Medically reviewed by: Gordana Čižmek, orthodontist · Updated: August 2026 (data: NIJZ, eZdravje as of 17 Aug 2026)
If you have just received a referral (napotnica) to an orthodontist for your child and called the first clinic, you probably couldn’t believe what you heard. No, you heard correctly: the current wait for a first orthodontic exam in Slovenia is between 1,751 and 2,821 days – that is, from just under 5 to almost 8 years. The first available appointments that providers are currently reporting to the national eZdravje system fall in 2031 to 2034.
In this guide you will find everything you need to know: what the real waiting times are and how they have exploded over the past decade, how the EFO index works and why the age-16 rule can permanently cost your child their public-insurance (ZZZS) entitlement, what you can do today while you wait, and above all – two entirely legal ways to start treatment within days instead of years.
On this page: Waiting times 2026 · 2018 vs 2026 · The EFO index · The age-16 rule · What to do while waiting · 2 solutions · Invisalign without waiting · Prices · Treatment abroad · Adults · FAQ
What are orthodontist waiting times in Slovenia in 2026?
According to NIJZ data, in spring 2026 the average wait for a first orthodontic exam was 2,166 days (almost 6 years) under the »regular« (redno) priority level. And note: a referral marked »fast« (hitro) only seems to help – the average there is 1,949 days, still more than 5 years. The situation as of 17 Aug 2026 (source: the national waiting-times portal (NIJZ), service 1032P – first orthodontic exam):
| Provider | Location | Waiting time | First available appointment |
|---|---|---|---|
| ZZ Arsmed (shortest in Slovenia) | Sežana | 1,751 days (~4.8 yrs) | June 2031 |
| GO ORTO | Koper | 2,043 days (~5.6 yrs) | March 2032 |
| E.A.T. | Ljubljana | 2,354 days (~6.4 yrs) | January 2033 |
| Jure Volk, s.p. (longest in Slovenia) | Celje | 2,821 days (~7.7 yrs) | May 2034 |
You can check the current figures for your region at any time in the official registry – but don’t expect major differences: the legally permitted maximum is exceeded by every public provider in the country.
How do referrals and priority levels work? The referral for an orthodontist is issued by your child’s chosen dentist, who marks a priority level: »very fast«, »fast« or »regular« (orthodontic referrals are almost always »regular« or »fast«). The priority determines the legal deadline for submitting the referral to a provider: with »regular« priority you have 21 days from issue, otherwise the referral expires. The provider must then place you on the waiting list within 5 days. Important: for the same service you can be on only one waiting list – you cannot queue at several orthodontists at once.
A decade ago months, today years
In 2018 the wait for a first orthodontic exam was 263 to 491 days – from just under 9 months to a little over a year. Even that was too long, but today the same journey is measured in years. In less than a decade, waiting times have grown more than fivefold:
Sources: NIJZ, cakalnedobe.ezdrav.si. Data for the »regular« priority level.
A child who receives a referral at age ten today may simply not reach the first exam in time through the regular queue.
Why are the waiting times so long?
Surprisingly, not because of a shortage of orthodontists. Slovenia has 97 actively working specialists – 77 in the public network and 20 fully private. According to the Medical Chamber’s analyses, the real causes lie elsewhere:
- An underfunded public programme: ZZZS (the national health insurance fund) pays public providers for a limited number of treatments per year, which has lagged behind demand for years.
- Too many referrals: roughly a third of referrals are issued prematurely or without a genuine indication, often under pressure from parents. Every such referral lengthens the queue for children who truly need treatment.
- Inconsistent criteria: the severity assessment is applied unevenly between providers, so the queue also fills with children who don’t belong in it.
The Medical Chamber proposes expanding the public programme, bringing the 20 private orthodontists into the network and introducing an electronic EFO index to standardise scoring. The Ministry of Health rejects part of these proposals, so no quick systemic fix is in sight – which means it makes sense to rely on the solutions available already today.
One more telling figure: although more and more families seek orthodontic care abroad, in 2024 only about 4% of ZZZS’s total orthodontics budget was spent on treatment abroad – most parents simply don’t know this legal option exists.
What is the EFO index and when does ZZZS cover braces?
