Saturday 10 October 2026
The Smile.

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Dental Costs & Your Rights

NHS dental appointments: will more dentists mean better access?

Expanded registration exams and dental training places aim to increase dentist numbers, but the benefits for patients will depend on location, funding and NHS participation.

By The Smile Editorial Team
Published · 6 min read

Woman in her fifties speaking to a receptionist at a UK dental practice about NHS dental appointments
Illustration

Quick answerMore exam places for overseas-trained dentists could help improve NHS dental appointments, but extra registrations do not guarantee NHS availability. The main increases are planned for 2028–29, and access will depend on where dentists work and whether they provide NHS care.

Not medical advice. General information only. We don't diagnose or treat. Never try dental treatment at home. Always see a dentist about symptoms.

Timeline

  1. 10 March 2026

    The government announces expanded registration exam capacity and additional dental school places.

  2. 2027

    An additional 50 dental training places a year are due to begin in England.

  3. 2028

    Final-stage Licence in Dental Surgery exam capacity is due to reach 1,800 places.

  4. 2028–29

    Expanded exam routes are projected to support around 2,400 additional overseas-trained dentist registrations annually.

Getting an NHS dental appointment could become easier under plans to expand the number of overseas-trained dentists able to register in the UK. But the change is a workforce measure, not a promise of an appointment at your local practice: registration alone does not determine how much NHS care a dentist provides.

The Department of Health and Social Care announced the expansion on 10 March 2026, alongside more dental school places in England. For patients weighing up private fees against continued searches for NHS care, the important questions are when extra dentists will start work, where they will settle and which services they will offer.

What happened

The government is increasing capacity on two examination routes used by overseas-qualified dentists seeking UK registration. It estimates that the changes could allow around 2,400 additional dentists to join the register annually by 2028–29. That is a projection of potential registrations, rather than a count of dentists already recruited to NHS practices.

A one-off £420,000 government grant will support expansion of the Licence in Dental Surgery, or LDS, examination run by the Royal College of Surgeons of England. Places on its final stage are due to rise from 180 to 1,800 by 2028. The department expects this route to allow up to 1,350 overseas-trained dentists to register annually by then.

Separately, the General Dental Council, the UK dental regulator, plans to expand the clinical stage of its Overseas Registration Exam, known as the ORE, to 1,500 places. This route is expected to result in more than 1,000 additional dentists joining the register annually by 2028–29.

Exam places and new dentists are not interchangeable figures. Candidates must pass the relevant assessments and meet registration requirements before practising. Increasing the number of assessment slots removes one obstacle, but the eventual workforce gain depends on candidates progressing successfully through the process.

England will also receive 50 additional dental training places each year from 2027. The Office for Students has been asked to prioritise areas that lack dental training and struggle with access, including rural and coastal communities. Our explainer on whether new dental school places will improve NHS access examines why student recruitment and appointment availability run on different timescales.

The background

Why registration matters

Dentists must be registered with the General Dental Council to practise dentistry in the UK. For overseas-qualified applicants who need to take a registration examination, limited places can prevent them from moving forward even when they have already completed dental training abroad. The expansion increases assessment capacity; it does not remove the requirement to demonstrate the necessary knowledge and clinical skills.

The government says thousands of overseas-trained dentists are waiting for the opportunity to take these examinations, many already living in the UK. This makes the exam route different from expanding undergraduate education: it concerns people who have already trained, rather than students beginning their first dental qualification.

Why a bigger register is not enough

A dentist on the register may work privately, provide NHS care or combine the two. Registration figures therefore cannot tell patients how many NHS appointments will become available. The location of jobs, working hours and arrangements for funding NHS treatment all affect what a larger workforce delivers locally.

There is also a geographical distinction. The registration changes concern the UK-wide professional register, while the additional dental school places announced here are for England. NHS dentistry is organised separately across England, Scotland, Wales and Northern Ireland, so a UK workforce announcement should not be read as an identical access policy in every nation.

The government has also committed to reforming the dental contract by the end of the Parliament. That matters because the contract governs how NHS dental work is commissioned and paid for. Our guide to NHS dental contract changes and who could benefit looks at the patient-facing questions behind payment reform.

Will dental treatment become cheaper?

The workforce announcement does not itself change patient charges. NHS charges and eligibility for free or reduced-cost care follow national rules; private practices set their own fees. More dentists might increase the choice of available appointments, but there is no announced reduction in private prices or NHS charges attached to these exam places.

