General Report Contents
• Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
• Market Drivers & Limiters for each chapter segment
• Competitive Analysis for each chapter segment
• Section on recent mergers & acquisitions
The dental implant fixture market can be segmented by implant type, yielding three segments: premium implants, value implants and discount implants. Historically, the dental implant fixture market in Europe was largely dominated by premium implant companies and their corresponding high-priced dental implant products. More recently, the European market is demonstrating a shift towards cost-saving value and discount implant options. This transition has largely depressed prices and limited overall market value growth. Two significant effects are contributing to the ASP decline in the dental implant fixture market. Firstly, the shift away from premium products towards more discounted products has led to the ASP of the overall market to decline. Secondly, the growing prevalence and popularity of discounted products have led to premium implant companies levying higher discounts on their products.
The dental implant fixture market experienced more dramatic ASP declines in regions where there is a high prevalence of discount and value companies such as Germany, Italy and Spain. In France and Spain, premium companies levied higher discounts in order to remain competitively priced. The overall market’s ASP decline is expected to taper off but persist through the forecast period.
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TABLE OF CONTENTS I
LIST OF FIGURES XI
LIST OF CHARTS XVI
EXECUTIVE SUMMARY 1
EUROPEAN DENTAL IMPLANT FIXTURE AND FINAL ABUTMENT MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 6
MARKET DEVELOPMENTS 7
MARKETS INCLUDED 8
KEY REPORT UPDATES 10
VERSION HISTORY 10
RESEARCH METHODOLOGY 11
1.1 RESEARCH SCOPE 11
1.2 IDATA’S 9-STEP METHODOLOGY 11
Step 1: Project Initiation & Team Selection 11
Step 2: Prepare Data Systems and Perform Secondary Research 13
Step 3: Preparation for Interviews & Questionnaire Design 14
Step 4: Performing Primary Research 15
Step 5: Research Analysis: Establishing Baseline Estimates 17
Step 6: Market Forecast and Analysis 18
Step 7: Identify Strategic Opportunities 20
Step 8: Final Review and Market Release 21
Step 9: Customer Feedback and Market Monitoring 22
DISEASE OVERVIEW 23
2.1 BASIC ANATOMY 23
2.1.1 Dental Anatomy: Oral Cavity and Intraoral landmarks 23
2.2 DISEASE PATHOLOGY AND DISORDERS 25
2.2.1 General Diagnostics 25
2.2.2 Indication for Dental Implant 25
2.2.2.1 Periodontal Disease 26
2.2.2.2 Dental Implant Procedures 26
2.3 PATIENT DEMOGRAPHICS 29
2.3.1 General Dental Statistics 29
2.3.2 Tooth Loss Statistics 30
PRODUCT ASSESSMENT 32
3.1 PRODUCT PORTFOLIOS 32
3.1.1 Dental Implants and Final Abutments 32
3.1.1.1 Dental Implants 32
3.2 REGULATORY ISSUES AND RECALLS 38
3.2.1 Dental Implants and Final Abutments 38
3.3 CLINICAL TRIALS 51
3.3.1 Dental Implants and Final Abutments 51
COUNTRY PROFILES 59
4.1 INTRODUCTION 59
4.1.1.1 Population 59
4.1.1.2 GDP per Capita 59
4.1.1.3 Dental Implants Placed per 10,000 Inhabitants 59
4.1.1.4 Price Index 59
4.2 GERMANY 61
4.3 FRANCE 62
4.4 UNITED KINGDOM 63
4.5 ITALY 64
4.6 SPAIN 65
4.7 BENELUX 66
4.8 SCANDINAVIA 67
4.9 AUSTRIA 68
4.10 SWITZERLAND 69
4.11 PORTUGAL 70
DENTAL IMPLANT FIXTURE MARKET 71
5.1 INTRODUCTION 71
5.2 MARKET OVERVIEW 73
