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Medical Services Industries

Delivered July 24th, 2019. Contributors: Agnidip M., Parismarie W., Konstantina C., Jelena R., Psalm A., Angela J., Daisy, David K., Varun N. and

Part
01
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Part
01

Medical Services Industries: Botox Treatment, Overview

Between 2000 and 2015, the use of the Botox treatment for wrinkles increased by 759% in the United States, while the number of Botox procedures conducted in the country in 2017 surpassed 7 million.

BASIC INFORMATION ABOUT THE BOTOX TREATMENT INDUSTRY

  • The use of Botox is aimed at medically treating certain muscular conditions, and cosmetically to remove wrinkles by temporarily paralyzing muscles. It is derived from a neurotoxin called botulinum toxin.
  • Botox is also used to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders.
  • In the United States, Botox’s ever-expanding usages have been largely physician-driven. According to Min Dong, a researcher at Harvard Medical School who studies botulinum toxins, practicing doctors have found a variety of other useful applications for Botox beyond those aforementioned.
  • Between 2000 and 2015, the use of the toxins for wrinkles increased 759% in the United States, making it more of a cultural phenomenon than a medical treatment.
  • According to the American Society of Plastic Surgeons, quoted by Financial Times, 7 million Botox procedures have taken place in the United States.
  • Out of all the cosmetic procedures available in the United States, Botox is the most popular one leading by a high margin over other procedures such as chemical peels and laser hair removal.

KEY PLAYERS

  • Although no comprehensive ranking of top providers exists, we did identify some key players and companies.
  • The Refinery Skin Clinic based out of Burnsville, MN has been considered among the top 4% of all Botox clinics in the United States.
  • The Skin Center Medical Spa is the largest provider of Botox in Pittsburgh, PA and Columbus, OH, and is ranked as one of the top ten Botox providers in the country.
  • In 2015, Derma Health was ranked the second largest provider of Botox in the nation.
  •  Kristin Gunn is another top provider of Botox, as evidenced by its ranking as a top 1% Black Diamond designation for Botox Injections by Allergen, and as a top 5% Botox provider by RealSelf. A Black Diamond provider is an organization that provides more Botox treatments than 99% the rest of US-based providers.

TWO FRANCHISES FOR BOTOX TREATMENT SERVICES

  • The first franchise is Ideal Image MedSpa. Ideal Image MedSpa is a nationally top-ranking medspa that provides non-invasive aesthetic treatments. (Source 6, Quote 1)
  • The franchise has over 140 locations in the USA and Canada, and as reported in 2019, the company is offering franchise opportunities to promising candidates.
  •  Botox and facial fillers are among the services provided by Ideal Image MedSpa.
  • The second franchise is Vivid Face. Vivid Face is based out of Aventura, Florida and provides Botox treatment services.
  • The company is currently recruiting partners for franchising.

INDUSTRY FRAGMENTATION

  • According to Refinery Skin Clinic, which is reportedly among one of the top 4% Botox clinics in the United States, there are 36,000 Botox clinics in the US.

NEW ENTRANTS

  • Due to the highly fragmented nature of the industry, only limited information exists about new entrants.
  • However, the aesthetics bar Alchemy 43 has been mentioned as a potential disruptor to the traditional Botox business because of its experiential focus. It was founded in 2016 and has two locations in the US.
  • It has focused on promoting Botox and similar treatments to different market segments and shifting how these kinds of treatments are viewed.

