Our orthodontic service

Our orthodontic service provides specific care to patients who wish to improve the appearance and function of their teeth, but they are unable to be cared for in a primary care setting because of care complications.

We work in collaboration with our other specialist services including paediatric dentistry, restorative dentistry and oral and maxillofacial surgery to enable us to provide appropriate care when treatment needs are too complex for braces alone.

Our team:

  • Provides diagnostic skills and care of the highest standards for all patients appropriately referred to us.
  • Delivers world-leading, compassionate and innovative training at postgraduate and undergraduate levels.
  • Provides contemporary, specialised treatment at a secondary and tertiary level.
  • Offers a comprehensive treatment planning and diagnostic service to our colleagues in primary care settings for appropriate referrals.

For clinicians

We accept patients for orthodontic treatment depending on the complexity of the treatment needed. 

Patients must be under the age of 18 years with Index of Orthodontic Treatment Need (IOTN) Dental Health Component 4 and 5.

This includes patients having ‘great’ or ‘very great’ need for treatment. Patients will not automatically be accepted by IOTN score and the complexity will first be assessed. For example, with severe crowding only, or hypodontia with only one missing tooth per quadrant, we may discharge them for onward referral to a specialist orthodontic practice. These patients will most likely be eligible for NHS treatment but not in the hospital setting.

Other conditions that we often manage include:

  • Significant jaw discrepancy eligible for combined orthodontic-surgical (orthognathic) care.
  • Developmental absence of teeth (hypodontia) meeting specific acceptance criteria regarding the complexity of the proposed treatment.
  • Cleft lip and palate according to our eligibility criteria.

Our acceptance criteria provides more information on referring to the orthodontic service. 

Information for patients

Our orthodontic service is mostly for patients under the age of 18 who require complex orthodontic treatment. We treat some adult patients in our department who:

  • Require corrective jaw surgery in conjunction with brace treatment.
  • Suffer obstructive sleep apnoea.

No other patients over 18 can be treated for orthodontic problems.

In order to be considered for treatment you will need to be referred. The referral may come from your dentist or from a specialist orthodontist who feels your treatment may need to be carried out in the Dental Hospital.

Orthodontic treatment at Barts Health NHS Trust is offered at The Royal London Dental Hospital and also at Whipps Cross University Hospital.

Find out more on the British Orthodontic Society Website

What are the risks?

Looking after your teeth and brace

Advice about your twin block

Your orthodontic retainers

Where to go 

Your appointment letter or appointment card should tell you where to go when you arrive.

If not, please call the number on your appointment letter or appointment card to find out where you should go. If you misplace your appointment letter or card, please contact central appointments.

Please arrive 10 minutes before your appointment. Every missed appointment costs the NHS £160. If you are 20 mins late for your appointment we may not be able to accommodate you and your appointment may need to be re-booked.

When you arrive at the clinic

On arrival, please speak to the clinic receptionist, who will explain what you need to do next.

Most orthodontic patients are seen on the 1st floor of The Royal London Dental Hospital or in Junction 2 of Whipps Cross Hospital.

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Page 1 of 2 Next page Total results: 17
Status Title Format Description Size Download
Current Cleft lip and palate patients - Alveolar bone grafting for adult.pdf pdf
Alveolar bone grafting for adult
Current Cleft lip and palate patients - Genioplasty (chin) surgery.pdf pdf
Genioplasty (chin) surgery
Current Cleft lip and palate patients - Orthognathic surgery.pdf pdf
Cleft lip and palate patients
Current Cleft lip and palate patients - Septorhinoplasty (nose) surgery.pdf pdf
Septorhinoplasty (nose) surgery
Current How to keep your teeth and gums healthy whilst wearing braces.pdf pdf
How to keep your teeth and gums healthy whilst wearing braces
Current Managing your brace in an emergency.pdf pdf
Managing your brace in an emergency
Current NHS England commissioning guidelines for orthodontics.pdf pdf
NHS England commissioning guidelines
Current Oral appliances for sleep apnoea.pdf pdf
Oral appliances for sleep apnoea
Current Ortho treatment with fixed appliances.pdf pdf
Ortho treatment with fixed appliances
Current Orthodontic management of impacted canine teeth.pdf pdf
Orthodontic management of impacted canine teeth
Page 1 of 2 Next page Total results: 17