5.3 MARKET ANALYSIS AND FORECAST 77
5.3.1 Total Dental Implant Fixture Market 77
5.3.2 Premium Dental Implant Fixture Market 84
5.3.3 Value Dental Implant Fixture Market 92
5.3.4 Discount Dental Implant Fixture Market 99
5.4 UNIT ANALYSIS 106
5.4.1 Dental Implant Fixture Units Sold by Procedure Type 106
5.4.1.1 One-Stage Surgery Procedures 106
5.4.1.2 Two-Stage Surgery Procedures 106
5.4.1.3 Immediate Loading Procedures 107
5.4.2 Dental Implant Fixture Units Sold by Shape 113
5.4.2.1 Parallel Wall Implants 113
5.4.2.2 Tapered Implants 113
5.4.3 Dental Implant Fixture Units Sold by Connection Type 117
5.4.3.1 Internal Connection 117
5.4.3.2 External Connection 117
5.4.3.3 One-Piece Connection 117
5.4.4 Dental Implant Fixture Units Sold by Application 122
5.4.4.1 Single-Tooth Replacement 122
5.4.4.2 Multi-Unit Bridge Securement 122
5.4.4.3 Denture Securement 122
5.4.5 Dental Implant Fixture Units Sold by Material 127
5.4.5.1 Titanium Implants 127
5.4.5.2 Ceramic/Zirconia Implants 127
5.5 MINI IMPLANT MARKET 131
5.6 DRIVERS AND LIMITERS 138
5.6.1 Dental Implant Fixture Market 138
5.6.1.1 Market Drivers 138
5.6.1.2 Market Limiters 140
5.6.2 Mini Implant Market 144
5.6.2.1 Market Drivers 144
5.6.2.2 Market Limiters 145
5.7 COMPETITIVE MARKET SHARE ANALYSIS 146
ABBREVIATIONS 156
APPENDIX: COMPANY PRESS RELEASES 158
Chart 1 1: Dental Implants and Final Abutments Market by Segment, Europe, 2013 – 2023 3
Chart 1 2: Dental Implants and Final Abutments Market Overview, Europe, 2016 & 2023 3
Chart 4 1: Country Profile, Germany, 2016 61
Chart 4 2: Country Profile, France, 2016 62
Chart 4 3: Country Profile, United Kingdom, 2016 63
Chart 4 4: Country Profile, Italy, 2016 64
Chart 4 5: Country Profile, Spain, 2016 65
Chart 4 6: Country Profile, Benelux, 2016 66
Chart 4 7: Country Profile, Scandinavia, 2016 67
Chart 4 8: Country Profile, Austria, 2016 68
Chart 4 9: Country Profile, Switzerland, 2016 69
Chart 4 10: Country Profile, Portugal, 2016 70
Chart 5 1: Dental Implant Fixture Market by Segment, Europe, 2013 – 2023 75
Chart 5 2: Dental Implant Fixture Market Breakdown, Europe, 2016 76
Chart 5 3: Dental Implant Fixture Market Breakdown, Europe, 2023 76
Chart 5 4: Total Dental Implant Fixture Market, Europe, 2013 – 2023 78
Chart 5 5: Premium Dental Implant Fixture Market, Europe, 2013 – 2023 86
Chart 5 6: Value Dental Implant Fixture Market, Europe, 2013 – 2023 93
Chart 5 7: Discount Dental Implant Fixture Market, Europe, 2013 – 2023 100
Chart 5 8: Dental Implant Fixture Units Sold by Procedure Type, Europe, 2016 112
Chart 5 9: Dental Implant Fixture Units Sold by Procedure Type, Europe, 2023 112
Chart 5 10: Dental Implant Fixture Units Sold by Shape, Europe, 2016 116
Chart 5 11: Dental Implant Fixture Units Sold by Shape, Europe, 2023 116
Chart 5 12: Dental Implant Fixture Units Sold by Connection Type, Europe, 2016 121
Chart 5 13: Dental Implant Fixture Units Sold by Connection Type, Europe, 2023 121
Chart 5 14: Dental Implant Fixture Units Sold by Application Type, Europe, 2016 126
Chart 5 15: Dental Implant Fixture Units Sold by Application Type, Europe, 2023 126
Chart 5 16: Dental Implant Fixture Units Sold by Material, Europe, 2016 130
Chart 5 17: Dental Implant Fixture Units Sold by Material, Europe, 2023 130
Chart 5 18: Mini Implant Market, Europe, 2013 – 2023 132
Chart 5 19: Leading Competitors, Dental Implant Fixture Market, Europe, 2016 155