RESEARCH STRATEGY

Despite conducting an extensive search, your research team was unable to find information on key players or companies as per any justifiable metric or about new entrants or players. In an attempt to find this information, we used the following strategies.
First, we examined market research reports and industry analysis reports on the Botox treatment industry in the US as these reports often identify the key players in the segment. For market research reports, we looked into sources such as GM Insights, Technavio, Market Research, Markets and Markets, Mordor Intelligence. For industry research reports, we searched PWC, BCG, McKinsey, Deloitte, and others. However, reports available hardly provided any US-specific information as the accessible parts of these paid reports were mostly global or at most specific to North America. Moreover, their assessment of key players was not explained in these previews.
Next, we looked into the annual filings of manufacturers such as Allergen, Ipsen, and Merz who provided products to the service providers or retail Botox providers in the United States. We aimed to find out if they provided any reports of top vendors of their products. Although companies like Allergen recognized top retail users of their products with recognition such as the Black Diamond designation for Botox Injections, they do not publish a comprehensive list for these rankings and therefore the rankings could not be established.
After identifying companies like Alchemy 43, Joli Beauty Bar, or Skin Laundry, we tried to find their company profile information and financial standings from sources such as Nasdaq, Seeking Alpha, Reuters, and others. These sources often provide the market shares of companies, especially if they are leaders. However, mostly being small private companies with undisclosed financials, this data was not available in these sources.
For new entrants and key leaders, we also scanned sites that provide specific business-related information such as market position or disruption created by a new entrant. However, with an approximate number of 36,000 players in the industry, this information was unavailable in sources such as Forbes, WSJ, FT or Business Insider, which mostly provided overall market information.
Given these limitations and challenges in finding the required information from publically available sources, the report was prepared as a Partial Update for the client.
Part
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Part
02

Medical Services Industries: Sleep Apnea Treatment, Overview

Medical tests (e.g., measuring blood-oxygen levels, breathing, somatic movement, and brain and heart function) that diagnose sleeping disorders are a part of the sleep testing service industry. The sleep testing service industry itself is part of the healthcare field. Sleeping disorder tests occur in both home and clinical settings.

MEDICAL SERVICES INDUSTRIES: SLEEP APNEA TREATMENT, OVERVIEW

GENERAL INFORMATION ABOUT THE APNEA TREATMENT INDUSTRY

  •  Sleep testing services diagnose sleep disorders (e.g., sleep apnea) through medical tests known as sleep tests. Sleep tests (which occur in both home and clinical settings) measure blood-oxygen levels, breathing, somatic movements, and brain and heart functions. While Sleep apnea dominates the industry, the list of sleep disorders includes Segmented Eye Movement (REM) Sleep Disorder, Obstructive Sleep Apnea, Circadian Rhythm Sleep Disorders, Restless Leg Syndrome, Narcolepsy, Insomnia, Narcolepsy, Sleep Behavior Disorder, Periodic Limb Movement Disorder, and others.

IN-HOME SLEEP TREATMENT

  •  Home sleep treatments cover a variety of sleep apnea testing devices; such as, sensors and equipment used to measure breathing, blood-oxygen levels, and heart rate. Data collected via in-home treatments is referred to a licensed physician for interpretation. However, the in-home treatments are not for all sleep apnea sufferers, and patients with a different sleep disorder or comorbid heart disease should avoid in-home treatments.

CLINICAL SLEEP TREATMENT OVERVIEW

  • As the name suggests, clinical sleep treatments occur during overnight visits with accredited sleep clinics/centers. The beds used in these facilities more closely resemble those of a hotel, but the patient is wired into a network of sensors to determine baselines of their vital functions (e.g., brainwaves, heart rate, and somatic movements). However, the caveat is that sleep treatments performed in clinics are more expensive than those performed in-home.

KEY PLAYERS

  • There are four major players in the sleep apnea treatment industry: Sleepworks, American Sleep Medicine, Michigan Sleep Disorders Center, and Minnesota Mayo Clinic Center for Sleep Medicine.
  • Sleepworks is one of the largest providers of sleep services in the United States, performing more than 35,000 sleep treatments annually.
  • American Sleep Medicine is another of the nation's largest sleep disorder treatment organizations, conducting 30,000 treatments annually.
  • Michigan Medicine Sleep Disorders Centers provide treatments in both home and clinical settings, performing 10,000 sleep treatments annually.
  • Finally, the Minnesota Mayo Clinic Center for Sleep Medicine treats 6500 new sleep disorder patients annually.

