CHAPTER ONE: INTRODUCTION... 1 STUDY GOALS AND OBJECTIVES... 1 REASONS FOR DOING THE STUDY... 1 SCOPE OF REPORT... 1 METHODOLOGY... 1 RELATED BCC STUDIES... 2 ANALYST CREDENTIALS... 2 BCC RESEARCH ONLINE SERVICES... 3 DISCLAIMER... 3 CHAPTER TWO: SUMMARY... 4 THE DENTAL MARKET: MAJOR MARKETS SUMMARY... 4 SUMMARY TABLE TOTAL U.S. DENTAL MARKET ANALYSIS BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 5 SUMMARY FIGURE TOTAL U.S. DENTAL MARKET ANALYSIS BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 5 CHAPTER THREE: INDUSTRY OVERVIEW... 6 STRUCTURE AND HISTORY OF THE DENTAL INDUSTRY... 6 STRUCTURE AND HISTORY (CONTINUED)... 7 STRUCTURE AND HISTORY (CONTINUED)... 8 DESCRIPTIONS AND STATISTICS OF DENTAL PRACTICES... 9 ENDODONTICS... 9 ORTHODONTICS... 10 PERIODONTICS... 10 PROSTHODONTICS... 11 DENTAL OFFICES... 11 TABLE 1 DENTAL PROFESSIONALS, BY YEAR... 12 DENTAL LABORATORIES... 12 TRENDS AND STATISTICS... 12 CONSUMERS... 12 TABLE 2 DENTAL VISITS IN THE PAST YEAR BY POVERTY LEVEL AND AGE GROUP, 2006 (%)... 13 TABLE 3 TEETH CLEANING VISITS BY SELECTED CHARACTERISTICS (%)... 13 U.S. DEMOGRAPHICS AND INCIDENCE OF DENTAL CONDITIONS... 13 Aging U.S. Population... 14 TABLE 4 ESTIMATED U.S. POPULATION, BY AGE GROUP, THROUGH 2015 (THOUSANDS)... 14 FIGURE 1 ESTIMATED U.S. POPULATION BY AGE GROUP, 2004 2015 (THOUSANDS)... 14 TABLE 5 ESTIMATED U.S. POPULATION WITHIN THE 65 AND UP GROUP, THROUGH 2015 (THOUSANDS)... 15
DENTAL CARIES BY AGE, INCOME, AND RACE... 15 TABLE 6 AVERAGE NUMBER OF UNTREATED DENTAL CARIES BY AGE AND RACE (%)... 16 PEDIATRIC DENTAL CARE... 16 ELDERLY DENTAL CARE... 16 DIABETES AND PERIODONTAL DISEASE... 17 TABLE 7 ADULTS WITH DIABETES WHO HAVE HAD ANNUAL DENTAL VISITS, BY STATE (%)... 18 TABLE 7 (CONTINUED)... 19 ISSUES AFFECTING THE MARKET... 19 DENTAL INSURANCE ISSUES AND STATISTICS... 19 TABLE 8 PRIVATE INDUSTRY WORKERS PARTICIPATING IN HEALTH CARE PLANS, 2007 (%)... 19 Dental Insurance for Children... 20 BETTER ACCESS TO AFFORDABLE DENTAL CARE... 20 Better Access to (Continued)... 21 EVIDENCE BASED CARE... 22 COSMETIC DENTISTRY... 23 TABLE 9 DENTAL COSMETIC PROCEDURES IN HIGHEST DEMAND BY AGE GROUP... 24 TABLE 10 DENTAL OFFICES GENERATING REVENUE FROM COSMETIC DENTISTRY, BY GEOGRAPHIC AREA (%)... 24 Cosmetic Dentistry and Aging... 25 TABLE 11 LEVEL OF IMPORTANCE PLACED ON GROWTH DRIVERS FOR COSMETIC DENTISTRY BY DENTAL PROFESSIONALS... 25 TABLE 12 AVERAGE NUMBER OF COSMETIC PROCEDURES AND RELATED REVENUE BY PRACTICE, 2006 ($ MILLIONS)... 26 SPORTS DENTISTRY... 26 BIOMIMETICS... 27 DENTAL TOURISM... 27 DENTIST-TO-POPULATION RATIO... 28 TABLE 13 AVERAGE NUMBER OF COSMETIC PROCEDURES AND RELATED REVENUE BY PRACTICE, 2003 AND 2007... 29 DENTAL SPAS... 29 IMPLANT DENTISTRY... 29 ORAL CANCER... 30 FIGURE 2 ORAL CANCER INCIDENCE AND MORTALITY IN THE U.S., 2007 (NUMBER)... 31 ELDERLY DENTISTRY... 31 Drug Side Effects... 32 TECHNOLOGY... 32 FUTURE OF DENTISTRY... 33 DIGITAL INTRAORAL CAMERAS... 33
