In 2026, Poland’s NFZ system offers free root canals only for specific teeth and age groups, with adults facing stricter limits than children.
Free Root Canals for Adults: Which Teeth Are Covered?
In 2026, adult patients can only receive subsidized root canal treatment for front teeth – from canine to canine, known as the 3–3 range. This policy has been in place for years and has not expanded despite dental advancements.
If premolars or molars (4th, 5th, or 6th teeth) require treatment, NFZ does not fund endodontics for adults, even if the tooth can be saved. Patients face a choice: pay privately or have the tooth extracted under NFZ.
Free Root Canals for Children and Youth Under 18
Minors under 18 have the right to free root canal treatment for all teeth, both front and back. This policy aims to protect developing dental systems and prevent future health problems.
In practice, parents avoid difficult financial decisions when a molar needs treatment for a teenager, as such care is fully covered.
Special Privileges: Pregnancy and Postpartum Care
NFZ also grants specific rights to women during pregnancy and postpartum. The catalog of covered dental services is broader than for other adults.
During this period, treatment for back teeth is covered if medically necessary, one of the few times NFZ extends coverage beyond the 3–3 range for adults.
Why NFZ Covers Only Part of Root Canal Costs
The decision to limit subsidies is systemic. Root canal treatment is time-consuming, requires expensive equipment, and often involves multiple visits.
NFZ reimburses services at set rates that many dentists believe do not cover the actual costs of modern endodontics. This is why NFZ-contracted clinics rarely offer root canal treatment for adult molars, even with extra patient payments.
NFZ vs Private: The Wallet Difference
In 2026, the cost of a private root canal for a single molar can range from several hundred to several thousand zloty, especially if performed under a microscope. This makes NFZ’s limited coverage have significant financial consequences for patients.
