Summary

The global dental care market, estimated at $433.2 billion in 2022, has been witnessing steady growth at a CAGR of 4.5% projected from 2023 to 2030, primarily driven by aging populations and increased access to dental care in emerging markets. Despite an 87.5% drop in dental activity due to the Covid-19 pandemic in early 2020, the French dental market has shown resilience. Recovery was signaled by a 24% increase in dental care fees from 2020 to 2022, reaching around €13.5 billion. The French dental sector, where 83.2% of dentists are self-employed and predominantly organized in SCMs, is also undergoing a transformation with a growing number of dentists, including those graduating abroad. The aging population continues to be a key demand driver, with those aged 75 and over projected to double by 2070. Oral health deterioration and government intervention, like the 100% health reform, are also influencing market dynamics. Despite this, high treatment costs remain an impediment to care.

Trends and Drivers in the French Dental Care Market

The French dental care market exhibits robust growth patterns fueled by demographic shifts, technological advancements, and regulatory interventions aimed at improving access and affordability to dental services. On the demographic front, the country's ageing population plays a pivotal role in escalating demand, as individuals aged 65 or over are expected to constitute a larger proportion of the population, doubling from 6.3% in 2023 to an anticipated 13.7% by 2070. With age being a significant determinant in the utilization of dental care, the market is set to benefit from the growing number of potential consumers requiring dental services.

A rise in the number of dentists is also notable, with a steady increase of approximately 12% observed over a decade, bringing the total figure to more than 45,000. Interestingly, the market has seen a decrease in the percentage of self-employed dentists, down from around 90% to between 80% and 85% by 2023, as dentists increasingly opt for collaborative practice models such as SCM, SCP, SELARL, and SISA. The French dental care market growth is also evident in terms of financial performance. Dental care fees in France surged by 12%, followed by a sharp decline of 8% in 2020 amid the pandemic. The market rebounded significantly with a 24% increase from 2020 to 2022, reaching a market size of approximately 13.5 billion euros. The global dental care market is also thriving with an estimated value of over USD 400 billion, projected to grow at an annual rate of about 4.5% from 2023 to 2030.

Access to dental care remains a concern for the French population, with a significant portion of the population foregoing dental treatments primarily due to economic reasons. This has been addressed by government initiatives such as the '100% health' reform, which aims to offer full reimbursement for certain dental procedures and cap prices on prosthetics and orthodontics, thus reducing out-of-pocket expenses for patients.

Overall, the French dental care market's trajectory is determined by an interplay of demographic trends, health policy reforms, economic considerations, and evolving market structures. These dynamics contribute to a competitive and expanding market landscape, underscoring the importance of addressing access and affordability to ensure broad utilization of dental care services among the French public.

Key Market Players Shaping the French Dental Landscape

As we explore the dynamic French dental market, several prominent players emerge as central figures in shaping the industry's trajectory. These entities contribute significantly to the sector's growth, innovation, and service provision. Their varied roles span manufacturing, healthcare provision, and organizational governance, reflecting the multifaceted nature of the dental care environment in France.

  • Union Française pour la Santé Bucco-Dentaire (UFSBD): This key player plays a crucial role in promoting oral health and advocating for the dental care profession. UFSBD is instrumental in conducting educational campaigns and providing resources that help raise public awareness about the importance of oral hygiene and regular dental check-ups.
  • Pierre Fabre: A prominent name within the pharmaceutical and health sector, Pierre Fabre extends its influence into the realm of dental care through the production of oral hygiene products. The company's commitment to research and development allows it to offer innovative solutions aimed at improving oral health outcomes for the French populace.
  • Ministry of Health: As a governmental body, the Ministry of Health is pivotal in regulating the dental care market, designing reforms like the "100% Santé" initiative that impact accessibility and affordability of dental services. Their policies can substantially influence market dynamics and shape the dental care landscape, affecting both the consumers and providers.
  • CPAM (Caisse Primaire d'Assurance Maladie): Functioning as a major player in financing dental healthcare through reimbursements, CPAM is at the core of the healthcare system in France. It facilitates the provision of dental care services by ensuring that practitioners are compensated for their services and patients receive the care they need.
  • Drees (Direction de la recherche, des études, de l'évaluation et des statistiques): As a statistical wing of the French government, Drees provides critical data and analytics that inform policy decisions and market assessments. Their rigorous research supports a better understanding of market growth, practitioner distribution, and the impact of economic factors on the dental care sector.
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  • Number of pages : 30 pages
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  • Last update : 09/11/2023
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Summary and extracts

1 Market overview

1.1 Definition and scope of study

The profession of dentist (or dental surgeon) is the practice of odontology, i.e. the study and care of the dental organ, the jawbone and related tissues.