REMINERALIZING AGENTS, FLUORIDE, AND BLEACHING PRODUCTS... 34 PRACTICE MANAGEMENT SOFTWARE... 34 DIGITAL AND 3D DIGITAL RADIOGRAPHY... 35 SNAP-ON SMILE... 35 LIGHT-ACTIVATED WHITENING SYSTEMS... 36 AIR ABRASION... 36 MINIMALLY INVASIVE TECHNIQUES... 37 LASER CARIES DETECTION... 37 COMPUTER-AIDED DRAFTING/COMPUTER AIDED MANUFACTURING (CAD/CAM)... 37 PATENT ANALYSIS... 38 TABLE 14 NUMBER OF U.S. DENTAL TECHNOLOGY PATENTS GRANTED BY YEAR, 1990 2008... 39 FIGURE 3 U.S. DENTAL TECHNOLOGY PATENTS GRANTED BY YEAR, 1990 2008... 39 TABLE 15 U.S. PATENT INVENTORS AND TECHNOLOGIES FOR MAJOR DENTAL-RELATED PATENTS, APRIL SEPTEMBER 2008... 40 TABLE 15 (CONTINUED)... 41 TABLE 15 (CONTINUED)... 42 TABLE 15 (CONTINUED)... 43 TABLE 15 (CONTINUED)... 44 TABLE 15 (CONTINUED)... 45 TABLE 15 (CONTINUED)... 46 TABLE 15 (CONTINUED)... 47 FIGURE 4 U.S. PATENT LOCATIONS FOR MAJOR DENTAL- RELATED PATENTS, APRIL TO SEPTEMBER 2008 (NUMBER OF PATENTS)... 47 FIGURE 4 (CONTINUED)... 48 Patent Analysis (Continued)... 49 Patent Analysis (Continued)... 50 CHAPTER 4: PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES... 51 OVERVIEW... 51 DENTAL EQUIPMENT... 51 OVERVIEW... 51 PRODUCT DESCRIPTION... 51 Dental Furniture... 51 Operatory Units... 52 TABLE 16 SELECTED MANUFACTURER AND DISTRIBUTOR LIST FOR GENERAL DENTAL FURNITURE... 52 Cavity Preparation Systems and Air Abrasion Units... 52 Dental Lasers... 53 Diode Laser... 53 CO2 Laser... 54
Erbium Laser... 54 TABLE 17 SELECTED LIST OF DENTAL LASER MANUFACTURERS AND SUPPLIERS... 54 Sterilizers and Autoclaves... 55 TABLE 18 SELECTED DENTAL STERILIZER AND AUTOCLAVE SUPPLIERS... 55 Amalgamators and Mixers... 55 TABLE 19 SELECTED MANUFACTURERS AND DISTRIBUTORS OF AMALGAMATORS AND MIXERS... 56 X-ray Devices and Related Equipment... 56 Digital Dental X-Ray Systems... 56 Film Processors... 57 TABLE 20 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL X-RAY DEVICES AND EQUIPMENT... 58 Other Types of Dental Equipment... 58 Intraoral Cameras... 58 TABLE 21 SELECTED MANUFACTURERS AND DISTRIBUTORS OF INTRAORAL CAMERAS... 59 Air Compressors and Vacuum Systems... 59 TABLE 22 SELECTED MANUFACTURERS AND DISTRIBUTORS OF AIR COMPRESSORS AND VACUUM SYSTEMS... 59 Nitrous Oxide Systems... 60 TABLE 23 SELECTED MANUFACTURERS AND DISTRIBUTORS OF NITROUS OXIDE SYSTEMS... 60 Ultrasonic Cleaners... 60 TABLE 24 SELECTED MANUFACTURERS AND DISTRIBUTORS OF ULTRASONIC CLEANERS... 60 Scalers... 61 TABLE 25 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL SCALERS... 61 Curing Lights... 61 TABLE 26 SELECTED MANUFACTURERS AND DISTRIBUTORS OF CURING LIGHTS... 61 Laboratory Equipment... 62 TABLE 27 SELECTED MANUFACTURERS AND DISTRIBUTORS OF LABORATORY EQUIPMENT... 62 MARKET ANALYSIS... 62 TABLE 28 MARKET FOR DENTAL EQUIPMENT BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 63 FIGURE 5 MARKET FOR DENTAL EQUIPMENT BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 63 DISTRIBUTION BY PRACTICE TYPE... 64 TABLE 29 DISTRIBUTION FOR DENTAL EQUIPMENT BY DENTAL PRACTICE TYPE, 2008 AND 2013 (%)... 64
