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Summary and extracts
1 Market Overview
1.1 Definition and presentation
The term dentist is defined as a health care professional who deals with diseases and problems of the oral cavity and related tissues. Dentists working either in public facilities such as hospitals or in dental offices, often private, primarily perform services of:
-Mobile prosthetics
-Fixed Prosthetics
-Implantology
-Orthodontics
Globally, the value of the dental market is worth about $29 billion with the forecast to reach $43 million in the future six years with a compound annual growth rate (CAGR) of 5.7 percent. Globally, the industry is characterized by increasingly high growth rates, except for the 2009-2012 crisis period that also affected dentists and their practices.
In Italy the sector had a big growth in the post-crisis period continuing until 2018 where the profit curve started to slow down. Despite this setback in the last five years, the dental market has been growing strongly due, on the one hand, to the continuous technological innovation of machines and instruments and, on the other hand, to scientific and medical progress. Today in Italy in terms of the number of dentists compared to other European countries it ranks 19th with an average of 64 dentists per 100,000 inhabitants.
The trend in the dental market predicts continued growth in the number of dentists and dental practices with the trend toward the creation of ever larger groups and conglomerates. In addition, the factors on which the market will be based for the next few years will be: the advent of digitalization, higher demand for cosmetic surgery, and an increase in dental tourism due to dental clinics with increasingly competitive prices.
1.3 The Global Marketplace
The size of the global dental services market was estimated at $***.* billion in **** and is expected to expand at a compound annual growth rate(***) of *.* percent from **** to ****.
Some of the key factors contributing to the growth are the increasing awareness of dentistry among people, the rising prevalence of dental caries and other periodontal diseases, technological developments in dentistry, andhigh demand for cosmetic and laser dentistry.
In ****, the dental implant segment dominated the market with a revenue share of more than **.* percent.
According to the American Association of Oral and Maxillofacial Surgeons (***), about **% of adults aged **-** have lost at least one tooth permanently due to disease, decay, or an accident.therefore, the demand for implants is increasing. Research and development in the field of dental implants has increased in recent years and is expected to expand in the future, offering improved biomaterials, surface modifications, and improved implant designs.
Thecosmetic dentistry segment is expected to experience the fastest growth, at*.*% from **** to ****, due to the increasing adoption of procedures to improve the appearance of teeth.
Global dental services market World, ****-****, in billions of dollars grandviewresearch.com
1.3 The Italian Market
The Italian dental sector ranks among the world's leaders: a business worth *** million euros in studio and laboratory consumption (***), around *** million euros in equipment value, and around *** million euros in implantology.[***] A measure that helps even more to understand the value of the Italian market is given by the industry's turnover. ISTAT data on the ATECO code"**.**," which takes into account the activities of dental practices, were used to analyze turnover. As can be seen from the graph shown here, the market was in sharp decline between **** and ****. After a steady increase between **** and ****, with a percentage increase of +** percent, there was a decrease in industry turnover of -** percent between **** and **** and -** percent between **** and ****. In ****, on the other hand, turnover related to dental practices returns to growth and also significantly, with +**% compared to the year of the advent of the pandemic. Dental Practice Turnover Evolution Italy, **** - ****, in billions of euros Source: ****
1.4 Covid-19 Impact
The dental sector has been severely affected by the pandemic. It was estimated that spending in **** decreased by about **% from the previous year and then recovered about *% in ****. Looking, however, at the decline in the ****-**** biennium, dental spending would be down approximately -**%.
Dentists' receipts also declined sharply, -**.*%, on the back of a -**.*% drop in admissions and visits and a -**% drop in care and treatment.
several reasons were given for Italian families to go without dental services. forty-five percent of dentists said the limitation of treatment was due to economic difficulties for patients. **.* percent of dentists attributed the decline in treatment to fear, reluctance, and fear of treatment. A population survey entrusted by ANDI to Eumetra, however, reveals that trust in the dentist remains high and, therefore, that in cases where patients chose not to have dental treatment, the motivation does not relate to their relationship with the dentist. Moreover, about ** percent of professionals reveal that missed treatment can be attributed to mobility restrictions related to pandemic control provisions.