Whether the public insurance will cover your child’s treatment is not decided »by eye« but by scoring with the EFO index (Eismann-Farčnik-Ovsenik). At the first exam, the specialist orthodontist assesses the type and severity of the tooth and jaw irregularity – from the relationship between the jaws and the depth of the bite to crowding, rotations and missing teeth – and assigns points to each deviation. The total places the irregularity into a class:
| EFO points | Irregularity class | ZZZS coverage |
|---|---|---|
| under 16 points | mild irregularity | No – treatment counts as cosmetic and is self-paid |
| 16 points or more | moderate, severe or very severe irregularity | Yes – if established before the age of 16 |
Two things are important to understand. First, the scoring is done only by the specialist at the first exam – that is, after your child has survived the queue. Parents cannot reliably know in advance whether the child will reach the threshold at all; a considerable share of referred children do not, and after years of waiting they end up self-paying anyway. Second, children with fewer than 16 points often still need treatment – it just has to be paid out of pocket.
Signs your child probably needs an orthodontist: an incorrect bite (lower teeth in front of the upper ones or strongly offset), protruding incisors, crowded or rotated teeth, too little space as permanent teeth erupt, mouth breathing, prolonged thumb sucking. More in our article When should you first take a child to the orthodontist.
One exception with no age limit: people with a severe skeletal irregularity requiring combined orthodontic-surgical treatment (preparation for orthognathic surgery) are entitled to ZZZS-covered care regardless of age.
Why waiting can be fatal: the age-16 rule
Here lies the trap that makes a long waiting time more than an annoyance – it can permanently cost your child the right to ZZZS-covered treatment. The need for treatment (16+ EFO points) must be established before the child’s 16th birthday. If the orthodontist establishes it only after 16 – even if the sole reason is that the child spent six years in the queue – the ZZZS entitlement no longer exists.
Now do the simple maths: a child who gets a referral at 11 with a 6-year queue will reach the first exam at 17 – too late. The queue therefore doesn’t just mean »we’ll wait a bit longer«; it can mean the right expires while the child is standing in it. At today’s waiting times, the critical age for entering the queue is around 9 or 10 – any child referred later realistically risks missing the deadline through the regular queue.
Two more deadlines parents often overlook: if the child misses a scheduled appointment without justification, the provider removes them from the waiting list and the journey starts over. And if the orthodontist terminates treatment because the child has missed check-ups without excuse for more than 6 months, the right to continue at ZZZS’s expense is lost.
What you can do today, while you wait
Even if you decide to wait in the public queue, don’t wait passively. A few steps can significantly change the outcome:
- ✅ Submit the referral immediately – with »regular« priority you have only 21 days from issue, otherwise it expires and the process starts over.
- ✅ Confirm you are actually on the list – the provider must enrol you within 5 days; keep the confirmation.
- ✅ Choose the provider with the shortest queue, not the nearest one – compare every clinic in the country at cakalnedobe.ezdrav.si; the gap between the shortest and longest queue currently exceeds 1,000 days (almost 3 years).
- ✅ Ask about cancellations – earlier slots open up when others cancel; let the clinic know you can come at short notice.
- ✅ Never miss your appointment – an unjustified no-show means removal from the list.
- ✅ Keep up regular check-ups with your family dentist – cavities and poor oral hygiene can later delay the start of orthodontic treatment.
- ✅ Get an informative self-pay consultation – a free first exam (for example with us at OrthoDental) tells you today how serious the irregularity is, what the options are and how long you can still safely wait. Even if you then choose the public route or treatment abroad, you’ll be deciding on facts, not guesswork.
How to skip the orthodontist waiting list: 2 proven solutions
The good news: the queue is not the only path to straight teeth. There are two entirely legal alternatives – one faster and more comfortable, the other built on your rights under EU law. Below we break both down step by step, then put them side by side so you can judge which fits your family.
Solution 1: Self-paid Invisalign treatment – start this week
The fastest and simplest way past the queues is self-paid treatment. At OrthoDental there are no waiting lists: we book your free first consultation within days, and treatment can begin as soon as your digital 3D plan is ready.
- ✅ More than 3,000 successfully treated patients – by confirmed cases we are Slovenia’s leading Invisalign clinic in 2026, and our specialist orthodontist Gordana Čižmek holds the Invisalign Diamond Apex Provider title
- ✅ all types of irregularities treated – from mild to the most complex, in children (Invisalign First from age 7), teens and adults
- ✅ the latest digital technology – 3D scanning with the iTero Element 5D Plus, no impressions, and a simulation of your final smile before you start
- ✅ instalment payments via Leanpay, up to 84 instalments, tailored to your budget
- ✅ 5 locations: Ljubljana, Maribor, Celje, Novo mesto and Kozina · Google rating 4.9/5
How does treatment with us work? Six simple steps:
- Free consultation – the orthodontist examines your teeth and confirms whether Invisalign is suitable (it is in over 90% of cases).
