Cost is the most common reason a patient who wants orthodontic treatment does not start. In a private orthodontic practice, where treatment fees typically range from £2,500 for simple aligner cases to £5,000 or more for complex fixed appliance work, the upfront payment requirement excludes a significant portion of prospective patients who could otherwise afford treatment if it were spread over time. Patient finance — the ability to pay for treatment in monthly instalments — closes this gap and is one of the most direct levers available to grow case starts without changing your marketing spend or clinical offering. This guide covers the patient finance options available to UK orthodontic practices, what each involves clinically and commercially, the FCA regulatory requirements that apply, and how to present finance to patients in a way that increases conversion without creating compliance risk. Key takeaway Patient finance converts patients who want treatment but cannot or will not pay in full upfront. Practices that offer clear, accessible finance options and present them proactively at the consultation typically see case acceptance increases of 15 to 25 percentage points among cost-sensitive patients. The regulatory requirement is straightforward — your practice must be FCA-authorised as a credit broker to introduce patients to finance — and the operational overhead of working with an established dental finance provider is modest. The risk of not offering finance is losing a meaningful proportion of motivated patients to practices that do. Patient finance in the UK is a regulated activity under the Financial Services and Markets Act 2000. Specifically, introducing patients to a credit product — even if the actual lending is done by a third-party lender — constitutes credit broking, which requires FCA authorisation. This applies whether you are offering interest-free credit through a dental finance provider such as Chrysalis Finance, Medenta, or Tabeo, or any other form of regulated consumer credit. The key regulatory requirements for UK orthodontic practices offering patient finance: Important Practices that offer or advertise patient finance without FCA credit broker authorisation are operating an unregulated credit arrangement, which is a criminal offence under the Financial Services and Markets Act 2000. The FCA has taken enforcement action against dental practices for breaching consumer credit regulations, including for advertising monthly payment figures without displaying the required APR and total cost information. Before offering or advertising any finance option, confirm your FCA authorisation status and review all financial promotions with your compliance or legal adviser. Show patients their monthly payment before the consultation Virtual Consultant Online’s virtual assessment tool lets you present finance-inclusive treatment costs upfront — removing the price anxiety that stalls case starts. See how it works → Finance converts more patients when it is presented proactively and naturally as part of the treatment discussion — not as an afterthought when the patient hesitates at the price. The treatment coordinator and clinical team should be comfortable with the finance conversation and clear on what they can and cannot say. Help More Patients Say Yes to Treatment Virtual Consultant Online gives your practice a complete digital patient journey — from first enquiry and virtual assessment through to treatment plan and consultation booking — designed to present options clearly and convert motivated patients into starting patients.Finance Options Available to UK Orthodontic Practices
Finance type
Typical terms
Practice receives
Patient pays
0% interest-free credit (short)
6–12 months, 0% APR
Full treatment fee minus lender fee (typically 4–8%)
Monthly instalments, no interest
0% interest-free credit (extended)
18–36 months, 0% APR
Full treatment fee minus higher lender fee (8–14%)
Monthly instalments, no interest
Low-APR instalment loan
24–60 months, 5–15% APR
Full treatment fee (lender charges patient, not practice)
Monthly instalments plus interest
In-practice payment plan
Staged during treatment, no third party
Stage payments as treatment progresses
No interest, but full fee ultimately
FCA Regulation: What Orthodontic Practices Need to Know
How to Present Finance to Patients Effectively
Finance Options for Orthodontic Patients: Helping More People Say Yes to Treatment
Published · 6 min read · by Virtual Consultant Online
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References
FCA guidance on when dental and orthodontic practices require credit broker authorisation, covering the regulated activity of introducing patients to finance products, the financial promotion rules that apply to advertising monthly payment figures or interest-free periods, and the enforcement risk of operating without authorisation.
Financial Conduct Authority — Consumer credit: credit broking authorisation for dental practicesBDA guidance for dental practices on offering patient payment plans and finance options, including the distinction between in-practice instalment plans and regulated consumer credit, the authorisation requirements under FCA consumer credit regulation, and the practical steps for setting up a compliant finance offering.
British Dental Association — Patient finance in dental practice: regulatory overviewCMA guidance on fair presentation of consumer credit in healthcare settings, covering the treating customers fairly principle, the requirement to present total cost alongside monthly payment figures, and the prohibition on practices that obscure the true cost of credit arrangements.
Competition and Markets Authority — Consumer credit and healthcare: fair practice guidanceFCA guidance on when dental and orthodontic practices require credit broker authorisation, covering the regulated activity of introducing patients to finance products, the financial promotion rules that apply to advertising monthly payment figures or interest-free periods, and the enforcement risk of operating without authorisation.
Financial Conduct Authority — Consumer credit: credit broking authorisation for dental practicesBDA guidance for dental practices on offering patient payment plans and finance options, including the distinction between in-practice instalment plans and regulated consumer credit, the authorisation requirements under FCA consumer credit regulation, and the practical steps for setting up a compliant finance offering.
British Dental Association — Patient finance in dental practice: regulatory overviewCMA guidance on fair presentation of consumer credit in healthcare settings, covering the treating customers fairly principle, the requirement to present total cost alongside monthly payment figures, and the prohibition on practices that obscure the true cost of credit arrangements.
Competition and Markets Authority — Consumer credit and healthcare: fair practice guidance