CHAPTER ONE: INTRODUCTION... 1 STUDY GOALS AND OBJECTIVES... 1 REASONS FOR DOING THE STUDY... 1 SCOPE OF REPORT... 1 METHODOLOGY... 2 ANALYST... 3 RELATED BCC STUDIES... 3 BCC ONLINE SERVICES... 3 DISCLAIMER... 4 CHAPTER TWO: SUMMARY... 5 SUMMARY... 5 SUMMARY TABLE GLOBAL MARKET FOR DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 6 SUMMARY FIGURE GLOBAL DENTAL CONSUMABLES MARKET ANALYSIS BY PRODUCT SEGMENT, 2008 2015 ($ MILLIONS)... 7 LEADING PRODUCTS AND MANUFACTURERS... 7 LEADING PRODUCTS AND (CONTINUED)... 8 CHAPTER THREE: INDUSTRY OVERVIEW... 9 ANATOMY OF THE TOOTH... 9 GLOSSARY OF TERMS... 9 STRUCTURE AND HISTORY OF THE DENTAL INDUSTRY... 10 STRUCTURE AND HISTORY OF THE (CONTINUED)... 11 STRUCTURE AND HISTORY OF THE (CONTINUED)... 12 DESCRIPTION AND STATISTICS OF DENTAL PRACTICES... 13 Dental Offices... 13 TABLE 1 U.S. DISTRIBUTION OF DENTAL PROFESSIONALS BY SPECIALTY (%)... 14 FIGURE 1 U.S. DISTRIBUTION OF DENTAL PROFESSIONALS BY SPECIALTY (%)... 15 Endodontics... 15 Oral Surgery... 15 Orthodontics... 16 Periodontics... 16 Prosthodontics... 17 DENTIST-TO-POPULATION RATIO... 17 TABLE 2 ESTIMATED NUMBER OF DENTISTS AND DENTISTS PER POPULATION BY GLOBAL REGION, 2008 2010... 18 Dental Laboratories... 18 Consumers... 18 TABLE 3 U.S. DENTAL VISITS IN THE PAST YEAR BY AGE AND POVERTY LEVEL, 2009 (%)... 19
TABLE 4 U.S. TEETH CLEANING VISITS BY SELECTED CHARACTERISTICS (%)... 19 TABLE 4 (CONTINUED)... 20 FIGURE 2 U.S. POPULATION WITH TEETH CLEANING VISITS BY AGE (%)... 20 GLOBAL DEMOGRAPHICS... 20 TABLE 5 GLOBAL POPULATION AND ANNUAL GROWTH BY SELECTED AGE GROUP AND SELECTED YEARS, THROUGH 2030 (MILLIONS)... 21 FIGURE 3 GLOBAL POPULATION BY SELECTED AGE GROUP AND SELECTED YEARS, 2000 2030 (MILLIONS)... 22 TABLE 6 GLOBAL POPULATION BY SELECTED COUNTRY, THROUGH 2015 (MILLIONS)... 23 FIGURE 4 GLOBAL POPULATION BY SELECTED COUNTRY, 2008 2015 (MILLIONS)... 23 U.S. DEMOGRAPHICS... 24 TABLE 7 U.S. POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 24 FIGURE 5 U.S. POPULATION BY AGE, 2005 2015 (THOUSANDS)... 24 Life Expectancy... 25 TABLE 8 CURRENT AND PROJECTED U.S. LIFE EXPECTANCY AT BIRTH BY GENDER, 2000-2020 (YEARS)... 25 FIGURE 6 CURRENT AND PROJECTED U.S. LIFE EXPECTANCY AT BIRTH BY GENDER (YEARS)... 26 EUROPEAN DEMOGRAPHICS... 26 Germany Demographics... 27 TABLE 9 GERMANY POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 27 FIGURE 7 GERMANY POPULATION BY AGE, 2005 2015 (THOUSANDS)... 27 France Demographics... 