Figure 1 1: Dental Implants and Final Abutments Market Share Ranking by Segment, Europe, 2016 4
Figure 1 2: Companies Researched in this Report, Europe, 2016 5
Figure 1 3: Factors Impacting the Dental Implants and Final Abutments Market by Segment, Europe 6
Figure 1 4: Recent Events in the Dental Implants and Final Abutments Market, Europe, 2013 – 2016 7
Figure 1 5: Dental Implants and Final Abutments Markets Covered, Europe, 2016 (1 of 2) 8
Figure 1 6: Dental Implants and Final Abutments Markets Covered, Europe, 2016 (2 of 2) 9
Figure 1 7: Key Report Updates 10
Figure 1 8: Version History 10
Figure 3 1: Dental Implant Products by Company (1 of 3) 35
Figure 3 2: Dental Implant Products by Company (2 of 3) 36
Figure 3 3: Dental Implant Products by Company (3 of 3) 37
Figure 3 4: Class 2 Device Recall 3I OSSEOTITE® CERTAIN® DENTAL IMPLANTS, Biomet 3i 38
Figure 3 5: Class 2 Device Recall Keystone Dental Prima Connex Straight Implant TC 38
Figure 3 6: Class 2 Device Recall CERTAIN® brand by Biomet 3i, LLC (1-1) 39
Figure 3 7: Class 2 Device Recall CERTAIN® brand by Biomet 3i, LLC (1-2) 40
Figure 3 8: Class 2 Device Recall Conical® Abutment Dental Implants by Biomet 3i, LLC 41
Figure 3 9: Class 2 Device Recall OIL® brand by Biomet 3i, LLC 41
Figure 3 10: Class 2 Device Recall Locator® brand by Biomet 3i, LLC 42
Figure 3 11: Class 2 Device Recall Other Dental Implants, Abutments and Components by Biomet 3i, LLC (1-1) 43
Figure 3 12: Class 2 Device Recall Other Dental Implants, Abutments and Components by Biomet 3i, LLC (1-2) 44
Figure 3 13: Class 2 Device Recall XGuide Surgical Navigation System 44
Figure 3 14: Class 2 Device Recall GoDirect, Implant Direct Sybron Manufacturing, LLC 44
Figure 3 15: Class 2 Device Recall Trabecular Metal Zimmer Dental implant 45
Figure 3 16: Class 2 Device Recall Biomet 3i, LLC 45
Figure 3 17: Class 2 Device Recall RBT, Internal Implant, LaserLok, 5.0 x 15mm, 5.7 Platform, BioHorizons Implant Systems Inc 46
Figure 3 18: Class 2 Device Recall Dental Instruments, Biomet 3i 46
Figure 3 19: Class 2 Device Recall UCLA Abutment Hexed Castable Cylinder 3.4mm 46
Figure 3 20: Class 2 Device Recall Abutment Retrieval Instrument 46
Figure 3 21: Class 2 Device Recall Tapered HD Upgrade Set, REF TSKHDUS 47
Figure 3 22: Class 2 Device Device Recall Replace Select Tapered TiU NP, Nobel Biocare 47
Figure 3 23: Class 2 Device Recall 3i T3 NonPlatform Switched Tapered Implant 47
Figure 3 24: Class 2 Device Recall OSSEOTITE, Biomet 3i, LLC 48
Figure 3 25: Class 2 Device Recall Neodent 48
Figure 3 26: Class 2 Device Recall Straumann 48
Figure 3 27: Class 2 Device Recall 48
Figure 3 28: Class 2 Device Recall Straumann Bone Level Tapered Implant 49
Figure 3 29: Class 2 Device Recall TaperedScrew Vent Implant, Zimmer Inc. 49
Figure 3 30: Class 2 Device Recall TaperedScrew Vent Implant, Zimmer Inc. 49
Figure 3 31: Class 2 Device Recall BIOMET 3i Endosseous Dental Implant 49
Figure 3 32: Class 2 Device Recall BellaTek Zirconia Dental Abutment, Biomet 3i, LLC 50
Figure 3 33: Class 2 Device Recall External Implant RBT, D3 Threadform 4.0 X 10.5mm, REF 40105D3, BioHorizons Implant Systems Inc 50
Figure 3 34: Class 2 Device Recall Osseotite Dental Implants, Biomet 3i 50
Figure 3 35: Survival Rate of Dental Implants (OsseoSpeed™) 51
Figure 3 36: Monolithic Zirconia Crowns for Single Implants in the Molar Region: a Multicenter Clinical Trial (MonoZrO2crown) 51
