NHS in England Closed After Initial Enquiries Search on PHSO website

A dental practice in the Leeds area

P-003540 · Statement · Decision date: 13 May 2025
Complaint (AI summary)
Miss A complained her orthodontist practice would not complete her NHS treatment to fill a gap between her teeth and communicated this decision poorly.
Outcome (AI summary)
The ombudsman found no indication of failings in Miss A's orthodontic care and treatment or in how the practice communicated with her.

Full decision details

The Complaint

3. Miss A complains about the care and treatment an orthodontist practice (the Practice) provided to her between July 2023 and March 2024. She says the Practice would not complete her course of NHS orthodontist treatment, which had been ongoing since she joined the Practice in 2019, by permanently filling a gap between her teeth.

4. She also complains about the way the Practice communicated with her about this decision. She says staff did not fully inform her about being unable to complete her treatment and the implications of this until July 2023, and prior to that indicated to her that all her treatment would be completed on the NHS.

5. Miss A says as a result of the Practice’s actions she has been left with a large gap in her teeth that she must pay for to be filled. She says she is also worried that if she does not pay for it to be filled, her teeth will move which will result in her needing further treatment and potentially incur further costs.

6. Miss A would like the Practice to either complete her treatment or pay her compensation to pay for the remaining treatment she needs.

Background

7. Between 2019 and August 2024, the Practice provided orthodontic treatment to Miss A.

Findings

Care and treatment

11. Miss A complains the Practice would not permanently fill a gap in her teeth by the end of her course of NHS orthodontic treatment.

12. The Practice said a general dentist would provide the treatment needed to fill the gap. It explained it is not treatment an orthodontist provides.

13. Miss A had a natural missing upper left incisor tooth and an impacted ectopic upper left canine tooth. An impacted ectopic tooth is one that has developed in an abnormal position and is unable to move into its normal position.

14. The orthodontic treatment plan was to correct the position of the impacted ectopic canine tooth and align Miss A’s teeth through the use of braces. Once the orthodontist completed this treatment, this would allow a general dentist to provide tooth replacement treatment for the missing upper left incisor tooth so the gap was closed. At the end of the orthodontic treatment, the orthodontist provided Miss A with a removable retainer containing an additional tooth embedded to close the gap in her teeth as a temporary measure.

15. Our adviser explained that the orthodontic treatment plan did not involve the permanent closure of the gap in Miss A’s teeth which was correct. They said an orthodontist would not be responsible for offering a permanent replacement for the closure of the gap in Miss A’s case.

16. They outlined that there are two different options for such treatment (known as restorative dental work) involving either a bridge or an implant. A bridge is a false tooth which is bonded to the natural teeth on either side of a gap while an implant consists of a titanium screw fixed into the jawbone then topped with a replacement tooth.

17. Our adviser further explained that a general dentist (either NHS or private) would carry out bridge treatment while a specialist implant dentist (on a private basis only) would provide implant treatment in Miss A’s situation.

18. Our Principles of Good Administration state organisations must act in accordance with recognised quality standards, established good practice or both when delivering clinical care. In this situation, we will use the professional judgement of our adviser which is based on established good practice.

19. We are satisfied the Practice acted in line with established good practice in relation to it not offering a permanent replacement for the gap in Miss A’s teeth as part of her treatment plan. This is because orthodontists do not provide this type of treatment.

20. On that basis, we will take no further action because the Practice did not do anything wrong in not providing this treatment to Miss A.

21. Our decision here is not made without recognising how challenging it was for Miss A to undergo orthodontic treatment over a number of years and for there to still be a gap in her teeth at the end of this treatment. We hope she is able to get restorative treatment from a dentist in the near future.

Communication

22. Miss A says the Practice did not fully inform her until July 2023 that it would not be able to complete her treatment. She says before that the Practice indicated all her treatment would be completed on the NHS.

23. The Practice said it explained to Miss A what would happen in relation to fixing the gap in her teeth on 15 November 2022 and 4 July 2023.

24. Miss A’s orthodontic records show staff at the Practice discussed and explained the treatment plan to her at appointments on 3 December 2019, 17 June 2021, 30 September 2022, 15 November 2022 and 4 July 2023.

25. Staff also discussed the options for restorative treatment with her when she attended for a review appointment on 3 October 2023. On 14 August 2024, during a final review appointment of her orthodontic retainer, the orthodontist advised Miss A to contact the Practice again once she had undergone restorative treatment so it could arrange a new orthodontic retainer.

26. General Dental Council (GDC), Standards for the Dental Team, explains that staff must communicate effectively with patients by giving them the information they need to know in a way they can understand so that they can make informed decisions. It also outlines that when providing a treatment plan staff should explain to patients about the proposed treatment, provide a realistic indication of the cost and indicate whether elements are provided under the NHS or privately.

27. We understand from our adviser that the Practice communicated with Miss A about her treatment plan in line with GDC guidelines throughout the course of her treatment.

28. We are satisfied the Practice communicated with Miss A about her treatment plan in line with relevant guidelines. We will, therefore, take no further action as there is no indication the Practice did anything wrong.

29. We fully appreciate Miss A does not think the Practice explained things to her effectively. We are sorry to hear that she was surprised when she realised that staff would not carry out the restorative aspect of her treatment and she would have to seek treatment from another dentist. Again, we hope she is able to arrange this treatment soon.

Our Decision

1. We are very sorry to hear about Miss A’s complaint about her orthodontic treatment and how she continues to have a gap in her teeth.

2. We have carefully considered the issues she has raised in relation to her care and treatment and how staff communicated with her. In both instances, we have seen no indication that anything went wrong.

Other Decisions About A dental practice in the Leeds area

P-005131 · 27 Mar 2026
Mr K complains about the care and treatment he received over several months from June 2025. He complains his crown …
Closed After Initial Enquiries
P-002296 · 30 Nov 2023
Mr D complains the Practice failed to do a cleanse, scale and polish treatment correctly.
Closed After Initial Enquiries
P-001210 · 17 Nov 2021
Mr D complained about the care and treatment he received from the practice between 2016 and 2018, saying that it …
Closed After Initial Enquiries
View all decisions for this organisation →