FRANCHISES

INDUSTRY FRAGMENTATION

  • The sleep apnea treatment market can be broken down into the following sub-categories: Testing laboratories, doctors/clinics, surgeries, homeopathic remedies, over-the-counter (OTC) sleep aids, and prescription medication. By revenue, testing laboratories, prescription medication, and OTC sleep aids are dominant within the industry. Testing Laboratories had revenue of over $7 billion; prescription medication, $1 billion; and OTC aids had revenue of hundreds of millions USD.
  • Additionally, some of the clinical services available are CPAP/BiPAP titration, electroencephalogram, maintenance of wakefulness test (MWT), full polysomnography, and multiple sleep latency test (MSLT).

NEW ENTRIES

  •  Princeton Medical Center is one of the facilities offering a new sleep service: Inspire therapy. Inspire therapy involves a surgical implant that monitors the patient's breathing patterns. The device is capable of delivering a mild stimulant to keep the patient's airways open.
  • Another facility offering a new sleep implant is UCHealth. Known as the "remedē System," [sic] the implant is similar in appearance and function to that of a pacemaker. The device is surgically attached to the patient's heart to sync its rhythms to regulate airflow.
  • Dr. Eric Kezirian, part of the USC Keck Medicine surgical team, is one of the few leading experts in a new field of treatment for sleep apnea known as expansion sphincter pharyngoplasty.

RESEARCH STRATEGY

We began our investigation by first determining which sleep apnea treatment services were key market players. We did this by measuring the number of treatments each organization performed in a year. Our research determined that there are over 2500 accredited sleep apnea treatment centers in the United States, performing 3.5 million treatments a year. By our calculations, there is an average of 1400 tests performed annually per facility (3,500,000 / 2500 = 1400). We considered any facility that performed more than the annual average number of treatments to be a key player.

One of the entities we identified, Sleepworks, asserts that it is one of the largest providers of sleep laboratory management services in the US. Sleepworks performs 35,000 sleep treatments annually. The second entity we identified was the Center for Sleep Medicine at Mayo Clinic's Minnesota campus that treats 6500 sleep disorder cases a year. The third entity we identified was American Sleep Medicine, which treats 30,000 sleep disorders a year; American Sleep Medicine has over 200 treatment bedrooms nationwide. The fourth and final entity we identified is Michigan Medicine Sleep Disorders Centers that conduct 10,000 sleep treatments annually in both clinical and in-home settings.

We based our decision to include Dental Sleep Solutions as a sleep apnea treatment franchise due to the project's description of the sleep testing industry as including doctors/clinics and surgeries.

Finally, we excluded any information concerning sleep devices as specified by the project's requirements. For example, a white paper on sleep apnea industry fragmentation included sleep devices as a $4 billion service within the industry. However, we excluded that from the main report because it is about devices, not services.

Part
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Part
03

Medical Services Industries: Dental Implant Providers, Overview

The basic details of the dental implant provider in the United States depend mostly on the product and services they offer concerning dental implantation. Dental implant providers in the US can specialize in different sectors or in multiple sectors simultaneously (such as providing implants, technologies, digital technologies, software, surgery guides or instrument kits).

DENTAL IMPLANT SERVICES FRAGMENTATION

  • In terms of technologies and different types of services, the dental implant industry is a diverse market. This is made apparent by the number of leading product and service providers in the US market.
  • There are companies which focus mainly on providing hardware, such as dental implants, while some companies also offer products dental implant surgery guides and dental software.
  • The industry constantly fragments and takes new shape due to the fast development of new technologies.

LEADING DENTAL IMPLANT PROVIDERS

  • The US leader in dental implants industry is Nobel Biocare. The provider offers a variety of products and services including dental implants, surgery guides, treatment planning software etc.
  • Additionally, BioHorizons is a dental start-up providing products in the implant industry. It is among the leading US companies in this industry with its new technology.
  • Straumann is the second leader in the US dental implant providers with a diverse catalog of products offered on the market.

