Summary of our market study

The French denture market is worth around 1.3 billion euros

Dental care consumption in France exceeds 14 billion euros. Dental care accounts for 70%, orthodontics for 10%.

There are some 4,000 dental prosthesis laboratories in France.

The global market for dental implants and prostheses exceeds $6 billion

Players in the dental implant and prosthesis market

  • Straumann
  • NobelBiocare
  • Zimmer Biomet
  • Dentsply Sirona
  • Tailoring Implant Excellence Global D, which includes brands such as Tekka and Serf
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Summary and extracts

1 Market overview

1.1 Study scope and definition

The dental implant and prosthesis market encompasses the manufacture, distribution and fitting of devices designed to restore and re-establish the functionality and aesthetics of the dentition.

Dental implants are artificial metal roots implanted in the jawbone to replace natural roots. They require a prosthetic abutment, which connects the implant to the dental crown. Different types of implant are possible, such as endosseous, subperiosteal and zygomatic. Dental implant manufacturers mainly serve hospitals and dental clinics. The global market for dental implants is growing steadily, and is expected to continue expanding by 5% a year until 2028 . The French market, also growing, is concentrated around a few major manufacturers who supply the majority of implants to practitioners. A major trend in the sector is the diversification of implant manufacturers into areas such as imaging and orthodontics. This strategy aims to become a preferred partner for dental practices.

At the same time, the market for dental prostheses also aims to restore the functionality and aesthetics of the dentition. Various types of dentures are available, including metal, synthetic resin, ceramic and zirconia. Fixed prostheses are the most common on the market, followed by removable prostheses, but laboratories are increasingly diversifying their activities and expertise. This market involves the laboratories that design the prostheses, the dental practices that are their customers, and the end patients . In France, the dental prostheses market has seen virtually zero growth for several years, with a decline in the number of employees.

French players in these 2 markets face common challenges. The first is international competition, which is at the root of medical tourism. Services can be provided at lower cost in certain European countries, prompting the French to travel outside France to access cheaper services. The development of CAD (Computer-Aided Design ) is also contributing to theindustrialization of prosthesis manufacturing processes, and thus to the internationalization of prosthesis production.

Secondly, the market for dental implants and prostheses is closely linked to healthcare reforms and reimbursement conditions, which strongly influence supply and demand.

1.2 The global market

The global market for dental implants and prostheses is expected to expand at a CAGR of *.*% over the period ****-****. From an estimated $*.** billion in ****, the global market is expected to reach $*.** billion by ****.

Estimated growth in the global market for dental implants and prostheses World, ****-****, billions of dollars Source: ...

1.3 The domestic market

Medical, surgical and dental equipment manufacturing market

Trend in CNAE code **.**A - "Manufacture of medical, surgical and dental equipment" France, ****-****, in billions of euros Source : INSEE The market for the manufacture of medical, surgical and dental equipment will total *.** billion euros in ****, enjoying stable and continuous growth since **** despite ...

1.4 Imports and exports

HS.****** : Dental appliances; artificial teeth. HS.******: Dental appliances, other than artificial teeth, thus including dental implants.

Imports and exports HS code ****** France, ****-****, millions of euros Source: ****

Between **** and ****, French imports of dental prostheses and artificial teeth rose significantly, from **.* billion to **.** billion. At the same time, exports also increased, albeit ...

2 Demand analysis

2.1 Population and demographics

Global demographics

The United Nations predicts that by ****, the number of elderly people (***) in the world will have doubled, from *** million in **** to *.* billion. Their share of the world's population would thus increase from *,* % à **,* %.

An ageing population: already a reality...

Proportion of French population aged ** or over France, ****-****, in % Source: ...

2.2 Segmentation of demand for implants, prostheses and dental care

Demand can be analyzed from two angles:

Demand from end-consumers, i.e. patients on whom implants or appliances are placed (***). Demand from dental surgeons in charge of operations (***).

Patient demand for dental care

Dental care consumption comprises all fees paid to dentists, whether for conservative care (***) or dental prostheses. This indicator ...

2.3 Demand trends and developments

Reimbursement for dental prostheses

Overall, the high price of dental implants and prostheses in France, combined with low reimbursement levels, is holding back the development of this market.

For example, the graph below shows the difference in price for a complete dental implant (***) depending on the country chosen. As previously announced, ...

3 Market structure

3.1 Market dynamics

Dental implant market value chain

Implant manufacturers are mainly medical device companies. The global market is fairly concentrated, with four major companies - Straumann, Danaher, Dentsply Sirona and Zimmer-Biomet - controlling over **% of total production. In France, the most popular dental implant brands are Nobel Biocare, Zimmer, Straumann, Dentsply Sirona and ...

