When the first paid is gone, when can the sky -high teeth disappear?

Hello everyone, this is a crow.

For people with bad teeth, going to dental clinic when I was a kid is definitely one of the childhood nightmares. Many people even when they enter the dental after adulthood, when they smell the taste inside, the fear of once will be awakened immediately.

Of course, this situation is not unique to the Chinese. According to statistics, 75%of the United States has a certain degree of dental fear. In a British survey, 36%of them have not seen dentists because they are afraid. And those particularly serious symptoms have a special name to describe -dental phobia.

However, for ordinary people, the most scary of dental is not the diverse electric diamonds and pliers inside, but the bills that are issued after watching the teeth.

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Not to mention whether the dental dental dentistry is not a profit. Many patients who have seen teeth are definitely expensive. After seeing the bills, they naturally get the emotions and complaints of dental profits.

In March of this year, Zheng Yuanjie, a "fairy tale king", published a suggestion on Weibo:

In 2021, the country's shot, the cardiac stent dropped from 13,000 yuan to 700 yuan, which benefited the patient. It is recommended that the state shot again to significantly reduce the price of oral treatment. Planting a teeth now requires patients to spend 10,000 yuan. Whether the country can significantly reduce the cost of dental treatment such as tooth breeding, as the country can greatly reduce the cost of dental treatment, which benefits patients.

Zheng Yuanjie's Weibo received a lot of support from netizens. The following thousands of comments are talking about dental prices, and dental profits should be restricted. Some netizens said that their father had made eight dental implants and spent more than 100,000 directly; others said that their mother had made a few dental implants, "the down payment for a house is gone."

So netizens appealed: "It should have been rectified long ago, and the era of planting a bite and buying a BMW car should pass." A bite to buy a BMW is not a letter from netizens. Chief physician Zhou Xuedong said in the industrialization of medical device: "At present, 80,000 yuan in the most expensive dental dental in the hospital, planting a teeth is equivalent to a BMW car. What is the concept?"

Of course, some dentists and practitioners naturally have their own views on dental profits, but patients who are troubled by high costs obviously cannot listen to their explanations. After all, the bills are clearly placed here. I don't have to pay so much money. Below Zheng Yuanjie's Weibo, some netizens asked: "Isn't it a huge profiteering why there are so many dental hospitals on the street? Why can't you see the digestive department in the street?"

Whether it is a profiteering or not, dentistry must be made by money.

There is a saying in the medical service industry and the investment industry, called "golden -breasted, silver tooth, and copper bone", which means that the investment value of these areas is very high. Having said, "There are so many dental hospitals on the street."

In fact, if you want to meet the needs of Chinese oral care, the oral hospital on the street is not necessarily enough.

According to statistics from the National Health and Health Commission and the Foresight Industry Research Institute, as early as 2019, the size of the oral medical market in my country reached 103.5 billion yuan. Not only that, the market size is still expanding rapidly, with a compound growth rate of 16.12%. The "Investigation Report on the Third Oral Disease Popularity" shows that the prevalence of oral cavity in China is as high as 97.6%, and only 0.22%of oral health standards have reached oral health standards.

Among all oral consumption, dental implants accounted for almost 40%. This is why many people's grievances about dental dental dental implants are concentrated in dental implants, and another large consumption is orthodontics. These two items have accounted for 70%of dental consumption. Therefore, there are also some surveys that the potential market size of dental implants has exceeded 200 billion.

The reason why it is a potential market is because compared with developed countries, the proportion of Chinese teeth is still very low. In 2020, the penetration rate of dental implants is only 0.5%-2%, and South Korea's penetration rate is 22 times that of China.

With the development of socio -economic development, ordinary people's attention to teeth health will only become higher and higher. After all, "toothache is not a disease, it must be human life."

However, five years have passed since Director Zhou Xuedong's "planting teeth to BMW", and the situation has not changed significantly, otherwise Zheng Yuanjie's Weibo will not still resonate. Demand is constantly increasing, but prices have not declined, and contradictions will naturally become more and more.

Of course, the appeal is useless, and the most important thing is to come up with specific and feasible solutions.

On September 14, the National Medical Security Bureau released a reply on its official website. In response to the representatives of the National People's Congress on the reimbursement of dental dental reimbursement into the field of medical insurance reimbursement, a response pointed out that in order to solve the problem of the "expensive" of the masses, in accordance with the deployment of the State Council's executive meeting, the State Medical Security Bureau guided and promoted the Sichuan Medical Insurance Bureau to lead dental implants interstate alliances the provincial provincial provincial provincial provincial alliance Procurement advocates active participation across the country.

