[Turn] Who is blocking low -cost dental implants?

Source: Archimedes Biotech

The dental implants are delayed.

Originally planned to strive to launch the alliance reform of local collection in the first half of this year. So far, the Sichuan Provincial Medical Insurance Bureau, which is responsible for led, is silent.

The hardest and easiest.

First, there is a Ningbo model to reduce the cost to 3,000 yuan. The existing upgraded version of Bengbu model, an ordinary prefecture -level city engaged in 9 dental implants brands, reduced the cost to 2,000 yuan.

10,000 yuan can grow 5 teeth, and the entry -level dental implant freedom has been realized, and it is a heavy -duty -level beneficiary dividend.

The difficulty of collecting depends on what vision is pursuing. Basic collection insurance, providing entry -level dental implants, and slowing down the entire price center, it is easy to achieve, but it is impossible to try to erase the rich and the poor.

It can be driven by the car, but it can be mentioned by the bag, but the reality is price -stratified. Dental implants are non -standard consumer goods. The attributes are completely different from generic drugs, corresponding to the solidification of the class, and corresponding to different payment capabilities.

01. Freedom of planting teeth

The Ningbo model is close to perfection.

The cost of dental implants contains two parts, one is the cost of (implant, base platform, and crown), and the other is the medical service costs planted by medical institutions. The Ningbo Medical Insurance Bureau restricts the price of consumables at 1,000 yuan, imported 1500 yuan, and medical service expenses of medical institutions (levels 2 and below) are set at 2,000 yuan. In other words, as long as the dental implants in the directory are selected, only 3,000 yuan is planted for a domestic one, and the imports are only 3500 yuan. Regardless of whether the medical insurance account payment or cash payment over the years, the same city is the same price.

The rules are clear and simple, and there is no mixing, which means that it can be replicated and promoted.

14 brands enter the directory range and cover 130 medical institutions. The pilot has been piloted for 5 months. More than 2,000 dental implants have been planted into Ningbo population.

The entry level is mainly based on domestic brands. There are also Korean brands Volan, DIO, and SG, which are the main cost -effective routes. South Korean first -line brands Dengteng and Ogai Thai have not allowed profits to participate.

Bengbu City, Anhui Province has launched a trial of dental implants projects on August 1, and implemented a limited price for dental implants costs+medical service fees. The third -level hospitals are not higher than 2200 yuan/piece, and the second -level hospitals are not higher than 2,000 yuan/piece. The first and below hospitals (including the oral clinics) are not higher than 1,800 yuan/piece, of which 1,800 yuan/one refreshes the minimum record of the national dental price.

The nine brands enter the directory range, which is also dominated by domestic brands and covers 26 medical institutions.

The first Bengbu people who enjoyed dental implants pilot dividends, dental implants and medical service fees for a total of 2640 yuan.

Based on 28 ordinary people, the previous 12,000 yuan/piece, a bite of dental implants is equivalent to a BMW car and a set of county houses. Now the minimum is 1,800 yuan/piece, and a bite of dental implants is 50,000 yuan.

According to the fourth national oral health epidemiological survey, the average number of teeth in different ages is 2, 2 are 45-54 years old, 55-64 years old 3.73, 65-74 years old and 7.5.

A national study by Britain found that the poor were 8 teeth less than the rich in the same age when they were 70 years old.

If there is no existence, we have only 15,000 yuan to plant 8 teeth, which can achieve preliminary fangs.

However, Ningbo's pilot did not detonate the enthusiasm of the masses. On average, each medical institution was planted less than 5 low -cost teeth per month.

Why is this?

Source of major domestic implant enterprises: official website of each company, China -Thailand Securities Research Institute

02. The jealous dentist

Huaxi Stomatology Academy ranked first in the country. It was founded in 1917 and was the ancestor of modern stomatology in my country.

In 2020, West China Stomatology (8 years) admitted a maximum score of 690, 4 points difference from Tsinghua's stall adjustment line, and 5 points from Peking University's stall adjustment lines. Even the minimum admission score was 8 points. 9 points from Peking University's gear adjustment line.

