People in England who need emergency dental treatment or have serious oral health problems are set to be prioritised under new government proposals aimed at easing the growing strain on NHS dentistry. Officials say the plan could cut costs for patients facing multiple appointments for complicated procedures, potentially saving them up to £225.

Access to NHS dentists has become increasingly difficult in many areas, with some communities described as “dental deserts”. Ministers argue the system introduced in 2006, which pays dentists according to Units of Dental Activity (UDAs), has long rewarded quick, routine check-ups instead of time-intensive work. Health minister Stephen Kinnock said too many people with good oral health were being seen unnecessarily, suggesting most only need a check-up every two years.

Under the proposed overhaul, dentists would be encouraged to provide extended treatment plans through the NHS for issues such as advanced gum disease or widespread tooth decay. Instead of several costly visits, patients would receive a tailored package of care delivered across a longer period, aimed at reducing both waiting times and out-of-pocket expenses.

However, the British Dental Association warned that the changes amount to minor adjustments to a system that is fundamentally flawed. The BDA said years of underfunding have driven dentists away from NHS work, and argued that meaningful improvement will only come with major investment and full-scale reform of the contract.