Navigating Your Child’s Orthodontic Treatment Journey with Serenity: A Guide for Separated Parents

A child’s orthodontic treatment is a significant journey, an investment in their long-term health and confidence. When parents are separated or divorced, this journey can seem more complex, adding another layer of decisions to an already delicate family dynamic. At our practice, we frequently support families through this process. Our experience has shown us that with clear communication, mutual understanding, and a shared focus on the child’s well-being, orthodontic treatment can become a positive and collaborative project for co-parents.
This guide is designed to offer practical advice and clarity, grounded in human considerations and the specific context of Luxembourg, to help you navigate your child’s treatment smoothly and serenely.
The Child’s Well-being at the Heart of Every Decision
A separation is a stressful event for the entire family, and children often feel the instability most acutely. During this time, maintaining a sense of normalcy and demonstrating a united front on important topics like healthcare can provide immense security for a child.

When parents work together on orthodontic treatment, it sends a powerful message: “Even though we are no longer together, we are both here for you, and we both care about your health and happiness.” This collaborative approach helps shield the child from parental conflict and allows them to focus on the positive outcome: a healthy, beautiful smile they can be proud of.
Understanding Parental Authority in Luxembourg
It is helpful to understand the legal framework in Luxembourg, as it is designed to encourage co-parenting. Please note, this is for informational purposes only and does not constitute legal advice.
In Luxembourg, the principle of joint parental authority is the standard for separated or divorced parents. This means both parents retain their rights and duties concerning the child’s health, education, and well-being, and must make important decisions together.
The law distinguishes between two types of decisions:
- Usual Acts: These are everyday, routine decisions. For such acts, one parent is presumed to be acting with the other’s consent. This might include a routine check-up with the family doctor or dentist.
- Non-usual Acts: These are important decisions that engage the child’s future or touch upon their fundamental rights. For these acts, the explicit agreement of both parents is required. Initiating a significant medical treatment, such as orthodontics, is often considered a non-usual act.
Co-Parent Checklist for Your Child’s Orthodontic Treatment
Based on our experience, a successful orthodontic journey for a child of separated parents hinges on three key areas: communication, administrative clarity, and financial planning.
1. Communication: The Foundation of Success
Open and respectful communication is paramount. The goal is to create a process that is transparent and free of conflict for the child.

- The Initial Consultation: We strongly encourage both parents to attend the first consultation together. This ensures you both receive the same information directly from the orthodontist, can ask questions, and can understand the proposed treatment plan and its rationale.
- Stay Informed Together: Establish a clear method for sharing information. This could be a shared digital calendar for appointments, a dedicated email thread, or a co-parenting app. Our clinic is also happy to communicate updates to both parents.
- Present a United Front: Discuss decisions privately and present them to your child as a joint agreement. This reinforces their sense of security and stability.
2. Administrative and Financial Clarity
Navigating the financial and administrative side of treatment is often a major source of stress. Planning ahead can make it much more manageable.
- The Orthodontic Treatment Plan and Estimate: After the consultation, we provide a detailed treatment plan and a financial estimate. This document is essential for obtaining prior authorisation from the Caisse Nationale de Santé (CNS) for children under 17, a mandatory step for reimbursement.
- CNS Reimbursement: In Luxembourg, the CNS covers a portion of orthodontic costs for treatments started before a child’s 17th birthday. Our administrative team is experienced in preparing the necessary paperwork for the CNS authorisation request, which requires parental consent.
- Supplementary Insurance: The remaining costs can often be covered by supplementary health insurance. It might be possible for a child to be co-insured on both parents’ policies, which can help maximize reimbursement. We recommend both parents contact their respective supplementary insurance (e.g., CMCM, DKV, Foyer) to understand their specific coverage for orthodontic treatments.
3. In Case of Disagreement
Even with the best intentions, disagreements can arise. It is important to know that there are constructive paths to resolution that prioritize the child’s best interests.

- Dialogue First: A frank and open discussion, perhaps with the orthodontist present to clarify medical necessity, can often resolve differing viewpoints.
- Family Mediation: If an agreement cannot be reached, family mediation is a valuable resource in Luxembourg. A neutral, qualified mediator can help facilitate a conversation and guide parents toward a mutually acceptable solution.
- The Judge for Family Affairs: As a last resort, the court can be asked to decide in the child’s best interests.
How We Support Your Child’s Orthodontic Treatment Plan
At our clinic, we act as partners in your child’s orthodontic plan. We are committed to creating a calm, neutral setting to keep appointments stress-free. We understand the complexities that separated families face, and we do our utmost to facilitate clear communication and streamline the administrative process.
A child’s orthodontic treatment is a journey that lasts several months, even years. By approaching it as a team, you not only invest in a healthy smile for your child but also strengthen your co-parenting relationship, providing a powerful example of collaboration and care.
Frequently Asked Questions (FAQ)
Do both separated parents need to give consent for a child’s orthodontic treatment in Luxembourg?
Yes, in most cases. Under Luxembourg law, initiating orthodontic treatment is typically considered a “non-usual act” concerning a child’s health. This means it falls under joint parental authority, and the explicit agreement of both parents is required before starting the treatment.
Who is responsible for paying for my child’s orthodontic treatment if we are separated or divorced?
The financial responsibility is a private matter for co-parents to decide. However, the process in Luxembourg involves several steps. First, our clinic provides a detailed financial estimate. This is used to request prior authorisation from the Caisse Nationale de Santé (CNS), which covers a portion of the cost for children under 17. The remaining balance can often be covered by supplementary health insurance. We recommend both parents discuss how to share these costs as part of their co-parenting plan.
How does reimbursement for orthodontic treatment from the CNS work?
For orthodontic treatment that begins before your child’s 17th birthday, the Caisse Nationale de Santé (CNS) provides partial reimbursement. To receive this, a request for prior authorisation, including the orthodontist’s treatment plan and estimate, must be submitted to and approved by the CNS before the treatment starts. Our administrative team is experienced in helping you prepare and submit this essential paperwork.
Can our child be covered by both parents’ supplementary insurance (like CMCM, DKV, Foyer)?
It may be possible for a child to be co-insured on the supplementary health policies of both parents. This can be very helpful in maximizing reimbursement for the costs not covered by the CNS. We strongly advise both parents to contact their respective insurance providers to clarify the specifics of their coverage for orthodontic treatment and the process for submitting claims.
What should we do if my co-parent and I disagree about getting braces for our child?
If you have a disagreement, the first step should always be open dialogue, perhaps with the orthodontist present to clarify the medical necessity of the orthodontic treatment. If you still cannot agree, family mediation is a highly recommended next step in Luxembourg. A neutral mediator can help facilitate a constructive conversation. As a final resort, the Judge for Family Affairs (Juge aux affaires familiales) can be asked to make a decision based on the child’s best interests.
Should both parents come to the first orthodontic appointment?
We highly recommend that both parents attend the initial consultation together. This ensures that you both receive the same information directly from the orthodontist, understand the full treatment plan, and have the opportunity to ask questions. Attending together helps start the process on a collaborative footing and demonstrates a united front to your child.
How does your clinic help make the process easier for separated families?
We are committed to supporting your family by creating a calm and neutral environment. We facilitate clear communication by ensuring all updates and information can be sent to both parents. Our experienced administrative team streamlines the process by helping prepare the necessary documents for the CNS and answering questions about financial estimates, helping to reduce stress for both you and your child.