The global endodontic devices market size was valued at USD 1.49 billion in 2022. It is estimated to reach USD 2.12 billion by 2031, growing at a CAGR of 4.043% during the forecast period (2023–2031).
Endodontics is the study (practice) of the basic and clinical sciences of the healthy dental pulp and the etiology, diagnosis, prevention, and treatment of illnesses, injuries, and disorders of the periradicular tissues linked with these conditions. In terms of clinical practice, endodontics entails either keeping all or a portion of the tooth pulp when it is healthy or completely removing it when it is irreversibly damaged. This includes the pulpal tissue of teeth with irreversibly inflamed and diseased pulp.
Endodontic therapy uses endodontic devices to clean and shape the root canals. They are also used to clean the canal walls of dirt and bacteria. These could include reamers, handpieces, drills, ultrasonic tools, and irrigators. Hand files, reamers, and rotary instruments are the most popular endodontic devices. They are employed to clean the root canal of debris and bacteria and reshape it to its ideal size and shape. Furthermore, irrigators flush out the root canal and aid in bacterial and material dissolution.
The increase in the consumption of sugar and tobacco has led to a rise in the prevalence of tooth decay and infection in children and adults. Although oral health in the UK is improving, 24.7% of kids aged five and older still suffer tooth decay, with an average of three to four teeth being damaged. A large financial burden is placed on the national government due to poor dental health's pricey treatment. For instance, the UK NHS spends USD 4.45 billion annually on all primary and secondary dental care. Further, an increase in untreated tooth decay, lack of good oral hygiene and regular dental checkups, and reduced fluoridation in water supplies or use of a fluoride dentifrice are some of the key factors driving the endodontic devices market.
Additionally, dental caries is a recurrent and prevalent dental health problem caused by the interaction of bacteria on tooth enamel. According to the World Burden of Disease Survey from 2017, 3.5 billion people worldwide are expected to have oral disorders, with caries of permanent teeth being the most common problem. Therefore, the increasing prevalence of caries is expected to boost the endodontic devices market during the forecast period.
Increased government funding for dental care procedures and a rise in out-of-pocket expenses are propelling the market growth significantly. According to the NCBI, the annual cost of dental services for adults aged 19 to 64 in the United States is USD 54.29 per person. While the average cost of dental services for those aged 19 or younger is lower than for adults, those aged 65 or older account for only 2.5% of all private healthcare expenditures in the United States annually.
Additionally, the highly improved reimbursement scenarios of endodontic treatments, the rising number of Periradicular surgery procedures (resection of the dental root, Apicoectomy, and removal of broken tooth fragments), an increase in the use of microsurgery in endodontic procedures (Microsurgical endodontics), and Dental X-rays are substantially fostering the market's growth.
Dental healthcare spending is decreasing in many countries, owing to an increase in out-of-pocket expenditure and the changing dental care utilization pattern. According to the U.S. CMS, in 2017, dental services spending increased to USD 143.2 billion (a 4.2% rise); however, the growth slowed by 4.8% in 2018. Similarly, private health insurance increased by 1.9% compared to 5.5% in 2018, and out-of-pocket spending for dental services increased by 5.9% after growing by 3.8% in the previous year. This indicates that government spending decreased and out-of-pocket expenditures on dental care increased significantly, which might restrain the market.
Due to the lower prices for dental procedures, including root canals, fillings, dental bridges, and orthodontic treatment in destination nations, dental tourism became increasingly popular among Europeans and Americans. In Costa Rica, 40% of patients seeking medical attention were foreigners seeking dental care. According to Promed, people worldwide travel to get their dental treatment done in developing countries, primarily because it saves 60% to 70% of their treatment costs.
According to Indian Dental Association (IDA), dental tourism constitutes more than 14% of the medical tourism industry. Factors driving market growth in India are shorter patient waiting times, cheaper treatment costs, skilled dental practitioners and high-end technology, and tourist destinations and quality accommodations. Moreover, visa on arrival is available for tourists from more than 40 countries, making India a go-to destination. This rise in dental tourism in developing countries is expected to generate tremendous opportunities for market growth.
The global endodontic devices market is segmented by type and end-user.
Based on type, the global endodontic devices market is bifurcated into instruments and consumables.
The instruments segment dominates the global market and is projected to exhibit a CAGR of 3.81% over the forecast period. The instrument segment is further sub-segmented into apex locator, endodontic motor, endodontic scalers, endodontic lasers, handpieces, machine-assisted obturation systems, and others. The endodontic motor segment dominated the endodontic instruments market because of the growing prevalence of dental conditions, the rising geriatric population highly prone to dental disorders, increasing awareness about oral hygiene, and growing dental tourism. In addition, headpieces are a conventional yet emerging technology. They have different designs, applications, materials, and manufacturing methods. Multiaxis grinding machinery has recently offered a better cutting ability and flexibility to hand files.
Furthermore, advancement in instrument delivery systems has provided dentists benefits such as easy movement and access to dental handpieces during procedures. Instrument delivery systems are available as over-the-patient, rear, side, or over-the-head delivery systems. Over-the-patient delivery systems allow free movement around a patient's head, enabling easy access to handpieces and other instruments and improving the field of vision.
Endodontic treatment success depends on the diagnosis, treatment plan, understanding of tooth anatomy and debridement, and obturation. Many obturation systems are available for root canal treatment in the marketplace. The choice of these systems is based on the canal anatomy and may differ in each case. Advanced dental guidance systems allow dentists to effectively and efficiently treat patients. Hence, the endodontics consumables segment will grow the most over the forecast period. The endodontics consumables segment is further bifurcated into access preparation, obturation systems, and shaping and cleaning.
