Poland: No more Dental Amalgam in Public Health Care

14 March, 2022

Poland removes dental amalgam from public health care benefits, effectively phasing it out without any transition period.

The Polish Ministry of Health still had to adjust its guaranteed benefits to the EU-phase out on amalgam fillings for children, pregnant women and breastfeeding mothers and has now announced that it will directly replace dental amalgam with alternatives for the entire population.

The Public Health Care will reimburse the treatment of cavities with:

  • Glass ionomer cements,
  • high density glass ionomer cements and
  • resin-reinforced glass ionomer cements.

A welcome side effect of this regulation is that not all dental offices, but only those offices where amalgam is removed, must be equipped with amalgam separators. (There has been much discussion in Poland about the separator requirement and the associated costs.)

Removal of amalgam will be reimbursed by public health care

The cost of separators is to be compensated by the new benefits for the removal of amalgam fillings. In addition, the separators can be depreciated.

Final consultations are still taking place, but newspapers are already announcing the end of amalgam.:

The Ministry of Health decides: end of dental amalgam

Together with our partner EKO-Unia, we had been campaigning for a timely transition to mercury-free dentistry in Poland and certainly the publication of the Wroclaw Declaration has contributed to the change of minds.

Further information:

  • Here is the link to the legislation and the status of the processing:
  • The Regulation will come into force after 14 days from the date of its announcement.
  • New reimbursement rates for full cavity preparation and restoration and amalgam removal are to be decided in the next 4 months.