Orthodontics Market Size, Share & COVID-19 Impact Analysis, By Product Type [Instruments and Supplies {Fixed (Brackets, Bands & Buccal Tubes, Archwires, and Others), and Removable (Aligners, Retainers, and Others)}], By End User (Hospitals, Dental Clinics, Others), and Regional Forecast, 2021-2028

The global orthodontics market size was USD 4.76 billion in 2020. The global impact of COVID-19 has been unprecedented and staggering, with orthodontics witnessing a drastic negative demand shock across all regions amid the pandemic. Based on our analysis, the global market has witnessed a decline of -2.9% in the year 2020. The market is USD 5.38 billion in 2021 and is expected to reach USD 16.36 billion in 2028 at a CAGR of 17.2% in the 2021-2028 period. The sudden rise in CAGR is attributable to the market’s demand and growth, returning to pre-pandemic levels once the pandemic is over.

The dental industry is witnessing a drastic boost throughout the world through networking. These equipment is actively being adopted for the treatment of misaligned teeth. Well-aligned and straight teeth are easy to maintain. Orthodontic treatment is not only important for oral health but also improves the overall appearance of the person. Owing to the various clinical and aesthetic benefits, the demand for products such as braces, aligners, etc., is increasing rapidly.

Increasing awareness about dental malocclusion and advanced diagnostic tools that aid in early detection have increased the patient population for orthodontics treatment. Moreover, a gradual shift towards preventative oral care, increasing concern for equipment hygiene, and favorable health reimbursement for treatment of dental malocclusion are anticipated to fuel the industry during the forecast period.

Postponed Elective Procedure amid COVID-19 to Lead to Revenue Decline

The COVID-19 pandemic has become a major health challenge across the globe. The healthcare industry felt a significant impact on its revenue growth. On the other hand, the market witnessed a negative growth of -2.9% in the year 2020.

Various measures were taken into consideration to control the spread of COVID-19 infection. Among these measures are country-level closure of dental services except for emergency treatment. As dental emergencies occur occasionally, postponed appointments across the globe are one of the major growth limiting factors in the industry in 2020.

In March 18^th, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that all elective and non-essential medical, surgical and orthodontic procedures were delayed to preserve the healthcare resources for the treatment of COVID-19 patients. However, in April 19^th 2020, the CMS announced new guidelines allowing hospitals to move to Phase I of providing non-emergent, non-COVID-19 care in states and regions where COVID-19 outbreaks are deemed under control.

As countries worldwide have begun re-opening, the global market has witnessed the trend of a strong sales rebound, especially in the clear aligners segment, which is the largest revenue-generating segment in the market. This strong momentum of sales rebound is attributable to the gradual reopening of dental and orthodontist’s practices worldwide.

LATEST TRENDS

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Dental Aesthetics is New Emerging Trend in Orthodontics Industry

One of the latest trends in the industry is the huge demand for dental aesthetics. This demand for dental aesthetics has been witnessed amongst all the age groups opting for aesthetic orthodontics. There has been a continuous development in clear aligner products over the past few years in the current scenario. Individuals prefer clear aligners over conventional wire braces because of the superior comfort and greater degree of aesthetics.

For example, as per the American Academy of Cosmetic Dentistry (AACD), a positive trend was observed in the average patient spend on cosmetic dentistry. The average patient spending on aesthetic dentistry was USD 5,477 in 2017, a 33% increase compared to USD 4,116 in 2015. Orthodontists mentioned that this spike in aesthetic spending is majorly from the geriatric population with more disposable income to spend on cosmetic dentistry and millennials concerned with their oral health.

DRIVING FACTORS

Increasing Burden of Teeth Malocclusion to Increase Demand for Orthodontic Products

The rising prevalence of dental malocclusions worldwide is one of the primary reasons for the market's growth. Dental malocclusion is characterized as morphological variations that may not be associated with other diseases and pathological conditions. According to Align Technology, one of the major players in the industry, there are around 12 million cases of dental misalignment and malocclusion across the globe seeking treatment, out of which approximately one-third of the cases are in the Asia Pacific. Many public players have initiated prevention and awareness programs to address the increasing prevalence of malocclusions, which is expected to fuel the demand for products.

Furthermore, the unmet needs of the patient population is another important factor that is poised to surge the market during the forecast period. Several major manufacturers and governments have started to fill the gaps in orthodontics treatment through partnerships and policies.

Technological Advancements in Products to Drive the Market

The emergence of dental 3D scanners and dental imaging has reduced the need for handwritten descriptions and aided in effective treatment planning with virtual images of the patient’s jaw, teeth, and mouth. The introduction of technologically advanced diagnostic tools by manufacturers for the clinical diagnosis of oral health and the detection of misaligned teeth has enhanced the treatment quality. Furthermore, integrating CAD/CAM & 3D technologies, IoT software, and AI-based technologies with dental, orthopaedic techniques to accurately treat the misaligned teeth of a patient is augmenting the orthodontics market growth.

RESTRAINING FACTORS

High Cost of Procedures to Restrict Market Growth

One of the strongest restraining factors is the high costs associated with various treatment options. While an increasing number of patient populations are opting for orthodontics every year for various purposes (better oral health or cosmetic enhancement), the concern associated with high treatment costs remains.

Another factor contributing to the uncertainty with orthodontics treatment is that every individual treatment is highly personalized. Hence, there is a greater degree of variability in the treatment costs on a case-to-case basis, and the patients may be apprehensive with the final costs of the overall treatment. Treatment costs vary on type and length of treatment, location of treatment, age of the patient, and also by the availability of dental insurance. 