DIGITAL DENTISTRY TECHNOLOGIES

  • There are multiple leading US companies in the sector of digital dentistry technologies or dental software.
  • The leading US companies in this sector are Datacon Dental Systems, Carestream Health Inc and Patterson Dental.
  • Dental Wings Inc., which is a part of the Straumann group, is a leader in the US market for dental implants mainly with its digital dentistry technology products.
  • There are multiple dental software products on the market suitable for varying types of practices, interventions, and budgets.

NEW ENTRIES

  •  BioHorizons is a start-up founded in 1994 developing dental implant-related technologies and is already among the US market leaders.
  •  Carbon is a US start-up founded in 2013 developing technologies in the field of 3D printed dental implants.
  •  Neocis, founded in 2012, is a Florida start-up specializing in robotic assistance during dental implant surgeries.

FRANCHISES FOR DENTAL IMPLANT PROVIDERS


RESEARCH STRATEGY

We began our research by focusing on the fragments of the dental implant industry and the providers who serve as a bridge between the industry and the practitioner or patients.
To do this, we reviewed different sectors of the industry and looked for information on the providers of dental implant products. To define a company as a key player, we selected those with the highest sales and that were identified as top competitors in the industry. Additionally, we favored companies that offer more than one service because these seem to be most competitive compared to those who worked in only one sector of the dental implant industry. Therefore, we identified companies that offer multiple services (and thus receive multiple streams of revenue) as having a good rate of development and market position. Next, we divided the US market's leading companies depending on their product catalog, sphere of development, and type of establishment. Additionally, we defined companies that have recently entered the market as "start-ups," finding three new entries for dental implant product providers. Finally, to determine franchises, we focused mainly on companies who provide dental implantation, rather than only the products or software themselves, and looked for those with multiple locations across the US.
Part
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Part
04

Medical Services Industries: Orthodontics Providers, Overview

The orthodontics industry is highly fragmented and comprises 53% of the overall market.

ORTHODONTICS

  •  General dentistry/orthodontics (defined as restorative, preventative, and diagnostic services) comprise 53% of the overall market.
  • Within specialty dentistry, orthodontics is the most prominent and accounts for 28% of specialty dental services by revenue (10%) followed by oral surgery, pediatrics, and periodontics.
  •  Sugar is one of the most harmful things for an individual's teeth. As people consume more sugar and sweeteners, the more damage they are likely to do to their teeth, thus increasing their demand for orthodontic services.
  • Per capita sugar and sweetener consumption are expected to stagnate in 2018, posing a potential threat to the industry.
  • The US citizens have a private health insurance coverage that includes coverage either provided by employers or purchased directly from an insurer or health maintenance organization. This coverage lowers the out-of-pocket cost to individuals, thus increasing the demand for dental services.
  • The number of people with private health insurance is expected to increase in 2018, presenting a potential opportunity to the industry.
  • Among the factors driving dental service transactions are a relatively favorable regulatory environment compared to the broader healthcare landscape, demographic tailwind, high fragmentation, and favorable reimbursement dynamics.
  • As a result, several well-capitalized dental platforms have emerged and the M&A environment continues to be active.
  • Out-of-pocket payments constitute 40% of dental expenditures, resulting in significantly reduced reimbursement risks compared to other healthcare services operators.
  • Cosmetic dentistry is witnessing growing demand as a result of rising disposable personal incomes.
  • The US population continues to age and people aged 65 and above spend 18% or more per year on dental care than other age groups.
  •  Dental legislation and regulation largely takes place at the state level. Recent legislative attempts in Washington, Wisconsin, Texas, and North Carolina seeking to limit the presence or scope of Dental Service Organizations (DSOs) have been defeated.
  • The intersection of these forces with eager capital and high dental industry fragmentation has resulted in a heated market for dental platforms seeking to achieve scale density through acquisition and de novo growth strategies.

