Orthodontics Market Size, Share & COVID-19 Impact Analysis, By Product Type [Instruments and Supplies {Fixed (Brackets, Bands & Buccal Tubes, Archwires, and Others) and Removables (Aligners, Retainers, and Others)}], By End-user (Dentist & Orthodontist Owned Practices and Others), and Regional Forecast, 2022-2029

The global orthodontics market size was valued at USD 6.73 billion in 2021. The market is projected to grow from USD 7.77 billion in 2022 to USD 26.35 billion by 2029, exhibiting a CAGR of 19.1% during the forecast period. The global COVID-19 pandemic has been unprecedented and staggering, with orthodontics experiencing lower-than-anticipated demand across all regions compared to pre-pandemic levels. Based on our analysis, the global market experienced a decline of 5.2% in 2020 as compared to 2019. 

Orthodontics involves prevention and correction of misaligned teeth in the jaws as well as the proper positioning of jaws in the face (dentofacial orthopedics). Aesthetics and function are the leading reasons to seek orthodontic treatment. The increasing prevalence of dental disorders such as malocclusion, cross-bite, crooked teeth, bite problems, and the high cost of treatment created a huge gap resulting in high unmet patient population needs.

Several manufacturers and public organizations have started taking initiatives to fill these gaps through partnerships and policies to address the needs of the unmet patient population.

• For instance, in April 2019, CVS Health collaborated with Smile Direct Club to expand access to convenient and affordable clear aligners’ therapy. As a result of the collaboration, SmileShops of SmileDirectClub opened in hundreds of CVS pharmacy locations, expanding the company's geographical presence and patient access.

Furthermore, increasing government initiatives to spread awareness about orthodontic disorders, oral hygiene, and care among the population of developing economies is also responsible for the global market growth.

• For instance, in February 2021, the National Oral Health Program in India was initiated to spread awareness about oral healthcare and oral diseases such as periodontal disease, malocclusion, oral sub-mucous, and other oral disorders.
  

COVID-19 IMPACT

COVID-19 Negatively Impacted Market Growth Due to Low Demand for Dental Devices

The impact of COVID-19 resulted in the decline of the market during the pandemic. This was due to lockdown restrictions and a sharp fall in the number of people seeking dental care. Based on revenue, the global market witnessed a decline of 5.2% in 2020 as compared to the prior year. This was due to the social distancing rules enforced to control the spread of the virus, which led to a significant reduction in the number of patient visits in dental clinics, thereby declining the demand for dental products in 2020.

• For instance, according to an article published by Bennett, Coleman & Co. Ltd. in July 2020, in Bihar, India, over 80% of private dental and maxillofacial surgery clinics were closed.

Moreover, the market players also experienced a decline in sales of products due to low demand during the pandemic. This resulted in a decline in revenues generated.

• ENVISTA HOLDINGS CORPORATION generated a revenue of USD 1,929.1 million in 2020 and experienced a decline of -15.6% from the prior year. The decline in revenue was due to the decline in sales of the company’s specialty products.

However, in 2021, the global market experienced a significant recovery which was due to the increased adoption of digital tools or tele-dentistry, enabling higher adoption of orthodontic products during the pandemic.

• Align Technology, Inc. introduced digital initiatives for Invisalign treatment such as the expansion of its digital platform with ClinCheck In-Face Visualization tool and cloud-based ClinCheck Pro 6.0.

LATEST TRENDS

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Rising Use of Machine Learning and Artificial Intelligence Tools in Clear Aligners 

The increasing adoption of digital tools such as Machine Learning (ML) and Artificial Intelligence (AI) for treatment is one of the trends emerging in the market. Artificial intelligence has undergone rigorous advancements from the start and has a wide range of problem-solving abilities that can be applied in this treatment method. 3D printing technology is one of the means by which orthodontics can be helped.

• For instance, as per an article published by Wamda in July 2022, over the past few years, three regionally-born startups, Smileneo, Basma, and Eon Dental have emerged in developing regions such as the Middle East and North Africa (MENA).


• Align Technology utilizes a mobile platform that serves a dual purpose, helping patients coordinate care with their doctors and attract new customers. The My Invisalign app includes detailed content on how the system works, as well as ML technology to simulate what wearers' smiles will look like after using the medical device. The development of My Invisalign also has enabled the company to migrate the company to agile and DevSecOps practices.

Such advancements in clear aligners due to artificial intelligence and machine learning have been enabling healthcare professionals to practice greater efficiency in treatment planning and outcomes.

