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Project Objectives. Understand trends in case starts since January of 2007. Quantify impact of the downturn of the national economy on case starts. Estimate future volume of patient visits. Primary Objective : To understand patient trends in the past year and to estimate future trends.

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project objectives
Project Objectives
  • Understand trends in case starts since January of 2007.
  • Quantify impact of the downturn of the national economy on case starts.
  • Estimate future volume of patient visits.

Primary Objective:To understand patient trends in the past year and to estimate future trends.

recruitment study methodology

Panel Intelligence draftsinitial survey &recruitment criteria

Participants respond to surveywhile Panel Intelligence monitors data for integrity

Clean andanalyze finaldata set

Deliver finalanalysis andresults

STEP 1: Setup

STEP 2: Fielding

STEP 3: Wrap-Up

Kickoff: clarifyclinical orbusiness-relatedissues

Program andtest onlinesurvey

Inviteparticipants

Respondentquota(s) reached;

Survey closed

Summarize resultsand key findings for final report

Recruitment & Study Methodology

QUANTITATIVE RESEARCH

Quotas and Recruitment Criteria for Survey:

  • 101 dental professionals
  • Mix of solo and multi-dentist practice
  • Geographical mix
  • Practices with annual revenues greater than $200,000

Survey Detail:

  • Self-administered survey
  • Approximately 30 minutes’ duration
  • 101 total respondents
  • Fielded online from April 23, 2008 to April 25, 2008
respondent background information
Respondent Background Information
  • Solo practitioners: 58.4% n = 101
  • Multi-dentist practice: 41.6% [Mean: 18.3 Range: 2 - 200]

Questions S1 - S5

key findings trends in dental cases us economy impact
Key Findings: Trends in Dental Cases & US Economy Impact
  • Dentists expect volume of routine and non-routine visits to increase in 2008 compared to the same quarter in 2007.
    • For dentists expecting a decrease in visits in 2008, 90% indicate the state of the economy is a factor.
    • Dentists predicting an increase in visits in 2008 cite practice growth as a factor.
  • Nearly 80% of respondents currently have a negative to strongly negative perception of the general US economy.
    • 67% of dentists indicate the economy is currently having a negative impact on their practice.
    • Nearly 60% indicate that the US economy will have a negative on their practice impact 12 months from now.
    • Currently 15% of dentists feel the US economy is having a positive impact on their practice, yet over 30% indicate the economy will have a positive effect 12 months from now.
  • While respondents were split on awareness of new tax incentives, almost 32% will make an equipment technology purchase in 2008 because of the tax incentives.
    • The tax incentive will influence respondents to purchase new equipment, digital x-rays, large ticket items, and replace failures instead of fixing them.
    • Close to 63% of those making new equipment or technology purchases will spend $50,000 or more, which for 60% of respondents represents an increase in spending from 2007 by an average of 70%.
key findings consumables basic equipment and high tech equipment
Key Findings: Consumables, Basic Equipment, and High Tech Equipment
  • 72% of consumables purchased are from primary distributors; Henry Schein is most commonly used.
    • Over 80% of dentists will not change the percent of total purchases supplied by their primary consumables distributor.
    • 68% of dentists purchase 16% of their consumables directly from manufacturers.
    • Choice of distributor is primarily driven by price (mean rank 1.8) followed by most consumable SKUs (breadth of products) (mean rank 3.1).
  • Over 65% of total basic equipment purchases are made from primary consumables distributors.
  • 80% of high-tech equipment is purchased through either primary consumables distributors (53%) or direct from the manufacturer (27%).
    • Digital x-ray (mean rank 1.5) is considered the most important high-tech equipment to dental practices, followed by the intra-oral camera (mean rank 2.3).
    • Outside of digital x-ray and CAD/CAM, respondents indicate laser dentistry, cone beam/CT, electronic records, and digital impressions as being the most promising new technologies in the next 5 years.
key findings digital x ray
Key Findings: Digital X-Ray
  • 76% of dentists are performing intra-oral imaging, 65% are doing panoramic, 11% are doing neither.
    • Both intra-oral and panoramic users indicate digital is more beneficial than film, panoramic users slightly more so, 63% to 61% respectively.
  • Respondents estimate nearly a third of US dentists are currently using digital x-ray.
  • A 26% CAGR expected in digital x-ray use over the next 3 years.
  • Of the 42% of respondents without digital x-ray, 19% anticipate purchasing a system in 2008.
    • Over 68% of respondents are aware of 3-D x-ray systems, 60% of them see a need within their practice for one and 34% of those who see a need plan to purchase a system within the next 3 years.
key findings trends in dental implant cases
Key Findings: Trends in Dental Implant Cases
  • Respondents perform an average of 7.8 implant cases per month, 60% of which are non-elective.
    • For the 15% of respondents that switched implant brands, most are leaving Nobel Biocare, going to either Straumann, or Astra, for various reasons.
    • 77% of dentists said price was not the most significant factor in choosing an implant manufacturer, ease of use and reliability are indicated as factors influencing selection.
  • Respondents report a consistent increase in the number of dental implant case starts over 2007, (16.5 in Q2 07) and they project the number to continually increase reaching 20.1 case starts per month by Q1 in 09.
    • The economy and energy prices are indicated as factors for those anticipating a decrease in case starts in Q2 2008 compared to Q2 2007.
    • Advertising/marketing and increased awareness are factors given for seeing an increase in case starts from Q2 2007 to Q2 2008.
  • 70% of dentists have not seen a change in outward referrals for dental implants in the past 12 months.
    • 26% have seen an increase by 26%. Reasons indicated for the increase include better patient education and awareness.
    • 5% have seen a decrease in outward referrals by 33%. Primarily because they are capable of doing implants themselves instead of referring out.
key findings cad cam
Key Findings: CAD/CAM
  • 65% of respondents feel the average 29 crown restorations they perform a month will not change over the next 12 months. 32% believe they will see an increase by 12%.
  • Respondents recognize a mean difference of $785.67 between the amount charged per crown and the amount paid in lab fees per crown. More dentists are paid cash by patients than through managed care.
  • While all respondents are aware of CAD/CAM 60% are not using it.
    • 60% of respondents indicate cost as the primary reason they have not purchased an in-office CAD/CAM system, followed by lack of necessity for 27%.
      • Of the 16% considering purchasing CAD/CAM, it would be in an average of 3.3 years.
      • 25% of those are considering the E4D from D4D.
  • A 15% CAGR is expected for in-office CAD/CAM system use over the next 5 years.
detailed findings
DETAILED FINDINGS