On September 8th a few days ago, the National Medical Insurance Bureau officially issued the "Notice on the Price Governance of Oral Planting Medical Service Charges and Consumption Price Governance" (hereinafter referred to as the "Notice"), which clearly explicitly plant the planting of the third -level public medical institutions The price of dental medical services is limited to less than 4,500 yuan per one. The regulation targets of public medical institutions below the third level are decreasing accordingly.

However, the standard line of this 4500 yuan is not a hard requirement, because the "Notice" also stipulates:

Allowing economically developed areas such as economically developed and high -cost regions to relax the price control target of medical services in the local area, the proportion of relaxation does not exceed 20%. At the same time, medical institutions that have high permanent success in oral planting, public service quality information, and commitment to accept supervision and inspection can also relax up to 10%. If the medical institution meets the above three conditions at the same time, the price of medical services can be relaxed up to 40%, that is, the price The highest service charges for each one can reach 6,300 yuan. Although a certain floating space has been left, anyway, the fees for dental implants have clear reference standards. The next problem is that these policy measures can effectively solve the problem of sky -high dental implants and dental costs?

To answer this question, we need to understand the dental, especially dental implants, why is it so expensive.

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The largest item of spending money is implants, which is also the easiest project of spending money for patients.

Different implants have a large price fluctuations.

The cheapest implant is less than 2,000 yuan, and the most expensive implants usually have more than 10,000, and they are not capped. For example, Director Zhou Xuedong said a 80,000 sky -high dental implants. It can also be seen from the comments from netizens that the cost of planting a teeth is usually thousands of thousands, or even more than 10,000. Few people will choose the cheapest species. After all, the money has been spent, and the sin has suffered. If there is a cheap problem for the planting teeth, it won't be able to draw it.

The reason why these implants are so expensive are because they are imported from abroad.

In the 2017 speech, Zhou Xuedong stated that "We call for the industrialization of medical devices, especially the localization of the medical industry. I am a dentist. Most of the domestic consumables are disposable paper cups, mouthwash, etc., and I am really worried about domestic medical equipment. "

Specifically, in the field of dental implants, the proportion of imports is higher.

In China's dental clinic, imported brands account for more than 90%, most of which are from Europe, America, and Japan and South Korea. The unit price of first -line brands is about 15 to 15,000, and the high -end implants of some Swiss brands have even reached 20,000 to 31,000. South Korea's implants are a bit cheaper than Europe and the United States, and 50,000 to 10,000 There are generally not more than 5,000 yuan for domestic brands.

It should be noted that these prices are for reference only. Public hospitals usually mark the prices of various expenses, at least it can make patients feel at the bottom, and in private hospitals and private clinics, the space in it is large. The same South Korea imported dental implants, the price is 3799 in a hospital. When you go out, find a dental hospital. The price rose to 7599, and it took 3800 to enter the wrong door.

After the influx of Chinese manufacturers, large -scale price reductions did not appear in the planting field. This is because domestic implants are indeed a certain technical gap with foreign products.

Dental implants have not been invented for a long time, and it was not born in Sweden until the 1960s. Even so, it has greatly ahead of the development of domestic products. Most domestic brands have gradually started around 2010. At this time, foreign dental implants have developed for 40 or 50 years, and there is no gap. It is impossible.

The technology linked to medical materials cannot be quickly chased quickly through large drying. Domestic brands still have a certain gap in all aspects of materials, surface treatment technology, and precision.

Zou Shiqi, the attending physician of the Third Hospital of Peking University, said, "Oral materials such as dental implants belong to cutting -edge technology and basically rely entirely on imports. Domestic related material technology and manufacturing process are huge. The gap in the fields of automobile manufacturing is much larger. " There are also some domestic brands that "raw materials, production technology, consumables, high -precision equipment, etc. are all imported from foreign countries. The foreign market is in an absolute advantageous position. In fact, we do not have the right to speak."

On the other hand, whether it is a patient or a doctor, the enthusiasm for domestic implants is not high.

Because the market share is low, and there is indeed a gap between technology and imported products. Even if domestic dental implants are cheaper, patients usually choose foreign brands. As for domestic brands, most people's attitudes are "next time."

In fact, doctors are not enthusiastic about using domestic implants. The main reason is not even because of making money.