DRIVING FACTORS

Increasing Burden of Teeth Malocclusion to Increase the Demand for Orthodontic Products

Malocclusion is the misalignment of teeth which is mostly hereditary but can also be caused due to certain diseases such as jaw tumors, and other dental issues. It can be caused due to childhood habits such as thumb sucking and facial injuries.

The rising prevalence of dental malocclusions worldwide is one of the primary reasons for market expansion. Dental malocclusion is characterized as a morphological variation that may not be associated with other diseases and pathological conditions.

The prevalence of malocclusion is higher in patients suffering from osteogenesis imperfecta, which weakens the bones and misshapen teeth. Therefore, an increase in several patients suffering from osteogenesis imperfecta is expected to increase the prevalence of malocclusion worldwide. This factor has been increasing the demand for orthodontic treatment.

Moreover, rise in the number of adults looking for daily dental care is increasing the awareness of this treatment, and thus increasing the referral of adult age group patients to orthodontists.

• For instance, as per the American Association of Orthodontics, the average adult patient count for orthodontist treatment rose to 178 in 2018 from 166 in 2016.

Significant Rise in the Number of Adults Seeking Orthodontic Treatment to Boost Market 

Increasing number of adults are seeking orthodontic treatment due to factors such as stronger demand for dental aesthetics, increasing awareness regarding importance of good oral health, and greater efficiency of treatment outcomes will aid market proliferation in the coming years.

• According to an article published in Orthodontic Associates in 2018, one of every five patients in orthodontic treatment is older than 21. Also, more than 1.5 million adults receive care from an AAO-certified orthodontist yearly.

Increasing awareness about dental disorders and increasing adoption of orthodontic products by the population globally have been driving the market growth.

• According to an article published in 2021 by Berkman + Shapiro Orthodontics, approximately 4 million people in America are wearing braces at any one time.


• Average adult patient count per member of the American Association of Orthodontics has increased from 166 in 2016 to 178 in 2018.

Moreover, the number of adults seeking orthodontic treatment in the U.S. has increased from around 1.4 million in 2014 to 1.61 million in 2018. Additionally, according to an article published in NIH in 2022, an online survey in Croatia states that there has been a rise in the number of adult patients seeking orthodontic therapy in recent years.

Growing awareness of available treatment options and desire for a good physical appearance are anticipated to drive market growth.

RESTRAINING FACTORS

High Costs and Side Effects of Treatment to Hamper Market Escalation

Even though increasing prevalence of dental disorders such as dental malocclusion has been increasing the demand for the treatment, there are several factors which are expected to limit the global orthodontics market growth during the forecast period.

• For instance, the poor execution of the process during orthodontic treatment can cause multiple adverse incidents such as severe pain, periodontal disease, Temporomandibular Dysfunction (TMD) and other severe effects. 


• Dental brackets are extensively used among teenagers to correct the teeth alignment, but the brackets have well-documented disadvantages such as gum disease, allergic reaction, ankylosis, soft tissue injuries or canker sores.

Moreover, if orthodontic treatment continues for a longer time period, it can cause certain side effects such as root resorption and can further lead to more severe complications. These factors result in limited adoption of this treatment among the population.

Furthermore, another factor which tends to limit the adoption of this treatment is the high cost associated with the orthodontic products.

• For instance, according to the 2018 annual survey of the American Dental Associate (ADA), the average price of comprehensive orthodontic treatment, including braces, on an average was between USD 5,000.0 to USD 6,000.0. The high prices associated with this treatment restricted its adoption among the population globally.

Such limitations associated with this treatment are expected to hamper the market proliferation during the forecast period.

SEGMENTATION

By Product Type Analysis 

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Launch of Clear Aligners in the Market to Elevate Market Growth

On the basis of product type, the market is segmented into instruments and supplies. The supplies segment is further bifurcated into fixed and removable. The supplies segment accounted for the significant market share in 2021. The segment’s dominance is due to the higher demand for clear aligners and launch of advanced clear aligners in the market.

For instance, in 2021, 3M Oral Care introduced next-generation clear aligner system Clarity Aligners Flex + Force. The advantages offered by clear aligners such as easy handling & high comfort are contributing to the rising product demand.

Meanwhile, the instruments segment is likely to grow at a substantial CAGR during the forecast period. The growth of the segment is attributed to the rising number of orthodontic procedures in countries such as India.

