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Summary of our market study
The global dental implant market experienced a decline of 9.9% due to weaker demand amid the health crisis, according to Fortune Business Insights. However, in 2021, the market began to see a recovery, with the UK showing a particularly interesting trend: while imports continued to decrease, exports experienced an encouraging resurgence. The market is expected to grow at a steady rate, reaching a valuation of $3.9 billion by 2028.
Despite the UK market being dominated by foreign companies such as Straumann, Danaher, Dentsply Sirona, BioHorizons, and Zimmer Biomet, domestic companies like OsteoCare are also making a mark. Innovations, like robot-assisted dental surgery and 3D-printed implants, are poised to disrupt the market further. The UK's trade with countries in this sector also shows a deficit, with noteworthy import sources from the USA, Sweden, and Switzerland, and exports primarily directed to the Netherlands, Ireland, Germany, and Spain.
Trends in the UK Dental Implant Market: A Comprehensive Insight
The UK dental implant market is experiencing a burgeoning growth fueled by an aging population, the prevalence of poor eating habits, and a general lack of oral hygiene. These factors, catalyzed by the affordability and accessibility of high-quality dental practices, have managed to bolster the demand for dental implants within the nation. Approximately between 125,000 and 135,000 implants are placed annually, indicating a significant market potential for dental implant providers. The high fragmentation of the market is evident, with major players like Straumann Holding AG, Nobel Biocare Services AG, and Zimmer Biomet Holdings Inc. dominating the landscape, alongside innovative companies such as Keystone Dental and iDentical entering the scene with advanced dental implant technologies like 3D-printed tooth replacements and robot-assisted surgeries. The UK's import and export activities reflect a trade deficit, with exports being consistently lower than imports. In particular, the United States, Sweden, and Switzerland emerge as significant exporters of dental implants to the UK.
On the other hand, the majority of UK exports in dental implants are shared among the Netherlands, Ireland, Germany, and Spain. Factors like periodontitis, cavities, and physical injuries have been identified as primary causes of tooth loss, which subsequently drive the demand for dental implants. Diabetes, hypertension, arthritis, smoking habits, and poor diet are underscored as key risk factors, intensifying the need for dental health interventions. According to Delta Dental Michigan, an alarming 84% of UK adults fall into risk categories predisposed to dental issues such as cavities. Moreover, detrimental dietary habits and insufficient dental care practices are widespread, further exacerbating the dental health crisis. For instance, over 20% of Britons are reported to have a heavily sweetened diet or have not visited a dentist in over two years. These statistics translate to a heightened necessity for dental implants and advanced dental care solutions. The UK continues to innovate in the field of dental implant production, with homegrown companies like OsteoCare making strides in domestic design and manufacturing. Additionally, the global advancement in dental technologies, together with the foray of new entrants, suggests a dynamic and evolving market structure. With robotic assistance and 3D printing at the forefront of dental implant science.
Pioneers and Innovators: A Glance at Key Players in the Global Dental Implant Market
The landscape of the dental implant market is as competitive as it is innovative, featuring a variety of key players whose technological advancements and strategic market positioning continue to shape this healthcare niche. In this chapter, we will shine a light on formidable entities that stand out due to their market influence, product offerings, and potential to drive future trends within the field.
- Straumann Holding AG Founded in 1954 and headquartered in Basel, Switzerland, Straumann Holding AG is a powerhouse in the field of implant, restorative dentistry, and oral tissue regeneration. With a storied history of precision engineering and clinical excellence, Straumann has earned its reputation as a premium provider of dental implant solutions. By continually investing in research and development, Straumann remains at the forefront of the implantology field, ensuring that dental professionals have access to the most cutting-edge and reliable products.
- Nobel Biocare Services AG Nobel Biocare, a part of the Danaher Corporation since 2014, is another leading name with a strong emphasis on innovation and education. With its origins dating back to the work of Per-Ingvar Brånemark, the pioneer of modern dental implantology, Nobel Biocare has maintained a dedication to improving patient quality of life through advanced prosthetic solutions. Nobel Biocare’s portfolio includes an array of implants and individualized prosthetic elements that cater to a variety of clinical situations.