KEY PLAYERS

  • According to IBIS World, there are no major orthodontics companies in the USA.
  • However, according to Best Orthodontists USA, the popular orthodontists are The Schulhof Center NY, Children's Orthodontists, and Beach Braces.
  • The Schulhof Center represents the gold standard in cosmetic orthodontics. Practicing in New Jersey and New York, they aim to give each client a winning smile. They are the first and only orthodontic practice in the U.S. that is dedicated to lingual braces.
  • At Childers Orthodontics, they have a winning staff you can count on. To ensure they can offer the best care possible, make efforts to stay technologically savvy, and are always updating their equipment to ensure they can offer the latest and highest quality service.
  •  Beach Braces is an orthodontist office based in Manhattan Beach, California. Run by Dr. Patricia J. Panucci, the office aims to create a unique, affordable, and interactive experience for orthodontist work that is unlike any office you may have visited before.

STARTUPS

  • For those who can’t afford braces or Invisalign, startups like Uniform Teeth, Candid, SmileDirectClub, and Orthly aim to not only reduce the cost of clear aligners but also the number of visits to the orthodontist with some even cutting out the in-person orthodontist visit altogether.
  • What differentiates Uniform Teeth from the traditional orthodontics experience is that Uniform Teeth does not require ongoing in-person visits. Instead, after their first sessions, patients check in with their orthodontist via the mobile app every week.
  • Another startup is Candid which virtually connects patients with local orthodontists and then enables those orthodontists to prescribe direct-to-consumer aligners.
  • Orthly's approach is to connect patients with local orthodontists in person and then enable the orthodontists to prescribe the direct-to-consumer aligners.
  •  SmileDirectClub is a direct-to-consumer teeth aligner startup that started with the idea of using teledentistry to virtually connect licensed dentists and orthodontists with people who want to straighten their teeth.

YOUR RESEARCH TEAM APPLIED THE FOLLOWING STRATEGY:

We examined the overall dental industry to provide the basic details concerning orthodontists/orthodontics providers. This led us to specialty dentistry and general dentistry/orthodontics. Subsequently, we searched for the key players in the aforementioned market. However, we couldn't trace the required data. After an extensive search, we concluded that the orthodontics industry is highly fragmented and the information is publicly unavailable.
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Part
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Medical Services Industries: Orthodontics Providers, Trends

Even after extensive research, we were unable to find some recent or current trends in the orthodontics providers industry in the US. However, we were able to find information on some trends in the global orthodontic service market. Most orthodontics providers in the global industry are collaborating with insurance providers for minimizing the dental service fee. More information on the topic has been presented below.

HELPFUL FINDINGS

  • The orthodontic service market is segmented by type, end-user, and region. The market research analysis behind paywall analyzed this market in North American, Asia-Pacific, and LAMEA regions.
  • An emerging trend in China's orthodontic service market is the privatization of the market through foreign and domestic investments.
  • According to the free sample of a global orthodontic service market analysis report, the purpose of the market analysis was to analyze the international markets, along with the development trends in the market.
  • According to Technavio’s analysts, three emerging market trends are driving the global orthodontic service market.

THREE EMERGING TRENDS IN THE GLOBAL ORTHODONTIC SERVICE MARKET

1. COLLABORATION WITH LEADING INSURANCE COMPANIES IN ORDER TO REDUCE COST OF THE SERVICE

  • According to Srinivas Sashidhar, the lead analyst at Technavio, "the proposed dental collaboration with insurance providers would help in cost-cutting on the dental services without putting much pressure on the patients as well as dental professionals."
  • Most orthodontics providers in the global industry are collaborating with insurance providers for minimizing the dental service fee. 
  • In the United States, Medicaid and Children's Health Insurance Program (CHIP) provide dental insurance services to reduce the dental service cost.

