It costs tens of thousands of tens of thousands, a good teeth are equal to a luxury car!Can the new dental implants bring "freedom of tooth"?

↑ Creative diagram According to icphoto

Red Star News Reporter ｜ Song Xinze Du Yuquan

Editor -in -law ｜ Editor Ren Zhijiang ｜ Guo Zhuang

In the impression of most Chinese people, dental implants mean expensive, "a good bite is equal to a luxury car" and other sayings are widely spread. After accumulating high -value medical consumables such as coronary brackets and artificial joints, the State Medical Insurance Bureau recently issued the "Notice on the Price Governance of Oral Planting Medical Services and Consumption Price Governance".

The "Notice" divides dental implants into three parts: implant, crown and medical services. Among them, the price of medical services is limited, and the total price of a single conventional dental implants medical services does not exceed 4,500 yuan in principle. The prices of implants and crowns are generated by centralized procurement and bidding.

Why is dental implants so expensive? Can special governance reduce dental implant prices and bring us "freedom to plant teeth"?

Nearly half of the elderly over 65 have a kind of dental demand

Recently, the "Notice of the National Medical Security Bureau on the Special Governance of Oral Planting Medical Services and Consumption Price Governance" (hereinafter referred to as the "Notice") was officially announced. The notice states that my country's dental implant demand continuously presents a high -speed growth of double digits. At the same time, issues such as irregular fees and heavy cost burdens in this field have become one of the pain points of people's livelihood. Low -priced advertising deceive patients, and use "benefits" and "introduction fees" to buy and sell customers. It is strongly reflected.

Dr. Chen, the person in charge of a private sector clinic in Hebei, told Red Star Journalists that there are generally three methods to deal with dental lacks, including activities, fixed dentures, and dental implants. There are many inconveniences in the activity of dentures. Fixed teeth will damage the surrounding healthy teeth, and dental implants are the most suitable.

The "2020 China Stomatological Medical Industry Report" released by Meituan Medical Research in Medtrend Medical Trends and Research Institute shows that the domestic dental implants market size reached 24 billion yuan in 2020, and my country's 10 -year compound growth rate reached 48%. The total dental amount increased from 130,000 in 2011 to 4.06 million in 2020. According to the MED+Research Institute, the potential market size of dental implants has reached approximately 160 billion.

Behind the huge market size, expensive is a common impression left by dental implants. The saying that "a bite of teeth is equal to a luxury car" is widely circulated, and this may be the main reason for the restriction of dental implants.

In May 2020, Mr. Li in Tianjin was loose and repeatedly inflamed because of periodontitis, which affected the normal diet and wanted to plant teeth. After he went to the local triple dental hospital for consultation, he thought it would cost more. He also asked an acquaintance to consult the price of dental implants in a private dental hospital. It happened to have discounts. Mr. Li was treated in this private dental hospital and planted 3 tooths. The implant was imported in South Korea, which cost about 20,000 yuan.

Of course, some people choose to plant dental implants in public hospitals. At the age of 55, Mr. Wang planted teeth in a public hospital in a certain place in Shandong in 2017. It also planted 3, which cost about 24,000 yuan.

The main reasons for young people to lack teeth are trauma and dental caries. In 2016, he was a freshman (a pseudonym) in Chongqing and fell into a bicycle and fell off two incisors. "At that time, one teeth were half broken, but it did not completely fall. The other teeth felt a little unstable, and it was broken."

Because I was young, Mei Mei didn't care about it. "I feel that it will be good. I don't want to go to the hospital for a while." After about a month, Mei Mei would hurt her teeth when she spoke. Go to the hospital for treatment.

The doctor told her that if he went earlier, he could still keep his teeth. Due to the delay, the teeth have been necrotic, and only one of them can be pulled out and planting new teeth. The other one retains a part of the root canal treatment.

Meimei chose to be moderate in imported dental implants, and the two teeth spent almost 10,000 yuan.

The planting not only spent Mei Mei a lot of money, but she also ran the hospital for nearly half a year. Fortunately, the treatment effect is good, and her life is basically not affected.

According to the "Fourth China Oral Health Popularity Survey Report", the Chinese dental implant market still has a large number of demands that have not been met. Patients aged 35-44, 55-64, and 65-74 years old The proportion is 18.6%, 38.9%, and 47.7%, while the proportion of planting dentures is only 0.2%, 0.1%, and 0.3%.

↑ On January 13, 2022, a dental implants signboard on the streets of Yichang, Hubei. Picture according to IC Photo

Dental implants are mainly expensive in medical technology

It is worth noting that the "Notice" only determines the price control target of the dental implant medical service part of the third -level public hospital to 4,500 yuan, that is, 4,500 yuan refers to the medical service fee part.

According to the National Medical Insurance Bureau, the cost of oral planting is roughly divided into three parts: implant, crown and medical services. Among them, medical service expenses refer to the sum of medical services such as outpatient consultation, biochemical inspection and video examination, implant implantation, and crown placement.

