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Get prior approval for treatments

Published on 22 April 2022

When a course of treatment, excluding diagnostics, exceeds the prior approval limit, you’ll need to request approval from the prior approval team. The current prior approval limit is £430.

Important information about prior approval

As well as treatments exceeding £430, there are individual items within the Statement of Dental Remuneration that also require prior approval.

If treatment requires prior approval, only emergency treatment can be carried out before approval is granted – but you must ensure a patient’s oral health doesn’t deteriorate.

If a course of treatment that has been started changes, then exceeds the prior approval limit, you must seek approval immediately.

Contact the prior approval team

If you need advice regarding a course of treatment that requires prior approval, email us at or call us on 0131 275 6300.

Orthodontic guidance

If you need to assess orthodontic treatment, the Index of Orthodontic Treatment Need is covered in the Scottish Government's publication, PCA(D)(2011)6.

This publication also includes the aesthetic component guide, a scale of 10 colour photographs showing different levels of dental attractiveness.

Read the IOTN grading guide chart.