2. THE USE OF ADVANCED ROBOTIC TECHNOLOGY VIA DENTAL IMAGING

  • According to Srinivas Sashidhar, the lead analyst at Technavio, "advanced robotic technology is replacing conventional technologies to reduce the time treatments take and the pain they cause."
  • Advanced robotic technology enables a painless procedure with added benefits such as speed recovery, accuracy, and conservative tooth grinding.
  • The use of such technology is one of the major drivers of the global orthodontic service market.

3. DEVELOPMENT OF NEXT-GENERATION INVISIBLE ORTHODONTIC BRACES VIA NANOPARTICLES

  • According to Srinivas Sashidhar, the lead analyst at Technavio, "as the invisible orthodontics market grows—with 12.16% growth through 2021, according to Azoth Analytics—researchers are investigating nanoparticles to develop next-generation treatments. These particles increase mechanical and frictional resistance while maintaining transparency, improving their aesthetics and comfort."
  • This trend helps patients in increasing the mechanical/frictional resistance and maintaining the transparency of the invisible ortho-braces.
  • Spain is one of the first countries to develop the nanoparticles to create the next-generation invisible orthodontic braces.

RESEARCH STRATEGY

YOUR RESEARCH TEAM APPLIED THE FOLLOWING RESEARCH STRATEGIES:

We started the research by searching for direct information on the current trends in the orthodontics providers industry in the US. We focused on the services-related aspect of the industry to include the providers of these products or services. We searched across multiple market report analyses, articles, and news reports on databases such as Market Watch, Forbes, CNBC, and more. However, we did not find any information on the topic. We were only able to find information on the global market.

Thereafter, we searched for press releases, interviews, and media statements from industry experts across databases such as US Today, NCB, and more. We also hoped to find a discussion where the experts might have highlighted the current trends in the orthodontics providers industry in the US. We were able to find a global analysis done by a market expert from Technavio. However, we did not find US-specific information on the topic. Lastly, we tried to triangulate the required information by focusing on the new changes that the top market players in the US are currently making. The current changes practiced by the top market players in the US would have provided us with information on the current trends in the US. We began searching for the key players or the top companies in the orthodontic services industry in the US. We looked for articles and market research on the topic. We were only able to find information on the American Association of Orthodontists and other ortho-related societies promoting each other. We also identified the top players in the global market. However, since we did not find US-specific information, our attempt at triangulation proved to be futile as well.

We assumed that the required information is not publicly available because the market analyses are either focused on the global aspect or are locked behind a paywall. Therefore, we have presented the trends from the global analyses performed on the orthodontics service market in this research report. We have also provided some helpful findings that were discovered during the research.

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Part
06

Medical Services Industries: Dental Implant Providers, Trends

  • It is estimated that there are increasing number of dental implant procedures every year in North America.
  • The factors that fuels the dental implant industry are increasing dental disease incidents, growing of the geriatric population, increasing awareness about oral diseases, technological advancement in dental procedures, and demand for cosmetic dentistry.
  • There is an increasing number of research studies conducted focusing on dental prosthetic design, prosthetic materials, and dental techniques due to the demand for cosmetic dentistry.
  • When nanotechnology was introduced, it was easily possible to coat the prosthetic implant with a thin layer of calcium phosphate that helps in the attachment of the bone with the implanted teeth, allowing it to heal faster.

RECENT US DENTAL IMPLANT PRODUCT TREND

  • According to a dental prosthetics market analysis by MedSuite, these are the following trends in dental implant providers industry in the United States:

INSIGHTS IN GLOBAL DENTAL IMPLANT MARKET

  • North America holds one of the biggest shares in the global market, with the second largest market share globally. This is due to the increase of the cosmetic dentistry demand and investment in research and development.
  • Dental implant providers are focusing on dental initiatives to develop novel products through customization in accordance with consumer demand, partnerships, collaboration projects, merge and acquisitions in order to expand their service portfolios and leadership in dental implantology.
  • Due to the changes in the market trends for dental diagnosis, Asia is expected to lead the global market for dental implants.

