1.1 Scope of the study and definition
The market for dental prostheses or "dental implants" concerns the manufacture and distribution of devices for the restoration and functional and aesthetic recovery of the teeth. Prostheses are either made manually or with the help of computer-aided design (CAD) systems.
There are different types of prostheses available on the market:
- Metal prostheses
- Synthetic resin prostheses
- Ceramic prostheses (with or without metal framework)
- Zirconia prostheses
The market for dental prostheses is organised in particular around:
- Laboratories (prosthesis design)
- Dental clinics - clients of laboratories
- Patients - final clients
The European market for dental prostheses is dominated by Germany and Italy, which have a large number of laboratories producing prostheses. The next largest countries are Spain and France.
The French market has shown almost no growth for several years and a decline in the number of employees. The sector is dominated by international players established in the country.
France has to face strong international competition, which offers services at lower cost, in particular thanks to computer-aided design, which makes it possible to industrialise certain prosthesis manufacturing processes and sometimes encourages "dental tourism" by patients looking for cheap services.
The market is largely dominated by fixed prostheses, then removable prostheses. But laboratories are increasingly diversifying their expertise and activities.
The market is also very much linked to the health system in force, which may allow the reimbursement of dental prosthesis fitting services. Recent changes in regulations favour preventive care over denture fitting, by capping the amounts reimbursed. This constitutes an additional difficulty for the French market players.
1.2 The European dental prosthesis market dominated by Germany, followed by Italy
A publication by the UNPPD (***), which represents business leaders in the dental prosthesis market, provides an overview of the European market.
The number of laboratories manufacturing dental prostheses and implants is particularly high in Germany and Italy, as can be seen in the graph below. France and Spain have a similar ...
1.3 A French market facing difficulties
The press kit published by the UNPPD in **** provides an overview of the French dental prosthetics market. In ****, there were *,*** laboratories in the sector, *** of which were in the overseas departments, for a total turnover of the profession of *.** billion euros, up *% compared to ****. [***]
In total, the laboratories employ **,*** people, **% of ...
1.4 France, net importer of dental implants
Dental implants are listed by the Directorate-General for Customs and Indirect Duties under the following codes:
******** - Artificial teeth, of plastics ******** - Artificial teeth, of materials other than plastics ******** - Articles and appliances for prosthetic dentistry (***)
France's coverage rate (***) for dental implants is only **%, which means that the amount of ...
1.5 A market held back by the Covid-19 pandemic
The successive lockdowns (***) have had a definite impact on the dental surgery market. Only the most urgent care was covered, the others being postponed to later dates. Implants took a heavy toll on the pandemic, as implants or crowns were cancelled during the first lockdown. [***]
Dental tourism has also been completely ...
2.1 Dental Surgeons and the Demand for Dental Care
The demand for dental prostheses is highest among dental-surgeons. They are responsible for operating on patients in order to carry out the eventual installation of the implant and then the dental prosthesis.
However, dental prostheses are installed on patients, which means that it may be interesting to study the demand from ...
2.2 Demand whose evolution is uncertain
The ageing of the population
In ****, France had about ** million inhabitants according to INSEE analyses. A major characteristic of the French population is its continuous ageing for several years now. In ****, the proportion of people over ** years of age represented **.*% of the total population - compared to **.*% in ****. This ageing, which ...
3.1 Market dynamics
Formerly known as "dental mechanics" until ****, dental technicians have gradually detached themselves from dental surgeons to become an independent profession. The European directive **/**/CE of ** June ****, on custom-made medical devices, gives them the status of full-fledged manufacturers
After strong growth, the market has entered a phase of stagnation, threatened by competition ...
3.2 The manufacture of dental prostheses
The manufacture of dentures depends strongly on the nature of the denture. Processes have also evolved with the development of computer assistance, which can now carry out both the design of prostheses and their manufacture (***), provides an overview of these manufacturing methods.
According to the CFDNA, more than **% of the dentures ...
4.1 Marketed dental prostheses
We must first distinguish three main categories of prostheses before going into detail:
Removable dentures are supported by the remaining teeth and can be removed at any time Temporary dentures, usually while waiting for the results of an implantation. Fixed prostheses, which are not intended to be removed from the ...
4.2 Prices well below those charged by dentists
The price of the prosthesis varies according to its nature. The Court of Auditors A **** report explained that the average purchase cost of a metal-ceramic crown from a dental technician was *** euros. It is then resold at a median price of around *** euros.
4.3 Technological assistance and new prostheses
CAD or CAD/CAM
Computer-aided design (***) software represent direct competition - and an opportunity - for dental technicians.
These allow the analysis of the patient's dentition and the design of the dental prosthesis necessary to solve his oral problem. In the case of CAD/CAM, manufacturing can also be automated.
5.1 The new dental convention: a breakthrough
Prostheses are products that are considered custom-made and must therefore meet specific standards before they are placed on the market.
Laboratories must deliver dental prostheses to dentists with a declaration of compliance with the essential requirements. The dental technician must therefore guarantee to his customers that the prosthesis complies with ...
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