In addition, the shaping and cleaning sub-segment dominated the endodontics consumables segment. The primary purpose of endodontic treatment is to optimize root canal disinfection and prevent reinfection, mainly performed through the shaping and cleaning process. The market is expected to grow due to increasing technological advancements and the development of a suitable combination of instrumentation and irrigation equipment.
Based on end-user, the global endodontic devices market is segmented by dental hospitals, dental academic and research institutes, and dental clinics.
The dental hospital segment owns the highest market share and is predicted to exhibit a CAGR of 3.2% during the forecast period. In most developing countries, the long waiting period in public dental care centers and low affordability for private dental treatment affect a patient's treatment decision. A limited number of patients are treated at academic hospitals where dental students, trained interns, and hospital staff render treatment. The dental hospital segment is expected to exhibit lucrative growth owing to technological advancements and an increase in scientific and clinical research. In addition, young and low-income people make up most of the emergency hospital visits over the past ten years related to resolvable oral health issues. According to the American Dental Association's (ADA) Health Policy Center, 41% of the 2.2 million annual visits to hospital emergency rooms for dental pain are covered by Medicaid.
The regulatory environment for dental clinics is stringent, especially in regions such as North America. However, healthcare systems worldwide believe that the risk of infection in clinics is low and, in some cases, are unaware of infections due to unsafe practices. Some systems recommend that patients get tested for conditions such as hepatitis B virus, hepatitis C virus, and HIV. For instance, in March 2019, in Philadelphia, U.S., officials shut down three dental clinics due to unsanitary conditions and attained uncleaned equipment used in practice. However, this segment is expected to grow rapidly due to the establishment of many dental colleges and clinics and the high enrollment in dental courses in recent years. For instance, according to NCBI, in 2019, 2.7 lakh dentists were registered with the Dental Council of India (DCI). In 2020, India achieved more than the stated dentists-to-population ratio of 1:5,000 against the 1:7,500 recommended by the WHO. The yearly graduation of a large number of dental students will help the expansion of the dental care industry.
Based on region, the global endodontic devices market is bifurcated into North America, Europe, Asia-Pacific, Latin America, and the Middle East and Africa.
North America is the most significant global endodontic devices market shareholder and is estimated to exhibit a CAGR of 3.4% during the forecast period. The dominance of North America's endodontic devices market can be attributed to the surging population, rising number of dental professionals and clinics, growing R&D activities, and growing preference for root canal procedures over implants. Advanced technologies, such as ultrasonic equipment, are available with different tips of various shapes, lengths, and compositions. Moreover, developing new ultrasound sources can help control the frequency and amplitude of vibration in all types of tips. For instance, Kerr Corporation manufactures ultrasonic tips, diamond-coated microsurgical, and a wide range of specialty tips.
Furthermore, the U.S. dominates the regional market. The U.S. market's growth can be attributed to advancements in endodontic devices, increased local manufacturers, and new equipment by current manufacturers. The launch of comprehensive endodontic systems has made the endodontics procedure safer, more predictable, and easier, resulting in patient compliance and enabling further market expansion. For instance, in February 2021, Ultradent Products, Inc. announced its partnership with American Orthodontics, which is expected to distribute the former's Opal Orthodontics branded products to orthodontists in the U.S.
Europe is estimated to exhibit a CAGR of 3.6% over the forecast period. The prominent drivers contributing to the market growth are an increase in several root canal treatments and dental care expenditures. Europe has seen more patients seeking dental care over the past few years. Companies like Dentsply Sirona have a long-established presence in the European market, particularly in Germany, Sweden, France, and the UK. The region reports the highest turnover for the company in dental products, contributing to around 40% of total sales. In addition, countries in the European region are well-developed and open to modern technologies for aesthetic surgeries and patient care. Access to such health facilities, availability of experienced practitioners, local presence of key players, and high disposable income contribute to revenue growth in the region.
Asia Pacific's endodontic devices market is anticipated to experience the fastest expansion over the forecast period due to the growing number of dental care centers, rising dental tourism, increasing R&D activities, and growing awareness about dental care. In developing economies, including India, there is limited or no access to oral health services, leading to a high incidence of dental diseases. The Asian Pacific Endodontic Confederation (APEC) is an association focused on endodontics in the region. It develops and promotes high endodontic research and clinical practice standards, creating a close professional network of endodontic practitioners in the region. In addition, the dental regulatory scenario is expected to develop over the coming years. For instance, the Dental Bill 2017 significantly changed the dental profession's regulation and the dental workforce's organizational structure in Malaysia.
The Latin American endodontic devices market is likely to grow due to factors such as the increasing prevalence of dental caries due to increased sugar intake. The growth of the endodontic devices market in the region can be attributed to its improved dental health infrastructure with advanced treatment options. In addition, Latin American nations have some advantages in terms of technological advancements due to the proximity to the U.S., the most lucrative market. Recent market approval of the new products in the region and geographical expansion of international players for business opportunities are key factors fueling the market growth.
In South Africa, public oral health has not been addressed effectively. Treating oral diseases is economically challenging for the country, as some estimates highlight that the total cost of curative dental treatment would exceed the healthcare budget in low-income countries. Developed economies fund some oral health programs through the expertise of dental specialists. Middle Eastern countries, like the UAE and Saudi Arabia, have highly developed healthcare infrastructure and high accessibility to healthcare services. These countries have adopted advanced medical systems for diagnosis and treatment, which might increase the region's overall revenue.
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