A white filling on the NHS is usually covered under Band 2 dental treatment in England, which has a fixed cost for the entire course of care. This single charge applies whether you need one filling or several during the same treatment plan. Eligibility for a white filling depends on tooth position and clinical necessity.
People commonly search this topic to understand NHS pricing, material options, and whether a tooth-coloured filling is available without private fees. The answer depends on how the NHS classifies the treatment rather than personal preference.
NHS Cost for a White Filling
In England, NHS fillings fall under Band 2 treatment. The Band 2 charge is a fixed fee that includes examination, X-rays, and all necessary fillings provided during that course of treatment. You do not pay per tooth.
When White Fillings Are Available on the NHS
White, tooth-coloured composite fillings are usually offered on the NHS for front teeth where appearance is clinically relevant. For back teeth, silver amalgam is commonly used, as it meets NHS durability and cost guidelines.
If a white filling is not considered clinically necessary, the dentist may only offer it as a private option, even though the decay itself is treated under the NHS.
Difference Between NHS and Private White Fillings
NHS white fillings are provided where function and appearance justify their use. Private white fillings are chosen for cosmetic reasons, material preference, or placement on back teeth.
Private costs vary by practice, tooth size, and complexity. NHS charges remain fixed regardless of how extensive the filling work is within the same band.
Why the NHS Uses Fixed Pricing
The NHS dental system is designed around treatment bands rather than individual procedures. This keeps costs predictable for patients and focuses on oral health outcomes rather than cosmetic choice. Understanding how Composite Bonding Work helps explain why cosmetic treatments are often excluded from NHS pricing.
White Fillings Compared to Composite Bonding
A white filling restores tooth structure lost to decay. Composite bonding is a cosmetic procedure used to reshape or enhance teeth. While both use composite resin, their purpose and NHS eligibility are different.
Bonding may be used to fix overlapping teeth cosmetically, but it is not typically covered by the NHS unless there is a functional reason.
Durability and Maintenance
NHS white fillings are designed for function and longevity. With good oral hygiene, they can last many years. Staining can occur over time, similar to bonding, which is why some people later search for ways to remove stains from composite bonding at home.
Longevity depends on bite pressure, tooth position, and daily habits, all of which also affect how long composite bonding last.
What to Ask Your NHS Dentist
Before treatment, it is reasonable to ask:
- Whether a white filling is clinically appropriate
- If the filling will be provided under NHS Band 2
- Whether a private option is being offered and why
Clear communication avoids unexpected costs.
Frequently Asked Questions
How much does a white filling cost on the NHS?
It is included in the NHS Band 2 charge, which is a fixed fee for the full course of treatment.
Do I pay per filling on the NHS?
No. The Band 2 charge covers all fillings needed during that treatment plan.
Are white fillings free for children?
Yes. NHS dental treatment, including white fillings, is free for patients under 18.
Can I choose a white filling on a back tooth?
Usually no under the NHS, unless there is a clinical reason. Back-tooth white fillings are often private.
Is a white filling the same as composite bonding?
No. A filling treats decay, while bonding is cosmetic, even though both use composite material.
How long does an NHS white filling last?
With good care, it can last many years. Lifespan varies by tooth and bite pressure.
Can NHS white fillings stain?
Yes, like other composite materials, they can stain over time.
Will the NHS replace an old filling?
Yes, if replacement is clinically necessary, it is covered under the appropriate NHS band.
Author: Teeth Insider
Last Updated: January 2026