DEVELOPMENTS IN GLOBAL DENTAL IMPLANT MARKET

  • A dental implant provider named Formlabs launched two new resin materials: elastic resin and digital denture. These developments' main aim is to produce high performing resin like 3D silicon part that can be created using elastic resin. It can be easily bent, stretched, and compressed without tearing. (Source 5)
  • A dental implant provider named BMC Oral Health created a way to change how patients are treated. This development is called digital dentistry using materials like zirconia, lithium disilicate, and ceramics.

Research Strategy:

First, in order to identify and detail some recent or current trends in the dental implant providers industry in the United States focusing on the services' aspect to include dental implant providers in the industry, we began by searching for pre-compiled information from articles and market reports like Forbes, Market Watch, CNBC, and NCB. Unfortunately, we were not able to locate any recent or current trends in the dental implant providers industry in the United States because most of the results pertained to the global dental implant providers industry. However, we were able to locate several paywall sources that address the question. We have included those in our sources.
We then tried searching for any press release or media statements from industry experts that highlight recent or current trends in the dental implant providers industry in the United States. We searched through different press release coverage from The New York Times, Business Wire, Ernergias Market Research, Grand View Research, and Radiant Insights but most of the insights focused on the global market.
Lastly, we tried to focus on the top market players in the dental implant industry in the United States and see what innovations they are implementing or are trying to implement. We looked for articles and market reports on the topic. There were numerous articles about the top dental implant companies and we were able to identify some of them. However, due to the lack of available information about what new practices they are currently applying in terms of their dental implant service, we were not able to triangulate the requested information.

While we did not identify recent or current trends in the dental implant providers industry in the United States, we provided general information about product trends, dental implant industry insights, and dental implant industry developments.
Part
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Part
07

Medical Services Industries: Sleep Apnea Treatment, Trends

There are various factors driving the trends of sleep apnea treatments in the US such as an increasing elderly population leading to a prevalence of the disease, as well as increased awareness and disease diagnosis, patient adherence, or lack thereof, to use of certain treatments. The major current trend is around new types of devices besides the standard go-to CPAP machine that patients find to be uncomfortable and difficult to use as prescribed. The type of therapeutic device used however is segmented by the degree of severity of OSA.

In addition, the home care/individual segment of the OSA market is expected to grow the most through 2022 than any other segment including sleep laboratories and hospitals.However, there is also growing demand due to strict regulations for hospitals and healthcare facilities that drives the growing demand in the medical equipment maintenance market in North America. Finally, marketing campaigns have changed to content-driven awareness campaigns delivered through modern mediums such as social media that targets patients and health care professionals.

GENERAL TREATMENT TRENDS

PAP

  •  Postitive Airway Pressure (PAP) devices is the fastest growing segment of therapeutic devices due to them developing more compact, more comfortable devices to use other than CPAP which ensures better patient compliance. Patients who have been frustrated with stalls in innovation have benefited from progress in making machines "smaller, quieter and less obtrusive".

Oral Appliance Therapy

CURRENT AND FUTURE TREATMENT TRENDS

Hypoglossus Nerve Stimulation

  • In 2014, HNS was approved by the FDA. In HNS, a device is surgically implanted in the chest and it monitors breathing and stimulates a nerve to keep the upper airway open. This can be recommended for people with moderate to severe OSA not helped by PAP therapy.

Expiratory Positive Airway Pressure (EPAP)

  •  EPAP is a type of PAP therapy that places disposable adhesive valves over the nose while a person sleeps, and as they inhale the valve remains open to keep the airway unobstructed. When they exhale, airflow is directed in different channels to create pressure that keeps the airway open. Research has shown a high-level of adherence.

