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Document What are the guaranteed items for NHS dental treatment?

Certain restorations are guaranteed for 12 months (including lost items) from the completion date of the original one being fitted. The restorations which are guaranteed are:
  • Fillings
  • Root fillings
  • Inlays
  • Porcelain Veneers
  • Crowns
To be considered as Guaranteed Treatment, the treatment required must be similar / related to the original restoration, such as getting a new filling to replace an original filling that failed, however it does not have to be like-for-like. If the dentist considers there is a clinical justification for making a slight adjustment to the treatment they carried out originally, such as using a different material for a filling or crown to increase the fracture resistance, this can also be considered as Guaranteed Treatment.

Items supplied under an Urgent Course of Treatment (CoT) are also covered by the 12 month guarantee.

The guarantee doesn't apply if a completely different restoration is now required.

If such a restoration needs to be repaired or replaced during the 12 months, there will be no charge to the patient except where;
  • a similar replacement restoration is not appropriate, or;
  • private treatment has been provided to the same tooth since the original restoration was provided, or;
  • the original restoration was intended to be temporary, or;
  • the patient was advised originally that a different type of restoration was more appropriate, or;
  • the replacement is required as a result of trauma
The guaranteed work would also need to be carried out by the same practice as the original claim.

Further guidance regarding guaranteed treatment can be found in the National Health Service (Dental Charges) Regulations 2005

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Guarantee, guaranteed, replace, replacement, 12 months.

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