28 TABLE 10 FRANCE POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 28 FIGURE 8 FRANCE POPULATION BY AGE, 2005 2015 (THOUSANDS)... 28 U.K. Demographics... 29 TABLE 11 U.K. POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 29 FIGURE 9 U.K. POPULATION BY AGE, 2005 2015 (THOUSANDS)... 29 ASIA-PACIFIC... 29 Japan Demographics... 30 TABLE 12 JAPAN POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 30 FIGURE 10 JAPAN POPULATION BY AGE, 2005 2015 (THOUSANDS)... 30 China Demographics... 31
TABLE 13 CHINA POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 31 FIGURE 11 CHINA POPULATION BY AGE, 2005 2015 (THOUSANDS)... 31 India Demographics... 32 TABLE 14 INDIA POPULATION BY AGE, THROUGH 2015 (THOUSANDS)... 32 FIGURE 12 INDIA POPULATION BY AGE, 2005 2015 (THOUSANDS)... 32 SPECIAL POPULATIONS... 33 PEDIATRIC DENTAL CARE... 33 ELDERLY DENTAL CARE... 33 Drug Side Effects... 34 DIABETES AND PERIODONTAL DISEASE... 35 ORAL CANCER AND DENTAL HEALTH... 35 TABLE 15 U.S. ORAL CANCER INCIDENCE, 2009... 36 FIGURE 13 U.S. ORAL CANCER INCIDENCE, 2009... 36 TABLE 16 U.S. ORAL CANCER MORTALITY, 2009... 37 FIGURE 14 U.S. ORAL CANCER MORTALITY, 2009... 37 PROCEDURE VOLUMES... 37 U.S. DENTAL PROCEDURE DATA... 37 TABLE 17 U.S. ESTIMATED DENTAL PROCEDURES, 2009 2010 (MILLIONS)... 38 FIGURE 15 U.S. ESTIMATED DENTAL PROCEDURES, 2009 2010... 38 INTERNATIONAL DENTAL PROCEDURE DATA... 39 TABLE 18 GLOBAL ESTIMATED DENTAL PROCEDURES BY COUNTRY, 2009 2010 (MILLIONS)... 39 FIGURE 16 GLOBAL ESTIMATED DENTAL PROCEDURES BY COUNTRY, 2009 2010 (MILLIONS)... 40 REGULATORY STUCTURE... 40 U.S. DEVICE REGISTRATION PROCESS... 41 EUROPEAN UNION DEVICE REGISTRATION PROCESS... 41 JAPAN S DEVICE REGISTRATION PROCESS... 42 REGULATION OF DENTAL AMALGAM MATERIALS... 42 Regulation of Dental Amalgam Materials (Continued)... 43 CHAPTER FOUR: ISSUES AFFECTING THE MARKET... 44 U.S. DENTAL INSURANCE ISSUES AND STATISTICS... 44 TABLE 19 PRIVATE INDUSTRY WORKERS PARTICIPATING IN HEALTH CARE PLANS, 2007 (%)... 44 TABLE 20 AVERAGE INSURANCE REIMBURSEMENT RATES FOR SINGLE-SURFACE COMPOSITE RESTORATION, 2009 2010 ($)... 45 DENTAL INSURANCE FOR CHILDREN... 45 JAPAN SOCIAL HEALTH INSURANCE SYSTEM... 46 BETTER ACCESS TO AFFORDABLE DENTAL CARE: A U.S. FOCUS... 46 IMPROVED ACCESS TO CARE IN DEVELOPING MARKETS... 47