SECTION ONE: TRENDS IN DENTAL CASES

surveyed practices currently manage an average of 5 854 patients
Surveyed Practices Currently Manage an Average of 5,854 Patients

The median number of patients respondents are managing is 2000.

n=101

Q1. In total, how many patients is your practice currently managing/treating?

volume of visits to increase in 2008 compared to the same quarter in 2007
Volume of Visits to Increase in 2008 Compared to the Same Quarter in 2007

Patient visits in 2008 for routine and non-routine care are expected to increase from the same quarter in 2007.

Q2. Please estimate the number of dental visits your practice experienced in the following time periods:

Q3. In the table below, please estimate the number of visits you expect your practice to have in the following time periods.

n=101

the state of the economy greatest reason for a decrease in visits
The State of the Economy Greatest Reason for a Decrease in Visits

For over 90% of 22 respondents who predict a decrease in visits from Q2 2007 to Q2 2008, the state of the economy is a factor.

n=22

Q4. You indicated that you expect a decrease in the number of visits in second quarter 2008 compared to second quarter 2007. Which of the following factors, if any, do you feel may contribute to the decrease in patient visits?

other factors contributing to decreasing patient visits
Other Factors Contributing to Decreasing Patient Visits

Respondents indicate a number of other reasons for an anticipated decrease in patient visits from Q2 2007 to Q2 2008.

n=22

Q5. What other factors not mentioned above, if any, may contribute to the decrease in patient visits?

increases in visits due to practice growth
Increases in Visits Due to Practice Growth

Almost 29% of respondents indicate practice growth as the reason they will see an increase in the number of visits in Q2 2008 from Q2 2007.

Q6. You indicated that you expect an increase in the number of visits in second quarter 2008 compared to second quarter 2007. What factors do you feel are contributing to the expected increase in patient visits?

n=35

state of the economy and job loss drive drop in non routine care visits
State of the Economy and Job Loss Drive Drop in Non-routine Care Visits

For respondents anticipating a drop in non-routine care visits in Q2 2008 from Q2 2007, the state of the economy (86%) and job loss (64%) are factors seen as having the greatest impact.