In France, this profession is marked by a true liberal tradition, with 83.2% of dentists being self-employed (exclusive self-employed + mixed), creating a competitive market in this field.this creates a competitive market in this sector of medicine, where hospital activity is very limited. However, this proportion has been falling steadily for several years (from 90.6% in 2010 to 83.2% in 2023), while the total number of dentists is rising steadily (+12% between 2010 and 2023)[Drees]. In addition, the majority of dental surgeons are grouped within structures that can be of 4 types: SCM, SCP, SELARL and SISA.

The global market is driven by greater attention to personal hygiene, and by an ageing world population: between 2000 and 2050, the proportion of people over 60 in the world will double, according to the WHO. In 2022, it is estimated at433.2 billion US dollars, and should continue to grow at a CAGR(combined annual growth rate) of 4.5% over the period 2023-2030 . This growth is also due to the fact that emerging and developing countries are seeing an ever-increasing proportion of their populations access dental care, as in the case of theSoutheast Asian market, which is forecast to grow the fastest between 2023 and 2030 (5.7% CAGR). Even so, the global dental care market remains dominated by developed countries, with the USA currently holding a 48.3% share. [Grand View Research]

Concentrated in metropolitan France and major cities, the French market will have 45,249 dentists on January 1, 2023[Drees]. like the global market, the French market is growing, but has been hard hit by the health crisis. dental fees, for example,rose by 12% between 2011 and 2019, then fell by 8% in 2020, beforerising again by 24% between 2020 and 2022, reaching around 13.5 billion euros .[Drees]

The largest segments of the national market are dentures and dental and conservative care, which account for 51.2% and 18.2% of total care respectively. By far the biggest funders of this care are complementary organizations, which cover 45. 1% of expenditure. [Drees]

The French market is mainly driven by an ageing population, an overall improvement in oral health and government intervention. Cost remains the main obstacle to French consumption. However, measures introduced by the Conventions nationales des chirurgiens-dentistes signed in June 2018 and July 2023 aim to facilitate access to dental care and promote conservative care to encourage prevention.

1.2 The global market: growth driven by emerging countries and an ageing population

The global dental care market is estimated to be worth US$***.* billion in ****, and should continue to grow at a CAGR (***) of *.*% over the period ****-****, reaching a value of US$***.* billion in **** . This market thus continues to grow, even after being hit by a sharp recession in ****. Growth is being ...

1.3 The French market: accelerating growth

The Covid-** pandemic had a significant impact on the dental care market. Indeed, the two containment periods (***) led many patients to postpone non-urgent care, especially dental care. However, since these treatments were postponed rather than cancelled, there was a catch-up mechanism in the market in **** and ****. In the graph below, we ...

1.4 The Covid-19 effect

Dentists were at a virtual standstill from March ** to May *, ****. The Covid-** epidemic and the resulting measures led to a drop in dental surgeon activity , as illustrated in the graph below. Reimbursements for out-of-home dental care by private dentists fell from around *** million euros in February **** to just ** million in April ...

2 Demand analysis

2.1 Demand drivers: ageing and oral health

Dentists' patients: the age factor

In ****, **.*% of the French population will be working[***].

Composition of the French population France, ****, in Source: ****

However, in ****, **% of dentists' patients will be working, **% minors and **% retired. [***]

Typical dental practice patient base France, ****, in % Source : Fiducial It therefore appears that the older people get, the more ...

2.2 Persistent obstacles to dental treatment

Harris Interactive carried out a study commissioned by Eurodentaire en **** entitled Les Français, les soins dentaires et la mobilité médicale (***) on a sample of *,*** people, representative of the French population aged ** and over. A total of **% of French people said they had had toforego dental treatment over the past ...

