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Implant-Based Dental Reconstruction: World Dental Implant and Bone Graft
Market, 3rd Edition
September 1, 2009
The recession will have an impact on any elective medical procedure, and dental
implants (and the resulting bone grafts) are no exception. Since the last edition of
Kalorama Information's Implant-Based Dental Reconstruction: World Dental Implant and
Bone Graft Market, economic conditions have changed in US and world markets, but
the industry has also changed: mergers, new products, an increase in computer design
and trained dentists are driving growth, as is reimbursement.
This study, now in its third edition, provides a detailed view of these changes and the
state of the dental implant market today. Market coverage and analysis in this report
includes:
• Impact of Economy on Bone Grafting and Dental Implant Market
• Revenue Forecasts For Both Segments to 2013
• Implant Procedure Volumes by Provider (GP, Oral Surgeon, Periodontist)
• Demand Statistics for Dental Implant and Bone Grafts
• Regional Market Share for U.S., Europe, Asia/Pacific and Rest of World
• Company Market Share for Dental Implants and for Bone Grafting, 2008
• Review of New Products, Computer-Aided Dentistry, and Reimbursement
Trends
• Progress of Dental Stem Cells
• Profiles of Major Companies in this Market.
World market numbers include implant devices and bone graft products approved by
the appropriate regulatory agency in the U.S. and other countries, manufactured in the
countries where the products have been approved, and shipped worldwide. World
market numbers in this report do not include implant devices or bone augmentation
products manufactured in China or India by companies indigenous to those countries.
The information for this report was gathered using both primary and secondary research
including comprehensive research of secondary sources such as company literature,
databases, investment reports, and medical and business journals. Telephone

2. interviews and email correspondence were the primary method of gathering information.
For the purpose of this study, Kalorama Information conducted interviews with key
industry officials, consultants, health care providers, implant dentists, oral surgeons, and
government personnel. These sources were the primary basis for information
specifically relating to trends in the implant industry, revenue and market share data
presented in this report. Specific interviews with implant device and biomaterial
company representatives included marketing directors, division managers, and product
representatives.
Companies covered in this report include:
• Astra Tech Inc
• Biohorizons Implant System, Inc
• Biomet 3i, LLC
• Camlog US
• Dentsply International, Inc.
• Geistlich AG
• Impladent Limited
• Keystone Dental, Inc
• Nobel Biocare USA, Inc
• NovaBone, LLC
• Osteotech Inc.
• RTI Biologics, Inc
• Straumann Company
• Zimmer Dental
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
Overview
Scope and Methodology
Introduction to Dentistry
Dentistry Economics
Oral Health and Older Americans
Impact of the Aging Population on Dentistry
Global Dental Market Environment
Global Dental Market
Current Economic Trends

3. Dental Implants
The Implant Process
Demographics Impact Implant therapy
Shift in Dental Disease Patterns and Treatment Demands
Periodontal Disease: Leading Cause of Edentulism
Candidates for Implants
Types of Dental Implant Devices
Endosseous Implants
Subperiosteal Implants
Transosteal Implants
Implant Surface Treatment Methods
Dental Implant Applications
Single-tooth Implant Restoration
Multiple Tooth Restorations
Full-mouth Restorations
Types of Restoration Procedures
Dental Implant and Abutment Market
Market Forecast
Dental Bone Graft Products and Market
Dental Bone Grafting Materials
Dental Bone Grafting Procedures
Dental Bone Grafting Materials and Products
Dental Bone Graft Products
Dental Bone Graft Market
Market Forecast
CHAPTER TWO: INTRODUCTION TO IMPLANT-BASED DENTAL
RECONSTRUCTION: IMPLANT & BONE GRAFT MARKETS
Overview

4. Brief History of Dentistry
Dentistry Economics
Dental Spending in the U.S.
Major Drivers of Dental Expenditures
Current Economic Trend
Oral Health and the Older Population
Impact of the Aging Population on Dentistry
Oral Health Trends of 65 Years and Older Cohort
Older Patients Present New Challenges for Dentists
Dental market environment
Global Dental Market
Geographic Dental Market
Dental Implants
Overview
Dental Implant Market Potential
Dental implant Applications
Types of Dental Implant Devices
Implant Treatment Process
Dental Bone Grafts
Dental Bone Regeneration Market
Types of Bone Graft Materials
Success Rates of Bone Regeneration
CHAPTER THREE: IMPLANT-BASED DENTAL RECONSTRUCTION, PRODUCTS
AND MARKET
Introduction
The Development of Dental Implants: A Brief History
Demographics Impact Utilization of Implants
Shift in Dental Disease Patterns and Treatment Demands

