The dental implant market - Italy (2023)

1.2 Impressive global growth in implantology

In ****, the value of the dental market globally touches $** billion, with North America holding about half of the share (***) of *.* percent.

The medical implant market by region World, ****-****, in billions of USD Source: ****

In ****, the global dental implant market reached a value of $*.** billion. Over the next * years, a compound annual growth rate (***) of *.* percent is expected, which will lead the market to reach a value of *.** billion in ****.

Value of the global dental implant market World, ****-****, in billions of USD Source: ****

1.3 An estimate of the size of the Italian market

It is not easy to estimate the size of the Italian dental prosthesis market, given the difficulty of unambiguously defining the terms "prosthesis" and "implant" dentistry. Indeed, we will see in the section on supply analysis the multiplicity of adoptable dental solutions and their interconnection. An appropriate measurement for estimating the implant dentistry sector would seem to be to start with the dental market as a whole, with appropriate distinction with respect to sell-in (***) economic values.

Ex-factory market

Between **** and ****, the production value of the dental sector in Italy marks a growth of **.* percent. With the sole exception of ****, when the market contracted **.*% from the previous year, the medium-term trend is positive, with a compound annual growth rate (***) of *.*%.

Ex-factory dental market Italy, ****-****, millions of euros Unidi

In terms of the percentage weight of each category, the segment related to implantology and prosthetics ranks second on the value scale. Preceded by clinical equipment used in practices, the production value of dental implant products is ***.* million euros, up **.* percent from ***.* million in ****.

Dental ex-factory market by category Italy, ****, % Unidi

Sell-out market

Turning to the sell-out market, related to end-user sales, a value of €*.** billion was reached in ****. Compared to ****, the growth ...

1.4 International Dental Prosthesis Exchange

Between **** and ****, Italy's export volume of dental implants appears to be growing. Over the period, exports grew by **.**%, thanks mainly to the values recorded in **** and ****, and against a substantial stability of imports, Italy's trade balance shows a value of more than * in ****.

Import - export dental implants Italy, ****-****, in millions of euros UN Comtrade

Regarding imports, in **** Italy imported almost ** percent of dental implants from Germany (***).

Main countries of origin dental implant imports Italy, ****, % UN Comtrade

Finally, in terms of dental implant exports, Italy's main trading partner is the Philippines, which alone garners **.*% of Italian exports. Much further behind in terms of trade value is Spain (***). Each of the other trading partners does not exceed * percent of the total export value.

Main countries of export destination dental implants Italy, ****, % UN Comtrade

1.5 The impact of the Russian-Ukrainian conflict

The outbreak of the Russian-Ukrainian conflict in February **** resulted in, among other things, a general increase in the consumer price index. The dental services sector is not exempt from this increase. Through the analysis of the price index for dental services, a *-point increase between January **** and August **** can be shown. This means that over an **-month period, consumers faced a * percent increase for this type of services. Moreover, the increase since the beginning of the conflict in February **** is equal to the increase during the entire period between **** and ****. Compared to ****, dental services have risen by *.*%.

Consumer price index dental services Italy, ****-****, base ****=*** Istat

The increase in consumer prices is nothing but a reflection of the increase in producer prices. Between January **** and August ****, the producer price index for medical and dental instruments and supplies increased by * points. Thus, in the ** months since the outbreak of the conflict, producer prices have risen by * percent. The increase recorded between **** and **** amounted to * times the increase recorded between **** and ****, a period during which the index never exceeded ***.*. Producer price index medical and dental instruments and supplies Italy, ****-****, base ****=*** Istat

1.6

2.1 Demand in Italy

Between **** and ****, Italians' monthly spending on dental services appears to be declining. Specifically, between **** and ****, spending fell from **.* euros per month to **, a contraction of **.*%. Between **** and ****, a recovery can be discerned, with a year-on-year increase of **.* percent and the value of spending returning to well above ** euros per month.

Population spending on dental services Italy, ****-****, billion euros Istat

In ****, the main reason for Italians to visit a dentist is related to cleaning and oral hygiene (***). Lower, **%, is the percentage of those who needed dental fillings or reconstructions. **% benefited from a specialist's consultation while only *% decided to have implant surgery. Main reasons why Italians visited the dentist Italy, ****, % Keystone Regarding Italians' preferences regarding the type of facility, in **** more than half of the population decides to go to practices where only one specialist operates. In contrast, about */* prefer an associated practice in which several specialists operate and in which ownership is divided among several individuals. Less than * in ** (***) go to large chains that operate through multiple locations in Italian and foreign cities, and finally about *% opt for public facilities.