FIGURE 6 DISTRIBUTION FOR DENTAL EQUIPMENT BY DENTAL PRACTICE TYPE, 2008 (%)... 64 FIGURE 7 DISTRIBUTION FOR DENTAL EQUIPMENT BY DENTAL PRACTICE TYPE, 2013 (%)... 65 DENTAL MATERIALS AND SUPPLIES... 65 OVERVIEW... 65 CAVITY TREATMENT SUPPLIES... 65 Amalgam Fillings... 66 Composite Fillings... 66 Ionomer Fillings... 67 All-Porcelain Fillings... 67 Gold Alloys... 68 Base-Metal Alloys... 68 Articulating Paper and Accessories... 68 TABLE 30 SELECTED MANUFACTURERS AND DISTRIBUTORS OF CAVITY PREPARATION AND TREATMENT SUPPLIES... 68 TABLE 30 (CONTINUED)... 69 CROWN FORMS, CEMENT AND LINERS, PINS, AND POSTS... 69 Crown Forms... 69 Cement and Liners... 69 Pins and Posts... 70 TABLE 31 SELECTED MANUFACTURERS AND DISTRIBUTORS OF CROWN FORMS, CEMENT AND LINERS, PINS AND POSTS, BANDS, AND SHELLS... 70 HANDPIECES, BURS, AND RELATED ACCESSORIES... 71 TABLE 32 SELECTED MANUFACTURERS AND DISTRIBUTORS OF HANDPIECES, BURS, AND ACCESSORIES... 71 DENTAL INSTRUMENTS... 71 TABLE 33 TYPES OF DENTAL INSTRUMENTS... 72 TABLE 34 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL INSTRUMENTS... 72 TABLE 34 (CONTINUED)... 73 IMPRESSION MATERIALS AND ACCESSORIES... 73 TABLE 35 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL IMPRESSIONS AND ACCESSORIES... 74 EVACUATION PRODUCTS... 74 FINISHING AND POLISHING PRODUCTS... 75 RUBBER DAMS AND ACCESSORIES... 75 TABLE 36 SELECTED MANUFACTURERS AND DISTRIBUTORS OF IMPRESSION MATERIALS AND ACCESSORIES... 75 MARKET ANALYSIS... 76 TABLE 37 MARKET FOR DENTAL MATERIALS AND SUPPLIES BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 76
FIGURE 8 MARKET FOR DENTAL MATERIALS AND SUPPLIES BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 77 DISTRIBUTION BY PRACTICE TYPE... 77 TABLE 38 DISTRIBUTION FOR DENTAL MATERIALS AND SUPPLIES BY DENTAL PRACTICE TYPE, 2008 AND 2013 (%)... 78 FIGURE 9 DISTRIBUTION FOR DENTAL MATERIALS AND SUPPLIES BY DENTAL PRACTICE TYPE, 2008 (%)... 78 FIGURE 10 DISTRIBUTION FOR DENTAL MATERIALS AND SUPPLIES BY DENTAL PRACTICE TYPE, 2013 (%)... 79 RESTORATIVE AND COSMETIC MATERIALS... 79 OVERVIEW... 79 RESTORATIVE AND COSMETIC MATERIALS... 79 Acrylic Resins... 80 Composite Resins... 80 Teeth Whitening and Bleaching Systems... 81 Porcelain Veneers... 81 DENTAL IMPLANTS... 81 Leading Manufacturers... 82 Bicon... 82 BioHorizons... 82 Biomet... 82 Dentsply... 83 Keystone Dental (Lifecore)... 83 Nobel Biocare... 84 Zimmer Dental... 84 TABLE 39 SELECTED MANUFACTURERS AND DISTRIBUTORS OF RESTORATIVE AND COSMETIC PRODUCTS... 84 TABLE 39 (CONTINUED)... 85 MARKET ANALYSIS... 85 TABLE 40 MARKET FOR DENTAL RESTORATIVE AND COSMETIC MATERIALS, THROUGH 2013 ($ MILLIONS)... 86 FIGURE 11 MARKET FOR DENTAL RESTORATIVE AND COSMETIC MATERIALS, 2006 2013 ($ MILLIONS)... 86 DISTRIBUTION BY PRACTICE TYPE... 87 TABLE 41 DISTRIBUTION FOR DENTAL RESTORATIVE AND COSMETIC MATERIALS BY DENTAL PRACTICE TYPE, THROUGH 2013 (%)... 87 FIGURE 12 DISTRIBUTION FOR DENTAL RESTORATIVE AND COSMETIC MATERIALS BY DENTAL PRACTICE TYPE, 2008 (%)... 87 FIGURE 13 DISTRIBUTION FOR DENTAL RESTORATIVE AND COSMETIC MATERIALS BY DENTAL PRACTICE TYPE, 2013 (%)... 88 PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS... 88 OVERVIEW... 88