5. Prevalence of Edentulousness in Adults Aged 65 and Older
Edentulous Rates in Selected Countries
Edentulous Rates in the United States
Factors Affecting Oral Health of Persons 65+
Causes of Tooth Loss
Introduction
Periodontal Disease: Leading Cause of Tooth Loss
Types of Periodontal Diseases
Gingivitis
Aggressive Periodontitis
Chronic Periodontitis
Periodontitis as a Manifestation of Systemic Diseases
Necrotizing Periodontal Diseases
Causes of Periodontal Disease
Genetics
Smoking/Tobacco Use
Hormonal Changes
Stress
Medications
Clenching or Grinding Teeth
Diabetes
Other Systemic Diseases
Poor Nutrition
Periodontal Treatment
Candidates for Implants
Advantages of Dental Implants
Drawbacks of Implants

6. Cost of Dental Implants
Insurance Coverage for Implants Limited
Complications of Dental Implants
Types of Dental Implant Devices
Endosseous Implants
Root-form Endosseous Implant
Plate-form Endosseous Implant
Ramus-Frame Endosseous Implant
Subperiosteal Implants
Transosteal Implants
Implant Surface Treatments
Grit Blasting
Hydroxyapatite-coating
Plasma Spraying
Dental Implant Applications
Single-tooth Implant Restoration
Multiple Tooth Restorations
Full-mouth Restorations
Implant Restoration Procedures
Evolution of Restoration Procedures and Implant Types
Restoration Procedures
Two-stage Procedure
One-Stage Procedure
Immediate Load Procedure
USA Dental Implant Statistics
Percentage of Dentists Who Have Placed Implants
Average Annual Number of Implants Placed

7. Average Annual Number of Implants Placed by Dental Specialty
Average Number of Single and Multiple Implants Placed
Dental Implant Device Market
Worldwide Dental Implant Market Potential
Number Procedures Performed
Dental Implant Market and Forecast
Dental Implant Market by World Region
Market Drivers
Leading Dental Implant Competitors
Recent Acquisitions in the Dental Implant Market
CHAPTER FOUR: DENTAL BONE AUGMENTATION, BONE GRAFT PRODUCTS
AND MARKET
Overview
Basics of Bone Biology
Osteoblasts
Osteoclasts
Osteocytes
Sequence of Bone Regeneration
Dental Bone Grafting Materials
Autograft or Autogenous Bone Graft
Allograft or Allogenic Bone Graft
Xenograft or Xenogenic Bone Graft
Alloplast or Alloplastic Bone Graft
Growth Factor Enhanced Graft
Dental Bone Grafting Procedures
Nerve Repositioning
Onlay Grafting
Ridge Augmentation

8. Distraction Osteogenesis
Sinus Lift
Miscellaneous Grafting Procedures
Dental Bone Grafting Materials and Products
Dental Bone Grafting Products
Description of Bone Grafting Products
Dental Bone GRAFT MARKET
Factors Driving the Market
Factors Limiting the Growth of the Market
Market Forecast
World Dental Bone Graft Market by Region
Market Share of the Dental Bone Graft Market
Major Mergers and Acquisitions
CHAPTER FIVE: TRENDS IN IMPLANT-BASED DENTAL RECONSTRUCTION
Manufacturer’s Continue to Improve Implant Systems
Computer-aided Implantology
CAD/CAM Technology
Teeth in an Hour™
Education is Driving the market for implants
Increase in Formal Training Sought for Implant Dentistry
Insurance Coverage For Dental Implants in the U.S.
The Start of a New Trend?
Dental Stem Cells May Grow New Teeth
On-going Dental Stem-cell Research
Odontis Ltd.
Dentigenix, Inc.
CHAPTER SIX: COMPANY PROFILES
Astra Tech Inc.

9. History and Lines of Business
Dental Implant Products
Financial Information
Biohorizons Implant System, Inc.
History and Lines of Business
Dental Implant Products
Tapered Internal
Single-stage
Internal
External
One-piece 3.0
Overdenture
MinerOss
Biomet 3i, LLC
History and Lines of Business
Dental Implant Products
NanoTite Implant
The Navagator:
External Connection
Internal Connection
Bone Augmention Products
Financial Information
Camlogus
History and Lines of Business
Dental Implant Products
Screw-Line
Root-Line

10. Cylinder-Line
Screw-Cylinder-Line
Financial Information
Dentsply International, Inc.
History and Lines of Business
Dental Implant Products
Bone Augmentation Products
Accounting Information
Geistlich AG
History and Lines of Business
Bone Augmentation Products
Financial Information
Impladent Limited
History and Lines of Business
Dental Implant Product
Bone Augmentation Product
Keystone Dental, Inc.
History and Lines of Business
Dental Implant Products
XP1 Implant System
Prima Implant System
Restore Implant System
Renova Implant System
Stage-1 Implant System
Bone Augmentation Products
DynaMatrix
DynaBlast and DynaGraft-D