MINIMALLY INVASIVE TECHNIQUES... 48 MARKETING AND DISTRIBUTION... 48 MEDICAL TOURISM AND DENTAL CARE... 49 GROWING DENTAL SPA ENVIRONMENT... 50 EXPANDING MARKET PRESENCE THROUGH ACQUISITONS AND COLLABORATIONS... 50 BIOMET 3I... 50 DANAHER... 50 INTERNATIONAL TRENDS... 51 DEVELOPED MARKETS... 51 DEVELOPING MARKETS... 51 CHAPTER FIVE: GENERAL DENTAL SUPPLIES... 52 OVERVIEW... 52 PRODUCT SEGMENTS... 52 TOTAL MARKET SIZE AND GROWTH... 52 TABLE 21 GLOBAL MARKET FOR GENERAL DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 53 FIGURE 17 GLOBAL MARKET FOR GENERAL DENTAL CONSUMABLES BY PRODUCT SEGMENT, 2008-2015 ($ MILLIONS)... 53 CHAPTER SIX: PREVENTIVE DENTAL MARKETS... 54 OVERVIEW... 54 DESCRIPTION OF PROCEDURES... 54 MAJOR PRODUCT SEGMENTS... 54 FLUORIDE PRODUCTS... 55 ORAL RINSES... 55 TEMPORARY FILLING AND SEALING MATERIALS... 55 MANUFACTURERS AND DISTRIBUTORS... 55 TABLE 22 SELECTED MANUFACTURERS AND DISTRIBUTORS OF PREVENTIVE DENTAL SUPPLIES... 56 TOTAL MARKET SIZE AND GROWTH... 56 TABLE 23 GLOBAL MARKET FOR PREVENTIVE DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 57 FIGURE 18 GLOBAL MARKET FOR PREVENTIVE DENTAL CONSUMABLES BY PRODUCT SEGMENT, 2008-2015 ($ MILLIONS)... 57 DISTRIBUTION BY WORLD REGION... 58 TABLE 24 DISTRIBUTION OF SALES FOR PREVENTIVE DENTAL CONSUMABLES BY GLOBAL REGION, THROUGH 2015 (%)... 58 FIGURE 19 DISTRIBUTION OF SALES FOR PREVENTIVE DENTAL CONSUMABLES BY GLOBAL REGION, 2010 (%)... 59
FIGURE 20 DISTRIBUTION FOR PREVENTIVE DENTAL CONSUMABLES BY GLOBAL REGION, 2015 (%)... 59 COMPETITIVE STRUCTURE AND MARKET SHARE... 59 TABLE 25 LEADING SUPPLIERS MARKET SHARE FOR PREVENTIVE DENTAL CONSUMABLES, 2010 (%/$ MILLIONS)... 60 FIGURE 21 LEADING SUPPLIERS MARKET SHARE FOR PREVENTIVE DENTAL CONSUMABLES, 2010 (%)... 60 CHAPTER SEVEN: DENTAL TREATMENT MARKETS... 61 OVERVIEW... 61 TABLE 26 DENTAL CARIES AND ANNUAL SUGAR CONSUMPTION BY GLOBAL REGION (%/KG)... 62 FIGURE 22 DENTAL CARIES AND ANNUAL SUGAR CONSUMPTION BY GLOBAL REGION (%/KG)... 62 TABLE 27 U.S. AVERAGE NUMBER OF UNTREATED DENTAL CARIES BY AGE AND POVERTY LEVEL, 2001 2004* (%)... 63 DESCRIPTION OF PROCEDURES... 63 BASIC FILLING PROCEDURES... 64 ENDODONTIC TREATMENTS... 64 MAJOR PRODUCT SEGMENTS... 65 FILLING MATERIALS... 65 Amalgam Fillings... 65 Composite Fillings... 66 Ionomer Fillings... 66 FILLING SUPPLIES AND ACCESSORIES... 67 Bonding Agents... 67 Rubber Dams and Accessories... 67 Articulating Paper and Accessories... 67 Finishing and Polishing Materials... 67 Total Materials Cost... 67 TABLE 28 MATERIALS COST FOR ITEMS IN A ONE-SURFACE COMPOSITE RESTORATION ($)... 68 MANUFACTURERS AND DISTRIBUTORS... 