3.2 Production

Dental implant manufacturing

Materials used to manufacture dental implants

Dental implants are screws used to replace missing teeth. Since they are implanted directly into the patient's bone, implants must be biocompatible to ensure that the patient does not react badly to the introduction of this foreign organism. The materials used in ...

3.3 Production challenges

Every year in France, around **% of dentures fitted come from abroad. The vast majority (***) are designed directly in France. Indeed, according to the UNPPD, even if importing prostheses reduces costs, it raises concerns about their quality and traceability.

Let's look at the evolution of national production through the number of companies ...

4 Offer analysis

4.1 Offer typology

The table opposite shows the different types of implants available:

Source: ****

Dentures can be either complete, when they replace all the teeth in an arch, or partial, when they replace only some of the teeth. The table below shows their main characteristics:

4.2 Prices

First of all, it's important to remember that an implant is used to screw in a false tooth, the crown, and also requires the installation of the abutment, which connects the two elements. So, in reality, buying an implant also means buying a crown and an abutment, which considerably increases the ...

4.3 Supply trends

Owandy Radiology defines the dental CAD/CAM chain (***) of a customized medical device. It therefore concerns all dentistry specialties involving custom-made medical devices.

Representation of a complete dental chain

Source: ****

The arrival of CAD (***) in the field of dental implants and prostheses represents a new supply trend in the dental market ...

5 Regulations

5.1 Regulations applicable to the dental implant and prosthesis markets

In France, the regulations governing dental implants and dentures are not exactly the same, although both are governed by laws and standards designed to ensure their quality, safety and efficacy.

Dental implants are considered active implantable medical devices, whereas dentures are considered custom-made medical devices, designed specifically for a patient.

The ...

5.2 The new dental agreement: a break with the past

from ****, a new dental agreement comes into force for a period of * years. It aims to limit patients abandoning care for financial reasons. It also adds and removes new CCAM codes to adapt to new healthcare products.

L'UNPPDregrets, for example, the creation of "pseudo-technical" labels, which encourage the development of low-cost ...

6 Positioning the players

6.1 Segmentation

Dental implant segmentation

Dental prosthetics segmentation

  • Straumann
  • Dentsply Sirona France
  • Zimmer Biomet Dental France
  • Osstem Implant
  • Biotech Dental
  • Anthogyr
  • Lyra Dental
  • Global D
  • Danaher
  • Nobel Biocare (Groupe Envista)
  • Protilab
  • Labocast
  • Yuwei Dental
  • CPLD Midi-Pyrénées
  • Bego
  • OsteoCare Implant System Ltd
  • Aon Implants
  • Implants Diffusion International (IDI)
  • Dio Implant
  • Henry Schein Group

List of charts presented in this market study

  • Number of dental laboratories
  • Number of laboratory technicians
  • Geographical breakdown of the dental implant market
  • Dental prostheses market - Product segmentation
  • Estimated growth in the global market for dental implants and prostheses
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Latest news

Smilers manufactures custom-made dental aligners in France - 06/03/2023
  • Smilers sells 60% of its production in France, where it enjoys a market share of 10%
  • Presence in 80 countries
  • The global market for dental aligners is worth around $4.5 billion
  • 15% annual growth in demand in the USA, Europe and China
  • World leader is Align Technology, an American company with sales forecast to reach $4 billion by 2021
Biotech Dental joins forces with American Henry Schein to develop digital dentistry. - 20/12/2022
  • To create a world leader in digital dentistry
    • Henry Schein to acquire just over 50% of Biotech Dental
    • Chairman Philippe Véran will acquire just under 50% of Henry Schein Orthodontics, an $81 million subsidiary of the American giant.
    • He will remain Chairman of Biotech Dental and CEO of Henry Schein Orthodontics
  • Biotech Dental: sales of 110 million euros with 700 employees
  • Henry Schein one of the leading suppliers of equipment and consumables for healthcare professionals, present in over 80 countries (22,000 employees and sales of $12.4 billion in 2021)
  • Demand up nearly 20% to over $5 billion worldwide
  • Specialized subsidiary Smilers to achieve sales of 250 million euros in 2024
  • American Align Tec dominates the market

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. :

Straumann
Dentsply Sirona France
Zimmer Biomet Dental France
Osstem Implant
Biotech Dental
Anthogyr
Lyra Dental
Global D
Danaher
Nobel Biocare (Groupe Envista)
Protilab
Labocast

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