For example, public hospitals in many places prefer high -end implants. The main reason is that these brands have been born for a long time, can provide doctors with a lot of clinical data, many related research, survival rates have also been verified, and domestic brands data Few. Xu Baohua, director of the Stomatology Center of the China -Japan Friendship Hospital, said: "In fact, we also want to choose more domestic implants to support ethnic brands. But if the quality is unreliable and the planting fails, it is still my doctor's affairs. The quality of the body itself? "

And the planting is not a hammer to buy and sell. After the planting is pulled down, a dental implants usually have a warranty period of five, ten years, or even longer. Adopting emerging domestic brands still has decades of international brands. I am afraid that every dental clinic has to weigh: "In the next five years or ten years, whether this domestic implant brand exists, even if it exists, if it exists, if you want to replace a certain Can I find the corresponding model in one accessory? "Domestic implantation is equivalent to falling into a cycle that is difficult to jump out. Because of the late start, there is a gap with foreign countries in terms of technology, awareness and acceptance. Both doctors and patients tend to import brands, and because there are too few people who choose, they have strengthened the gap in all aspects.

In addition to consumables, a large number of high -precision devices used in dentistry have been monopolized overseas, such as dental chairs, mobile phones (cleaning and grinding teeth), CBCT (low dose, CT machine dedicated to dental). With time limit, expiration can only be scrapped.

In 2012, Anhui Meiya Optoelectronics independently developed the first domestic CBCT with independent property rights, which directly reduced the foreign CBCT from more than 2 million to more than 300,000, but more high -priced equipment still gapdled.

In addition to the serious dependence of consumables, there is another important reason for the Chinese people to see teeth -too few dentists.

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According to the "China Health Statistical Yearbook 2020", a total of 195,000 oral practitioners in China, including 10.4%of high -level doctors, about 20,000. At the same time, there are 110,000 dental medical institutions in China, and each institution is less than two.

In comparison, about 810 dentists per million people in European countries in 2020, about 608 in the United States, and only 175 dentists per million people per million people. And not everyone can plant teeth. As of 2018, the domestic dentist with dental implants is only 11 % of the total.

In fact, this is still enough to relax the standards that Chinese dentists are enough.

In 2013, the former State Health and Family Planning Commission issued the "Regulations on the Management of Oral Planting Technology", proposed that the cumulative credentials for continuing education through oral plantology were more than 40 points, or education institutions at home and abroad received three months of training and learning. You can carry out oral planting if you get a certificate of completion.

After the policy was introduced, a large number of large and technical graduates participated in several training courses, and they all joined the breeding army. "But the actual level is not enough." According to the "China Health and Health Statistical Yearbook 2020", as of 2019, among the domestic dental practitioners, there are nearly half of the degree of degree and technical secondary school and below.

The shortage of Chinese dentists is not without reason. The demand for the Chinese people has only begun to grow in recent years. For a long time, most people ignore their oral problems and have no consciousness to look at the teeth at all.

Demand can explode, but the supply of dentists is difficult to mention, because the training cycle is too long. A dentist has eight years of study time from a student to a qualified professional doctor. He starts to study for eight years in the early stage. From the time of graduate school, he is about 28 years old.

The number of qualified dentists was enough. Dental dental or talented industry. The most valuable is not all kinds of planting and equipment, but the technology of doctors.

In the words of a dentist, your work is not only a craftsmanship, but also a physical work. "We will not have too much action during operation, but the energy is highly concentrated. Turn in. Slightly worse, it is much worse. "

The importance of talents can be seen from the financial reports of various listed dental companies. For example, Tongmei Medical, known as the "dental Moutai". In 2021, the labor cost was 835 million yuan, accounting for 55.76%of the total cost. Ryl Group employee benefits reached 916 million yuan, accounting for 54.65%of the total cost. In contrast, the cost of medical materials is usually 20%to 30%.

Therefore, even if the price of the implants and other consumables is enough to be reduced, the overall impact of the overall cost of the teeth may not be as great as ordinary people think.

Of course, you ca n’t blame the doctor to charge too high. They also eat by their own hard technology, let alone the scarce talents that are urgently needed in the market.

However, it is also a doctor who has a difference in income in public hospitals and private clinics. A dentist at a three -year -old hospital in Nanjing said that "the monthly salary of the doctor with a qualification of four or five years is about 10,000 yuan." In private hospitals, it is not impossible for 70,000 to 80,000 a month.

Most of the Chinese dental clinics are private.

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In 2000, the former Ministry of Health issued the "Implementation Opinions on the Classification Management of Urban Medical Institutions", which clarified that the profit -seeking medical institutions will adopt a policy and management model with different non -profitability.