68 TABLE 29 MANUFACTURERS AND DISTRIBUTORS OF DENTAL PREPARATION AND TREATMENT SUPPLIES... 68 TABLE 29 (CONTINUED)... 69 TOTAL MARKET SIZE AND GROWTH... 69 TABLE 30 GLOBAL MARKET FOR DENTAL TREATMENT CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 70 FIGURE 23 GLOBAL MARKET FOR DENTAL TREATMENT CONSUMABLES BY PRODUCT SEGMENT, 2008-2015 ($ MILLIONS)... 70 DISTRIBUTION BY WORLD REGION... 71
TABLE 31 DISTRIBUTION FOR DENTAL TREATMENT CONSUMABLES BY GLOBAL REGION, 2010 AND 2015 (%)... 71 FIGURE 24 DISTRIBUTION OF SALES FOR DENTAL TREATMENT CONSUMABLES BY GLOBAL REGION, 2010 (%)... 72 FIGURE 25 DISTRIBUTION OF SALES FOR DENTAL TREATMENT CONSUMABLES BY GLOBAL REGION, 2015 (%)... 72 COMPETITIVE STRUCTURE AND MARKET SHARE... 73 TABLE 32 LEADING SUPPLIERS MARKET SHARE FOR DENTAL TREATMENT CONSUMABLES, 2010 (%/$ MILLIONS)... 73 FIGURE 26 LEADING SUPPLIERS MARKET SHARE FOR DENTAL TREATMENT CONSUMABLES, 2010 (%)... 74 CHAPTER EIGHT: RESTORATIVE AND COSMETIC DENTAL MARKETS... 75 OVERVIEW... 75 DESCRIPTIONS OF PROCEDURES... 75 COSMETIC DENTISTRY... 75 TABLE 33 DENTAL COSMETIC PROCEDURES IN HIGHEST DEMAND BY AGE... 76 TABLE 34 U.S. DENTAL OFFICES GENERATING REVENUE FROM COSMETIC DENTISTRY BY GEOGRAPHIC AREA (%)... 76 Cosmetic Dentistry and Aging... 77 TABLE 35 LEVEL OF IMPORTANCE PLACED ON GROWTH DRIVERS FOR COSMETIC DENTISTRY ACCORDING TO DENTAL PROFESSIONALS... 77 TABLE 36 U.S. AVERAGE NUMBER OF PROCEDURES BY PRACTICE, 2006... 78 SPORTS DENTISTRY... 78 MAJOR PRODUCT SEGMENTS... 79 CROWNS, BANDS, AND SHELLS... 79 Crown Forms... 79 Temporary Materials... 79 Permanent Crown Materials... 80 All-Porcelain... 80 Gold Alloys... 80 Base-Metal Alloys... 80 Composites... 81 CEMENTS AND LINERS... 81 DENTAL IMPLANTS... 81 Manufacturers... 82 Bicon... 82 BioHorizons... 82 Biomet... 83 Dentsply... 83 Keystone Dental (Lifecore)... 83 Nobel Biocare... 84
Zimmer Dental... 84 REGENERATIVE PRODUCTS... 85 Manufacturers... 85 Keystone Dental... 85 Straumann... 85 Zimmer Dental... 86 IMPRESSION MATERIALS... 86 BLEACHING MATERIALS... 87 VENEERS AND OTHER MATERIALS... 87 MANUFACTURERS AND DISTRIBUTORS... 88 TABLE 37 MANUFACTURERS AND DISTRIBUTORS OF RESTORATIVE AND COSMETIC DENTAL SUPPLIES... 88 TABLE 37 (CONTINUED)... 89 TOTAL MARKET SIZE AND GROWTH... 89 TABLE 38 GLOBAL MARKET FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 90 FIGURE 27 GLOBAL MARKET FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES BY PRODUCT SEGMENT, 2008-2015 ($ MILLIONS)... 