From January 2026, major changes to dental care coverage will take effect in the Czech Republic, expanding public health insurance to include modern treatments such as white fillings and root canal treatment. The reform applies to both children and adults and aims to improve access to contemporary dentistry while strengthening preventive care.
For the first time, composite “white” fillings will be fully reimbursed by public health insurance for patients of all ages. Children and adolescents up to 18 years old will benefit the most, as insurance will cover high-quality layered white fillings and complete root canal treatment for all teeth, including molars, with no out-of-pocket costs.
Adults will also see broader coverage. Standard, non-layered white composite fillings will be fully reimbursed up to a value of 900 CZK. More advanced layered fillings will remain available, but patients will need to pay the price difference themselves. Insurance will also continue to cover fillings made from dental cements, such as glass ionomer and chemically or dual-cured materials.
Coverage for root canal treatment is also expanding. For adults, insurance will fully reimburse treatment using the central post method for front teeth and premolars, with coverage set at 1,300 CZK per procedure.
Other endodontic methods may still be used, but patients will need to contribute part of the cost. Root canal treatment for molars will not be covered for adults and must be paid in full. In contrast, children and adolescents will continue to receive full coverage for all root canal treatments across the entire dentition.
Another significant change concerns the use of dental amalgam. From July 2026, amalgam fillings will be largely prohibited for all insured patients. Until now, restrictions applied only to children under 15 and to pregnant or breastfeeding women. Under the new rules, amalgam may be used only in exceptional cases where it is medically unavoidable.
Health authorities say the reforms are designed to modernize dental care, reduce reliance on outdated materials, and ensure that patients have access to safer and more effective treatments without financial barriers.