Although public dental hospitals have taken a great advantage in the number at the beginning, the growth rate of private dental hospitals is much faster. In 2011, the number of private dental hospitals exceeded the public hospital, and the gap became increasing. By 2017, there were less than 200 public dental hospitals across the country, but more than 500 private dental hospitals. In 2020, the number of public dental hospitals in my country was 165, and the number of private dental hospitals was as high as 848.

As for the private diagnosis, the number will only be more.

Although the price of private outpatient clinics is not cheap, the price is not its main problem. In fact, the dental clinic of public hospitals can be regarded as the top of the pyramid. Statistics show that 50%of the patient's first choice is to go to the dental consultation of the public hospital. Many times, the cost of dentistry in public hospitals is higher than private clinics, because they have more experts and better reputation, and they also have greater advantages in medical insurance reimbursement. The main problem of private clinics is confusion.

According to the State Health and Health Commission, in 2019, there are more than 75,000 individuals and chain dental specialist clinics in China. The concentration of so many outpatient clinics is very low. The top three in the industry, the outpatient market share is only 0.2%, and the market competition is very fierce.

In fact, if it is a personal clinic, it will generally accumulate reputation through the patient's mouth. And those outpatient clinics with a large amount of capital will invest a lot of advertisements in order to seize the market. Many chain oral sales costs above 15%, which almost need to catch up with the cost of dental materials.

In the process of crazy expansion, many outpatient clinics will send leaflets everywhere on the streets to promote their teeth, tooth extraction, planting and other services, and the price is no exception than the opponent. If the Korean implant is used at the price on their advertisements, I am afraid that the bottom pants are gone. Even if they use domestic implants, they can only barely protect the capital.

No one does a loss -making business. The key is to cut corners in all aspects.

For example, advertisers say that the Korean brand, as a result, the patient's mouth is planted in the domestic implants; in the subsequent repair, the full porcelain crown will be replaced with lower -priced porcelain crown; The doctors of the large hospital are actually the doctor of the clinic. These operations do not need to worry about the patients. "When surgery, a sterile cloth is covered, and nothing can be seen. The CTs after surgery are the same. Besides, many patients can't think of this layer."

Disglement is not a common phenomenon. As regulatory strictness, this phenomenon is also declining. Another more common problem is over -medical.

In an interview, Dean Li Jiangdong said: "In fact, some teeth do not require species. The first principle of oral treatment is to retain. Okay. In fact, you should try a variety of repair methods that are suitable for patients and diseases. "

However, in order to increase consumption, many dental outpatients will only blindly encourage patients to extract teeth and plant teeth. This is one of the reasons why many patients have a bad impression of dentistry. "Some doctors only make people pull out."

Therefore, the reasons why Chinese people look at dental difficulty, dental expensive, and great opinions on dentistry include: dental implants and instruments seriously rely on foreign, qualified dentists abnormal shortages, some chain clinics cutting materials, and excessive medical treatment ...

No matter which problem, it cannot be solved through a single policy. Even if the price of the collection is really low, it is not enough to let the dental costs fall. But there are clear reference standards, which is already a clear progress.

The problem of the Chinese people's teeth is indeed changing, but this change seems to be slow and mild, rather than the storms and turning the sky as many people imagined.

Of course, this change not only affects the mood of ordinary patients.

In the Spring Festival Gala 2022, the famous singer Han Hong sang a song "So many people in this world", which is different from most viewers. Lu Jianming, chairman of Tongmei Medical, did not pay attention to the content of the song. , Then published such a comment:

"Except for us, I am afraid that the front -line stars of several countries dare to lack teeth and face hundreds of millions of audiences. Civilization and wealth are two words that are completely different." ‍

After the announcement of the collection price, Lu Jianming was relieved. In the emotional mood, he posted another Weibo to express his mood: "The boots finally landed! Very good! Support! Endorsement! Win -win!"

Dental implants are only the results of staged, and Chinese dental reforms are still continuing. Because it can only provide a lot of money that some people can afford, and it is impossible to make everyone look down on teeth. I am afraid that it is neither civilized nor a real wealth.

Reference materials:

China News Weekly: How far is "Freedom of Folk"? "

Every headline: "Dental implants: Really profitable? Dentist is to lose morality for the purpose of profit? "

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China News Weekly: "A dental implants are tens of thousands, how far" free tooth farm "is from you? "

TheLivingS: "He who promotes low -cost dental implants, disrupts the oral industry in the city"

Beijing News: "Your twenty years old, destined to watch tears for the teeth"

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