The survey results show that taking a single conventional planting of public medical institutions in various provinces as an example, the average cost of the medical service part exceeds 6,000 yuan, and the expenses of some provinces and cities exceed 9,000 yuan.

In this regard, Dr. Chen told the Red Star Journalist that his private clinic did not list the medical service fee, and the price of the patient was a pack. Dr. Chen's city is not large, and dental implants are low. His clinic operates four or five brands of dental implants, ranging from more than 6,000 yuan to more than 2,000 yuan. Some people planted about 3,000 yuan. " "Dental implants not only look at imports and not imports, but also whether doctors can be planted in doctors." Dr. Chen introduced that dental implants include 56 In one step, it takes about four or five months.

Dr. Qi Qi of a private dental clinic in Guangxi told Red Star reporters that there is risk of dental implants.

Therefore, the National Medical Insurance Bureau emphasized that the regional differences in the regulation of medical services are not a single standard for one -size -fits -all. For example, considering the high -cost factors such as resources and cities with high levels of economic development, high cost factors such as resources and manpower are indeed high. According to the feedback of soliciting opinions, the "Notice" can be clearly floated by 20%of this area. The provincial medical security department is determined and announced by the city.

A considerable part of public hospitals are more expensive than private clinics

According to the interpretation of the National Medical Insurance Bureau, the prices of the two parts of implants and tooth crowns need to be generated through centralized procurement and bidding. Therefore, the "Notice" does not set specific quantitative goals for setting. At present, public medical institutions purchase 4,000-6000 yuan per set of high-end brand implants, and other plants are 2000-3500 yuan per set. There is a high price of high price in circulation process. Most of the crowns purchased from third -party processing plants from third -party processing plants are more than 1,000 yuan. The prices of home -made crown are higher. After bidding, there will be a certain degree of decline.

According to data from Guohai Securities Research, domestic, Korean and Shizhuman implants' purchase prices in dental hospitals are 400 ~ 600 yuan, 500 ~ 800 yuan, and 1800 ~ 2300 yuan, respectively.

Dr. Qi introduced that taking the Korean Orthoda brand dental implants as an example, 4,500 yuan can cover the cost price of implants, base platform positioners, personalized base platforms, and oxidation full porcelain crown, but the cost of the clinic's early investment is difficult to be difficult to invest in the early stage of the clinic. Recycle. These initial investment includes the cost of purchasing brand planting tools, the cost of doctors receiving training, and general operating costs.

Among them, the planting tools need about tens of thousands of yuan, and the clinic needs to be "determined" to buy. General clinics will not operate too many brands of dental implants, because every brand needs to buy planting tools separately.

Another impression of dental implants is that the hospital is more expensive than private clinics. This is not only related to medical service fees, but also related to the procedures such as implants and crown. In this regard, Dr. Qi said that some implant manufacturers will reach an agreement with large chain private clinics to change the price with volume, and they can get low prices for how many dental implants sold within one year. The hospital procurement process is stricter. It is not as flexible as private clinics, and the price is naturally more expensive.

In this regard, the National Medical Insurance Bureau explained that the dental implants consumables are mainly based on centralized procurement, and competition has formed a transparent and reasonable price. Among them, as industrial finished products supplied by standardized production and cross -regional supply, referring to the experience of collecting high -value medical consumables such as coronary stent and artificial joints, and implementing the alliance of alliance in Sichuan Province and all provinces participating in the procurement. All public medical institutions that are required to provide oral planting services will participate, and the private medical institutions are required to actively participate in the amount of price replacement. The personalized requirements of dental crown processing are high. At this stage, it is mainly based on exploring bidding hanging nets. It will be tried first in Sichuan Province to form a reference department of the crown price. transparent.

In Dr. Chen's clinic, most of the patients chose domestic dental implants about 3,000 yuan because of the price, and "domestic are also reliable."

"Stomatological operation risks and benefits coexist. Doctors want to minimize the risk as much as possible, leaving only benefits to the patient, but it is not absolutely absolute. Preferential choice. "Dr. Qi said.

In the field of oral planting, a considerable number of public medical institutions are higher than private medical institutions. The National Medical Insurance Bureau not only hopes that the New Deal can reduce the price of public hospitals, but also hopes to play the role of "anchor", thereby guiding private hospitals. The "Notice" requires localities to adhere to the principle of public welfare, reduce prices such as implant fees, crowns, and bone planting expenses such as crowns, and bone planting expenses in public medical institutions. The level of the masses is expected to formulate reasonable prices.

"Actually, the relevant wind sound was heard last year. I think this time is also released a signal. I want public hospitals to make dental implants and let private private dental medicine, such as orthodontics, replenishment, repair, etc. Operations need to be standardized and sterile conditions. If there is a public hospital, it is better. "Dr. Qi said that the new policy has not yet been implemented, and the impact on private clinics cannot be seen for the time being.

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