Report: Italy Dental Devices Investment Opportunities, Analysis and Forecasts to 2015 TOC

1 Table of Contents 2
1.1 List of Tables 7
1.2 List of Figures 10
2 Introduction 12
2.1 What Is This Report About? 12
3 Definitions of Markets Covered in the Report 13
3.1 Dental Devices 13
3.2 Crowns and Bridges 13
3.2.1 Ceramic Fused to Metal 13
3.2.2 Metal Free Ceramic 13
3.3 Dental Biomaterials 13
3.3.1 Dental Bone Graft Substitutes 13
3.3.2 Dental Bone Grafts 13
3.3.3 Tissue Regenerative Materials 13
3.4 Dental Chairs and Equipment 14
3.4.1 Dental Chairs 14
3.4.2 Hand Pieces 14
3.4.3 Light Cure Equipment 14
3.4.4 Scaling Units 14
3.5 Dental Implants 14
3.5.1 Titanium Dental Implants 14
3.5.2 Zirconium Dental Implants 14
3.6 Dental Lasers 15
3.7 Dental Radiology Equipment 15
3.7.1 Extra Oral Radiology Equipment 15
3.7.2 Intra Oral Radiology Equipment 15
4 Healthcare Sector Review 16
4.1 Healthcare Sector Review 16
4.2 Healthcare Expenditure 16
4.3 Healthcare Infrastructure 19
4.4 Healthcare Policy 21
5 Regulation System 22
5.1 Medical Equipment Approval Process 22
5.1.1 Classification of Medical Devices 22
5.1.2 Conformity Assessment Process 31
5.2 Classificazione Nazionale Dispositivi (CND) - New Medical Device Classification 34
5.3 Post Market Surveillance 35
6 Pricing and Reimbursement 36
6.1 Market Pricing 36
6.2 Government Policies for Reimbursement 36
7 Distribution Structure 37
8 Dental Devices In Italy 38
8.1 Dental Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 38
8.2 Dental Devices, Italy, Overall Revenue ($ mn), 2000-2015 39
8.3 Dental Devices, Italy, Category Volume (Units), 2000-2015 43
8.4 Dental Devices, Italy, Company Share (2006-2007) 45
9 Crowns and Bridges In Italy 46
9.1 Crowns and Bridges Overall Revenue (2000-2015) 46
9.2 Crowns and Bridges Overall Volume (2000-2015) 48
9.3 Crowns and Bridges Average Price (2000-2015) 50
9.4 Crowns and Bridges Distribution Share (2007-2008) 51
9.5 Crowns and Bridges, Italy, Company Share (2006-2007) 52
10 Dental Biomaterials In Italy 53
10.1 Dental Biomaterials Overall Revenue (2000-2015) 53
10.2 Dental Biomaterials Overall Volume (2000-2015) 55
10.3 Dental Biomaterials Average Price (2000-2015) 57
10.4 Dental Biomaterials Distribution Share (2007-2008) 57
10.5 Dental Biomaterials, Italy, Company Share (2006-2007) 58
11 Dental Chairs and Equipment In Italy 59
11.1 Dental Chairs and Equipment Overall Revenue (2000-2015) 59
11.2 Dental Chairs and Equipment Overall Volume (2000-2015) 60
11.3 Dental Chairs and Equipment Average Price (2000-2015) 62
11.4 Dental Chairs and Equipment Distribution Share (2007-2008) 63
11.5 Dental Chairs and Equipment, Italy, Company Share (2006-2007) 64
12 Dental Implants In Italy 65
12.1 Dental Implants Overall Revenue (2000-2015) 65
12.1.1 Titanium Dental Implants Revenue (2000-2015) 66
12.2 Dental Implants Overall Volume (2000-2015) 68
12.2.1 Titanium Dental Implants Volume (2000-2015) 69
12.3 Dental Implants Average Price (2000-2015) 71
12.4 Dental Implants Distribution Share (2007-2008) 72
12.5 Dental Implants, Italy, Company Share (2006-2007) 73
13 Dental Lasers In Italy 74
13.1 Dental Lasers Overall Revenue (2000-2015) 74
13.2 Dental Lasers Overall Volume (2000-2015) 76
13.3 Dental Lasers Average Price (2000-2015) 78
13.4 Dental Lasers Distribution Share (2007-2008) 78
13.5 Dental Lasers, Italy, Company Share (2006-2007) 79
14 Dental Radiology Equipment In Italy 80
14.1 Dental Radiology Equipment Overall Revenue (2000-2015) 80
14.1.1 Extra Oral Radiology Equipment Revenue (2000-2015) 82
14.1.2 Intra Oral Radiology Equipment Revenue (2000-2015) 84
14.2 Dental Radiology Equipment Overall Volume (2000-2015) 86
14.2.1 Extra Oral Radiology Equipment Volume (2000-2015) 88
14.2.2 Intra Oral Radiology Equipment Volume (2000-2015) 90
14.3 Dental Radiology Equipment Average Price (2000-2015) 92
14.4 Dental Radiology Equipment Distribution Share (2007-2008) 93
14.5 Dental Radiology Equipment, Italy, Company Share (2006-2007) 94
15 Overview of Key Companies in Italy Dental Devices Market 95
15.1 DENTSPLY International Inc. Company Profile 95
15.1.1 Company Overview 95
15.1.2 Value Chain Analysis 96
15.2 Straumann Holding AG Company Profile 98
15.2.1 Company Overview 98
15.2.2 Value Chain Analysis 99
