Orthodontic treatments are dental treatments which corrects misaligned teeth and deformations of the jaw for both functional and aesthetic reasons.
The treatments involve applying pressure on one or more teeth in such a way as to shift and reposition them to create a true alignment and a harmonious dental equilibrium. Traction will be applied to the dental roots and they will be caused to move in the jaw bone, owing to the activity of the bone cells, which allow the bone to resorb (fuse) or reshape.
Types of orthodontic treatments
Fixed or multi-attachement devices
These are usually metal attachments which are routinely fixed for children. Less commonly and for aesthetic reasons, transparent, ceramic or plastic attachments are used. Additional costs incurred as a result are not covered by the health insurance.
There is a so-called lingual system, whereby the bracket is attached to the back of the teeth. It is completely concealed but it does require a certain time for the tongue to adapt. This system requires a longer period of treatment and it is sometimes contraindicated, notably when teeth are too short.
They come in the form of transparent resin aligners which cover and assume the shape of the teeth and the roof of the mouth and move the teeth into their optimal alignment position.
Conditions of coverage
Age of beneficiary
Orthodontic treatment is only covered if it begins before the person being treated has reached seventeen years of age. (Orthodontic treatment for adults is not covered by either the CNS or the competent public sector health fund.)
DT10: Orthodontic cast delivered to the health fund (Moulages d'orthodontie fournis à la caisse)
DT11: Exam of the dental position with casts (Examen de la position des dents avec moulages)
Every position concerning orthodontics in the dentists' nomenclature can be covered only once (DT10 - DT62). Exception: the position DT10 can be covered up to a maximum of 3 times over a period of 5 years; the period between two DT10 must be at least 365 days.
Prior authorisation by the Medical Board of the Social Security
With the exception of positions DT10 and DT11, orthodontic treatment is only covered if prior authorisation has been obtained and is supervised by the Medical Board of the Social Security.
Authorisations for orthodontic treatments given by the Medical Board of the Social Security are valid only if the authorised treatment is started within a period of 12 months following the date of authorisation by the Medical Board of the Social Security. The deadline does not apply to authorisations for the positions DT36 and DT46, that is orthodontic treatments, with removable device or fixed device, for cleft lip or cleft lip and maxilla which have started before the age of 17, annual fee, at the end of the annual period (les traitements orthodontiques, par appareil mobile ou par appareil fixe, pour fente labiale ou labio-maxillaire commencé avant l'âge de 17ans, forfait annuel, à la fin de la période annuelle).