NHS Treatment in The Fence at a Glance
| NHS dental services | NHS Gloucestershire 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 | 14.8% (Census 2021) |
| Aged 10 to 15 locally | 6.1% of 1,914 residents, the main age band for NHS orthodontic treatment |
| Nearest practice listing NHS | Smile Solution Chepstow, Chepstow — 7.5 miles |
| Nearest secondary schools | Five Acres High School — 4.6 miles The Dean Academy — 5.6 miles |
| Nearest university dental hospital | Bristol Dental Hospital, Bristol — about 20 miles |
| Area type (ONS) | Smaller rural: Further from a major town or city |
| Daily activities limited by health | 16.7% 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 The Fence
On our practice register: 1 practice within 5 miles of The Fence, 2 practices within 10 and 48 practices within 20. The closest is The Mayhill Dental & Specialist Centre in Monmouth, 4.6 miles north-west. The nearest listing NHS orthodontics is Smile Solution Chepstow, 7.5 miles south.
| Practice | Distance | NHS | Private | Google rating |
|---|---|---|---|---|
| Smile Solution ChepstowChepstow | 7.5 miles south | ✓ | ✓ | 5.0 (151 reviews) |
| Lodge DentalPontypool | 15.5 miles west | ✓ | ✓ | 5.0 (89 reviews) |
| Smile Bristol - Invisalign and ClearCorrect Aligner Orthodontics in Bradley StokeStoke Gifford | 15.5 miles south | ✓ | ✓ | 5.0 (3 reviews) |
| Optimal Dental CareStonehouse | 16.2 miles east | ✓ | ✓ | 5.0 (303 reviews) |
| Woodcock Lane Dental Care Stonehouse GloucestershireStonehouse | 16.2 miles east | ✓ | ✓ | 5.0 (26 reviews) |
| HRS Dental CareStonehouse | 16.7 miles east | ✓ | ✓ | 4.7 (102 reviews) |
✓ listed in the practice's own information; – not mentioned, which doesn't mean not offered. Straight-line distances.
Nearest places to The Fence with practices listing NHS orthodontics
The closest town with practices listing NHS orthodontics is Chepstow, 7.5 miles south; the next are Pontypool (15.5 miles west) and Stoke Gifford (15.5 miles south).
| Place | Practices | Nearest |
|---|---|---|
| Chepstow | 1 | 7.5 miles south |
| Pontypool | 1 | 15.5 miles west |
| Stoke Gifford | 1 | 15.5 miles south |
| Stonehouse | 3 | 16.2 miles east |
| Cwmbran | 2 | 16.8 miles south-west |
| Iron Acton | 1 | 16.8 miles south-east |
Counted from the practices on our register around this place, nearest first. Straight-line distances.
Best-reviewed practices within 20 miles of The Fence
Of the practices within 20 miles with at least 10 Google reviews, the highest rated is Optimal Dental Care in Stonehouse (5.0 from 303 reviews), 16.2 miles east.
| Practice | Google rating | Distance |
|---|---|---|
| Optimal Dental CareStonehouse | 5.0 (303 reviews) | 16.2 miles east |
| Smile Solution ChepstowChepstow | 5.0 (151 reviews) | 7.5 miles south |
| Lodge DentalPontypool | 5.0 (89 reviews) | 15.5 miles west |
| Woodcock Lane Dental Care Stonehouse GloucestershireStonehouse | 5.0 (26 reviews) | 16.2 miles east |
Ratings are each practice's public Google review average and say nothing about clinical quality. Straight-line distances.
The NHS route from The Fence, step by step
| Step | Where it is from here |
|---|---|
| 1. Your dentist screens | The nearest general dentist on our register is Bupa Dental Care, 11.7 miles away. They check the Index of Orthodontic Treatment Need and refer. |
| 2. The NHS orthodontic practice | The nearest practice listing NHS orthodontics is Smile Solution Chepstow, 7.5 miles away. Referrals go to a practice with an NHS contract. |
| 3. The hospital for complex cases | The nearest university dental hospital is Bristol Dental Hospital in Bristol, about 20 miles away. |
| 4. Who commissions it | NHS dental services around The Fence are commissioned by NHS Gloucestershire Integrated Care Board. |
NHS orthodontics is free for eligible under-18s and is reached by referral. Distances are straight-line.
NHS orthodontic treatment in The Fence 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. For those who don't qualify or can't wait, private treatment fills the gap effectively.
What NHS Treatment Costs in The Fence
On the NHS, one course of treatment runs from fitting right through to retainers, with nothing added along the way.
Going private for the same metal braces in The Fence costs roughly £1,500–£3,500; you're paying for immediate access and appliance choice rather than a better clinical result.
Your NHS Journey Step by Step in The Fence
The NHS pathway in The Fence is well-structured — here's what to expect at each stage:
- 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 The Fence.