15.2.3 Straumann Holding AG Pipeline Products 101
15.3 Nobel Biocare Holding AG Company Profile 103
15.3.1 Company Overview 103
15.3.2 Value Chain Analysis 103
15.3.3 Nobel Biocare Holding AG Pipeline Products 106
15.4 Danaher Corporation Company Profile 108
15.4.1 Company Overview 108
15.4.2 Value Chain Analysis 108
15.5 BIOMET 3i, Inc. Company Profile 110
15.5.1 Company Overview 110
15.6 Zimmer Dental Inc. Company Profile 110
15.6.1 Company Overview 110
15.7 Anthos Company Profile 110
15.7.1 Company Overview 110
15.8 Castellini S.p.A. Company Profile 111
15.8.1 Company Overview 111
15.9 DEKA M.E.L.A. s.r.l. Company Profile 111
15.9.1 Company Overview 111
15.10 DL Medical Spa Company Profile 111
15.10.1 Company Overview 111
15.11 LAMBDA Scientifica SpA Company Profile 112
15.11.1 Company Overview 112
15.12 Villa sistemi medicali Company Profile 112
15.12.1 Company Overview 112
16 Financial Deals Landscape 113
16.1 Acquisition 113
16.1.1 DENTSPLY International To Acquire Majority Interest In ZHERMACK 113
17 Appendix 114
17.1 Global Markets Direct Research Methodology 114
17.2 Coverage 115
17.3 Secondary Research 115
17.4 Primary Research 116
17.5 Models 116
17.6 Forecasts 117
17.7 Expert Panel Validation 117
17.8 Currency Conversion 118
17.9 Contact Us 119
17.10 Disclaimer 119

1.1 List of Tables
Table 1: Number of Doctors by Specialty in Italy, 2003-2007 19
Table 2: Number of Hospital Wards by Specialty in Italy, 2003-2007 20
Table 3: Dental Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 38
Table 4: Dental Devices, Italy, Overall Revenue ($ mn), 2000-2015 39
Table 5: Dental Devices, Italy, Portfolio Analysis, 2000-2015 40
Table 6: Dental Devices, Italy, Overall Revenue ($ mn), Historic, 2000-2008 41
Table 7: Dental Devices, Italy, Overall Revenue ($ mn), Forecast, 2008-2015 42
Table 8: Dental Devices, Italy, Category Volume (Units), 2000-2015 43
Table 9: Dental Devices, Italy, Category Volume (Units), Historic, 2000-2008 43
Table 10: Dental Devices, Italy, Category Volume (Units), Forecast, 2008-2015 44
Table 11: Dental Devices, Italy, Company Share by Revenue ($ mn), 2006-2007 45
Table 12: Crowns and Bridges, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 46
Table 13: Crowns and Bridges, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 47
Table 14: Crowns and Bridges, Italy, Volume (Units) by Segment, Historic, 2000-2008 48
Table 15: Crowns and Bridges, Italy, Volume (Units) by Segment, Forecast, 2008-2015 49
Table 16: Crowns and Bridges, Italy, Average Price ($), Historic, 2000-2008 50
Table 17: Crowns and Bridges, Italy, Average Price ($), Forecast, 2008-2015 50
Table 18: Crowns and Bridges, Italy, Distribution Share by Revenue ($mn), 2007-2008 51
Table 19: Crowns and Bridges, Italy, Company Share by Revenue ($ mn), 2006-2007 52
Table 20: Dental Biomaterials, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 53
Table 21: Dental Biomaterials, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 54
Table 22: Dental Biomaterials, Italy, Volume (Units) by Segment, Historic, 2000-2008 55
Table 23: Dental Biomaterials, Italy, Volume (Units) by Segment, Forecast, 2008-2015 56
Table 24: Dental Biomaterials, Italy, Average Price ($), Historic, 2000-2008 57
Table 25: Dental Biomaterials, Italy, Average Price ($), Forecast, 2008-2015 57
Table 26: Dental Biomaterials, Italy, Distribution Share by Revenue ($mn), 2007-2008 57
Table 27: Dental Biomaterials, Italy, Company Share by Revenue ($ mn), 2006-2007 58
Table 28: Dental Chairs and Equipment, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 59
Table 29: Dental Chairs and Equipment, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 59
Table 30: Dental Chairs and Equipment, Italy, Volume (Units) by Segment, Historic, 2000-2008 60
Table 31: Dental Chairs and Equipment, Italy, Volume (Units) by Segment, Forecast, 2008-2015 61
Table 32: Dental Chairs and Equipment, Italy, Average Price ($), Historic, 2000-2008 62
Table 33: Dental Chairs and Equipment, Italy, Average Price ($), Forecast, 2008-2015 62
Table 34: Dental Chairs and Equipment, Italy, Distribution Share by Revenue ($mn), 2007-2008 63
Table 35: Dental Chairs and Equipment, Italy, Company Share by Revenue ($ mn), 2006-2007 64
Table 36: Dental Implants, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 65