- 3D scan – with the iTero scanner, no unpleasant impressions; you see a digital simulation of your aligned smile the same day.
- Digital plan – the orthodontist designs the precise movement of every tooth; you approve it before anything begins.
- Receiving your aligners – you get a series of clear aligners, changed at home every 1–2 weeks.
- Check-ups every 7–10 weeks – less often than with fixed braces, with digital remote monitoring in between.
- Retention – after treatment, Vivera retainers lock in the result.
Average treatment takes 9 to 15 months, with first visible changes within 60 days. Compare that with 6 years of waiting just for a first exam.
One more thing you should know: clear aligners (Invisalign) are not covered by the public insurance – ZZZS does not pay for them in any scenario, even if your child waited out the queue and scored 16 points. Anyone who wants an aesthetic, comfortable treatment without metal wires is a self-payer either way – the only difference is whether you start now or in 6 years.
How much does self-paid treatment cost?
No hidden prices – this is our orthodontics price list (August 2026):
| Treatment | Price |
|---|---|
| First orthodontic exam with 3D scan | €0 (free) |
| Invisalign – comprehensive orthodontic treatment | €4,000 |
| Invisalign Small (minor corrections, both arches) | €2,500 |
| Invisalign First (children, phase 1) | €2,700 |
| Shine Small aligners (up to 20 aligners) | from €1,990 |
| Vivera retainers (retention, both arches) | €400 |
Through Leanpay you can split the amount into up to 84 instalments – monthly payments start at around €40–50 per month, comparable to what many families spend on after-school activities. And a fact worth keeping in mind: the reimbursement ZZZS pays for treatment abroad (up to roughly €3,000–4,000) is very close to the full price of an Invisalign treatment with us – except that abroad you must first advance the entire amount yourself.
Don’t want to wait for an orthodontist?
Book a free first Invisalign consultation at OrthoDental and start treatment without waiting lists. You can also call us on +386 70 532 653 – we speak English.
Solution 2: Treatment abroad with ZZZS reimbursement
The lesser-known but entirely legal route stems from the EU Cross-Border Healthcare Directive (2011/24/EU), transposed into Slovenian law by Articles 44.b and 44.c of the health insurance act (ZZVZZ). The essence: as a Slovenian insured person you may have certain services performed in another EU country, and ZZZS reimburses the cost. For orthodontics the key route is Article 44.c: because it is an outpatient specialist service (no hospitalisation), prior ZZZS approval is generally not required – you only need a valid referral issued before you leave. A parallel route under Article 44.b with prior approval exists, tied precisely to exceeded maximum waiting times, but for outpatient orthodontics the first one is simpler in practice.
The procedure, step by step:
- Obtain a referral from your child’s chosen dentist. It must be issued before you travel for treatment – there is no such thing as a retroactive referral.
- Choose a provider in an EU country. The most common choice for Slovenian families is Croatia: Zagreb and Rijeka are an hour or two from the border and have well-established orthodontic clinics with long traditions. The provider may be public or private.
- Have the first exam and start treatment – appointments are typically available within days to weeks. Conventional treatment with fixed braces takes around 2 years, with check-ups roughly every 2 to 3 months.
- Pay all invoices yourself and keep them carefully – together with the medical documentation (diagnosis, X-rays, treatment plan).
- File a reimbursement claim with ZZZS – easiest electronically via the ZZZS portal (choose »treatment abroad« → »planned treatment in an EU member state«) or in writing. Attach the referral, documentation and paid invoices.
- ZZZS issues a decision within 60 days and reimburses costs up to the average price of the service in Slovenia (capped at your actual costs). Intermediaries in practice quote reimbursements of up to roughly €3,000–4,000 for a full treatment – always verify the figure for your own case with ZZZS.
That this is no theory is shown by the statistics: in 2024 alone, ZZZS paid Croatian orthodontists roughly €1.5 million for treating Slovenian patients, and several thousand Slovenian children have already crossed the border for orthodontic care.
How to choose a clinic abroad? Check that treatment is led by a specialist orthodontist (not a general dentist), ask about their experience with Slovenian patients and the reimbursement paperwork (established clinics prepare the ZZZS documentation routinely), agree in advance what happens if something goes wrong between check-ups – a detached bracket or a poking wire means an extra trip across the border – and get the full price confirmed in writing with everything included (appliance, check-ups, retention).
