NHS Treatment in Start at a Glance
| NHS dental services | NHS Devon Integrated Care Board |
|---|---|
| NHS orthodontic charges | Free for eligible under-18s; adults pay Band 3 (£332.10) |
| Deprivation | Around the England average |
| Residents under 16 | 11.7% (Census 2021) |
| Aged 10 to 15 locally | 5.1% of 2,089 residents, the main age band for NHS orthodontic treatment |
| Nearest practice listing NHS | Fresh Dental & Implant Clinic, Dartmouth — 5.3 miles; 2 within 10 miles |
| Nearest secondary schools | Kingsbridge Academy — 5.0 miles Dartmouth Academy — 5.1 miles |
| Nearest university dental hospital | Peninsula Dental School, Plymouth — about 21 miles |
| Area type (ONS) | Smaller rural: Further from a major town or city |
| Daily activities limited by health | 19.9% of residents in the surrounding census area (Census 2021) |
Sources: Census 2021 (NOMIS), DfE Get Information About Schools, ONS geography, UK NHS dental charge schedules and our orthodontic practice register. Distances are straight-line.
Practices listing NHS orthodontics near Start
On our practice register: None within 5 miles of Start; 3 practices within 10 and 16 practices within 20. The closest is Fresh Dental & Implant Clinic in Dartmouth, 5.3 miles north-east. The nearest listing NHS orthodontics is Fresh Dental & Implant Clinic, 5.3 miles north-east.
| Practice | Distance | NHS | Private | Google rating |
|---|---|---|---|---|
| Fresh Dental & Implant ClinicDartmouth | 5.3 miles north-east | ✓ | ✓ | 4.4 (104 reviews) |
| Dart Vale Dental & Implant ClinicTotnes | 9.7 miles north | ✓ | ✓ | 4.6 (501 reviews) |
| Identiti UK | Orthodontic Laboratory and Training CoursesTotnes | 10.2 miles north | ✓ | ✓ | 5.0 (3 reviews) |
| Ocean Orthodontic ClinicCockington | 13.7 miles north | ✓ | ✓ | 5.0 (534 reviews) |
| OCEAN ORTHODONTIC CLINICTorquay | 13.7 miles north | ✓ | – | – |
| Devon Dental Centre of ExcellenceAshburton | 16.1 miles north | ✓ | ✓ | 4.8 (243 reviews) |
✓ listed in the practice's own information; – not mentioned, which doesn't mean not offered. Straight-line distances.
Nearest places to Start with practices listing NHS orthodontics
The closest town with practices listing NHS orthodontics is Dartmouth, 5.3 miles north-east; the next are Totnes (9.7 miles north) and Cockington (13.7 miles north).
| Place | Practices | Nearest |
|---|---|---|
| Dartmouth | 1 | 5.3 miles north-east |
| Totnes | 2 | 9.7 miles north |
| Cockington | 1 | 13.7 miles north |
| Torquay | 1 | 13.7 miles north |
| Ashburton | 1 | 16.1 miles north |
| Newton Abbot | 1 | 16.9 miles north |
Counted from the practices on our register around this place, nearest first. Straight-line distances.
Best-reviewed practices within 20 miles of Start
Of the practices within 20 miles with at least 10 Google reviews, the highest rated is Ocean Orthodontic Clinic in Cockington (5.0 from 534 reviews), 13.7 miles north.
| Practice | Google rating | Distance |
|---|---|---|
| Ocean Orthodontic ClinicCockington | 5.0 (534 reviews) | 13.7 miles north |
| Devon Dental Centre of ExcellenceAshburton | 4.8 (243 reviews) | 16.1 miles north |
| Dart Vale Dental & Implant ClinicTotnes | 4.6 (501 reviews) | 9.7 miles north |
| Fresh Dental & Implant ClinicDartmouth | 4.4 (104 reviews) | 5.3 miles north-east |
Ratings are each practice's public Google review average and say nothing about clinical quality. Straight-line distances.
The NHS route from Start, step by step
| Step | Where it is from here |
|---|---|
| 1. Your dentist screens | The nearest general dentist on our register is Bupa Dental Care, 9.5 miles away. They check the Index of Orthodontic Treatment Need and refer. |
| 2. The NHS orthodontic practice | The nearest practice listing NHS orthodontics is Fresh Dental & Implant Clinic, Dartmouth, 5.3 miles away. Referrals go to a practice with an NHS contract. |
| 3. The hospital for complex cases | The nearest university dental hospital is Peninsula Dental School in Plymouth, about 21 miles away. |
| 4. Who commissions it | NHS dental services around Start are commissioned by NHS Devon Integrated Care Board. |
NHS orthodontics is free for eligible under-18s and is reached by referral. Distances are straight-line.
NHS orthodontic treatment in Start follows a structured pathway from your dentist through to a specialist. The process starts with your dentist, includes a formal eligibility assessment, and places you on a waiting list. Knowing what the NHS can and cannot provide makes the NHS-versus-private decision clearer.
NHS Orthodontic Access in Start
NHS orthodontic treatment is free for under-18s who meet the clinical threshold. Adults who do qualify pay the NHS Band 3 charge, £332.10 in England from April 2026, which covers the whole course. NHS orthodontic waiting times in Devon vary significantly by practice and by how the referral was made.