Figure 3 37: Healing of Bone/Soft Tissue to Different Abutment Biomaterials and the Impact on Marginal Bone Loss 52
Figure 3 38: A Multi-center Study to Evaluate Bone Loss, Survival Rate and Stability of ICE Implant (ICE) 52
Figure 3 39: Central Incisors Narrow Implants in Alternative to Bone Augmentation With 4.2 mm Implants 53
Figure 3 40: Controlled Pilot Study to Assess Soft Tissue Reaction at the Crestal Part of a Dental Implant With ESTA Surface 53
Figure 3 41: Survival and Success of MIS C1 Implants 54
Figure 3 42: Comparing Conventional Dental Implants and Trabecular Metal™ Dental Implants After Sinus Floor Elevation 54
Figure 3 43: Bone Quality and Quantity Following Guided Bone Regeneration Prior to Dental Implant Placement 55
Figure 3 44: Performance of MicroTextured Dental Implants 55
Figure 3 45: Compare the Success Rate of T3 Dental Implant (Biomet 3I) With or Without Platform-switch Concept 56
Figure 3 46: Multicenter Study Comparing OsseoSpeed TX With OsseoSpeed EV 56
Figure 3 47: Zirconia Based Fixed Dental Prostheses 57
Figure 3 48: Multicenter Retrospective Study Evaluating ATLANTIS™ Abutment Teeth Connected to Implants 57
Figure 3 49: MGUIDE MORE Dental Implant Planning System- Clinical Accuracy Study 58
Figure 5 1: Dental Implant Fixture Market by Segment, Europe, 2013 – 2023 (€M) 74
Figure 5 2: Dental Implant Fixture Market by Segment, Europe, 2013 – 2023 (US$M) 74
Figure 5 3: Total Dental Implant Fixture Market, Europe, 2013 – 2023 77
Figure 5 4: Units Sold by Country, Total Dental Implant Fixture Market, Europe, 2013 – 2023 79
Figure 5 5: Average Selling Price by Country, Total Dental Implant Fixture Market, Europe, 2013 – 2023 (€) 80
Figure 5 6: Average Selling Price by Country, Total Dental Implant Fixture Market, Europe, 2013 – 2023 (US$) 81
Figure 5 7: Market Value by Country, Total Dental Implant Fixture Market, Europe, 2013 – 2023 (€M) 82
Figure 5 8: Market Value by Country, Total Dental Implant Fixture Market, Europe, 2013 – 2023 (US$M) 83
Figure 5 9: Premium Dental Implant Fixture Market, Europe, 2013 – 2023 85
Figure 5 10: Units Sold by Country, Premium Dental Implant Fixture Market, Europe, 2013 – 2023 87
Figure 5 11: Average Selling Price by Country, Premium Dental Implant Fixture Market, Europe, 2013 – 2023 (€) 88
Figure 5 12: Average Selling Price by Country, Premium Dental Implant Fixture Market, Europe, 2013 – 2023 (US$) 89
Figure 5 13: Market Value by Country, Premium Dental Implant Fixture Market, Europe, 2013 – 2023 (€M) 90
Figure 5 14: Market Value by Country, Premium Dental Implant Fixture Market, Europe, 2013 – 2023 (US$M) 91
Figure 5 15: Value Dental Implant Fixture Market, Europe, 2013 – 2023 92
Figure 5 16: Units Sold by Country, Value Dental Implant Fixture Market, Europe, 2013 – 2023 94
Figure 5 17: Average Selling Price by Country, Value Dental Implant Fixture Market, Europe, 2013 – 2023 (€) 95
Figure 5 18: Average Selling Price by Country, Value Dental Implant Fixture Market, Europe, 2013 – 2023 (US$) 96
Figure 5 19: Market Value by Country, Value Dental Implant Fixture Market, Europe, 2013 – 2023 (€M) 97
Figure 5 20: Market Value by Country, Value Dental Implant Fixture Market, Europe, 2013 – 2023 (US$M) 98
Figure 5 21: Discount Dental Implant Fixture Market, Europe, 2013 – 2023 99
Figure 5 22: Units Sold by Country, Discount Dental Implant Fixture Market, Europe, 2013 – 2023 101