Table 37: Dental Implants, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 65
Table 38: Titanium Dental Implants, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 66
Table 39: Titanium Dental Implants, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 67
Table 40: Dental Implants, Italy, Volume (Units) by Segment, Historic, 2000-2008 68
Table 41: Dental Implants, Italy, Volume (Units) by Segment, Forecast, 2008-2015 68
Table 42: Titanium Dental Implants, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 69
Table 43: Titanium Dental Implants, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 70
Table 44: Dental Implants, Italy, Average Price ($), Historic, 2000-2008 71
Table 45: Dental Implants, Italy, Average Price ($), Forecast, 2008-2015 71
Table 46: Dental Implants, Italy, Distribution Share by Revenue ($mn), 2007-2008 72
Table 47: Dental Implants, Italy, Company Share by Revenue ($ mn), 2006-2007 73
Table 48: Dental Lasers, Italy, Revenue ($ mn), Historic, 2000-2008 74
Table 49: Dental Lasers, Italy, Revenue ($ mn), Forecast, 2008-2015 75
Table 50: Dental Lasers, Italy, Volume (Units), Historic, 2000-2008 76
Table 51: Dental Lasers, Italy, Volume (Units), Forecast, 2008-2015 77
Table 52: Dental Lasers, Italy, Average Price ($), Historic, 2000-2008 78
Table 53: Dental Lasers, Italy, Average Price ($), Forecast, 2008-2015 78
Table 54: Dental Lasers, Italy, Distribution Share by Revenue ($mn), 2007-2008 78
Table 55: Dental Lasers, Italy, Company Share by Revenue ($ mn), 2006-2007 79
Table 56: Dental Radiology Equipment, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 80
Table 57: Dental Radiology Equipment, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 81
Table 58: Extra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 82
Table 59: Extra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 83
Table 60: Intra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 84
Table 61: Intra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 85
Table 62: Dental Radiology Equipment, Italy, Volume (Units) by Segment, Historic, 2000-2008 86
Table 63: Dental Radiology Equipment, Italy, Volume (Units) by Segment, Forecast, 2008-2015 87
Table 64: Extra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 88
Table 65: Extra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 89
Table 66: Intra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 90
Table 67: Intra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 91
Table 68: Dental Radiology Equipment, Italy, Average Price ($), Historic, 2000-2008 92
Table 69: Dental Radiology Equipment, Italy, Average Price ($), Forecast, 2008-2015 92
Table 70: Dental Radiology Equipment, Italy, Distribution Share by Revenue ($mn), 2007-2008 93
Table 71: Dental Radiology Equipment, Italy, Company Share by Revenue ($ mn), 2006-2007 94
Table 72: Straumann Holding AG Pipeline Products by Equipment Type 101
Table 73: Straumann Holding AG Pipeline Products By Development Stage 101
Table 74: Straumann Holding AG Pipeline Products By Therapy Area 101
Table 75: Straumann Holding AG Pipeline Products By Clinical Trials 102
Table 76: Straumann Holding AG Pipeline Products By News Summary 102
Table 77: Nobel Biocare Holding AG Pipeline Products by Equipment Type 106
Table 78: Nobel Biocare Holding AG Pipeline Products By Development Stage 106
Table 79: Nobel Biocare Holding AG Pipeline Products By Therapy Area 107
Table 80: Nobel Biocare Holding AG Pipeline Products By Clinical Trials 107
Table 81: Nobel Biocare Holding AG Pipeline Products By News Summary 107
Table 82: DENTSPLY International To Acquire Majority Interest In ZHERMACK 113
Table 83: USD to Local Currency, Average Exchange Rate 2008 118

1.2 List of Figures
Figure 1: Total Healthcare Expenditure in Italy, 2000 - 2006 17
Figure 2: Healthcare Financing Framework in Italy, 2007 18
Figure 3: Flowchart for Classification of Non-invasive Devices in Italy, 2007 23
Figure 4: Flowchart for Classification of Invasive Devices in Italy, 2007 24
Figure 5: Flowchart for Classification of Invasive Devices in Italy, 2007 25
Figure 6: Flowchart for Classification of Invasive Devices in Italy, 2007 26
Figure 7: Flowchart for Classification of Invasive Devices in Italy, 2007 27