The decline in revenue, then, was found to be greater in practices with a lower economic size (***) and in those operating in territories other than provincial capitals and ...
2 Demand analysis
2.1 Demand Drivers : Aging Population and Income Evolution
Income and Population Aging strongly influence demand; in fact, it is both older people who get dental care more often and those who are more affluent. The age distribution and median age of the Italian population are also important factors to consider in order to better understand this market and its customers. The Italian population is composed of about ** million people, distributed in ** regions (***), under the significant effect of declining birth rates and increasing life expectancy, which has led to an increase in the percentage life expectancy of people aged ** or older to **.* percent.
Italian population distribution Italy, ****-****, as a percentage of population Source: ****
At the income level, Italian households have an average income between ** and ** thousand euros, depending on the number of members. The income one is an important aspect, given the high costs of private health care. Despite this, more and more people are deciding to allocate part of their resources to private healthcare. In ****, **% of total spending on healthcare went to private facilities, a figure that for the first time decreased from the previous year due to the blocks imposed by Covid. (***). In total, in ****, spending on healthcare accounted for *.* percent of total Italian household consumer spending. ...
2.2 Italians and Dental Care
The snapshot regarding the oral health of Italians currently shows that ** percent do not visit the dentist. The main reason lies in the costs of dental care, which, in **% of cases are managed by private institutions for a total of *.* billion charged to citizens and just *** million managed by the National Health Service.
As for children, ** percent (***) have untreated cavities, a percentage that in adults is **.* percent. In contrast, tooth lossin adults affects about ** percent of the population.
As a result of the pandemic, the oral health conditions of millions of Italians have worsened, mainly due to the priority given to covid-**-related visits, with a statistically significant growth in caries and gum problems. A situation that has generated a sharp increase in patients during **** and ****, but also a marked increase in dental extractions, due precisely to visits postponed in the previous period
(***)
Italians' relationship with oral health Italy, ****, % sanita**.it
In ****, the main reason Italians went to the dentist related to cleaning and oral hygiene (***). Lower, **%, is the percentage of those who needed dental fillings or restorations. **% benefited from a specialist's consultation while only *% decided to have implant surgery.
Main reasons why Italians visited the dentist Italy, ****, % Keystone
2.3 The geographical distribution of demand
regarding average monthly household spending on dental services, a map regarding the distribution in different geographical areas is shown below.
The highest value is recorded in the North, particularly in the Northeast area, with **.** € of average spending, followed by the Northwest with **.* €. In the Center, spending decreases more noticeably, to a value of **.** €. The area where spending is lowest is the South, with **.**€.
3 Market structure
3.1 Market Structure
The field of dentistry has changed very rapidly in recent years, and the scenario is evolving in many respects, including legislation and the market. One of the main vectors of this change is the strong growth of organized dentistry, which has more than *** dental centers (***), about *,*** dentists and hygienists engaged on a part-time or full-time basis, and *,*** employed paramedical and administrative staff.
This has had a strong effect on the market, which as can be seen from the graph offered here has declined sharply in the utlim years. In fact, the number of dental practices has decreased by -**% in * years, with a sharp reduction in the number of firms in **** alone (***).
However, following the year coinciding with the advent of the pandemic, according to ISTAT data the number of dental practices returns to increase considerably: +**% of practices compared to ****, a clear sign of recovery in the sector. This signal is also confirmed by the fact that in **** there was a significant reduction in the percentage of dentists reporting a decrease in receipts and an increase in those reporting an increase in receipts.
Evolution Number of Dental Practices in Italy Italy, **** - ****, in absolute values Source: ****
The trend is also positive ...
3.2 Geographical Distribution
The number of dental practices (***) is distributed differently according to geograpical area.
There is a greater concentration in the Northwest, which records the highest number with **,*** practices, followed by the Center with **,*** practices. The Northeast ranks just below, with **,*** studies, showing a similar level to the South, which has **,*** studies. In contrast, the Islands have the lowest concentration, with *,*** studies.