90 DENTAL PROSTHETICS MARKET... 91 TABLE 39 GLOBAL MARKET FOR DENTAL PROSTHETICS BY PRODUCT, THROUGH 2015 ($ MILLIONS)... 91 FIGURE 28 GLOBAL MARKET FOR DENTAL PROSTHETICS BY PRODUCT, THROUGH 2015 ($ MILLIONS)... 92 TISSUE AND BONE REGENERATION MATERIALS MARKET... 92 TABLE 40 GLOBAL MARKET FOR TISSUE AND BONE REGENERATION MATERIALS FOR DENTAL RECONSTRUCTION BY TYPE, THROUGH 2015 ($ MILLIONS)... 93 FIGURE 29 GLOBAL MARKET FOR TISSUE AND BONE REGENERATION MATERIALS FOR DENTAL RECONSTRUCTION BY TYPE, 2008-2015 ($ MILLIONS)... 93 DISTRIBUTION BY WORLD REGION... 93 TABLE 41 DISTRIBUTION OF SALES FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES BY GLOBAL REGION, 2010 AND 2015 (%)... 94 FIGURE 30 DISTRIBUTION OF SALES FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES BY GLOBAL REGION, 2010 (%)... 95 FIGURE 31 DISTRIBUTION FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES BY GLOBAL REGION, 2015 (%)... 95 COMPETITIVE STRUCTURE AND MARKET SHARE... 95 COMPETITIVE STRUCTURE AND (CONTINUED)... 96
TABLE 42 LEADING SUPPLIERS MARKET SHARE FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES, 2010 (%/$ MILLIONS)... 97 FIGURE 32 LEADING SUPPLIERS MARKET SHARE FOR RESTORATIVE AND COSMETIC DENTAL CONSUMABLES, 2010 (%)... 97 CHAPTER NINE: MARKET SUMMARY... 98 MARKET OVERVIEW FOR DENTAL CONSUMABLES... 98 TABLE 43 GLOBAL MARKET FOR DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 98 FIGURE 33 GLOBAL MARKET FOR DENTAL CONSUMABLES BY PRODUCT SEGMENT, THROUGH 2015 ($ MILLIONS)... 99 TOTAL MARKET AND PERCENTAGE DISTRIBUTION BY PRODUCT TYPE... 99 TOTAL MARKET AND PERCENTAGE (CONTINUED)... 100 TABLE 44 GLOBAL MARKET FOR DENTAL CONSUMABLES, THROUGH 2015 ($ MILLIONS/%)... 100 FIGURE 34 GLOBAL MARKET FOR DENTAL CONSUMABLES, 2010 ($ MILLIONS)... 101 GLOBAL MARKET SHARES... 101 TABLE 45 DENTAL CONSUMABLES GLOBAL MARKET SHARE BY REGION, 2010 (%/$ MILLIONS)... 102 FIGURE 35 DENTAL CONSUMABLES GLOBAL MARKET SHARE BY REGION, 2010 (%)... 102 INDUSTRY PARTICIPANTS AND COMPETITIVE ANALYSIS... 103 TABLE 46 MARKET SHARE OF DENTAL CONSUMABLES MARKET PARTICIPANTS, 2010 (%/$ MILLIONS)... 104 FIGURE 36 MARKET SHARE DENTAL CONSUMABLES MARKET PARTICIPANTS, 2010 (%)... 105 CHAPTER TEN: TECHNOLOGY... 106 CURRENT USES OF TECHNOLOGY... 106 REMINERALIZING AGENTS, FLUORIDE, AND BLEACHING PRODUCTS... 106 SNAP-ON SMILE... 106 LIGHT-ACTIVATED WHITENING SYSTEMS... 107 DENTAL IMPLANTS... 107 NEW PRODUCT INNOVATION... 108 PATENT EVALUATION BY TECHNOLOGY... 109 TABLE 47 DENTAL PATENTS BY PRODUCT SEGMENT, 2006 2011... 110 FIGURE 37 DENTAL PATENTS BY PRODUCT SEGMENT, 2006 2011... 111 TABLE 48 PATENT EVALUATION BY PRODUCT SEGMENT, 2006 2011... 112 TABLE 48 (CONTINUED)... 113
