Paediatric orthodontics
The Health Insurance Fund also pays for children’s orthodontics services (including braces), but only for specific cases. This is done for the following diagnoses:
- Prognathic occlusion with sagittal bite of 9 mm or more
- The lower jaw reaches further than the upper jaw (progenic bite)
- There is no contact between the front teeth and only the posterior molars are in contact (open bite with only molars in contact)
- The front incisor or eye tooth has not erupted in time (delayed incisor or canine teeth)
- No more than one permanent tooth has formed on one side of the jaw (if an incisor, canine or more than one tooth on each side of the jaw are missing)
- Cleft lip and cleft palate and other congenital malformations of the maxillofacial system
- Dental anomaly in the case of severe or moderate obstructive sleep apnoea when adenotonsillectomy and positive air pressure therapy (CPAP) have not been effective
- Deep traumatic bite in which case the lower incisors are in direct contact with the mucosa
- Lateral cross-bite along three or more teeth on one side of the jaw, in which the symmetry of the face and the development and growth of the jaws are significantly impaired
In any other cases, the Health Insurance Fund does not compensate for paediatric orthodontic services. Please note that for orthodontic services paid for by the Health Insurance Fund, the service provider must have a contract with the Health Insurance Fund. To access the service, a longer than usual waiting time must be taken into account.