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The U.S. orthodontics market size was USD 1.82 billion in 2020. The impact of COVID-19 has been unprecedented and staggering, with braces, aligners, and other devices witnessing a negative demand shock across the U.S. amid the pandemic. Based on our analysis, the market exhibited a huge decline of -8.3% in 2020. The market is projected to grow from USD 2.14 billion in 2021 to USD 6.17 billion in 2028 at a CAGR of 16.4% in the 2021-2028 period. The sudden rise in CAGR is attributable to this market’s demand and growth returning to pre-pandemic levels once the pandemic is over.
Orthodontics is a specialized branch of dentistry that involves the employment of special tools such as braces and clear aligners for the correction of dental conditions such as misaligned teeth. It also deals with the treatment and management of the various classes of malocclusions. While in the initial days of treatment it was more centered on the age group of teenagers, in recent years, however, the development of invisible devices such as clear aligners, and lingual braces, and the increasing demand for aesthetic dentistry has led to an increasing number of adults opting for such products.
These trends have been further aided by technological advancements leading to better treatment outcomes and also because of the availability of flexible payment plans for such treatments. This has led to the increasing involvement of several prominent dental companies in R&D initiatives, despite some negative factors such as unfavorable reimbursement for some types of braces, enabling the market growth during the forecast period.
Decline in Demand for Non-Essential Treatments to Hinder Market Growth amid COVID-19
The impact of the COVID-19 pandemic on certain markets in the medical devices industry is expected to be negative due to the sharp decline in non-essential medical visits as per government norms and regulations across several countries. This is especially significant for the market in the U.S. as several non-essential and non-critical medical procedures, including orthodontic procedures, have been postponed in light of the pandemic. Furthermore, as these treatments are considered non-essential, a significant number of clinics and practices have closed down during the lockdown periods in the U.S. For instance, the American Dental Association (ADA) has estimated that there will be around a 66.0% reduction in dental spending in the U.S. in 2020 due to the coronavirus. The association has also projected a 32.0% reduction in dental spending in 2021. Hence, as of now, the coronavirus pandemic is expected to have a negative impact on the U.S. orthodontics market growth.
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Increasing Usage of Artificial Intelligence and Machine Learning to Boost the Market
The increasing adoption of artificial intelligence (AI) and machine learning (ML) for dental procedures is one of the emerging market trends. AI has undergone tremendous advancements since its inception and has a wide range of problem-solving abilities, which can be applied in dentistry. For instance, in September 2020, medical technology company 3D Predict which utilizes proprietary artificial intelligence software for the creation of 3D models to design clear aligners was launched in the United States. Such market developments are anticipated to further increase the adoption in the U.S.
One of the critical means by which orthodontics can be aided by artificial intelligence is that AI enables orthodontists to make informed decisions regarding the important aspects of treatment planning such as the extraction of teeth. Such technological advancements due to AI and ML are expected to enable healthcare professionals to work with greater efficiency and deliver superior outcomes. Furthermore, Align Technology’s mobile app, MyInvisalign Mobile App, also uses machine learning technology to simulate what the clear aligner wearers' smiles will look like after using these products. This is greatly expected to fuel the demand for these products as the greater accuracy during the initial treatment planning stages can minimize treatment costs for the patients through the elimination of added costs in the later stages of the treatment, which can lead to delays.
Rising Number of Adults Seeking Treatment in the U.S. to Fuel the Market
One of the strong driving factors dominating this market is the substantial increase in the number of adults opting for orthodontic treatment in the U.S. This rise in the adoption of braces, aligners and other products in the adult population in the United States is driven by the increased demand for dental aesthetics and also the greater availability of clear aligners.
Furthermore, there has been a growth in the proportion of adults seeking routine dental care, which is increasing awareness about the need for these treatments and increasing referrals of adult patients to orthodontists. For example, the average adult patient count per member of the American Association of Orthodontics (AAO) has increased from 166 in 2016 to 178 in 2018. Such statistics indicate a strong demand in the U.S. and are anticipated to lead to market growth in the forecast period.
Lastly, factors such as flexibility in payment options for these treatments in the U.S. are also expected to lead to greater adoption of dental care solutions.
Increasing Adoption of Clear Aligners, and Other Similar Products to Drive Growth
One of the other critical driving factors for the market in the U.S. includes the strong adoption of invisible products such as clear aligners, ceramic braces, and lingual braces. This has resulted in a steadily expanding patient population in the country opting for treatment of malocclusion, as these invisible devices offer greater inconspicuousness compared to traditional metal braces.
For example, the clear aligners market is seeing significant levels of activity in the form of acquisitions, partnerships, training of new doctors, technological developments, etc., which is expected to further drive the growth rate of the market. Enabled by the rising R&D investments by some of the major companies in the development of advanced invisible clear aligners, the market is expected to rise considerably in the forthcoming years.