Figure 8: Flowchart for Classification of Active Devices in Italy, 2007 28
Figure 9: Flowchart for Classification of Active Devices in Italy, 2007 29
Figure 10: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in Italy, 2007 30
Figure 11: Conformity Assessment of Class-I Medical Devices in Italy, 2007 31
Figure 12: Conformity Assessment of Class-IIa Medical Devices in Italy, 2007 32
Figure 13: Conformity Assessment of Class-IIb Medical Devices in Italy, 2007 33
Figure 14: Conformity Assessment of Class-III Medical Devices in Italy, 2007 34
Figure 15: Dental Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 38
Figure 16: Dental Devices, Italy, Overall Revenue ($ mn), 2000-2015 39
Figure 17: Dental Devices, Italy, Portfolio Analysis, 2000-2015 40
Figure 18: Dental Devices, Italy, Overall Revenue ($ mn), Historic, 2000-2008 41
Figure 19: Dental Devices, Italy, Overall Revenue ($ mn), Forecast, 2008-2015 42
Figure 20: Dental Devices, Italy, Company Share (%), 2007 45
Figure 21: Crowns and Bridges, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 46
Figure 22: Crowns and Bridges, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 47
Figure 23: Crowns and Bridges, Italy, Volume (Units) by Segment, Historic, 2000-2008 48
Figure 24: Crowns and Bridges, Italy, Volume (Units) by Segment, Forecast, 2008-2015 49
Figure 25: Crowns and Bridges, Italy, Company Share (%), 2007 52
Figure 26: Dental Biomaterials, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 53
Figure 27: Dental Biomaterials, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 54
Figure 28: Dental Biomaterials, Italy, Volume (Units) by Segment, Historic, 2000-2008 55
Figure 29: Dental Biomaterials, Italy, Volume (Units) by Segment, Forecast, 2008-2015 56
Figure 30: Dental Biomaterials, Italy, Company Share (%), 2007 58
Figure 31: Dental Chairs and Equipment, Italy, Volume (Units) by Segment, Historic, 2000-2008 60
Figure 32: Dental Chairs and Equipment, Italy, Volume (Units) by Segment, Forecast, 2008-2015 61
Figure 33: Dental Chairs and Equipment, Italy, Company Share (%), 2007 64
Figure 34: Titanium Dental Implants, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 66
Figure 35: Titanium Dental Implants, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 67
Figure 36: Titanium Dental Implants, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 69
Figure 37: Titanium Dental Implants, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 70
Figure 38: Dental Implants, Italy, Company Share (%), 2007 73
Figure 39: Dental Lasers, Italy, Revenue ($ mn), Historic, 2000-2008 74
Figure 40: Dental Lasers, Italy, Revenue ($ mn), Forecast, 2008-2015 75
Figure 41: Dental Lasers, Italy, Volume (Units), Historic, 2000-2008 76
Figure 42: Dental Lasers, Italy, Volume (Units), Forecast, 2008-2015 77
Figure 43: Dental Lasers, Italy, Company Share (%), 2007 79
Figure 44: Dental Radiology Equipment, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 80
Figure 45: Dental Radiology Equipment, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 81
Figure 46: Extra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 82
Figure 47: Extra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 83
Figure 48: Intra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 84
Figure 49: Intra Oral Radiology Equipment, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 85
Figure 50: Dental Radiology Equipment, Italy, Volume (Units) by Segment, Historic, 2000-2008 86
Figure 51: Dental Radiology Equipment, Italy, Volume (Units) by Segment, Forecast, 2008-2015 87
Figure 52: Extra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 88
Figure 53: Extra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 89
Figure 54: Intra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 90
Figure 55: Intra Oral Radiology Equipment, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 91
Figure 56: Dental Radiology Equipment, Italy, Company Share (%), 2007 94
Figure 57: DENTSPLY International Inc. Value Chain Analysis 96
Figure 58: Straumann Holding AG Value Chain Analysis 99
Figure 59: Nobel Biocare Holding AG Value Chain Analysis 103
Figure 60: Danaher Corporation Value Chain Analysis 108
Figure 61: Global Markets Direct Methodology 114