Which route is right for you?
| Self-paid at OrthoDental | Treatment abroad with reimbursement | |
|---|---|---|
| Treatment start | Within days | Within days to weeks |
| Type of appliance | Invisalign (clear aligners) | Usually conventional fixed braces |
| Duration | On average 9–15 months | Around 2 years + retention |
| Check-up location | 5 locations across Slovenia + remote monitoring | Abroad (usually Zagreb, Rijeka), every 2–3 months |
| Cost | €1,990–4,000, up to 84 instalments | You advance everything; ZZZS refunds part after its decision; travel costs are yours |
| Suitable for | Children (from age 7), teens and adults | Children with a referral (EFO 16+ points, established before 16) |
| Paperwork | None | Referral + claim + up to 60 days for the decision |
Let us be completely honest: we would of course prefer to treat you ourselves, here in Slovenia – no border crossings, no paperwork. But our first goal is that your child doesn’t get stuck in a 6-year queue. If treatment abroad is the right path for your family, use it – it is your legal right.
What about adults?
Everything above about ZZZS applies to children. For adults the picture is simpler and harsher at once: the public insurance does not cover orthodontic treatment for adults (apart from the rare orthognathic-surgery exception), so for them there is no public queue at all – self-pay is the only route. The good news: adults are precisely the most common Invisalign patients, since the aligners are practically invisible in photos, meetings and everyday life, and treatment averages just 9–15 months. If you missed your chance in the queue as a child, it is never too late to catch up.
Frequently asked questions about orthodontist waiting times
What is the current orthodontist waiting time in Slovenia?
As of August 2026, the wait for a first orthodontic exam is 1,751 to 2,821 days (roughly 4.8 to 7.7 years), averaging about 6 years. First available appointments fall in 2031–2034. Check the current situation at cakalnedobe.ezdrav.si.
Does a »fast« (hitro) referral shorten the wait?
Negligibly. The average wait under »fast« priority is 1,949 days (over 5 years), versus 2,166 days under »regular«.
When is a child entitled to braces covered by ZZZS?
When they score 16 points or more on the EFO index (moderate, severe or very severe irregularity) and the need is established before their 16th birthday. Clear aligners (Invisalign) are not covered by the public insurance.
What is the EFO index?
The EFO index (Eismann-Farčnik-Ovsenik) is a scoring system a specialist orthodontist uses to grade the severity of tooth and jaw irregularities – from the bite and crowding to rotations and missing teeth. A total of 16 points or more means a moderate or worse irregularity and the right to ZZZS-covered treatment; below 16 points, treatment counts as cosmetic and is self-paid.
What happens if the queue pushes my child's exam past their 16th birthday?
If the need for treatment is established only after age 16, the right to ZZZS-covered treatment no longer exists. That is exactly why, with today’s waiting times, it is crucial to act early – realistically before the child turns 10.
Can I be on waiting lists at several orthodontists at once?
No. With one referral you can be on only one waiting list for a given service. That is why it pays to compare providers on cakalnedobe.ezdrav.si before enrolling – the differences between them exceed 1,000 days.
Can I go abroad for treatment because the waiting time is too long?
Yes. With a valid referral you can have outpatient orthodontic treatment in any EU country without prior approval, and ZZZS reimburses you up to the average price of the service in Slovenia. The referral must be issued before you travel.
How much does ZZZS reimburse for orthodontic treatment abroad?
Up to the average price of the service in Slovenia, capped at your actual costs; travel costs are not covered. In practice figures of up to roughly €3,000–4,000 are quoted – verify your own case with ZZZS. ZZZS decides on the claim within 60 days.
How much does self-paid orthodontic treatment cost?
At OrthoDental, a comprehensive Invisalign treatment costs €4,000, minor corrections start at €1,990, and Invisalign First for children costs €2,700. The first exam with a 3D scan is free. Via Leanpay you can split payment into up to 84 instalments – from around €40–50 per month.
When should I first take my child to the orthodontist?
Roughly when baby teeth are falling out and permanent teeth erupting (around age 7–9), or earlier if you notice an incorrect bite or protruding, crowded teeth. An early consultation also matters because of the age-16 rule and the long queues. With Invisalign First, treatment is possible from age 7.
How quickly can I start treatment at OrthoDental?
We book your free first consultation within days at one of our 5 locations (Ljubljana, Maribor, Celje, Novo mesto, Kozina). Invisalign treatment starts as soon as you approve the 3D plan – no waiting list, at any age – and takes 9–15 months on average.
Is there a shortage of orthodontists in Slovenia?
No – 97 specialists are active. The queues stem from an underfunded public programme, a large number of premature referrals and inconsistent criteria, not from a lack of staff.
All content on this website is for information purposes only. For medical advice, please visit our dentists. Visits are by prior appointment.
Article author
Gordana Čižmek

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