Dental practice type preferences Italy, ****, % Dentistry**

2.2 Demand drivers

The main drivers of demand for dental services include level of education, professional position and age.

Level of education

Spending on dental services appears to be positively correlated with a person's level of education. In **** spending among those with a bachelor's degree or higher spend an average of **.** euros per month on dental services. Considering those who stopped at an elementary school license or who do not possess a title, spending is half that of college graduates, **.** euros per month. Those who possess a middle school license spend **.* percent less than college graduates. Finally, high school graduates' spending is in line with that of college graduates and stands at **.** euros per month.

Monthly spending on dental services by level of education Italy, ****, euros/month Istat

Professional position

Since data are not available on the item of expenditure by occupational status specific to dental services, the item of expenditure on outpatient services, including dental services, is considered.

In Italy, the average expenditure on outpatient services in **** is **.** euros per month. Those in the positions of manager, cadre or clerk spend **.* percent more than the average. Spending by retirees and entrepreneurs is also above the average and stands at **.* euros per month. In ...

2.3 The geographical distribution of demand

To visualize the geographical distribution of demand, a map was created with the average monthly expenditure of Italian households on dental services.

The distribution of demand across the territory is extremely uneven. The Northeast has the highest monthly expenditure, with nearly ** euros spent by households each month. This is followed by the Northwest with just over ** euros spent on average. Moving down the boot, territorial differences become evident. In the center, people spend **.* percent less than in the Northeast, with a monthly expenditure per family of ** euros. In the South and Islands, spending drops further, respectively **.** and **.** euros per family per month, **.* percent and **.* percent less than in the Northeast.

2.4 The demand trend

As shown above, tooth loss appears to be positively correlated with advancing age. In ****, ** percent of Italians over ** years old are reported to have complete edentulism for a total of *.** million people. Considering that tooth loss is the main driver driving the demand for dental implants, and that the Italian population is facing a progressive increase in terms of numbers of the over-** age group, in the coming years the demand may experience a concentration in this group. Between **** and ****, the number of people over ** who have lost all their teeth could increase by **.* percent, from the current *.* million to nearly * million.

Population over ** Italy, ****-****, in millions Istat

3.1 The market structure

In order to analyze the market structure of dental implants, the industry under Ateco code **.**.** related to the manufacture of dental prostheses is considered for production.

Companies

Between **** and ****, the number of enterprises dedicated to the manufacture of dental prostheses decreased slightly in Italy, from **,*** to **,*** (***). The trend is uneven during the period as dimsotrated by the fluctuating trend in the graph below.

Denture manufacturing enterprises Italy, ****-****, in thousands Istat

Employees

Just as with firms, the number of employees in the same shows substantial stability between **** and ****, with a slight decline between **** and **** (***). The coincidence between the trend in the number of firms and the trend in the number of employees indicates an unconsolidated market that shows no signs of growth. Employees of enterprises manufacturing dentures Italy, ****-****, in thousands Istat Legal form Finally, in terms of the legal form of manufacturing firms, the "sole proprietor, freelancer and self-employed" form accounts for nearly */* of the total, gathering **.* percent of the business. This is followed by general partnerships, accounting for **.* percent of the total, simple partnerships are at *.* percent, s.r.l. at *.* percent, and finally other forms of business gather *.* percent. Legal form denture manufacturing enterprises Italy, ****, % Istat

3.2 The value chain

3.3 The distribution channels of the market

The main distribution channel for dental implants is dental offices.

Firms

Between **** and ****, the dynamics of the number of dental practices shows a basically stable trend (***). However, when analyzing the annual trend during the period, it is possible to show a sharp decline in activity between **** and ****. The advent of the pandemic halted the recovery of the sector, as evidenced by +*..*%. In contrast, data for **** show a net growth in activity, with an annual increase of **.*% and a higher total number than ****.

Dental practices Italy, ****, in number Istat

Employees The dynamics of the number of dental practice employees closely tracks that of the number of activities. In fact, it is possible to see a slight increase between **** and **** (***) while in **** the growth is considerable compared to the previous two years with +**.*% over ****. Dental practice workforce Italy, ****-****, in thousands Istat Legal form Finally, regarding the legal form of the business, in **** the category "sole proprietor, self-employed and freelance" collects more than */* of the activities. This predominance is motivated both by the wide spread of single-professional practices and therefore composed of a single specialist and by the presence of dental practices within which specialists with VAT numbers operate. S.r.l.'s ...

3.4 The main actors

Some of the leading manufacturers and distributors in the field of implant dentistry are suggested below.