Low Awareness of the Effects of Malocclusion & High Costs of Treatment to Restrain Market Growth
One of the restraining factors impacting the adoption of braces, aligners, and other products in the U.S. is the general lack of awareness of malocclusion and its adverse impact on oral health. For instance, according to an estimate published by the National Center for Biotechnology Information (NCBI), around 60-65% of the U.S. population has some degree of malocclusion, but a large proportion of the population is not aware of the effects of this condition.
Furthermore, the high costs associated with these treatments and associated factors such as the lack of better reimbursement for certain types of braces have further restricted the market’s growth. For instance, the average estimated base costs of metal braces are between the price ranges of $3,000 and $6,000, while ceramic braces cost between $4,000 and $8,000 and the lingual ones cost between $8,000 and $10,000. Factors such as these are expected to impact the widespread adoption of these devices in the U.S. and are anticipated to constrain market growth in the forecast period.
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Clear Aligners to Grow at a Fast Pace in the U.S. Market
Based on type, the market is segmented into traditional metal braces, ceramic braces, lingual braces, and clear aligners. In 2020, the clear aligners segment held a major share. This is owing to the increasing adoption of clear aligners such as the Invisalign system in the U.S., even though these products are costlier as compared to traditional braces.
The traditional metal braces segment is expected to be the second-most dominant segment owing to a strong volume share of these types of products and also due to their stronger adoption among teenagers.
The ceramic braces segment is expected to register a lower market share owing to the increasing transition of patients to other invisible devices such as clear aligners.
The lingual braces segment is anticipated to register a lower CAGR in the forecast period. This is primarily due to the lack of adoption of lingual braces amongst patients due to the high costs associated with this product type. Due to the early adoption of new technologies and rising awareness, the U.S. holds the major share in this market.
Adult Segment Dominated the Market in 2020
Based on the age group, the market is divided into adults and teenagers. The adult segment primarily dominates the market because higher treatment costs are incurred in the treatment of adult patients. This is because the majority of adult patients opt for clear aligners, ceramic braces, and lingual braces.
The teenager segment accounted for a lower share of the U.S. market but is anticipated to register a comparatively higher CAGR as an increasing number of teenagers are opting for treatment due to factors such as flexibility of payment options.
Clinics to Register a Higher CAGR
On the basis of end-user, the market is categorized into clinics and hospitals. The clinic segment is expected to have the largest share in the market between 2021 and 2028. This dominance is primarily owing to the fact that a significantly large number of medical practices offering dental restoration services including braces, aligners, etc., in the U.S. are clinics owned and operated by private orthodontists.
The hospital segment is expected to grow at a comparatively lower CAGR in the forecast period. Any orthodontic treatment is a prolonged process and many patients opt for treatment in clinics or small-scale healthcare facilities rather than travel to hospitals in big cities for regular appointments.
Strong Product Portfolio of Leading Players to Aid Their Market Dominance
The U.S. market depicts a monopolistic market structure with the presence of key market players of several sizes, varying from large, multinational corporations to small, US-based players. In the present scenario, Align Technology, Inc., 3M, and Henry Schein, Inc. are leading the U.S. market, accounting for a dominant revenue share. This is primarily due to the presence of a robust portfolio of these companies in the US such as Align’s Invisalign and 3M’s Incognito range of lingual braces.
At the same time, domestic players such as American and DB Orthodontics are increasing their share in the U.S. market by focusing on expanding their presence in the country. These companies achieve sustainable growth due to technological advancements. Other prominent players in the market include Dentsply Sirona and ENVISTA HOLDINGS CORPORATION (Ormco Corporation), and these players are engaging in new product launches to increase their revenue share during the forecast period.
An Infographic Representation of U.S. Orthodontics Market
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The U.S. orthodontics market research report provides a detailed analysis of the market and focuses on key aspects such as the number of dentists and orthodontists in the USA, the number of procedures in USA, key industry developments, the impact of COVID-19 on the market, the prevalence of dental malocclusion in the U.S. (2020), pricing analysis, the reimbursement scenario, brand analysis, technological developments in dental braces, and key industry developments (mergers, acquisitions, and partnerships). Besides this, the report offers insights into the market trends and highlights key market dynamics. In addition to the aforementioned factors, the report includes several factors that have contributed to the growth of the U.S. market over recent years.
Value (USD Billion)
By Age Group
Fortune Business Insights says that the market size was USD 1.82 billion in 2020 and is projected to reach USD 6.17 billion by 2028.
In 2020, the market value stood at USD 1.82 billion.
Growing at a CAGR of 16.4%, the market will exhibit steady growth in the forecast period (2021-2028).
The clear aligners segment is expected to be the leading segment in this market during the forecast period.
Technological advancements, the increased demand for dental aesthetics, and an expanding patient population pool are major factors driving the growth of the market.
Align Technology, Inc., 3M, and Henry Schein, Inc. are the major players in the U.S. market.
The development of advanced braces, and new product launches are expected to drive the adoption of these products in the U.S. market.
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