3 Market structure

3.1 Dentist profile

Identity On January *, ****,there were **,*** dental surgeons registered in France[***] In ****, **% of dentists will be men and **% will be women. The feminization rate of the profession has thus increased, since in ****, **% of dentists were women. Furthermore, in ****, **% of dentists in the **-** age group are women, compared with **% in the **-** ...

3.2 Macroeconomic structure of dental practices

It also appears that the proportion of self-employed dentists has been falling steadily for several years(***). Growth in the number of dentists France, ****-****, in units Source : Drees Dentists and dental practices are registered under NAF code **.**Z : Dental practice. As shown in the graph below, the number of establishments registered ...

3.3 Financing current healthcare expenditure

The chart below describes the players financing the DCS (***), which accounts for three quarters of current healthcare expenditure, as well as long-term care, daily allowances, individual and collective preventive expenditure, expenditure on the healthcare system and the cost of managing the healthcare system.s, individual and collective preventive spending, spending on ...

3.4 Geographical distribution of dentists

The graph below shows the density of dentists in each region per ***,*** inhabitants in ****, i.e. the average number of dentists per ***,*** inhabitants. Provence-Alpes-Côte d'Azur(***) have the lowest densities. The density of dentists is therefore higher in the south of France and in the Paris region, and lower in the ...

3.5 Microeconomic structure of a dental practice

TheFiducial Observatoire des chirurgiens-dentistes provides an overview of the structure of a dental practice on a microeconomic scale, based on a sample of *** dental practices surveyed in ****. On average, the revenues of dental practices break down as follows: purchases of dental prostheses and supplies are the main cost(***) account for **% and ...

4 Offer analysis

4.1 Types and prices of dental procedures

There are different types of dental care, broken down as follows. In ****, **.*% of dental care provided by dentists will involve dentures. Dental and conservative treatments account for **.*% of consumption. This is followed by orthodontics(***).

Breakdown of private dental procedures France, ****, in Source: ****

More specifically, the table below provides a detailed overview ...

4.2 Price trends for dental care

As previously stated, dental care consumption will reach **.* billion euros in ****, up +*.*% on ****. In that year, dental care had already risen sharply (***), boosted by the ***% healthcare reform and the resumption of post-confinement activity . In ****, the increase can therefore be explained by the rise in volume (***), following the upward revision of prices ...

5 Regulations

5.1 Regulations

General conditions of practice

To practice as a dental surgeon, you must be registered with the Order of Dental Surgeons. Registration must be requested from the Conseil départemental de l'Ordre.

TheOrdre national des chirurgiens-dentistes provides further information on the conditions of practice.

The main conditions are as follows:

Hold a ...

5.2 New features of the 2018-2023 and 2023-2028 national dental surgeons' agreements

On June **, ****, a national agreement for dental surgeons had already been reached between the Union nationale des caisses d'assurance maladie (***). The full text is available here.

The main objectives of the measures adopted were to rebalance the activity of dental surgeons over the long term, byin the direction of increasing the ...

6 Positioning the players

6.1 Segmentation

  • Clinadent
  • Dentego
  • Dentylis
  • Espace Médico-Dentaire Paris Batignolles
  • Dentimad
  • Studio Smile
  • Henry Schein Group
  • Nobel Santé +
  • Gsmile
  • Cabinet dentaire BLR120

List of charts

  • Current healthcare expenditure on dental care by financing body
  • Number of dentists by type of practice
  • Breakdown of dentists by age
  • Proportion of female and male dentists
  • Dentists by urban unit size
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Latest news

Dental center growth crisis - 08/06/2023
  • Some 1,300 dental centers in France, almost half of which are concentrated in the Paris region.
  • The number of dental centers has almost doubled in five years.
  • An investment of between 800,000 and 1.2 million euros is required to open a dental center.
  • By 2021, almost 200 dental centers have opened in France.
  • Dental centers treat 20% of the French population.
  • Around 50% of dental center sales come from the French health insurance system, 30% from mutual insurance companies and the remainder from patients (UCSD estimates).
  • The three leading dental center chains (Dentego, Dentylis and Denteka) have a total of over 150 centers.

Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Clinadent
Dentego
Dentylis
Espace Médico-Dentaire Paris Batignolles
Dentimad
Studio Smile
Henry Schein Group
Nobel Santé +
Gsmile
Cabinet dentaire BLR120

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