Manufacturing

Zhermack: founded in ****, is now part of the multinational Dentsply Sirona. The company offers state-of-the-art materials and solutions for the dental, industrial and wellness sectors. Zhermack Dental represents Zhermack's core business, with a complete range of solutions dedicated to professionals in this world.

Sweden&Martina: established in ****, it is now an international leader in the design, manufacture and distribution of products for the dental world, particularly in the field of implantology, in which it boasts the highest rate of development in the world.

B&B Dental: founded in ****, the company is a manufacturer of dental implants and a leader in the field of oral implantology, specializing in the design of dental implants and materials for bone regeneration. The company supports its customers with its own software and through an implant planning service, single or with the addition of surgical template molding, templates, preparation of temporary abutments and possible rental of the surgical kit.

Rhein: founded in ****, the company specializes in the design and manufacture of dental attachments. Research activity is directed toward the study of new products, but also constantly to perfect the operation ...

4.1 An overview of possible solutions to edentulism

The loss of one or more teeth, despite the social discomfort it can cause in the individual, is now no longer an irreversible condition. There are * possible solutions proposed by the dental field:

Removable dentures Dental implant Dental bridge Fixed dentures on dental implants

(***)

Compared to traditional removable dentures (***), the dental implant, and the other solutions listed above, onsent a more stable or fixed prosthesis that is more comfortable and functional. It is a titanium screw that is placed at the level of the jaw bones and replaces what was originally the function of the tooth root. Listed below are the stages of the surgery:

Surgical phase: the specialist places the titanium screw inside the bone crest, making a small incision on the gum and then drilling the bone very precisely at the desired location. Scarring phase: once positioned, the screw undergoes a process of osseointegration, which consists of the union between the artificial implant and the bone. Prosthetic phase: this is done by taking precision impressions with the data being recorded and processed through a computer, which will send them directly to the dental laboratory. The prosthetic crown is an artifact made of ceramic, zirconia or lithium disilicate, which ...

4.2 High costs for Italian dental care

Below are the national average prices for a dental implant (***), highlighting the costs incurred by the dental office and the patient for the different components and for the work in its entirety.

(***)

Screws

Abutment

4.3 Supply trends: the implant-saving test and immediate-load surgeries

As with traditional medicine, dentistry constantly strives for innovative solutions. In the field of implant dentistry, research is mainly focusing on preventing possible complications after surgery. In early ****, a new weapon was made available to prevent the two most common inflammatory diseases, mucositis and peri-implantitis, which affect ** percent and ** percent of dental implants, respectively, and risk blowing them out. It is a test based on the analysis of a sample of plaque taken around the implant that can predict the risk of mucositis, a fully resolvable condition, progressing to the more serious peri-implantitis.(***)

Another important innovation in the field is the implementation of immediate-load surgery. This is a dental implant technique that allows implants to be placed within the maxillary or mandibular bones and dentures to be fitted as part of a single surgical procedure. The main advantage of this treatment is time. The patient does not have to wait months before seeing his or her smile restored, but can already have fixed teeth in ** to ** hours. In addition, other advantages include:

rapidity of the procedure minimally invasive nature of the procedure limited blood loss absence of visible or smile-limiting marks immediate reacquisition of chewing ability immediate return to normalcy, with ...

5.1 Regulations in the field of dentistry and dental technology

Directive **/**/EEC covers all manufacturers of medical devices-including dental devices-and establishes the necessary practices to be followed by the dental practitioner and dental technician in this regard. An overview of the directive follows.

First, the directive states that CE marking is required for placing on the market. With the exception of custom-made devices, which are therefore intended for a single consumer. The dental technician must formalize a written prescription on the characteristics and design of the device. The dental technician must document the design and processing procedures in compliance with the essential requirements for the safety and conformity of the device, in accordance with Legislative Decree **/**/**** No. **; must analyze risks to use; document in an appropriate leaflet the instructions; have a technical file with additional information to the processing and materials, required by the above decree.

Amendments to the European directive were subsequently introduced by Directive ****/**/EC and Regulation ****/***.

These changes go more to emphasize the attention paid to the processing stage of devices with a view to improving quality, transparency, and safety (***).

Specifically, the Regulation goes on to specify the obligations of all operators in the value chain (***). These obligations are similar to what was prepared in the **** Directive and ...

6.1 Segmentation

• Sweden & Martina
• Biomax
• Zhermack
• Istituto Stomatologico Italiano
• HD Dental
• Dentalcoop
• DP Dent
• Centri Dentistici Primo
• Major
• Rhein
• B&B Dental
• Straumann