On 6 October 2026 Which? published "Consumer harm and complaints experience in private dentistry". It reported unexpected bills, treatment problems and complaints that ended with an apology and nothing else, and it called for an ombudsman for private dental patients.
The British Dental Association pushed back the same week, and the General Dental Council issued a short statement. This post sets out what the research actually measured, what each side said, and the part every practice can act on now: how prices are given before treatment starts.
What Which? measured
The research had two parts. In May 2026 the polling company Yonder screened 5,848 adults for Which?, and 1,009 said they, or a dependant, had had a problem with private dental care in the past two years. In August 2026 Which? also ran ten hour-long interviews with people who had pursued a complaint.
So the percentages below describe people who had a problem, not private patients in general. That distinction is the heart of the argument that followed.
What it found on price
Among the 1,009 people with a problem:
- 39% believed the price of their treatment was excessive.
- 22% paid more than they had been quoted.
- 21% said pricing wasn't clear before treatment and they only learned the cost during or after it.
- 16% felt pressured to agree to specific treatment, and 11% felt pressured to sign up to a dental payment plan.
- 13% said a payment plan didn't cover treatment they expected it to.
The case studies make the numbers concrete. One patient's £3,400 root canal quote became more than £10,000 after repeated remedial sessions; the practice refunded £6,600 after the patient went to the Dental Complaints Service. Another was invoiced £400 for a £275 promotional offer. Interviewees also described small surprise charges, such as an extra £50 for a deep clean they thought was included.
What it found on complaints
36% of the 1,009 complained to their practice. Of those, 64% were satisfied with how the complaint was handled, but satisfaction was much higher at group practices (76%) than independent ones (53%). The most common outcome was a verbal apology, which 46% received, and 19% received nothing in response. Among complainants who were unhappy with how it went, 23% said the practice gave no clear information on how to escalate.
Only a small number went further: 32 people went to the Dental Complaints Service, 20 to the GDC and 5 took legal action.
What happened next
Which? made four recommendations. Three were for the General Dental Council: review its guidance on complaints handling, publish a decision tree to help patients find the right route to redress, and collect and publish complaints data. The fourth was for the government: give private dental patients access to an ombudsman, with mandatory participation for practices and the power to issue binding decisions. On 8 October Which?'s head of consumer protection policy, Sue Davies, said private patients deserve the same protection as people using other essential services.
The British Dental Association said the findings needed to be put firmly in perspective. Its chair, Eddie Crouch, noted that Which? set out to survey people who had already had a problem, and the BDA pointed to the Office for National Statistics' Health Insight Survey. In that survey (fieldwork 21 July to 12 August 2026, published 10 September 2026) 93.5% of adults with a recent private dental appointment were satisfied, against 89.9% for NHS appointments.
The GDC's statement on 6 October welcomed the research, said patients should be able to complain with confidence, and set out the existing routes: the practice first, then the Dental Complaints Service for private care or the NHS route for NHS care. It did not announce any new action.
Both things can be true. Most private patients are satisfied, and when something does go wrong, it is often about a price the patient didn't expect.
What a practice can change this month
Many of the price problems in the report come back to a moment where the price was vague, unwritten or changed without a conversation. Often that starts before treatment, with the first answer to a price question.
- Check the prices on your website are current. If the website says "from £x", the first reply to a price question should give the same range, not a different one.
- Answer price questions in writing. A range in a message is something the patient can refer back to. "Prices vary, please book a consultation" is not.
- Say what moves the price. If bone grafting, extra appointments or a hygiene visit can change the figure, say so before the consultation, not on the invoice.
- If the estimate changes, have the conversation before the work. That is what standard 3.1 already requires.
- Make the escalation route easy to find. For private care, that is the Dental Complaints Service. Name it in your complaints procedure.
Where ReplyOS fits
ReplyOS answers patient enquiries using the facts the practice has set up, including its services and prices. When a price isn't configured, it doesn't invent one; it says options vary and steers towards booking. Complaints and requests for a person are handed to the team instead of being answered automatically, with the whole conversation attached. Every reply is kept in the patient's thread, so what was said about price is on record.
None of that replaces a current price list. It only means the price list you already publish is the one patients hear first.
Our page on dental enquiry management, at replyos.co.uk/dental-enquiry-management, explains how enquiries from every channel are answered and tracked in one place.
Questions
What did the 2026 Which? private dentistry report find?
Among 1,009 adults who had a problem with private dental care in the past two years, 39% thought the price was excessive, 22% paid more than quoted and 21% didn't know the price until during or after treatment. The most common response to a complaint was a verbal apology.
Is the Which? survey representative of all private dental patients?
No. It sampled people who had a problem, screened from 5,848 adults. ONS data from the same summer found 93.5% of recent private dental patients were satisfied, a point the BDA made in response.
What did Which? recommend?
An ombudsman for private dentistry with mandatory participation and binding decisions, plus GDC action on complaints guidance, a decision tree for patients and published complaints data.
What do GDC standards say about dental prices?
Standard 2.4 requires a simple price list in reception, with from-to ranges for variable items, and clear prices on the practice website. Standard 3.1 requires consent to any change in the treatment or its estimated cost.
Sources
- Which?, "Consumer harm and complaints experience in private dentistry" (6 October 2026). Methodology, price and complaints findings, recommendations.
- Which?, "Rooting out the harm: UK's private dentistry nightmare exposed" (8 October 2026). Sue Davies's comments.
- General Dental Council, "GDC responds to the Which? report" (6 October 2026). Complaints routes; no new commitments.
- Dentistry.co.uk, "Which? investigation condemns private dentistry despite 93% patient satisfaction rate" (6 October 2026). BDA response from Eddie Crouch.
- Office for National Statistics, "Experiences of NHS healthcare services in England: September 2026" (10 September 2026). 93.5% private and 89.9% NHS dental satisfaction.
- General Dental Council, Standards for the Dental Team, principle 2 (standard 2.4). Price list and website price requirements.
- General Dental Council, Standards for the Dental Team, principle 3 (standards 3.1 and 3.3.5). Consent to costs and to changes in estimated cost.
- Dental Complaints Service. Escalation route for private dental complaints.