TABLE 48 (CONTINUED)... 114 TABLE 48 (CONTINUED)... 115 TABLE 49 PATENTS PER ASSIGNEE FOR DENTAL CONSUMABLE PATENTS, 2006 2011... 116 FIGURE 38 DENTAL CONSUMABLE PATENTSBY ASSIGNEE, 2006 2011... 117 PATENT EVALUATION BY TECHNOLOGY (CONTINUED)... 118 CHAPTER ELEVEN: COMPANY PROFILES... 119 OVERVIEW... 119 3M ESPE DENTAL SOLUTIONS... 119 FIGURE 39 3M COMPANY SALES, 2008 2010 ($ MILLIONS)... 120 BIOMET 3I... 121 FIGURE 40 BIOMET SALES, 2008 2010* ($ MILLIONS)... 122 DENTSPLY INTERNATIONAL, INC.... 122 FIGURE 41 DENTSPLY SALES, 2008 2010 ($ MILLIONS)... 123 HENRY SCHEIN, INC.... 124 FIGURE 42 HENRY SCHEIN SALES, 2008 2010 ($ MILLIONS)... 124 FIGURE 42 (CONTINUED)... 125 KERR CORPORATION/SYBRON DENTAL SPECIALTIES... 125 FIGURE 43 DANAHER SALES, 2008 2010 ($ MILLIONS)... 126 IVOCLAR VIVADENT AG... 126 FIGURE 44 IVOCLAR VIVADENT SALES, 2008 AND 2009 ($ MILLIONS)... 127 FIGURE 44 (CONTINUED)... 128 NOBEL BIOCARE... 128 FIGURE 45 NOBEL BIOCARE SALES, 2008 2010 ($ MILLIONS)... 129 PATTERSON COMPANIES, INC.... 129 FIGURE 46 PATTERSON SALES, 2008 2010* ($ MILLIONS)... 130 SEPTODONT... 131 ULTRADENT PRODUCTS... 131 ZIMMER DENTAL... 132 FIGURE 47 ZIMMER SALES, 2008 2010* ($ MILLIONS)... 133 APPENDICES... 134 APPENDIX I: DENTAL SUPPLY MANUFACTURES, DISTRIBUTORS, AND AFFILIATED COMPANIES... 134 APPENDIX I (CONTINUED)... 135 APPENDIX I (CONTINUED)... 136 APPENDIX I (CONTINUED)... 137 APPENDIX I (CONTINUED)... 138 APPENDIX I (CONTINUED)... 139 APPENDIX I (CONTINUED)... 140 APPENDIX I (CONTINUED)... 141 APPENDIX I (CONTINUED)... 142
APPENDIX I (CONTINUED)... 143 APPENDIX II: RELEVANT ASSOCIATIONS AND ORGANIZATIONS... 144 APPENDIX II (CONTINUED)... 145 APPENDIX II (CONTINUED)... 146 APPENDIX II (CONTINUED)... 147 APPENDIX II (CONTINUED)... 148 APPENDIX II (CONTINUED)... 149 APPENDIX II (CONTINUED)... 150 APPENDIX II (CONTINUED)... 151 APPENDIX II (CONTINUED)... 152 APPENDIX II (CONTINUED)... 153 APPENDIX II (CONTINUED)... 154 APPENDIX II (CONTINUED)... 155 APPENDIX II (CONTINUED)... 156 APPENDIX II (CONTINUED)... 157 APPENDIX II (CONTINUED)... 158 APPENDIX II (CONTINUED)... 159 APPENDIX II (CONTINUED)... 160 APPENDIX II (CONTINUED)... 161 APPENDIX II (CONTINUED)... 162 APPENDIX III: DENTAL JOURNALS AND PUBLICATIONS... 163 APPENDIX III (CONTINUED)... 164