- Dentsply Sirona Inc An American dental equipment maker and dental consumables producer that was formed in 2016, Dentsply Sirona is the result of a merger between Dentsply and Sirona Dental Systems. Dentsply Sirona's comprehensive solutions span from dental implants to orthodontic appliances, and their commitment to innovation is evident in their end-to-end digital dentistry workflow solutions.
- Zimmer Biomet Holdings Inc With an expansive range of musculoskeletal healthcare solutions, Zimmer Biomet also carves a significant niche within the dental implant sphere. Zimmer’s dental division offers a suite of products that support dental professionals in prosthetic and regenerative procedures, aiming to achieve both functional and aesthetic outcomes for patients.
- Osstem Implant Co Ltd : South Korea's Osstem Implant has rapidly grown to become the largest dental implant manufacturer in the Asia-Pacific region and is quickly expanding its influence worldwide.
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Summary and extracts
1 Market overview
1.1 Definition and scope of study
A dental implant is an artificial root made of metal, mainly titanium or zirconia, implanted in the jawbone to replace the root of a natural tooth. Dental implants are divided into premium and non-premium dental implants. Depending on the end-user, the market is divided into dental practices, hospitals, dental laboratories, dental schools and research establishments.
The global market is dominated by Europe and North America; for example, the EU is the largest supplier and consumer of dental implants, followed by North America.
In the UK, 130,000 implants are placed every year. [dentaly] The market is growing rapidly, driven by an ageing population, poor eating habits and a lack of oral hygiene. Although implants have traditionally been manufactured abroad due to lower costs, increased domestic competition in the UK has put pressure on prices, fuelling demand and increasing volumes sold.
The market is highly fragmented and includes a wide range of players such as Straumann Holding AG, Nobel Biocare Services AG, Dentsply SironaInc, Zimmer Biomet Holdings Inc, Osstem Implant Co Ltd and KYOCERA Medical Corp.
According to Kenresearch "with the technology... we will see improved diagnostic care, precision in treatment planning and faster healing times". In addition, the same source claims that robot-assisted dental implant surgery and 3D printing will disrupt the market in the coming years. These elements could reduce the cost of procedures and broaden insurance company coverage.
1.2 The global market
According to Fortune Business Insights, the global market was valued at $*.* billion in ****, and is expected to grow at the same rate until ****.
Global dental implant market World, ****-****, in billions USD Source: ****
It is important to note, however, that this growth follows a downturn in the market as a result of the health crisis. Indeed, again according to Fortune Business Insights, the global dental implant market had shrunk by *.*% from **** to ****, mainly due to weaker-than-usual demand.
The leading companies worldwide are as follows:
Institut Straumann AG (***) Danaher (***) Dentsply Sirona (***) Henry Schein, Inc (***) Zimmer Biomet (***) Osstem Implant (***) BioHorizons (***) CeraRoot SL (***)
1.3 The UK market
The European market was estimated at close to $* billion in ****, and is expected to grow at a compound annual growth rate (***) of *.*% until ****, to exceed $* billion.
European dental implant market Europe, ****-****, in billions USD Source: ****
The UK market in particular is expected to enjoy a CAGR of *. *% over this period, with strong growth linked to the rising incidence of dental disease and government initiatives to promote oral health in the country.
The country's growing elderly population is also supporting growth in the dental implant market.
1.4 International trade
It is possible to analyze British imports and exports of dental prostheses by focusing on the following codes:
****** - Dental prostheses, artificial teeth ****** - Dental prostheses, other than artificial teeth
If we look at total imports and exports of these two product categories, we see that the UK trade balance is in deficit , with exports regularly lower than imports.
However, **** marked a break with a clear decline in both imports and exports, reflecting the downturn we had already mentioned when studying the world market. Nevertheless, the year **** saw an encouraging recovery in exports, while imports continued to decline.
UK imports and exports of dental prostheses United Kingdom, ****-****, in millions USD Source: ****
We note that the majority of UK dental implant imports come from the USA, and that Sweden and Switzerland are also major exporters to the UK.
Major beneficiaries of UK dental implant imports United Kingdom, ****, in percent Source: ****
The Netherlands, Ireland, Germany and Spain share the majority of UK dental implant exports.