Q7. You indicated that you expect a decrease in the number of non-routine care visits in second quarter 2008 compared to second quarter 2007. Which of the following factors, if any, do you feel may contribute to the decrease in non-routine care visits?

n=22

patient budgets and the election also factors for declining non routine care visits
Patient Budgets and the Election Also Factors for Declining Non-routine Care Visits

Respondents indicate changing budgets for patients and the election as other factors contributing to an anticipated decrease in non-routine care visits.

n=22

Q8. What other factors not mentioned above, if any, may contribute to the decrease in non-routine care visits?

detailed findings18
DETAILED FINDINGS

SECTION TWO: US ECONOMY IMPACT

negative perception of the general us economy
Negative Perception of the General US Economy

Nearly 80% of respondents currently have a negative to strongly negative perception of the general US economy.

Perception of the General US Economy

Mean

2.9

% of Respondents Selecting Answer

Q10. On a scale of 1 to 7, with 1 being a “Strongly Negative” and 7 being a “Strongly Positive”, what is your current perception of the general US economy?

n=101

us economy currently having negative impact on 67 of practices
US Economy Currently Having Negative Impact on 67% of Practices

While the majority of respondents indicate the economy is negatively impacting their practice, 15% say it is having a positive impact on their business.

Impact General US Economy is Currently Having on Your Business

Mean

3.3

% of Respondents Selecting Answer

Q11. On a scale of 1 to 7, with 1 being a “Strongly Negative” and 7 being a “Strongly Positive”, how much of an impact, if any, do you think the general US economy is currently having on your business?

n=101

anticipate economy will have less impact 12 months from now
Anticipate Economy Will Have Less Impact 12 Months From Now

Nearly 60% of respondents indicate that the US economy will have a negative on their practice impact 12 months from now, but over 30% indicate it will have a positive effect, twice as high as current impact.

Impact General US Economy Will Have on Your Business 12 Months From Now

Mean

3.6

% of Respondents Selecting Answer

Q12. How much of an impact, if any at all, do you think the general US economy will have on your business 12 months from now?

n=101

while not well known tax breaks in new stimulus bill will make an impact on purchases
While Not Well Known, Tax Breaks In New Stimulus Bill Will Make An Impact On Purchases

While respondents were split on awareness of the new tax incentives, almost 32% will make an equipment technology purchase in 2008 because of the tax incentives.

New Provisions Influence on Making An Equipment

Technology Purchase in 2008

Awareness of New Provisions in Stimulus Bill

Aware of New Provisions in Stimulus Bill

Will Make an Equipment Technology Purchase in 2008

Not Aware of New Provisions in Stimulus Bill

Will Not Make an Equipment Technology Purchase in 2008

% of Respondents Selecting Answer

% of Respondents Selecting Answer

Q 13. Are you aware of the new provisions in the recently-passed stimulus bill that increased the write-off a maximum of $250,000 on equipment and technology purchases installed and operational by the end of the 2008 calendar year?

Q 14. Will this tax incentive for small businesses influence you to make an equipment technology purchase in 2008?

n=101

purchases will include new equipment and digital x ray
Purchases Will Include New Equipment and Digital X-Ray

The tax incentive will influence respondents to purchase new equipment, digital x-rays, large ticket items, and replace failures instead of fixing them.

Q14.a Will this tax incentive for small businesses influence you to make an equipment technology purchase in 2008?

If Yes, how so?

n=32

more than 60 will spend over 50 000
More Than 60% Will Spend Over $50,000

44% of respondents who anticipate making a new equipment or technology purchase in 2008 will spend between $50,001 - $100,000.

Anticipated Amount Spending in 2008

> $250,001

$200,001 - $250,000

$100,001 - $200,000

$50,001 - $100,000

< $50,000

% of Respondents Selecting Amount

n=32

Q 15. How much do you anticipate you will spend on new equipment or technology in 2008?

compared to 2007 60 will increase spending by 70
Compared to 2007, 60% Will Increase Spending by 70%

In 2008 60% of 32 respondents will increase their spending on new equipment or technology from 2007 by an average of 70%.

Change From Spending In Previous Year

Increase By: 70.3%

n = 18 (with 1 outlier excluded)

No Change

n = 8

Decrease By: 35.6%

n = 5

% of Respondents Selecting Answer

n=32

Q 16. a Does this reflect a change in spending on new equipment or technology from the previous year?

dentists plan to invest in digital technologies
Dentists Plan to Invest In Digital Technologies

Several dentists indicate digital x-ray, and digital imaging as areas of investment in 2008.

n=32

Q16.b Please highlight some of the technologies you will be investing in (CAD/CAM, digital imaging, etc.):

detailed findings27
DETAILED FINDINGS

SECTION THREE: CONSUMABLES

henry schein most commonly used primary distributor 72 of purchases are from primary distributors
Henry Schein Most Commonly Used Primary Distributor; 72% Of Purchases Are From Primary Distributors

Dentists use an average of 4 distributors for purchasing consumables.

Percent of Total Consumables Purchased from Primary Distributor: 72.1%

Q17. How many distributors do you currently use for purchasing consumable products?

Q18. Who is your primary consumables distributor, and what percent of your total consumable purchases are from that distributor?

n=101

over 80 will not change percent of total purchases supplied by primary distributor
Over 80% Will Not Change Percent of Total Purchases Supplied By Primary Distributor

Less than 20% of respondents will change the percent of total purchases bought from their primary distributor.

Anticipated Percent Change in Total Consumable

Purchases from Primary Distributor

Increase

N = 9

Remain the Same

N = 82

Decrease

N = 10

% of Respondents

n=101

Q 19.a Do you anticipate this percentage to increase, decrease, or stay the same in the future?

patient load drives changes in purchasing behavior
Patient Load Drives Changes In Purchasing Behavior

Increasing patient loads supports more purchases, while decreases in patients and increasing prices are reasons for decreases in purchases.

n= 9 increase

n = 10 decrease

Q 19.b If you anticipate this percentage to increase or decrease, what is the primary reason for the change?

68 of dentists purchase 16 of consumables directly from manufacturers
68% of Dentists Purchase 16% of Consumables Directly From Manufacturers

While 32% of dentists make no purchases from manufacturers, nearly 16% of total consumable purchases made are direct from the manufacturer.

Percent Purchasing Consumables

Directly From the Manufacturer

Average of 15.6% of Total Consumables Purchased Direct from Manufacturer

Do not

% of Respondents

Q 20. Do you purchase any consumables product directly from the manufacturer? If so, what percentage of total consumables purchases does this represent?

n=101

price drives distributor choice
Price Drives Distributor Choice

Although having a breadth of products is important (3.1 mean rank), price (1.8 mean rank) is still the most important factor in deciding on a consumables distributor.

Q 21. Please rank the following factors by order of importance when selecting a distributor for consumable products. (1=Most Important, 2=Second Most Important, etc.)

n=101

detailed findings33
DETAILED FINDINGS

SECTION FOUR: BASIC EQUIPMENT

most basic equipment is purchased from primary consumables distributors
Most Basic Equipment Is Purchased From Primary Consumables Distributors

Over 65% of total basic equipment purchases are made from primary consumables distributors.

Percent of Basic Equipment Purchases

Made by Vendor Type

Primary Consumables Distributor

Secondary Consumables Distributor

Direct from Manufacturer

Other*

% of Respondents

Others Specified: pens, paper products; local full service dealer; Equipment Supplier; equipment service contractor; Dental repair technician; dart; appropriate distributor; already present when purchased this practice

.

n=101

Q 22. When purchasing high tech equipment, what percentage of purchases are made from the following vendors:

detailed findings35
DETAILED FINDINGS

SECTION FIVE: HIGH TECH EQUIPMENT

more than half of high tech equipment purchases are made from primary consumables distributors
More Than Half of High-Tech Equipment Purchases Are Made From Primary Consumables Distributors

Over 80% of high-tech equipment is purchased through either primary consumables distributors or direct from the manufacturer.

Percent of High-Tech Equipment Purchases

Made by Vendor Type

Primary Consumables Distributor

Direct from Manufacturer

Secondary Consumables Distributor

Other*

% of Respondents

Others Specified: On line or retail stores; local full service dealer; Equipment Supplier; distributor of particular item; dart; copiers, printers, computer.

n=101

Q 23. When purchasing high tech equipment, what percentage of purchases are made from the following vendors:

digital x ray and intra oral camera are ranked as the most important high tech equipment
Digital X-Ray and Intra-Oral Camera Are Ranked As the Most Important High-Tech Equipment

With a mean rank of 1.5 digital x-ray is considered the most important high-tech equipment to dental practices.

Q 24. Please rank the importance of the following types of high tech equipment to your practice (i.e., enhancing the customer’s experience, improving productivity, minimizing employee turnover, etc.) (1=Most Important, 2=Second Most Important, etc.)

n=101

laser dentistry and cone beam ct seen as the most promising new technologies
Laser Dentistry and Cone Beam/CT Seen As the Most Promising New Technologies

Over the next five years, respondents indicate laser dentistry, cone beam/CT, electronic records, and digital impressions as being the most promising new technologies.

Q 25. Outside of digital x-ray and CAD/CAM, what do you view as the most promising new technology expected to impact the dental market over the next five years?

n=101

detailed findings39
DETAILED FINDINGS

SECTION SIX: DIGITAL X-RAY

awareness of digital x ray is over 90
Awareness of Digital X-Ray Is Over 90%

Less than 9% of dentists were unaware of digital x-ray systems for oral imaging.

Percent Aware of Digital X-Ray Systems

For Oral Imaging

Yes

No

% of Respondents

n=101

Q 26. Are you aware of digital x-ray systems for oral imaging (as compared to the traditional film based imagers)?

more dentists practicing intra oral imaging than panoramic imaging
More Dentists Practicing Intra-Oral Imaging Than Panoramic Imaging

76% of dentists are performing intra-oral imaging, 65% are doing panoramic, 11% are doing neither.

n=101

Q 27. Which of the following types of imaging, if either, do you currently perform?

both intra oral and panoramic users indicate digital is more beneficial than film based
Both Intra-Oral and Panoramic Users Indicate Digital Is More Beneficial Than Film Based

One-third of respondents indicate equal benefits among digital and film based imaging.

Q 28. For the following types of imaging, please indicate the relative value of digital as compared to film based imaging.

n=90

estimated 33 dentists using digital x ray
Estimated 33% Dentists Using Digital X-Ray

n=101

Q29. Approximately what percentage of U.S. dentists do you think currently use digital x-ray for patients?

digital x ray use expected to increase to over 65 three years from now
Digital X-Ray Use Expected To Increase To Over 65% Three Years From Now

Respondents expect steady increase in digital x-ray use from 33% now to 65% 3 years from now (26% CAGR).

Percent of US Dentists Anticipate Will Use Digital X-Ray in Next 3 Years

Q30. What percentage of U.S. dentists do you predict will use digital x-ray:

n=101

58 of respondents have digital x ray systems
58% of Respondents Have Digital X-Ray Systems

Of the 42% without digital x-ray, 19% anticipate purchasing a system in 2008.

Percent That Currently Have a Digital X-Ray System

Yes

  • 19.0% (n=8) without digital x-ray systems anticipate purchasing one in 2008.
  • Brands mentioned: Kodak (2), Gendex (1), Dexis (1)

No

% of Respondents

Q31. Do you currently have a digital x-ray system?

Q32. Do you anticipate purchasing a digital x-ray system in 2008?

n=101

3 dimensional x ray system demand is increasing
3-Dimensional X-Ray System Demand Is Increasing

Over 68% of respondents are aware of 3-D x-ray systems, 60% of them see a need within their practice for one and 34% of those who see a need plan to purchase a system within the next 3 years.

Percent Aware of Next Generation 3-Dimensional X-Ray Systems

  • 59.4% of those aware see a need for 3D x-rays in their practice
  • 34.1% of those who see a need plan to purchase a 3D x-ray system within the next 3 years*

Yes

No

% of Respondents

* Planmeca (4 mentions), I-Cat (3 mentions), Sirona (2 mentions), Kodak 9000 (1 mention)

Q 33. Are you aware of the next generation 3-dimensional (3D) x-ray systems?

Q 34. Do you see a need for 3D x-rays in your practice?

Q 35. Do you expect to purchase a 3D x-ray system within the next 3 years?

n=101

detailed findings47
DETAILED FINDINGS

SECTION SEVEN: TRENDS IN DENTAL IMPLANT CASES

of the 7 8 mean implant cases per month 60 are non elective
Of the 7.8 Mean Implant Cases Per Month, 60% Are Non-Elective

More dental implant cases are done on a non-elective basis than elective.

Types of Dental Implant Cases

Mean # of Dental Implant Cases Per Month

Percentage of Dental Implant Cases

n=94

n=7 have 0 implant cases

n=100

Q36. How many dental implants cases do you currently start/perform per month?

Q37. What percentage of your dental implant cases are:

85 of respondents have implant brand loyalty
85% of Respondents Have Implant Brand Loyalty

For the 15% of respondents switching implant brands, most are leaving Nobel Biocare, going to either Straumann, or Astra, for various reasons.

Changes in Dental Implant Brands Used in Practice

Percentage of Respondents

n=94

n=7 have 0 implant cases

n=14

Q38. Has your practice changed the brand of dental implant used in the past 12 months?

Q39. Please indicate the former and new manufacturer:

price not the most significant factor influencing implant selection
Price Not the Most Significant Factor Influencing Implant Selection

Ease of use and reliability are indicated as significant factors influencing implant manufacturer selection.

Price Significance in Vendor Selection

Percentage of Respondents

n=72

n=94

n=7 have 0 implant cases

Q40. Is price the most significant factor influencing your choice of implant manufacturer?

number implant case starts increased over 2007 and expected to continue through 2008
Number Implant Case Starts Increased Over 2007 and Expected to Continue Through 2008

Respondents report a steady increase in the number of dental implant case starts over 2007 and they project the number to increase throughout 2008.

n=94

n=7 have 0 implant cases

Q41. Please estimate the number of dental implant cases your practice started/performed in the following time periods:

Q42. Thinking ahead for the next year, what change, if any, do you expect to see in the volume of dental implant cases your practice will start/perform?

state of the economy primary reason for decrease in case starts from q2 2007 to q2 2008
State of the Economy Primary Reason for Decrease In Case Starts From Q2 2007 to Q2 2008

For the 18 respondents who project a decrease in case starts in Q2 2008 compared to Q2 2007, the two greatest factors indicated as contributing to the decrease are the economy and energy prices.

Factors Contributing to Decrease in Number of Cases

2nd Quarter ‘07 Vs. 2nd Quarter ‘08

Q43. You indicated that you expect a decrease in the number of case starts in second quarter 2008 compared to second quarter 2007. Which of the following factors, if any, do you feel may have contributed to the decrease in case starts?

n=18

various other factors are noted as contributing to a decrease in case starts
Various Other Factors Are Noted as Contributing to a Decrease In Case Starts

Q44. What other factors not mentioned above, if any, may contribute to the decrease in case starts?

n=18

increases in case starts due to advertising and increased awareness
Increases In Case Starts Due To Advertising and Increased Awareness

Advertising/marketing, increased awareness, becoming a more acceptable treatment, and increased referrals are factors given for seeing an increase in case starts from Q2 2007 to Q2 2008.

Q45. You indicated that you expect an increase in the number of visits in second quarter 2008 compared to second quarter 2007. What factors do you feel are contributing to the expected increase in patient visits?

n= 40

only 4 of respondents have seen a decrease in implant restorations in the past 12 months
Only 4% Of Respondents Have Seen a Decrease In Implant Restorations In the Past 12 Months

Respondents indicate implant restoration frequency has either remained the same, 50%, or increased, 37% by and average of 18%.

Change in Volume of Implant Restorations in Past 12 Months

18.4%

Percentage of Respondents

15.0%

Q46. Has your practice experienced a change in volume in the number of implant restorations performed in the past 12 months?

n= 39

70 of dentists have not seen a change in referrals for implants
70% of Dentists Have Not Seen A Change In Referrals For Implants

While 70% of dentists have not seen a change in referrals for implants in the past 12 months, 26% have seen an increase in referrals by 26%. For the 5% seeing a decrease in referrals, it is by 33%

Change in Volume of Referrals for Dental Implants in Past 12 Months

Percentage of Respondents

25.5%

33.0%

Q47. Has your practice experienced a change in the volume of referrals outward for dental implants in the past 12 months?

n= 101

decrease in implant referrals due to changing practice abilities
Decrease In Implant Referrals Due to Changing Practice Abilities

For the dentists who indicate a decrease in implant referrals, capability of doing implants themselves instead of referring out is commonly mentioned.

Factors Contributing to Decrease in Volume of Dental Implant Referrals for Past 12 Months

Q48. You indicated that your practice has experienced a decrease in the volume of dental implant referrals in the past 12 months. Which of the following factors, if any, do you feel may have contributed to the decrease in referrals?

Q49. What other factors not mentioned above, if any, may contribute to the decrease in dental implant referrals?

n=5

better patient education and awareness increasing dental implant referrals
Better Patient Education and Awareness Increasing Dental Implant Referrals

Greater patient education and awareness contribute to dentists getting more dental implant referrals in the past 12 months.

Factors Contributing to Increase in Volume of Dental Implant Referrals for Past 12 Months

Q50. You indicated that your practice has experienced an increase in the number of dental implant referrals in the past 12 months. What factors do you feel are contributing to the increase in referrals?

n= 26

detailed findings59
DETAILED FINDINGS

SECTION EIGHT: CAD/CAM

dentists average 29 crown restorations per month expected to increase over next 12 months
Dentists Average 29 Crown Restorations Per Month; Expected to Increase Over Next 12 Months

While 65% of respondents do not feel the mean number of crown restorations they perform a month (29) will change over the next 12 months, 32% believe they will see an increase by 12%.

Anticipated Change in Volume of Crown Restorations in 12 Months

Mean # of Crown Installations Per Month

Percentage of Respondents

11.5%

13.3%

n=79

n=22 perform 0 crowns/month

n=100

Q51. How many crown restorations do you currently perform per month?

Q52. Do you expect the number of crown restorations you perform per month to change over the next year?

difference between mean charge per crown and mean lab fees per crown is 785 67
Difference Between Mean Charge Per Crown and Mean Lab Fees Per Crown is $785.67

Respondents recognize a mean difference of $785.67 between the amount charged and the amount paid in lab fees per crown. More patients pay cash than through managed care.

Price Per Crown Charged to Patient Vs.

Price Per Crown Paid to Lab

Payment Types

Percentage of Payments

n=79

n=22 perform 0 crowns/month

Q53. On average, how much do you charge for a crown?

Q54. On average, what are your lab fees for the crown?

Q55. What percentage of your business is cash pay versus managed care (PPO, DMO, Medicare, Other)?

all respondents are aware of cad cam technology
All Respondents Are Aware of CAD/CAM Technology

CAD/CAM Technology Awareness

Percentage of Respondents

n=79

n=22 perform 0 crowns/month

Q56. Are you aware of CAD/CAM technology for dental restorations?

while all respondents are aware of cad cam 60 are not using it
While All Respondents Are Aware of CAD/CAM, 60% Are Not Using It

Only 5% use CAD/CAM in their office.

CAD/CAM Current Use

Percentage of Respondents

n=79

n=22 perform 0 crowns/month

Q57. Describe your current use of CAD/CAM technology?

cost and lack of necessity keep dentists from purchasing cad cam systems
Cost and Lack of Necessity Keep Dentists From Purchasing CAD/CAM Systems

60% of respondents indicate cost as the primary reason they have not purchased an in-office CAD/CAM system.

Reasons for Not Purchasing CAD/CAM System

Percentage of Respondents

n=79

n=22 perform 0 crowns/month

Q58. What has been the main reason you have not purchased an in-office CAD/CAM system?

a majority of dentists do not plan to purchase cad cam in the future
A Majority of Dentists Do Not Plan To Purchase CAD/CAM In the Future

Of the 16% considering purchasing CAD/CAM, purchase time averages 3.3 years; 25% of them are considering the E4D from D4D.

Planning to Buy CAD/CAM in the Future?

Considering E4D from D4D Technologies?

Yes (3 Comments):

  • am researching this new product now
  • No powder necessary. Software probably immature.
  • no powder

In 3.3 years

Percentage of Respondents

Percentage of Respondents

n=74

n=5 already use in office or in office & lab

n=12

Q59. Do you anticipate purchasing an in-office CAD/CAM system?

Q60. Are you considering the E4D from D4D Technologies? If Yes, How does E4D compare with CEREC (from Sirona)?

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Respondents Estimate 12% of Dentists Currently Use In-Office CAD/CAM Systems and Predict This Number to Double in 5 Years

A 15% CAGR is expected for in-office CAD/CAM system use over the next 5 years.

Dentists Who Use CAD/CAM

System for Crown Restorations

Dentists Who You Think Will Have CAD/CAM

in the Future

Percentage of Dentists Who Will Use CAD/CAM

Percentage of Dentists Using CAD/CAM

n=79

n=22 perform 0 crowns/month

Q61. What percentage of U.S. dentists who perform crown restorations do you think currently use an in-office CAD/CAM system for crown restorations?

Q62. What percentage of U.S. dentists who perform crown restorations do you expect will have an in-office CAD/CAM system within the next 1, 3, 5 years?