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Patients, plans and complaints

How long is NHS dental treatment guaranteed? 12 months for a filling, root filling, inlay, veneer or crown, and two months for further treatment in the same band

An NHS filling, root filling, inlay, veneer or crown is repaired or replaced free for 12 months. The two-month rule, the exceptions and worked dates.

Two clinicians in white coats reading a clipboard

An NHS filling, root filling, inlay, porcelain veneer or crown is covered for 12 months from the date it was provided. If it has to be repaired or replaced in that time, the practice does the work and the patient pays nothing. A second, shorter rule covers further treatment that the same practice finds is needed within 2 months of finishing a course.

Both periods are in the NHS dental charges regulations for England, read on legislation.gov.uk on 1 October 2026. This page gives the dates, the exceptions and what the front desk checks before anyone quotes a charge.

The 12-month rule

Regulation 6 of the Dental Charges Regulations 2005 says that where a provider has provided a restoration, and within the relevant period it "has to be repaired or replaced to secure oral health", no charge may be made for the repair or replacement. The relevant period is "the 12 month period beginning on the date on which the restoration was provided".

The contract regulations put the same duty on the practice. Schedule 3, paragraph 11 lists the restorations it covers: "any filling, root filling, inlay, porcelain veneer or crown".

Three points follow from the wording:

  1. The clock starts on the day the restoration was provided, not the day the course was closed or the patient paid.
  2. The rule covers a restoration provided in an urgent course of treatment as well as a routine one.
  3. It covers patients who were exempt from the charge the first time.

Dentures and bridges are not on the list. The NHS website says separately that a denture repair is free.

When the 12 months do not apply

Exception Where it is
Someone other than the original provider has treated the tooth within the period Regulation 6(2)(a)
The patient was advised at the time that the restoration was temporary, and that was recorded Regulation 6(2)(b)(i)
The patient was advised that a different restoration was more appropriate but insisted, and that was recorded Regulation 6(2)(b)(ii)
The repair or replacement is needed because of trauma Regulation 6(2)(c)
In the contractor's opinion the restoration cannot satisfactorily be repaired or replaced and different treatment is now required Contract regulations, paragraph 11(5)(c)

The second and third exceptions depend on a note made on the day. Without it the practice cannot rely on the advice later. Our records guide covers how long that record is kept.

The last exception is in the contract regulations only. The different treatment is not a repair or a replacement, so the bar on charging in regulation 6 does not reach it.

What the practice is credited with

Paragraph 11(3) says the repair or replacement "is a banded course of treatment" for counting units of dental activity, even though no patient charge is made. The free repair still counts towards the contract.

The two-month rule

Regulation 6(4) deals with further treatment after a course is finished. No charge may be made where all of these are true:

  • the earlier course was completed, meaning the patient had "each and every component" of it
  • it was not an urgent course of treatment
  • within 2 months of completion, the same provider determines that further treatment is needed
  • that treatment falls in the same charging band or a lower one
  • the same provider carries it out

The test is the date the need is determined. The regulation says the treatment may be provided "whether or not within 2 months" of completion. The NHS website tells patients they will "have to pay for any further treatment after 2 months has passed", which is shorter than the rule.

Where the further treatment is in a higher band, the NHS website says the patient pays "the higher band fee".

Since 23 June 2026, regulation 6(4A) adds that where a provider completes a Band 2 course and starts a complex care pathway 3 for the same patient within 3 months, no charge may be made for that pathway.

Worked dates

The charges in force since 1 April 2026 are £27.90 for Band 1 and urgent treatment, £76.60 for Band 2 and £332.10 for Band 3.

A crown. Provided on 12 May 2026 for a Band 3 charge of £332.10. The 12 months run to 12 May 2027.

What happens Date Charge
The crown comes off and has to be replaced 20 February 2027 None
The same, but later 2 June 2027 A new course at the charge then in force

The regulation does not say whether the anniversary itself is inside the period; treating it as inside is the cautious reading.

Two fillings. Course completed on 3 September 2026 for a Band 2 charge of £76.60. The 2 months run to 3 November 2026.

What happens Charge
On 26 October 2026 the dentist finds a third filling is needed. It is placed on 12 November 2026 None
The need for the third filling is first found on 10 November 2026 £76.60
On 26 October 2026 the dentist finds a crown is needed £332.10, the Band 3 charge

At the front desk

  1. Find the date the restoration was provided, and confirm this practice provided it.
  2. Read the record for that day for a note that it was temporary, or that a different restoration was advised.
  3. Ask whether anyone else has treated the tooth since.
  4. Book the patient with the dentist, who decides whether the restoration has failed, whether trauma caused it and whether different treatment is needed.
  5. Tell the patient the charge position before treatment starts, and record what was said.
  6. If the patient disagrees, give them the complaints procedure.

A course that was never finished is a different case: see the NHS failed-to-attend policy. Urgent courses are in unscheduled care.

Private treatment

These periods apply to NHS treatment only. For private work the terms are whatever the practice told the patient, and a dispute can end at the Dental Complaints Service.

A GDC-registered professional or the practice manager reviews anything a tool drafts before it reaches a patient. This page is general information, not clinical or legal advice.

Short answers from this page

How long is an NHS filling or crown guaranteed?

Twelve months. In England an NHS filling, root filling, inlay, porcelain veneer or crown is repaired or replaced at no charge if it fails within 12 months of the date it was provided. The rule does not apply if another provider has treated the tooth, if the patient was advised and it was recorded that the restoration was temporary, or after trauma.

Source: NHS (Dental Charges) Regulations 2005, regulation 6; GDS Contracts Regulations 2005, Schedule 3, paragraph 11; read 1 October 2026

If an NHS dental patient needs more treatment within two months, do they pay again?

Not if the same practice decides, within 2 months of completing a course of treatment, that further treatment in the same or a lower charging band is needed. The Dental Charges Regulations 2005 say no charge is made even if that treatment is carried out after the 2 months. The rule does not follow an urgent course, and a higher band is charged.

Source: NHS (Dental Charges) Regulations 2005, regulation 6(4) and (5); NHS website, How much NHS dental treatment costs; read 1 October 2026

Every short answer for dental, physio and aesthetics clinics

Where this comes from: National Health Service (Dental Charges) Regulations 2005, regulations 4 and 6, as amended to 23 June 2026; National Health Service (General Dental Services Contracts) Regulations 2005, Schedule 3, paragraph 11; NHS website, "How much NHS dental treatment costs" (page last reviewed 13 March 2025, showing the charges in force from 1 April 2026). All read on legislation.gov.uk and nhs.uk in a browser on 1 October 2026. Not legal advice.

AL

AEO Lookup editorial team

We write practical guides for people who run small UK firms, and we check every fact against its source on the date shown. Read how we review, or tell us if something has changed.

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