This year, a science candidate in Suining was admitted by West China Stomatology (8 years) with a score of 695 points and 47 in the province.

This is the opportunity cost.

Division of dental medicine requires at least 8 years, and a dental implants need at least 10 years.

This is time cost.

Nowadays, the PhD in West China Stomatology has become the standard for Sichuan -Chongqing public hospitals. How can the cost fall?

According to PayScale's latest data, the average salary of American dentists has continued to 73836–224973. According to the U.S.NEWS survey, dentist is the best in the United States. It has a higher annual income of the two states of Michigan and Northcarolina, reaching $ 286,460.

The Ryl Group, which positioned mid -to -high -end stomatology, had 770, 820, 856 full -time dentists from 2019 to 2021, with an average income of 1.3767 million yuan, 1.2879 million yuan, and 1.878 million yuan, respectively. The average income of Dr. Dental Dental Dental Dental Dental Medicine is about 400,000 yuan.

Domestic dental doctors are closely scarce. The number of dentists per million people is only 131, and the number of dentists per million people in Japan is 818. There are fewer doctors with planting qualifications, accounting for only 11%of all dentists, far lower than 80%of South Korea and 22%of the United States. Finally, high -quality doctor resources are concentrated in large public hospitals. Private hospitals are supplemented by public hospitals and cannot compete in front.

It can be seen that before the collection, private dental institutions have dropped the dental implants package to about 4,000 yuan, and why dental implants in public hospitals still maintain a single 10,000 yuan. Although the procurement of dental implant consumables in private dental institutions accounted for more than 80%, and the enthusiasm for participating in collecting mining is not high, the price system can be successfully connected with the limited price of medical insurance.

The main resistance of the collection is large public hospitals, and the doctoral medical doctors of the famous schools are not hardware workers. Even if the low -priced package forcibly landed in large public hospitals in the future, how can we solve the queuing problem?

In a public hospital, an important reason for the high dental implants prices stems from an unwritten regulation: the charges of implant systems and crowns are generally controlled at about 30 % of the total dental implants, that is, the cost rate must be controlled, otherwise it will affect the affect Hospital's performance assessment (according to China News Weekly).

The expression is very obscure, that is to say, among the total dental implants, about 30%of consumables, about 70%of medical services, public hospitals in first -tier cities prefer high -end implants in Europe and the United States. It will not be less than 10,000 yuan. The purchase price of domestic and Korean implants is low, and the corresponding medical services charges are meager.

But this cost distribution also has a certain rationality. Imitation drugs are standard products, but the process of dental implant surgery is non -standard, and it is seriously dependent on the level of doctors. Ningbo models and Bengbu models cannot make specific requirements for doctors.

In an implantable implant in the alveolar bone of only a few millimeters. Although the success rate of surgery exceeds 90%, the doctor's experience and technical level affect the stability, comfort, chewing effect, and service life of dental implants.

It is said that in order to exercise the stability and accuracy, the planting doctor often peels raw eggs with bare hands and removes the egg skin without damaging the layer of film inside.

Planting doctors need a lot of case accumulation. Public hospitals have more clinical experience, and they grow faster.

In 2013, the former National Health and Family Planning Commission issued the "Regulations on the Management of Oral Planting Technical Management". After a large number of secondary students and college students participated in the three -month training class, they entered the oral planting industry.

Patients with periodontal disease should deal with periodontal periodic treatment before dental implants, and they need to wait for half a year to heal alveolar bone after extraction, and then plant planting. Public hospitals will follow the process. In order to improve the conversion rate of customer acquisition, private hospitals launched immediately planting, and even after extraction of the rear teeth area, they immediately implanted in fresh wounds.

Dental implants prices in a public hospital in Northeast China

03. Domestic implant

Plants need to obtain three categories of medical equipment for the State Drug Administration. Titanium and titanium alloy used in domestic implants are consistent with foreign brands. The coating is also imported from abroad. Biocompatibility, chewing and aesthetic functions meet the requirements.

It looks like a standard product, but it is not that the domestic replacement process is particularly difficult. It started around 2010. So far, 20 companies have a total market share of 6.8 %.