11. Nobel Biocare USA, Inc.
History and Lines of Business
Dental Implant Products
NobelReplace
NobelActive
NobelSpeedy
Brånemark System
Financial Information
NovaBone, LLC
History and Lines of Business
Dental Bone Augmentation Products
PerioGlas
NovaBone Dental Putty
Osteotech Inc.
History and Lines of Business
Bone Augmentation Products
Financial Information
RTI Biologics, Inc.
History and Lines of Business
Bone Augmentation Products
Puros Block Allograft
Puros Cortical Particulate Allograft
Puros Cancellous Particulate Allograft
Financial Information
Straumann Company
History and Lines of Business
Dental Implant Products

12. Bone Augmentation Products
Financial Information
Zimmer Dental
History and Lines of Business
Dental Implant Products
Tapered Screw-Vent Implant System.
AdVent Implant System
Tapered SwissPlus System
Bone Augmentation Products
Financial Information
APPENDIX A: COMPANY NAMES & ADDRESSES
APPENDIX B: PROFESSIONAL ORGANIZATIONS & SOCIETIES IN
RECONSTRUCTIVE DENTISTRY
LIST OF EXHIBITS
CHAPTER ONE:EXECUTIVE SUMMARY
Exhibit 1-1: Top-selling Implant Device Systems
Exhibit 1-2: Worldwide Dental Implant and Abutment Market, 2003-2013
Exhibit 1-3: Selected Dental Bone Graft Products
Exhibit 1-4: World Dental Bone Graft Market, 2003-2013
CHAPTER TWO: INTRODUCTION TO IMPLANT-BASED DENTAL
RECONSTRUCTION: IMPLANT & BONE GRAFT MARKETS
Exhibit 2-1: United States Dental Expenditures, 2002-2017
CHAPTER THREE: IMPLANT-BASED DENTAL RECONSTRUCTION, PRODUCTS
AND MARKET
Exhibit 3-1: Dental Implant Placement and Components
Exhibit 3-2: Prevalence of Edentulousness (%) of Elderly Reported for Selected
Countries throughout the World, 2000
Exhibit 3-3: Percent of Persons Aged 65+ Years in the U.S. Who have Lost Their
Natural Teeth, 2008
Exhibit 3-4: Percentage of Adults Aged 65+ Who Have Lost All of their Natural
Teeth, by Selected Characteristics, 2004

13. Exhibit 3-5: Top Reasons Cited by Periodontists for Tooth Loss That Led to
Dental Implant Placement
Exhibit 3-6: Healthy Gums versus Periodontal Disease
Exhibit 3-7: Implant Types and Year Developed
Exhibit 3-8: Percentage of Dentists Who Have Placed a Dental Implant, 1999 and
2006
Exhibit 3-9: Percentage of Dentists Who Have Placed an Implant by Type of
Dentistry, 1996, 1999 and 2006
Exhibit 3-10: Average Annual Number of Implants Surgically Placed by Dentists
Who Placed Implants, 2002 to 2006
Exhibit 3-11: Average Annual Number of Implants Placed by General
Practitioners, Specialists, and all Dentists who Placed Implants, 2006
Exhibit 3-12: Average Number of Single and Multiple Implants Surgically Placed
by Dentists, 2006
Exhibit 3-13: Market Potential of Dental Implant Devices in Developed World
(Number of Conventionally Treated Patients, Number Treated with Dental
Implants, Number of Untreated People Missing Teeth)
Exhibit 3-14: Worldwide Dental Implant and Abutment Market
Exhibit 3-15: Dental Implant Market by World Region, 2008
Exhibit 3-16: World Dental Implant and Abutment Market Revenues and Market
Share by Leading Supplier, 2008
Exhibit 3-17: World Dental Implant and Abutment Market, Market Share by
Leading Supplier, 2008
Exhibit 3-18: Top-Selling Implant Device Systems (Manufacturer, System,
Description)
Exhibit 3-19: Major Acquisitions in the Dental Implant Market, 2007 & 2008
CHAPTER FOUR: DENTAL BONE AUGMENTATION, BONE GRAFT PRODUCTS
AND MARKET
Exhibit 4-1: Selected Dental Bone Graft Products
Exhibit 4-2: World Dental Bone Graft Market, 2003-2013
Exhibit 4-3: Dental Bone Graft World Markets by Percent and Revenues, 2008
Exhibit 4-4: Dental Bone Graft Market Share, 2008

14. Exhibit 4-5: Dental Bone Graft Revenues and Percent Market Share of Major
Manufacturers, 2008
Exhibit 4-6: Top-Selling Dental Bone Graft Products
CHAPTER FIVE: TRENDS IN IMPLANT-BASED DENTAL RECONSTRUCTION
Exhibit 5-1: A Selection of CAD/CAM Manufacturers and Products
Exhibit 5-2: Average Annual Number of Implants Placed by General
Practitioners, Oral and Maxillofacial Surgeons, and Periodontists, 2002 to 2006
Exhibit 5-3: Percentage of Dentists in Formal Training for Implant Dentistry by
Education Category, 2006
Exhibit 5-4: Average Number of Hours Spent in Formal Implant Training for those
Dentists Who Have Placeman implant, All Dentists, 1997, 2000 and 2007
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