PHARMACEUTICALS... 88 Antibiotics... 89 Analgesics... 90 Sedatives... 91 Anti-Inflammatories... 91 Muscle Relaxants... 92 Antifungals... 92 Miscellaneous Prescription Rinses... 92 ANESTHETICS AND RELATED PREPARATIONS... 92 PROPHYLACTIC MATERIALS... 93 TABLE 42 SELECTED MANUFACTURERS AND DISTRIBUTORS OF PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS... 93 MARKET ANALYSIS... 93 TABLE 43 MARKET FOR DENTAL PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 94 FIGURE 14 MARKET FOR DENTAL PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 94 DISTRIBUTION BY PRACTICE TYPE... 95 TABLE 44 DISTRIBUTION FOR DENTAL PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS BY DENTAL PRACTICE TYPE, 2008 AND 2013 (%)... 95 FIGURE 15 DISTRIBUTION FOR DENTAL PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS BY DENTAL PRACTICE TYPE, 2008 (%)... 95 FIGURE 16 DISTRIBUTION FOR DENTAL PHARMACEUTICALS, ANESTHETICS, AND PROPHYLACTIC MATERIALS BY DENTAL PRACTICE TYPE, 2013 (%)... 96 PROFESSIONAL DENTAL MARKET ANALYSIS... 96 TABLE 45 MARKET FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES MARKET BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 97 FIGURE 17 MARKET FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES MARKET BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 98 DISTRIBUTION BY PRACTICE TYPE... 98 TABLE 46 DISTRIBUTION FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES BY DENTAL PRACTICE TYPE, 2008-2013 (%)... 99 FIGURE 18 DISTRIBUTION FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES BY DENTAL PRACTICE TYPE, 2008 (%)... 99
FIGURE 19 DISTRIBUTION FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES BY DENTAL PRACTICE TYPE, 2013 (%)... 100 LEADING SUPPLIERS AND PARTICIPANTS... 100 TABLE 47 LEADING SUPPLIER MARKET SHARE FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES, 2008 (%)... 100 FIGURE 20 LEADING SUPPLIERS MARKET SHARE FOR PROFESSIONAL DENTAL EQUIPMENT AND SUPPLIES, 2008 (%)... 101 CHAPTER 5: RETAIL DENTAL CARE... 102 OVERVIEW... 102 DAILY PREVENTIVE CARE AND TREATMENT... 102 OVERVIEW... 102 Toothpastes... 102 Toothpastes (Continued)... 103 Toothbrushes... 104 Toothbrushes (Continued)... 105 Toothbrushes (Continued)... 106 Dental Rinses... 107 Dental Floss... 107 TABLE 48 SELECTED MANUFACTURERS AND DISTRIBUTORS OF TOOTHPASTES... 108 TABLE 49 SELECTED MANUFACTURERS AND DISTRIBUTORS OF TOOTHBRUSHES... 109 TABLE 50 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL RINSES... 109 TABLE 51 SELECTED MANUFACTURERS AND DISTRIBUTORS OF DENTAL FLOSS... 109 MARKET ANALYSIS... 110 TABLE 52 MARKET FOR DAILY PREVENTIVE CARE AND TREATMENTS BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 110 FIGURE 21 MARKET FOR DAILY PREVENTIVE CARE AND TREATMENTS BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 111 DISTRIBUTION BY RETAIL OUTLET... 111 TABLE 53 DISTRIBUTION FOR DAILY PREVENTIVE CARE AND TREATMENTS BY RETAIL OUTLET, 2008 AND 2013 (%)... 112 FIGURE 22 DISTRIBUTION FOR DAILY PREVENTIVE CARE AND TREATMENT BY RETAIL OUTLET, 2008 (%)... 112 FIGURE 23 DISTRIBUTION FOR DAILY PREVENTIVE CARE AND TREATMENT BY RETAIL OUTLET, 2013 (%)... 113 COSMETIC MATERIALS AND SUPPLIES... 113 OVERVIEW... 113 WHITENERS... 113
