 months for assessment, then 3–6 months to start treatment, depending on the case.
  • Clear aligners are not available on the health service.

Private braces

  • Private treatment has no waiting list.
  • You can refer yourself.
  • Metal braces and Smartee clear aligners cost the same: from £2,900, £3,900 or £4,900, depending on the complexity of the case.
  • Under 18 and did not qualify for HSC braces? Private braces or Smartee clear aligners cost £2,900 with our under-18s offer (usually £3,900) while the patient is under 18. See private braces for under-18s.

Paying monthly

You can pay a £900 deposit, then the rest in 12 monthly payments. A £150 plan fee is added to the balance and spread across your monthly payments. See our costs, the braces cost guide and health service or private.

Frequently asked questions

Can I go private while on the NHS waiting list?

Yes. You can choose private treatment at any time.

What if my child’s IOTN score is too low?

Private treatment is an option. While your child is under 18, private braces or Smartee clear aligners cost £2,900 with our under-18s offer (usually £3,900).

Have a question? Ask your clinician during your appointment, or call us on 028 9045 1303.

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Questions about your treatment?

Our friendly team is happy to help. Call us on 028 9045 1303 or send us an email.