For patients, the financial benefit would come if an affordable appointment became available where previously only a more expensive option could be found. That is different from treatment becoming universally cheaper. Our coverage of the relationship between oral pain and dental costs explores why affordability and access need to be considered together.

What people are saying

Health minister Stephen Kinnock described increasing both domestic training and opportunities for overseas-qualified dentists as part of rebuilding NHS dentistry. His argument links workforce growth with better access, although the announced registration targets do not specify how many additional NHS appointments each area will receive.

The Royal College of Surgeons of England welcomed the opportunity to offer more LDS examination places. Dr Charlotte Eckhardt, dean of its Faculty of Dental Surgery, said the expansion would support candidates and strengthen the workforce, with the aim of improving public access to dentistry.

The General Dental Council's chief executive and registrar, Tom Whiting, welcomed greater certainty and scale for the ORE. He also stressed the need for long-term workforce planning and a framework supporting international recruitment. That distinction is important: running more examinations is one task; helping successful candidates move into sustainable clinical roles is another.

The Dental Schools Council welcomed the additional student places. Its chief executive, Dr Katie Petty-Saphon, highlighted the need to widen participation in dental education and address geographical gaps in care. Targeting training towards underserved areas is intended to support that goal, but a training location does not guarantee where every graduate will eventually work.

What happens next

What would show that access is improving?

The useful measures for patients will be successful registrations, dentists entering NHS work and practices offering additional appointments. National totals should also be checked against local availability: growth concentrated in areas already well served would not necessarily help someone in a community with few accessible practices.

The timing requires care, too. The larger exam capacities are planned for 2028 and 2028–29. The 2027 date for dental schools refers to new training places, not newly qualified dentists entering practice that year. Students must complete their degree before they can join the workforce.

What patients can do now

When contacting a practice, ask whether it is accepting new NHS patients and whether any offered appointment is NHS or private. A practice can provide both. Before treatment, ask for a written treatment plan and cost estimate, with any NHS and private elements clearly distinguished. If the plan changes, request an explanation of the revised costs before agreeing.

Do not wait for workforce reforms if you have persistent toothache, bleeding gums, a mouth sore that does not heal, loose teeth or worsening symptoms: seek a dental assessment. If urgent care is needed and you cannot reach a dentist, use the urgent dental advice service for your UK nation; in England, contact NHS 111. Severe swelling affecting breathing or swallowing requires emergency medical help: call 999 or go to A&E.

Why this matters

A larger dental workforce could give patients more choice, but your immediate rights do not depend on these targets being met. You can ask whether care is NHS or private, request clear costs before agreeing to treatment and raise concerns if the service or bill differs from what was explained. Keep copies of treatment plans and correspondence. Our guide to your rights when private dental care goes wrong explains the complaints route if a problem cannot be resolved with the practice.

Common questions

Will more dentists mean more NHS appointments?
Potentially, but not automatically. Newly registered dentists may provide private care, NHS care or both. Extra NHS availability will depend on where they work, their working hours and the funding arrangements for treatment.
When will the extra dentists be available?
The main registration increases are projected for 2028–29. Additional dental school places start in England in 2027, but those students must complete their degrees before entering the workforce.
How many more overseas dentists could register?
The government estimates around 2,400 additional overseas-trained dentists could register annually by 2028–29 through the expanded exam routes. This is a projection, not a confirmed number of NHS recruits.
Will the changes make dental treatment cheaper?
The announcement does not change patient charges. NHS fees and exemptions follow national rules, while private practices set their own prices. The potential saving for some patients would be gaining access to NHS rather than private care.
Do overseas-trained dentists still have to pass exams?
Candidates using the two expanded examination routes must still pass the relevant assessments and meet registration requirements. The changes increase exam capacity rather than remove professional standards.
Are the new dental school places across the whole UK?
No, the 50 additional annual dental school places announced here are for England. The registration exam expansion concerns entry to the UK-wide professional register.
How do I know if my dental appointment is NHS or private?
Ask the practice explicitly before booking, because some offer both types of care. Before treatment, request a written plan and cost estimate showing which elements are NHS and which are private.

Sources

This article was written by The Smile using the sources listed above. Last updated 10 October 2026. It does not name or recommend brands; sponsorship appears only in clearly labelled panels.

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