Figure 5 23: Average Selling Price by Country, Discount Dental Implant Fixture Market, Europe, 2013 – 2023 (€) 102
Figure 5 24: Average Selling Price by Country, Discount Dental Implant Fixture Market, Europe, 2013 – 2023 (US$) 103
Figure 5 25: Market Value by Country, Discount Dental Implant Fixture Market, Europe, 2013 – 2023 (€M) 104
Figure 5 26: Market Value by Country, Discount Dental Implant Fixture Market, Europe, 2013 – 2023 (US$M) 105
Figure 5 27: One-Stage Surgery Procedure Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 109
Figure 5 28: Two-Stage Surgery Procedure Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 110
Figure 5 29: Immediate Loading Procedure Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 111
Figure 5 30: Parallel Wall Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 114
Figure 5 31: Tapered Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 115
Figure 5 32: Internal Connection Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 118
Figure 5 33: External Connection Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 119
Figure 5 34: One-Piece Connection Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 120
Figure 5 35: Single-Tooth Replacement Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 123
Figure 5 36: Multi-Unit Bridge Securement Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 124
Figure 5 37: Denture Securement Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 125
Figure 5 38: Titanium Units Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 128
Figure 5 39: Ceramic/Zirconia Sold by Country, Dental Implant Fixture Market, Europe, 2013 – 2023 129
Figure 5 40: Mini Implant Market, Europe, 2013 – 2023 131
Figure 5 41: Units Sold by Country, Mini Implant Market, Europe, 2013 – 2023 133
Figure 5 42: Average Selling Price by Country, Mini Implant Market, Europe, 2013 – 2023 (€) 134
Figure 5 43: Average Selling Price by Country, Mini Implant Market, Europe, 2013 – 2023 (US$) 135
Figure 5 44: Market Value by Country, Mini Implant Market, Europe, 2013 – 2023 (€M) 136
Figure 5 45: Market Value by Country, Mini Implant Market, Europe, 2013 – 2023 (US$M) 137
Figure 5 46: Drivers and Limiters, Dental Implant Fixture Market, Europe, 2016 143
Figure 5 47: Drivers and Limiters, Mini Implant Market, Europe, 2016 145
Figure 5 48: Leading Competitors, Dental Implant Fixture Market, Europe, 2016 (1 of 2) 153
Figure 5 49: Leading Competitors, Dental Implant Fixture Market, Europe, 2016 (2 of 2) 154
Figure 7 1: Press Release Summary 158
StraumannDentsply SironaNobel BiocareZimmer BiometCAMLOGSweden & MartinaMedentisMIS ImplantsBEGOOthers include: 3D Diagnostix, 3D Med, 3DIEMME, 3Shape, A.B. Dental, ACE Surgical, ADIN Dental Implant Systems, ADT Dental, Allmed, Alpha-BioTec, Anthogyr, Atec Dental, Avinent, Bicon, Biodenta, Biomain, Biotech, Blue Sky Bio, Bredent, BTI, Champions, Cortex Dental, Dental Wings, Dentatus, Dentium, DOT, Easy System Implant, Eckermann, Euroteknika, Global D, IDI, Implant Direct, Intra-Lock, JMP-Dental, Klockner, Leader Italia, Med3D, Medentis, MegaGen, Microdent, Mozo-Grau, Nemotec, Neodent, Neoss, Osstem, Phibo, Southern Implants, Swissmeda, TBR Implants Group, Thommen Medical, Timplant, Ziterion, etc. *Not all companies are currently active in every segment or sub-report from this suite. For more details contact an iData Research Product Advisor.