Practices serving Start differ in what they offer, from brace type to appointment availability. By national deprivation ranking, Start is roughly mid-table for England. OHID's regional oral-health data records visible dental decay in 22.6% of local 5-year-olds. Most NHS orthodontic treatment begins between ages 10 and 15, and that band makes up 5.1% of the 2,089 residents in Start's census neighbourhood, below the 6.3% average across Devon. The nearest university dental hospital to Start is Peninsula Dental School, Plymouth, about 21 miles away, where hospital orthodontic referrals are seen. Start sits within NHS Devon Integrated Care Board for NHS dental commissioning. Start is classified as smaller rural: Further from a major town or city. Census data puts only 11.7% of Start's population at under 16, below the typical share. Families in Start are served by secondary schools including Kingsbridge Academy (5.0 miles) and Dartmouth Academy (5.1 miles). People in Start usually travel further for an orthodontist: the nearest on our register is about 5 miles away. No orthodontic practice is recorded in Start. The closest on record are Fresh Dental & Implant Clinic in Dartmouth, about 5 miles away; Dart Vale Dental & Implant Clinic in Totnes, about 10 miles away; and South Devon Dental in Torquay, about 11 miles away. NHS capacity is limited — practices often have closed lists for new NHS patients, which is why private treatment is the realistic route for many adults and for those who cannot wait.
How Long Is the NHS Wait in Start?
Many patients in Devon wait 18 months or longer between NHS referral and treatment starting. During this period teeth continue to develop and cases can become more complex. Private treatment, while more expensive, begins promptly and offers far greater choice of treatment type.
The NHS Orthodontic Pathway in Start
For eligible patients in Start, the NHS route follows a defined sequence from dentist to specialist:
- Dental check-up: Your dentist performs an initial IOTN assessment and, if eligible, makes a formal referral.
- Referral to NHS orthodontist: You join the waiting list for the local NHS orthodontic service covering Start.
- Specialist assessment: An orthodontist confirms your IOTN score, takes records, and confirms whether NHS treatment proceeds.
- Brace fitting: Metal fixed braces are fitted — typically 60–90 minutes.
- Active treatment: Adjustment appointments every 6–8 weeks for 18–24 months on average.
- Retention: Retainers provided at completion as part of the NHS course of care.
Understanding Orthodontic Eligibility in Start
Eligibility for NHS braces is decided by a clinical scoring system, not by appearance alone. NHS-contracted orthodontists in Devon apply the same national criteria consistently. Knowing where you stand before the referral process saves time and manages expectations in Start.
Understanding the IOTN Score
NHS eligibility is decided by the IOTN — a two-part clinical index applied consistently by orthodontists throughout Devon.
Kids' Braces & Interceptive Treatment in Start
Children's orthodontics in Start covers a spectrum from early monitoring to active interceptive treatment. Understanding the difference between monitoring, interceptive and definitive treatment helps parents navigate it. It means the right treatment at the right time rather than rushing in early.
Interceptive Orthodontic Treatment for Children in Start
Space maintainers keep the space from a baby tooth lost too soon from closing up, so neighbouring teeth don't drift into the gap before the adult tooth is ready to come through.
Frequently Asked Questions — NHS Treatment in Start
Where is the nearest orthodontist to Start?
On our register, the nearest orthodontic practice to Start is Fresh Dental & Implant Clinic in Dartmouth, about 5.3 miles to the north-east. The next closest are Airlocum (5.8 miles) and Dart Vale Dental & Implant Clinic (9.7 miles).
How many orthodontic practices are near Start?
Our register has 0 practices within 5 miles of Start, 3 practices within 10 miles and 16 practices within 20 miles. None is inside 5 miles; the closest is in Dartmouth, 5.3 miles away.
Is there an NHS orthodontist near Start?
The nearest practice to Start that lists NHS orthodontic treatment is Fresh Dental & Implant Clinic in Dartmouth, about 5.3 miles to the north-east. Others nearby include Dart Vale Dental & Implant Clinic (9.7 miles) and Identiti UK | Orthodontic Laboratory and Training Courses (10.2 miles).
What county is Start in?
Start falls within Devon.
Who commissions NHS dentistry in Start?
Start sits within NHS Devon Integrated Care Board for NHS dental commissioning.
How many families live in Start?
Around 11.7% of Start's residents are under 16, per the 2021 Census.
Which towns are close to Start?
Hallsands, Burlestone, Kellaton are within easy reach of Start.
Are NHS orthodontists the same as private ones?
Often the same specialist orthodontists provide both NHS and private care, sometimes from the same practice. The clinical skill is identical; what differs is the appliance choice, waiting time and level of personalisation between the two funding routes.
Last updated: October 2026, compiled by the Virtual Consultant Online editorial team from our practice register and public data. Information is for educational purposes only and does not constitute clinical advice; it is not reviewed by a clinician. Sources: NHS, General Dental Council. How we compile our information.
NHS Treatment Across Devon
Explore nhs treatment information for other towns and cities in Devon — all with dedicated local pages and online assessment access: