Is the situation of dental consumables profiteering over?

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In 1952, Professor Brown Mark (Branemark) of the University of Gerdeburg, Switzerland, screwed a small cut of a cylinder made of titanium alloy into the thigh bone of a rabbit. A few months later, it was unexpectedly discovered that these implants were already tightly integrated with the bone tissue.

In 1952, Professor Brown Mark (Branemark) of the University of Gerdeburg, Switzerland, screwed a small cut of a cylinder made of titanium alloy into the thigh bone of a rabbit. A few months later, it was unexpectedly discovered that these implants were already tightly integrated with the bone tissue.

He called this phenomenon "osseointegration 」.

What Mark didn't realize at the time was that this experiment would be the most important discovery of his scientific career. He not only nominated the "Nobel Prize" twice, but also became the "father of dental implantology" recognized in the industry 」.

Dental implant is called "the third pair of human teeth", because of the advantages of beauty, comfort, no damage to adjacent teeth, strong chewing function and high stability, it has become an ideal substitute for missing teeth.

Because it is just a service, the outside world thinks that the industry in which dental implants are located has considerable profits, even huge profits. But the high price, the complexity of the market, the good and bad products ...... Dental implants, really have so good?

Today we are going to talk about the collection of dental implants. It's about beauty and health, choice and substitution.

How expensive is it to plant a tooth in a suite?

All say, a small white tooth, a small BMW. How expensive are teeth?

This is what the research report from Pacific Securities says:

In Germany, the price of a tooth is about $4000;

Korea was once almost as expensive. Until 2000, the local brand Autothai went on the market, bringing the price to $1500;

In China, the price of a tooth ranges from US $1000 to US $4000, of which China is the cheapest, followed by South Korea, and Europe and the United States are generally expensive.

If this figure is compared with the number of missing teeth per capita, the burden on a single person is very large.

A data from 2018 shows that the middle-aged and elderly population in my country has an average of 5.9 missing teeth, and the elderly population has 9 missing teeth per capita; the proportion of people over 55 years old who have missing teeth is more than 50%.

Why can't dental implants be reported for medical insurance?

For a long time, dental implants have been defined as "medical beauty", and around the world, dental beauty is not included in the basic medical insurance, even if the universal free medical care in Australia, but also bitter teeth for a long time.

This is mainly to ensure the fairness and effectiveness of health insurance funds.

For a long time, the role of basic medical insurance is to "protect the basic 」. That is to say, within the scope of the medical insurance fund, meet the most basic and urgently needed medical insurance.

In the face of missing teeth, we can choose many ways to repair, such as the cheapest removable denture-that is, when you were a child, you always saw grandma take off the dentures before going to bed.

The cost of treatment for this kind of dentures is relatively low, ranging from 100 yuan to 500 yuan per tooth. Even if it is to make a full oral dentures, it will probably only cost 17,000 yuan.

At the same price, if you want to choose high-end dental implants imported from Europe and the United States, you may not even be able to do one.

Personal choice, there is no reason for universal health care to bear.

Therefore, our health insurance has always been able to reimburse only for therapeutic dental items, such as root canal treatment, periodontal disease and gingivitis.

What is Collective?

When it comes to centralized procurement, we should first talk about the pricing and circulation of drugs in our country.

In the past, drug prices were once limited to the maximum retail price for the same generic name. As long as it does not exceed this maximum retail price, whether a drug can treat 1 patient or 10000 patients has nothing to do with the price. In this way, it is easy to cause "gray transaction 」.

Because the cost of drugs is actually closely related to the number of patients, the number of annual sales, and the pharmaceutical process. The more patients there are, the lower the marginal cost of producing drugs, and the more profitable the drug companies are at the same price.

Drugs are not commodities. Patients cannot decide what to take for themselves. They mainly rely on the doctor's prescription. Therefore, some unruly pharmaceutical companies do not hesitate to spend a lot of money on sales, so that hospitals and doctors can promote their drugs more, so as to obtain higher profits. This is the so-called "gold sale", "gray deal 」.

One of the effects of centralized mining is to make gray trading invisible.

The basic logic of centralized procurement is "volume for price 」.

Each shortlisted drug goes through a consistency evaluation first, and those that pass indicate that drugs under the same generic name and for the same indications are all clinically effective and good drugs.

Next, the health insurance bureau will negotiate on behalf of the hospitals in need. everyone will quote the price, and the one with the lower price will get it.

In this way, the drug companies are no longer thinking about how to make gray deals. But with so many purchases, how can we reduce production as much as possible, and what kind of price can we get more drug market. As a result, drug prices naturally fell.

The effect of centralized procurement can be described as immediate.

In August 2020, the third batch of state-organized drug centralized procurement, people often say "Viagra" fell out of the "jump price"-Shandong Qilu Pharmaceutical won the bid at the price of 24.98 yuan 12 tablets, with an average of about 2 yuan per tablet, a drop of more than 90%.

Where is the difficulty in collecting dental implants?

Since the collection is so good, why is the collection of dental implants late?

This is directly related to the complex market environment of dental implants.

At present, the cost of dental implant consumables and surgery in the domestic market is about 4:1, of which the cost of implant + surgery is the largest, accounting for more than 75% of the total cost.

Domestic dental implant enterprises have only been established for 20 to 30 years in total. Compared with overseas enterprises that have been established for a longer time, it still needs time to settle down.

In addition, whether a tooth is good or not depends on the doctor's technology.

This is just like pulling out a tooth. The same tooth, a doctor with poor skills, pulled out for two hours, but he didn't come down. You grinned with pain. A skilled doctor may be over in less than half an hour, with no pain and less bleeding.

Dental implants are the same. There is a saying in the industry that when you meet a good doctor, you can also grow high-end implants with low-end implants.