Dental implants have significant consumption attributes. Nobel and Shizhuman have half a century of accumulation. The advantages of brands and channels can reduce consumer search costs. Swedish Svenjohansson has used 11 Nobel pure titanium implants for more than 50 years. It can live for so long, which is also related to good teeth.

Shizhuoman has 15 million implants in the mouth of patients in the world. Long -term research on more than 600 patients has confirmed that the survival rate of planting systems in 10 years is 97 % to 99 %. South Korea's Aoothy Thai has also accumulated 800,000 clinical effective data.

Domestic dental implants have a short time, small total planting, and lack of clinical data. The awareness and recognition in doctors and patients need to be built for a long time.

The technical barriers of implants are reflected in materials, surface treatment technology, and precision. The gap between domestic implants and foreign brands is not very large, but the marginal costs are different. Consumers are willing to pay a double expenditure for a small improvement.

The mainstream implanted materials are titanium and titanium alloy. The European and American system does better on the balance point of biocompatibility and strength. The same mechanical strength is achieved with a small diameter and shorter length. Essence French Android, Israeli brand, and Jiebang of the United States that can be provided with level 5 titanium are currently available.

Plant surface treatment processes, such as acid erosion sand spraying, adding hydrophilic coating, can combine with bones faster. There are three types of surface types of Shizhuoman implants. In conjunction with the ROXOLID of technology materials, the planting needs of bone level implants and soft tissue level implants in different planting depths can be achieved, faster healing, and enhanced bone tissue regeneration.

The dental implants are small, and the precision requirements are high in manufacturing. The processing process of high -end implant lathes in Europe and the United States can achieve the manufacturing accuracy of watch parts, while most of the domestic dental implants production has a history of less than 10 years. The accuracy of lathe processing and the uniformity of implant quality needs to be improved. In the country, there is still a gap between the comparison of the interlinity between the base and the implant. The stability of the mechanical structure is not strong, which can shake the implant.

According to OSSTEM, my country's dental implant market pattern in 2019 is: the highest market share in Ogai Thai, South Korea, 25%of South Korea Deng Teng, 22%of the Swiss brand Shimorman, and the fourth in Dana, USA He (acquired Nobel) 10%, and the fifth is 8%of German Dembeiner Beroso.

The purchase price of domestic and Korean implants in dental hospitals is 400 ~ 600 yuan, 500 ~ 800 yuan, respectively. Space. In March 2020, Kang Tuo Medical obtained three types of registered certificates: titanium and titanium alloy artificial dental implant system, and the commercialization was not progressing. Domestic implant manufacturers mainly include Huaxi Stomatology Hospital, Beijing Leiden, Weigao Jielikang, Dabai Baiya Thai, Jiangsu Chuangying, Ningbo Meig True, Changzhou Baikangte, Shenzhen Ant, Ke Runxi.

The positive significance of collecting collection is to accelerate the domestic alternative process, give domestic implants more application scenarios, accumulate clinical data, and improve word of mouth and technical experience.

Oral repair materials are used for bone planting (bone reconstruction) when the alveolar bone conditions are insufficient to ensure the stability after implant implantation. Foreign capital also accounts for a strong position. Oral repair membrane, Gaishi market share is about 70%, and Zhenghai creatures are 12%. Bone repair powder, Gaishi City accounting for 70%, 4.4%of Zhenghai creatures, and 7.0%of Olympic Medical Medicine.

Zhenghai Biological also represents Jiangsu Chuangying implant to build a planting ecological chain. Jiangsu Chuangying's TL soft tissue level and BL bone level planting system, which is highly recognized by Chinese doctors in domestic planting systems.

The founder of a domestic dental clinic is worried that choosing an implant to value its past, and it depends on its future. Can accessories, can I find the corresponding model? "

Domestic dental implants collection is equivalent to entering a stable supply system, which can be expected to enhance.

The scattered breakthroughs achieved by Ningbo and Bengbu meant that it was not difficult to dental implants. As long as the positioning is positive, the national collection of Sichuan will end.

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