How Much Is a Filling on the NHS? – Costs, Process and What to Expect
If you’ve been told you need a filling, one of your first questions is probably: “How much will it cost on the NHS?”
The good news is that fillings are considered essential dental treatment, which means they’re covered under NHS dental charges. This guide will explain:
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What a filling is and why you might need one.
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The process of getting a filling on the NHS.
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How much it costs and what’s included in that price.
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The different types of fillings available.
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Common FAQs about NHS fillings.
What Is a Filling?
A dental filling is used to repair a tooth that has been damaged by decay or wear. The dentist removes the decayed part of the tooth and fills the space with a special material.
This:
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Prevents further decay.
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Protects the tooth’s structure.
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Stops pain or sensitivity caused by cavities.
The NHS Filling Process – Step by Step
The process of having a filling on the NHS is the same as at a private dentist. Here’s what to expect:
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Examination – Your dentist checks your tooth and may take an X-ray to see how deep the decay goes.
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Numbing the Area – A local anaesthetic is used so you don’t feel pain. Your cheek or lip may feel numb for a couple of hours afterwards.
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Removing the Decay – The dentist uses a small drill to clean away the damaged part of the tooth. You’ll feel vibration but not pain.
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Placing the Filling – The hole is filled with a material such as amalgam (metal) or composite (white filling).
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Shaping and Polishing – The dentist smooths the filling so it feels comfortable when you bite.
The whole procedure usually takes 20–40 minutes.
How Much Does a Filling Cost on the NHS?
The cost of a filling in England, Wales, and Northern Ireland depends on which NHS band it falls under.
| Country | Band/Charge | What’s Included |
|---|---|---|
| England | Band 2 – £70.70 | Includes fillings, root canals, and extractions |
| Wales | Band 2 – £47.00 | Same as above |
| Northern Ireland | Pay per treatment – £8–£30 approx. for a filling | Price depends on size and material |
| Scotland | 80% of NHS cost (capped at £384 per course of treatment) | Fillings are partially subsidised – exact price varies |
✅ Good to know:
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The price is the same whether you need one filling or several – Band 2 covers all necessary treatment in that course.
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NHS dental charges are reviewed annually, so prices can change.
Types of Fillings on the NHS
The NHS provides fillings based on clinical need – not cosmetic reasons. This means your dentist will recommend the best material for strength and durability, rather than appearance.
Here are the most common types:
1. Amalgam (Metal) Fillings
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What it is: A mix of metals, including silver, tin, and mercury.
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Where it’s used: Usually for back teeth (molars) because it’s strong and hard-wearing.
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Colour: Silver-grey, so visible when you open your mouth.
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Cost on NHS: Included in Band 2.
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Pros: Long-lasting and durable.
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Cons: Not tooth-coloured, so less cosmetic.
2. Composite (White) Fillings
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What it is: A tooth-coloured resin that blends with your natural teeth.
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Where it’s used: NHS usually uses these for front teeth where appearance is important. Back-tooth white fillings may not always be available on the NHS.
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Colour: Matches your natural tooth shade.
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Cost on NHS: Included in Band 2 (when clinically necessary).
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Pros: More natural-looking.
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Cons: May not be as long-lasting as amalgam on back teeth.
3. Glass Ionomer Fillings
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What it is: A tooth-coloured material that releases fluoride.
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Where it’s used: Sometimes for children or small fillings in non-biting surfaces.
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Cost on NHS: Included in Band 2.
NHS vs Private Fillings – What’s the Difference?
| Feature | NHS Fillings | Private Fillings |
|---|---|---|
| Cost | Fixed NHS band charge (e.g., £70.70 in England) | £80–£200 per filling on average |
| Material Choice | Based on clinical need, not cosmetic preference | You can choose white fillings for all teeth |
| Appointment Availability | Can take longer to get an appointment in some areas | Usually quicker access |
| Durability | Amalgam is long-lasting; white fillings depend on the tooth | High-quality composite available |
If appearance matters to you (for example, you want white fillings on back teeth), you can ask your NHS dentist if they offer them privately alongside NHS treatment.
FAQs – NHS Fillings
1. Are fillings free on the NHS?
Only if you’re entitled to free NHS dental treatment, such as children under 18, pregnant women, or those on certain benefits. Otherwise, you pay the Band 2 charge.
2. Can I request white fillings on the NHS?
White fillings are usually provided only when clinically necessary, such as for front teeth. You can pay privately for cosmetic white fillings on back teeth.
3. How long does an NHS filling last?
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Amalgam fillings: 10–15 years.
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Composite fillings: 5–7 years (sometimes longer with good care).
4. Does a filling hurt?
No, your dentist will numb the area. You might feel mild sensitivity for a few days afterwards.
5. Can I eat after my filling?
Wait until the numbness wears off. Start with soft foods and avoid very hot or cold drinks for the first day.
Taking Care of Your Filling
To make your filling last as long as possible:
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Brush twice a day with fluoride toothpaste.
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Floss or use interdental brushes daily.
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Avoid sugary snacks between meals.
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Keep up with regular NHS dental check-ups.
Final Thoughts
Getting a filling on the NHS is straightforward and affordable. For most people, it costs just one Band 2 charge, no matter how many fillings you need in that course of treatment.
The most important thing is to get the treatment done as soon as possible – leaving a cavity untreated can lead to pain, infections, or even the need for more complex (and expensive) treatment later on.
If you’ve been putting it off, don’t worry – the procedure is quick, routine, and designed to protect your tooth for years to come.