SEGMENTATION

By Product Type Analysis

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Supplies Segment Projected to Dominate Owing to the Rapid Adoption of Advanced Dental Orthodontic Techniques

On the basis of product type, the global market can be segmented into supplies and instruments. The supplies segment can be further classified as fixed and removables.

The supplies segment accounted for the maximum market share in 2020 and is estimated to dominate the market throughout the forecast period. The rapid adoption of advanced dental techniques, increasing penetration for clear aligners, the launch of new products, and a gradual shift towards cosmetic dentistry contribute to the expansion of the supplies segment.

The removables sub-segment can be further narrowed down to aligners, retainers, and others. The aligners segment is anticipated to witness lucrative growth across the analysis period. The segment's high growth is majorly due to the increasing adoption of clear aligners in developing and developed economies. Moreover, an increasing number of companies focusing on expanding their presence in developing nations will further support segmental growth. For instance, in January 2019, Institut Straumann AG partnered with Tianjin ZhengLi Technology Company Limited and obtained the distribution rights of the company’s clear aligners in China.

Significant penetration of braces (brackets) other instruments in emerging countries due to the collaboration of major manufacturers and suppliers aiming to improve the accessibility of instruments is projected to boost the sales volume of dental instruments during the forecast period.

By End-User Analysis

Dental Clinic Segment to Hold Significant Orthodontics Market Share Because of Rising Number of Standalone and Private Clinics

The dental clinics segment is expected to witness remarkable growth and dominate the market throughout the forecast period. High growth is due to the increase in the number of standalone clinics and private practices. Furthermore, the rising number of orthodontists across the globe and especially in the U.S. and Europe is projected to boost the establishments of well-equipped dental clinics in the two regions in coming years, thus supporting segmental growth. As an example, according to the American Association of Orthodontists, there has been a 15% increase in the number of professionally active orthodontists in the U.S. since 2001. As of 2017, approximately 79% of orthodontists own or share ownership of a practice.

Improving health reimbursement policies for orthodontic procedures and increasing multispecialty hospitals' treatment are factors augmenting the hospital segment during the forecast period. The growth of the others segment is likely to propel owing to the rising number of orthodontists, especially in developed countries such as the U.S., Germany, and others, and the increase in uptake of dental services.

REGIONAL INSIGHTS

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North America generated a revenue of USD 2.26 billion in 2020 and is projected to dominate the market throughout the forecast period. Adoption of technologically advanced tools such as oral scanners assisting in dental treatment and increasing investment by startup dental supplies are expected to surge the market in North America. According to the American Dental Association (ADA), there are 10,658 orthodontists currently practicing in the U.S. as of 2017, which is expected to increase the demand for orthodontics products in the U.S.

The rapid uptake of dental services, especially in the U.K., Germany, and France and the increase in the number of orthodontists are expected to expand the market size in Europe. In addition, the rising index of treatment needs for dental malocclusions is anticipated to foster the market in Europe.

In Asia Pacific, the demand for equipment is poised to surge during the forecast duration due to the increase in standalone dental clinics, the rising prevalence of dental malocclusions, and technological advancements in the dental industry. Furthermore, the gradual shift towards preventive dental care and improved domestic production of supplies in Japan are likely to favor the market growth in Asia Pacific.

In the rest of the world, the adoption of orthodontic products is expected to increase due to the greater preference for clear aligners and ceramic brackets and the unmet needs of the patient population. Improved awareness regarding dental misalignments among teenagers is another factor for the dental products market growth in the rest of the world.

KEY INDUSTRY PLAYERS

Align Technology, Inc. Held Highest Market Share Owing to the Remarkable Performance of its Invisalign Product Lin

The global market is consolidated with Align Technology, Ormco Corporation, 3M, and Institut Straumann AG, having the dominant position. In terms of revenue, Align Technology accounts for the maximum market share, mainly due to the remarkable sale of Invisalign throughout the world. However, the company’s market share is likely to get affected after the launch of clear aligners by 3M. The improved distribution network, deeper penetration, and strategic collaborations are major factors for the prominent position of Ormco Corporation and Institut Straumann AG in the industry.

LIST OF KEY COMPANIES PROFILED:

• Institut Straumann AG (Basel, Switzerland)


• Dentsply Sirona (Pennsylvania, U.S.)


• 3M (Minnesota, U.S.)


• Ormco Corporation (Brea, U.S.)


• DB Orthodontics (Silsden, U.K.)


• Henry Schein, Inc. (New York U.S.)


• Align Technology, Inc. (San Jose, U.S.)


• AMERICAN ORTHODONTICS (Wisconsin, U.S.)


• Great Lakes Dental Technologies (Tonawanda, U.S.)

KEY INDUSTRY DEVELOPMENTS:

• September 2019: uLab Systems announced the partnership with Bay materials, the makers of Zendura clear aligner, and retainer materials. The partnership provided Zendura materials to uLab system users.


• April 2020: Align Technology Inc. acquired EXOCAD, a global dental CAD/CAM software leader.


• In March 2020: Align Technology, Inc. has signed an agreement to acquire Global Holdings GmbH, a leader in the dental CAD/CAM software market. This factor has helped integrate the workflow of dental practices and dental labs by an extensive customer base of partners and resellers across 150 countries.

REPORT COVERAGE

An Infographic Representation of Orthodontics Market

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The market research report provides an elaborative analysis of the global market dynamics and competitive landscape. Various key insights presented in the report are the prevalence of key dental diseases by key countries, pricing analysis by key players, technological advancement in dental, orthopaedic instruments and supplies, key mergers, acquisitions and partnerships, competitive landscape, and company profiles.

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