Major beneficiaries of British dental implant exports United Kingdom, ****, in percent Source: ****
2 Demand analysis
2.1 The development of bad oral habits
Dental implants are generally associated with tooth loss. Therefore, it is pertinent to assess the factors influencing tooth loss in order to estimate the determinants of UK demand for dental implants.
Firstly, the main causes of tooth loss are as follows:
Periodontitis: beginning with bacterial infection and inflammation of the gums, this disease destroys gum tissue and can destroy the jawbone beneath the gums, leaving the teeth unsupported. Cavities: holes in the teeth caused by bacterial infection, which develop into tooth decay. If left untreated, it can destroy the pulp at the center of the tooth, probably leading to root canal treatment or even tooth extraction. Physical injuries: can occur during sporting activities, falls, car accidents and the like.
In addition to these major causes, we also note the following risk factors:
Diabetes High blood pressure Arthritis Smoking Poor diet
Source: ****
However, according to the Oral Health Foundation and Colgate-Palmolive, **% of the UK adult population belong to groups that put them at higher risk of developing cavities.
In addition, one in five Britons (***), all of which increase the risk of tooth decay.
Share of adults who have seen a dentist in the last ** months England, ****-****, in percent Source: ****
2.2 Population aging
British population change United Kingdom, **** to ****, in millions of people Source: ****
In the graph above, the under -**s have been removed as they are less concerned by dental implants.
The population aged over sixty-four has been growing faster than the rest of the adult population in France since ****, and this is set to continue until ****.
Ageing is synonymous with tooth erosion and replacement. This demographic phenomenon therefore creates a large number of potential customers for the dental implant market, which is set to continue in the future.
2.3 Reduced operations due to the health crisis
On March **, ****, dental practices were ordered to close and postpone routine and elective dental care, including orthodontics, and to set up remote urgent care services to limit transmission of COVID-**. Restrictions included [***]:
Cease all routine dental care (***). Cease all aerosol-generating procedures (***). Offer patients with urgent needs appropriate advice and prescriptions by telephone (***). Discontinue all face-to-face urgent care (***).
The following graph shows the trend in the number of type * dental treatments identified by the NHS as medium-sized treatments, such as fillings, extractions and root canals. There has been a significant drop in activity.
Trend in the number of type * dental treatments England, ****-****, in tens of thousands of treatment units Source: ****
3 Market structure
3.1 Dentists in the United Kingdom
Let's start by looking at dentists in the UK, as they are the key players in any operation.
First of all, it should be noted that the majority of dentists in the UK are located in England. This is important because the detailed statistics we will be looking at next are provided by the NHS and relate only to England. It is therefore safe to say that the trends observed can be extrapolated to the UK as a whole.
Répartition des dentistes britanniques par nation Royaume-Uni, ****, en millier de dentistes Source: ****
First of all, we can see that the number of dentists was growing steadily until ****, when there was a significant drop in the number of doctors. Indeed, as we saw in the previous section, the health crisis led to a series of measures considerably limiting the activity of dentists, which may have led to an unusual number of retirements. Evolution du nombre de dentistes en Angleterre Angleterre, ****-****, en millier de dentistes Source : NHS
3.2 Dental implant production
The UK dental implant market is dominated by global leaders, many of them foreign. These include the following companies:
Strauman Danaher Dentsply Sirona BioHorizons Zimmer Biomet
Indeed, there is a relatively small number of British players, such as OsteoCare [***], which offers one of the few dental implant systems designed and manufactured in the UK.
There are also a wide variety of foreign innovations that could have a significant influence on the UK market in the future.
A prime example is Burlington-based Keystone Dental, founded in ****. Keystone Dental develops dental implants as well as biomaterials (***), and has received FDA approval for its Olympus dental implant system, which is designed to be surgically placed, either immediately or at a later date.olympus dental implant system, designed to be surgically placed, either immediately after extraction or after healing, in the bone of the maxillary and/or mandibular arch to support crowns, bridges or prostheses.
The recent development of *D printing has also led to applications in the field of dental implants, notably with the company iDentical. The company supplies customized *D-printed dental implants. Indeed, the technology developed by this company enables a tooth identical to the original to be printed and then placed in ...