- 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.
NHS Orthodontic Access in The Fence
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. Waiting times for NHS orthodontic treatment in Gloucestershire differ considerably between practices and can change over time.
Treatment range and appointment slots differ between the practices covering The Fence — comparing a couple is worthwhile. National deprivation data puts The Fence close to the England median. OHID data for this ICB shows 17.4% of 5-year-olds with visible dental decay. Census 2021 counts 1,914 residents in the neighbourhood around The Fence, 6.1% of them aged 10 to 15, close to the 6.5% average across Gloucestershire. The nearest university dental hospital to The Fence is Bristol Dental Hospital, Bristol, about 20 miles away, where hospital orthodontic referrals are seen. The Fence is classified as smaller rural: Further from a major town or city, and NHS dental commissioning here falls under NHS Gloucestershire Integrated Care Board. 14.8% of The Fence's residents are under 16, per the 2021 Census. Secondary-age pupils near The Fence attend schools such as Five Acres High School (4.6 miles) and The Dean Academy (5.6 miles). We hold no orthodontic practice records in The Fence itself. The nearest we do hold are The Mayhill Dental & Specialist Centre in Monmouth, about 5 miles away; Smile Solution Chepstow, about 8 miles away; and Lodge Dental in Pontypool, about 16 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.
NHS Brace Eligibility in The Fence
Many patients in The Fence are surprised they don't automatically qualify for NHS braces. NHS-contracted orthodontists in Gloucestershire apply the same national criteria consistently. Understanding the scoring in advance means a more informed conversation with your dentist.
What If You Don't Qualify for NHS Treatment?
If your IOTN score falls below the threshold for NHS funding, private orthodontic treatment is fully available with no eligibility criteria and no waiting list. This means you can start treatment within weeks of your consultation, with full choice of brace type — metal, ceramic, aligner, or lingual — rather than being limited to NHS metal braces.
Children's Orthodontics in The Fence
Orthodontic problems in children are often best identified early. Understanding the difference between monitoring, interceptive and definitive treatment helps parents navigate it. This guide explains the age-7 assessment, interceptive options and NHS access for children.
Children's Orthodontics in The Fence — Local Context
Provision in The Fence varies by practice — it's worth comparing more than one before committing. Census data puts 14.8% of The Fence's population at under 16. In the census neighbourhood around The Fence, 6.1% of the 1,914 residents are aged 10 to 15, close to the 6.5% average across Gloucestershire, the age band in which most NHS orthodontic treatment begins. Families in The Fence are served by secondary schools including Five Acres High School (4.6 miles) and The Dean Academy (5.6 miles). 17.4% of 5-year-olds across this ICB have visible dental decay, per OHID's most recent figures. The Fence's ONS geography type is smaller rural: Further from a major town or city. NHS dental commissioning in The Fence falls under NHS Gloucestershire Integrated Care Board. The Fence's deprivation ranking is neither notably high nor low compared with England as a whole. For hospital-based orthodontic care, The Fence is about 20 miles from Bristol Dental Hospital in Bristol. They typically offer children's assessments and NHS-funded treatment for eligible patients.
Frequently Asked Questions — NHS Treatment in The Fence
Where is the nearest orthodontist to The Fence?
On our register, the nearest orthodontic practice to The Fence is The Mayhill Dental & Specialist Centre in Monmouth, about 4.6 miles to the north-west. The next closest are Smile Solution Chepstow (7.5 miles) and Lodge Dental (15.5 miles).
How many orthodontic practices are near The Fence?
Our register has 1 practice within 5 miles of The Fence, 2 practices within 10 miles and 48 practices within 20 miles.
Is there an NHS orthodontist near The Fence?
The nearest practice to The Fence that lists NHS orthodontic treatment is Smile Solution Chepstow, about 7.5 miles to the south. Others nearby include Lodge Dental (15.5 miles) and Smile Bristol - Invisalign and ClearCorrect Aligner Orthodontics in Bradley Stoke (15.5 miles).
How many families live in The Fence?
Around 14.8% of The Fence's residents are under 16, per the 2021 Census.
Is tooth decay common among young children near The Fence?
OHID figures for this ICB show 17.4% of 5-year-olds with visible dental decay.
What kind of area is The Fence?
ONS classifies The Fence as smaller rural: Further from a major town or city.
Which towns are close to The Fence?
St Briavels Common, Manorside, Whitebrook are within easy reach of The Fence.
Can adults access NHS orthodontics in The Fence?
Adult access to NHS orthodontics in Gloucestershire is very limited — generally restricted to jaw surgery patients or exceptional functional cases. Most adult orthodontic treatment is privately funded.
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 Gloucestershire
Explore nhs treatment information for other towns and cities in Gloucestershire — all with dedicated local pages and online assessment access: