Sep 19, 2025
Are Clear Aligners Available On The NHS? Your Options Explained
If you have been wondering whether the NHS offers clear aligners, you are not alone.

Many families ask about NHS eligibility for children, what happens if you do not qualify, and why so many adults choose private care for modern aligner treatments. In this guide, you will find clear answers plus practical next steps with Helix House Orthodontics in West Bridgford, Nottingham.
Do the NHS provide clear aligners?
In most cases, no. NHS orthodontic treatment is primarily focused on health need and function, not cosmetic preference. As a result, NHS care is usually provided with fixed braces. Clear aligners are typically considered a private option.
There are rare exceptions where an NHS provider may use aesthetic appliances for clinical reasons, however this is uncommon. If you specifically want removable, nearly invisible trays, you should plan for private treatment.
At Helix House Orthodontics, we offer both braces and clear aligners, including Invisalign®, Angel Aligners, and Spark Aligners. If aligners are your preferred route, we can guide you through a private plan that suits your goals and budget.
Who can get braces on the NHS?
NHS orthodontic treatment is available for children and teenagers who meet the clinical criteria under the Index of Orthodontic Treatment Need (IOTN). This index scores the severity of tooth and bite problems. To qualify for NHS funding, a child must meet a threshold score that reflects a clear health need for treatment.
Key points to know:
- Eligibility is based on dental health needs, not appearance alone.
- Most NHS orthodontic care is provided during school years. Your dentist or an orthodontist can advise on timing.
- Waiting lists can be lengthy in some areas. Early assessment helps you plan.
Helix House Orthodontics offers NHS eligibility assessments for children. You do not need a referral or a waiting list to get clarity on whether your child is likely to qualify. After an assessment, we will explain the outcome and your options in simple terms, so you can make an informed decision.
How to check if your child qualifies
If your child has crowding, prominent teeth, a crossbite, or issues affecting bite function, an assessment with a Specialist Orthodontist is the best first step. During an NHS eligibility assessment, we will:
- Review dental and facial development.
- Score the case using IOTN.
- Discuss timing, likely appliance types, and practical considerations like oral hygiene and school routines.
If your child qualifies, we will advise on the NHS pathway. If they do not, we will outline private options that match their needs, including interest-free finance and flexible appointment times before or after school.
What if you are not eligible for NHS treatment?
Many families discover their child does not reach the IOTN threshold, or they prefer a faster start than local NHS waiting lists allow. In these situations, private treatment offers choice and convenience.
Private options can include:
- Clear aligners for suitable cases, often with discreet results and flexible wear.
- Fixed braces, including metal or ceramic, for comprehensive correction.
- Early intervention approaches for younger children where clinically appropriate.
At Helix House, your treatment is specialist-led. We combine in-clinic care with our Dental Monitoring app, so you can upload weekly scans from your phone. This supports steady progress while reducing unnecessary visits, and helps us spot and solve issues early.
Why do adults often choose private orthodontic care?
Adults usually choose private care because it provides:
- Discreet treatment options like clear aligners.
- Faster access to treatment without a waiting list.
- Appointment times that fit around work and family.
- Specialist oversight and tailored plans for busy lifestyles.
Aligners are popular with adults who want a lower profile look, removable trays for meals and meetings, and a treatment plan that fits their schedule. Many also value the blend of virtual and in-person reviews that reduce time away from work.
Clear aligners at Helix House Orthodontics
We are Nottingham's specialist team for braces and clear aligners. For aligner treatment, we offer three leading systems: Invisalign®, Angel Aligners, and Spark Aligners. After a specialist consultation and digital scan, we will recommend the option that best suits your teeth, bite, and goals.
What you can expect with our aligner care:
- A bespoke plan led by Specialist Orthodontists.
- Weekly progress tracking through our Dental Monitoring app at no extra cost.
- Advice on wear time, oral hygiene, and maintaining momentum between appointments.
- A calm, friendly team guiding you from first scan to final retainers.
If you are exploring clear aligners in Nottingham and want expert advice, our team is here to help.
Costs, finance, and access
Private treatment is more accessible than you might think. We offer 0% finance with no deposit options, along with clear pricing discussed upfront. This helps you plan with confidence.
If you are weighing aligners against fixed braces, we will outline costs and timelines for each path. You will know exactly what to expect, including reviews, retainers, and aftercare.
How Helix House supports families
Whether you are seeking an NHS assessment for your child or exploring private aligners for yourself, we make it simple to get started:
- Free specialist consultations for new patients.
- NHS eligibility assessments for children with no referral needed.
- Early and late appointments for school or work convenience.
- One year of aftercare following treatment, plus retainers to protect your results.
We treat children, teens, and adults across Nottingham and beyond, with a focus on long-term smiles supported by specialist knowledge and modern technology.
When to consider braces instead of aligners
Not every case is suitable for aligners. Complex tooth movements, certain bite problems, or compliance concerns may be better served by fixed braces. During your consultation, we will explain all clinically appropriate options, including the benefits of fixed appliances and any role for elastics or IPR to create space and refine your bite. Our goal is a healthy, stable result that looks great and lasts.
Summary: your next step to a confident smile
- The NHS rarely provides clear aligners, and most NHS orthodontic treatment is delivered with fixed braces.
- Children may qualify for NHS care based on IOTN scores that reflect health need.
- If you do not qualify, or you prefer to start sooner with discreet options, private treatment offers choice, flexibility, and specialist oversight.
- Adults often choose private care for clear aligners, minimal disruption, and faster access.
If you are ready to explore your options for clear aligners in Nottingham with a Specialist Orthodontist, book your free consultation with Helix House Orthodontics. We will help you choose the right path, whether that is braces or aligners, and support you at every step.