TABLE 54 SELECTED MANUFACTURERS AND DISTRIBUTORS OF RETAIL WHITENER PRODUCTS... 114 MARKET ANALYSIS... 115 TABLE 55 MARKET FOR COSMETIC MATERIALS AND SUPPLIES BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 115 FIGURE 24 MARKET FOR COSMETIC MATERIALS AND SUPPLIES BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 115 DISTRIBUTION BY RETAIL OUTLET... 116 TABLE 56 DISTRIBUTION OF COSMETIC MATERIALS AND SUPPLIES BY RETAIL OUTLET, 2008 AND 2013 (%)... 116 FIGURE 25 DISTRIBUTION OF COSMETIC MATERIALS AND SUPPLIES BY RETAIL OUTLET, 2008 (%)... 116 FIGURE 26 DISTRIBUTION FOR COSMETIC MATERIALS AND SUPPLIES BY RETAIL OUTLET, 2013 (%)... 117 RETAIL MARKET ANALYSIS... 117 TABLE 57 MARKET FOR RETAIL DENTAL CARE MARKET BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 118 FIGURE 27 MARKET FOR RETAIL DENTAL CARE MARKET BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 118 DISTRIBUTION BY RETAIL OUTLET... 118 TABLE 58 DISTRIBUTION OF RETAIL DENTAL CARE PRODUCTS BY RETAIL OUTLET, 2008 AND 2013 (%)... 119 FIGURE 28 DISTRIBUTION OF RETAIL DENTAL CARE PRODUCTS BY RETAIL OUTLET, 2008 (%)... 119 FIGURE 29 DISTRIBUTION OF RETAIL DENTAL CARE PRODUCTS BY RETAIL OUTLET, 2013 (%)... 120 LEADING SUPPLIERS AND PARTICIPANTS... 120 TABLE 59 LEADING SUPPLIER MARKET SHARE FOR RETAIL DENTAL MARKET, 2008... 121 FIGURE 30 LEADING SUPPLIER MARKET SHARE FOR RETAIL DENTAL MARKET, 2008... 121 OVERALL MARKET SUMMARY... 122 TOTAL MARKET ANALYSIS... 122 TABLE 60 TOTAL U.S. DENTAL MARKET ANALYSIS BY PRODUCT SEGMENT, THROUGH 2013 ($ MILLIONS)... 122 FIGURE 31 TOTAL U.S. DENTAL MARKET ANALYSIS BY PRODUCT SEGMENT, 2006 2013 ($ MILLIONS)... 123 CHAPTER 6: COMPANY PROFILES... 124 BIOMET, INC.... 124 CHURCH & DWIGHT CO., INC.... 124 COLGATE-PALMOLIVE CO.... 125 DENTALEZ GROUP... 125 DENTSPLY INTERNATIONAL, INC.... 126 GLAXOSMITHKLINE CONSUMER HEALTHCARE... 126
JOHNSON & JOHNSON... 127 KAVO DENTAL GMBH BISMARCKRING 39... 128 NOBEL-BIOCARE... 128 PROCTER & GAMBLE CO.... 129 SYBRON DENTAL SPECIALTIES, INC.... 129 SYBRON DENTAL SPECIALTIES, INC. (CONTINUED)... 130 APPENDIX I: PRODUCT MANUFACTURERS AND DISTRIBUTORS... 131 PRODUCT MANUFACTURERS AND DISTRIBUTORS... 131 PRODUCT MANUFACTURERS AND (CONTINUED)... 132 PRODUCT MANUFACTURERS AND (CONTINUED)... 133 PRODUCT MANUFACTURERS AND (CONTINUED)... 134 PRODUCT MANUFACTURERS AND (CONTINUED)... 136 PRODUCT MANUFACTURERS AND (CONTINUED)... 137 PRODUCT MANUFACTURERS AND (CONTINUED)... 138 PRODUCT MANUFACTURERS AND (CONTINUED)... 139 PRODUCT MANUFACTURERS AND (CONTINUED)... 140 PRODUCT MANUFACTURERS AND (CONTINUED)... 141 PRODUCT MANUFACTURERS AND (CONTINUED)... 142 PRODUCT MANUFACTURERS AND (CONTINUED)... 143 APPENDIX II: RELEVANT ASSOCIATIONS AND ORGANIZATIONS... 144 RELEVANT ASSOCIATIONS AND ORGANIZATIONS... 144 RELEVANT ASSOCIATIONS AND (CONTINUED)... 145 RELEVANT ASSOCIATIONS AND (CONTINUED)... 146 RELEVANT ASSOCIATIONS AND (CONTINUED)... 147 RELEVANT ASSOCIATIONS AND (CONTINUED)... 148