3.3 Public awareness initiatives
In response to the increased oral health risks associated with the elements observed in the Demand section, we are seeing initiatives aimed at raising public awareness of oral health care.
One example is Starting Well: A Smile*Life Initiative, launched in England by the NHS.
Source: ****
This program aims to reduce inequalities in oral health and improve the oral health of children under five. It will be available to all children, targeting in particular those who do not currently visit the dentist and those under one year of age.
The idea is to provide preventive advice on reducing sugar consumption and increasing fluoride exposure on teeth to the parents of these children.
The program follows on from existing local NHS and local authority initiatives, as well as the work of the Children's Oral Health Improvement Programme Board. [***]
Another initiative is National Smile Month from the Oral Health Foundation, taking place every year in May or June.
4 Offer analysis
4.1 The price of the implant, inseparable from the crown and abutment
Implants are generally placed directly after tooth extraction. It is broken down into several successive appointments as follows [***]:
Dental examination: Before beginning the implant process, your dentist must carry out a thorough examination. A recent improvement is the use of *D imaging via a scanner. Not having to rely solely on two-dimensional X-rays enables the dentist to make a better assessment of the bone supporting the implant. Extraction of tooth(***): This operation is usually carried out by an oral surgeon, but there are dentists specializing in implantology who take care of the entire process. Bone grafting: If the initial examination shows that the bone is unable to support the implant, the dentist will have to perform a bone graft, i.e. remove bone from elsewhere in the body. Synthetic and natural donor bone options may also be considered. Implant insertion: After healing, the dentist drills into the jawbone and places the implant. The implant is an artificial tooth root. It must therefore be anchored deep in the bone, just as a natural tooth would be. While the implant heals and the bone grows around the new implant, a temporary, removable prosthesis is often worn. Adding the abutment: after two or three ...
4.2 Product typology and composition
Dental implants are screws (***) used to replace a missing tooth. They are conical or cylindrical in shape, with diameters and lengths varying according to need.
Dentists can insert implants in the maxilla and mandible. Their purpose is to support a single prosthesis, a *- or *-unit bridge, or an entire arch when all the teeth are missing.
Implants are classified into several categories, depending on where they are implanted.
Endosseous or endosteal (***): The most common form, these screw-like posts are placed in the jaw to which the false teeth are attached. Juxta-osseous or subperiosteal (***): A metal framework is placed under the gum, to which a pin is attached. The gum then heals around the frame to hold it in place. The false teeth are attached to the posts, which protrude through the gum. This procedure can be useful if the patient's jawbone does not permit the placement of an implant. Zygomatic: the least common type of dental implant, in which the implant is placed in the patient's cheekbone rather than in the jawbone.
The materials used for dental implants are as follows:
Titanium: the most common material used by manufacturers worldwide; Zirconium: seems to be a valid alternative for dental implant ...
5 Regulations
5.1 Regulations
Dental implants fall within the scope of medical implants, and must therefore comply with the Regulation of medical implants in the EU and UK.
In addition, the Royal College Of Surgeons offers guidance on standards of care for NHS-funded dental implant treatment.
Indeed, the guidelines on the availability of dental implants within the NHS state that "dental implants will only be made available by the NHS if there is a medical need for this type of treatment" and that "decisions about appropriate treatment will be based on clinical assessment and clinical judgment".
The provision of NHS-funded dental implant treatment is subject to the following criteria. The treatment provider must :
have appropriately trained and competent clinicians who, ideally, form a multi-disciplinary team to assess the clinical suitability of dental implants when conventional treatments have been tried and failed.tried and failed or are unsuitable, and there is a consensus that dental implants would offer a significant health benefit to the patient; comply with national NHS implant guidelines and standards; be able to demonstrate that other forms of conventional treatment have been tried and failed, and that implants are the only option to meet the patient's clinical needs; use locally agreed processes for ...
6 Positioning the players
6.1 Segmentation
- Danaher
- Osstem Implant
- Zimmer Biomet Dental France
- Dentsply Sirona France
- BioHorizons
- OsteoCare Implant System Ltd
- Keystone Dental
- iDentical
- Noecis
- Straumann
- Aon Implants
- Implants Diffusion International (IDI)
- Dio Implant
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