3.3 The Professional Registrants
The number of dental registrants also appears to be growing in ****, in line with previous years. It turns out to be **,***, +*.* percent compared to ****, of which **,*** are also registered in the Register of Doctors.
The number of new members is stable, turning out to be *,*** in ****, of which *** are women, or **.* percent. The trend of new members in different years (***) can be seen below, with a breakdown by gender as well.
Trends in the number of registered dentists Italy, ****, in numbers odontoiatria**.it
Slightly up in the number of cancellations: ***. In **** there were ***; *** in ****; *** in ****. As always, useful to remember that "deletions" are not those who have left the workforce but those who have removed themselves from the Register. Balance between new entrants and deletions that stands at ***.
Returning to the members as of January **, ****, women account for ** .* percent of the members under **. On the age front, the Roll is predominantly composed of increasingly "mature" professionals, as those over ** (***) **.* percent, and those over ** number *,***.
Age distribution of dental registrants Italy, ****,% odontoiatria**.it
4 Supply analysis
4.1 Health Expenditure and Dental Care
Dental care is among the treatments that Italians most often put off for economic reasons, and * in * people in Italy cannot afford to go to the dentist. This is due, as we will see, to the poor assistance of the National Health Service for expenses involving this type of care.
Based on the volumes of expenditures, within public dental care about *.* million involve outpatient services, broken down between first visits, diagnostic imaging and various treatments.
Compared with the total figure for public outpatient activity , that of dental care accounts for about*.* percent of clinical and diagnostic activity (***).
Among the most frequent groups of services appear conservative treatment (***).
Public outpatient services in terms of expenditure volume and main treatments Italy, ****, % odontoiatria**.it
In general, the use of the dentist has changed in recent years, to which, more and more people are increasingly turning not only in cases of emergency, but also for cosmetic issues.
The interventions that are consistently requested by patients concern three areas in particular:
Implantology: implantology treatments are growing steadily in Italy due to the growing awareness of the importance of complete and healthy dentition. Dental implants are a permanent solution for missing teeth and can improve quality of ...
4.2 Prices
Trends in consumer prices for dental services over the past * years are shown below.
As can be seen from the graph, there has been a linear increase regarding the average annual indices for dental services. In particular, a considerable increase can be seen in the year ****, when there was an increase in prices due to the outbreak of war in Ukraine. The upward trend continued in ****.
Consumer Price Index for Dental Services [***] Italy, ****-****, annual averages istat.it
Looking at the monthly recorded price index, there is a gradual increase from December **** to December ****. In December ****, the price index for dental services increased by +*% compared to the same period a year earlier. Not only because of inflation, but the avoided privatization of the sector may also contribute to a price increase. Public spending on dental services amounts to only **% of total health care spending.
Consumer Price Trends for Dental Services [***] Italy, December **** - December ****, in index numbers istat.it
4.3 New supply trends
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 Regulations
5.1 Regulation
To practice dentistry in Italy, it is necessary to be registered in a special professional register and to pass a special examination.
Those who hold a diploma from one of the following degrees are eligible for the examination:
-master's degree in class **/S - dentistry and dental prosthetics;
-bachelor's degree in dentistry and dental prosthetics obtained under the previous system.
The practice of dentistry is also allowed for licensed medical and surgical graduates under the conditions specified below.
In order to practice as a dentist, it is necessary to be registered in the Register of Dentists, which is established at each provincial Order of Surgeons (***).
Membership in the said register is incompatible with membership in any other professional register.
Eligible for registration in the register of dentists are:
those who hold the relevant professional license in dentistry; also notwithstanding the incompatibility with membership in another professional register, graduates of medicine and surgery licensed to practice who began their university training in medicine before January **, ****; also notwithstanding the incompatibility with registration in another professional register, medical and surgical graduates licensed to practice who began their university training in medicine after January **, ****, and before December **, ****, and who have passed the aptitude test referred ...
6 Positioning of actors
6.1 Segmentation
- Recordati
- Farmaceutici Dottor Ciccarelli
- DP Dent
- Primo srl
- Caredent Italia spa
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the market for dentists and dental practices | Italy
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