By End-user Analysis

Strong Presence of Dental Clinics Globally to Boost Market Proliferation

Based on end-user, the market is bifurcated into dentist & orthodontist owned practices and others. The dentist & orthodontist owned practices segment accounted for the larger market share in 2021. The growth of the segment is attributed to the rising number of dental clinics around the world, growing number of patients, and increasing demand for orthodontic products.

The others segment is expected to grow significantly in the coming years owing to the emergence of multispecialty hospitals in areas with several patients with unmet needs and improving reimbursement coverage for orthodontic procedures in developed economies.

REGIONAL INSIGHTS

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The North America market generated a revenue of USD 3.19 billion in 2021, which was assessed at USD 2.16 billion in 2020. The dominance of the market in the region is attributed to the increasing number of adults opting for clear aligner, braces, and other treatments and rising awareness regarding dental care. Furthermore, the increasing prevalence of dental disorders has raised the demand for qualified orthodontists.

• For instance, in December 2020, according to the Central Disease Control and Prevention, more than 1 in 4 adults in the U.S. had untreated tooth decay.

The market in Europe accounted for a significant market share in 2021 and is projected to witness considerable growth during the forecast period. The growth of the market in the region is attributed to improved healthcare facilities, higher focus on dental treatment, and availability of technologically advanced and efficient products.

The market across Asia Pacific region is expected to expand at the fastest CAGR in the projected years. The high growth market in the region is attributed to the increasing number of multispecialty hospital and dental clinics with increased adoption of advanced treatment technology and increasing product supplies in India, China, Australia, and Japan.

KEY INDUSTRY PLAYERS

Companies with Strong Focus on Expansion of Product Portfolio to Hold Key Market Share

Align Technology, Inc., Ormco Corporation, and Institut Straumann AG are the prominent players in the market and captured a considerable share of the global market in 2021.

Align Technology, Inc. accounted for significant global orthodontics market share. The company’s strong focus on acquisitions and collaborations to improve its product offerings has been fueling its dominance in the market.

• In June 2021, Align Technology, Inc. launched iTero workflow 2.0 software with improvised features such as improved visualization, faster scanning, improved visualization, and enhanced patient communication tools to have better clinical diagnosis, increase practice efficiency, and drive patient engagement for treatment acceptance.

Similarly, Institut Straumann AG accounted for considerable market share in 2021. The company’s strong focus on the development of digital platforms to streamline the production of clear aligners has also been supporting its presence in the market.

• In July 2021, the Straumann Group acquired Smilink, a leading provider of orthodontic solutions in Brazil, to complement Straumann’s existing clear aligner business.

Other significant players, 3M, Henry Schein, and Dentsply Sirona are emphasizing on research and development activities for the launch of new and technologically advanced products to strengthen their position in the market.

LIST OF KEY COMPANIES PROFILED:

• Dentsply Sirona (U.S.)


• AMERICAN ORTHODONTICS (U.S.)


• Institut Straumann AG (Switzerland)


• Align Technology, Inc. (U.S.)


• 3M (U.S.)


• Henry Schein, Inc. (U.S.)


• DB Orthodontics (U.S.)


• ENVISTA HOLDINGS CORPORATION (U.S.)


• Angelalign Technology Inc. (China)


• TP Orthodontics, Inc. (U.S.)

KEY INDUSTRY DEVELOPMENTS:

• March 2022 – Dentsply Sirona introduced SureSmile VPro, SureSmile Retainers, and SureSmile Whitening Kit as part of its clear aligner treatment offerings in the U.S.


• March 2022 - Dentsply Sirona announced its partnership with Dental Medical Ireland (DMI), an Irish distributor to boost the sales of its product SureSmile clear aligners.


• July 2021 - Align Technology, Inc. expanded its geographical presence in Israel with an aim to increase the brand presence as well as widen the customer base.


• March 2021 – Institut Straumann AG announced the acquisition of PlusDental, a doctor-led clear-aligner treatment solutions provider in Europe.


• February 2021 – AMERICAN ORTHODONTICS announced its partnership with Ultradent Products Inc. to distribute Ultradent’s Opal Orthodontics branded products, thereby increasing its business revenue.

REPORT COVERAGE 

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The research report provides a detailed competitive landscape. It includes the prevalence of malocclusion and key industry developments such as partnerships, mergers, and acquisitions. Additionally, it focuses on key points such as new product launches in the market. Furthermore, the report covers regional analysis of different segments, company profiles of key market players, market trends, and the impact of COVID-19 on the market. The report consists of quantitative and qualitative insights that contribute to the market's growth.

Report Scope & Segmentation