Behavior Modification

  •  Positional therapy is an alternative treatment that forces a person to sleep on their side and can be effective on patients that could not tolerate CPAP.
  •  Weight management programs are a form of behavior modification that can improve or eliminate a patient's symptoms if they are overweight although it is unlikely to help those with narrow airways.
  • Other behavior modifications that are being pursued along with treatment include cessation of smoking and drinking alcohol and getting regular physical activity. Cognitive behavioral therapy can help patients having trouble sticking to their treatment plan or still have problems even with treatment.

MEDICATION

  • Jazz Pharmaceuticals launched a digital campaign called "A Different Kind of Tired" in advance of FDA approval for solriamfetol for OSA patients.
  • Minnesota has authorized the use of medical cannabis to treat OSA although many are apprehensive about recommending it. However, at SLEEP 2019, a joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society, it was recognized that supporting evidence was starting to come in but was still limited as of June 2019.

MARKETING TRENDS

  • There are plenty of organizations such as Sleep Apnea MD and Identity Dental Marketing offer marketing to Dental Sleep Professionals. They utilize modern trends such as taking advantage of the latest in mobile technology and digital advertising, also called "geo-fencing" to bridge advertising with people's physical behavior. Some providers also create customized websites optimized for SEO to gain local rankings in searches for sleep apnea services.
  • It is cited that there is "no greater tool for accessing the community and raising awareness" than making use of Facebook's advanced analytics that demographically target those in the community, and given that the target demographic almost exclusively uses Facebook it is the best medium to launch a targeted marketing campaign to raise awareness and engagement while keeping a brand at the forefront.
  • Although 22 million people suffer from OSA, 3 out of 4 still suffer from daytime sleepiness even after CPAP, so advertising campaigns have been content-driven focused on awareness and made use of digital video ad placements, dedicated websites, and social media pages and will be expanded to other media this year.

STRATEGY

Traditionally, CPAP has been the go-to treatment for OSA, however, given patients' reluctance and difficulty in using the traditional machines research identified current trends to address this response and promote adherence to treatment plans. We identified trends that have arisen in response to these concerns using current sources from organizations such as the National Heart, Lung, and Blood Institute within the National Health Institute and sleepapnea.org among others.

In addition, with the evolution of treatments, marketing techniques have also evolved and we identified some of those trends as well through resources such organizations dedicated to sleep apnea issues, professionals that market to consumers, and organizations that assist professionals in marketing to this community.
It was noted that there is also growing demand due to strict regulations for hospitals and healthcare facilities that drives the growing demand in the medical equipment maintenance market in North America, however we were unable to find any shift in trends in that regard. Sleep Apnea Devices Market Research Report-Forecast To 2022 appears to be a good resource to use but it is only available behind a paywall.
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Part
08

Medical Services Industries: Botox Treatment, Trends

Current Botox trends include using Botox to treat migraine, getting preventative Botox by millennials, and the rise in the regulation of aesthetic treatments, including Botox. Below are more details about each of these trends.

BOTOX FOR MIGRAINE

MILLENNIALS' PREVENTATIVE BOTOX

  • The concept of preventative Botox entails treating frequented facial muscles early to avoid wrinkles.
  • According to professionals, including Dr. Paul Jarrod Frank, a celebrity cosmetic dermatologist, the fastest-growing generation of Botox users in the United States is the millennials.
  • Millennials have been using Botox to "manipulate the muscles that will eventually create wrinkles."
  •  Social media may be a contributing factor in the rise of the use of preventative Botox.
  • Young people believe that starting to use the product early ensures that the anti-aging effect is never sudden.
  • The trend has been confirmed by annual statistics from the American Society of Plastic Surgeons, which showed that Botox usage among 20- to 29-year-olds increased by 28% since 2010.

RISE IN THE REGULATION OF AESTHETIC TREATMENTS, INCLUDING BOTOX

  • The United States government has increased regulations on aesthetic treatments like Botox due to a discovery of fake and cheap Botox in the market.
  • The Occupational Safety and Health Administration has attached fines of up to $125,000 to curb the problem on cheap and fake Botox.

RESEARCH STRATEGY

We commenced the research by looking for precompiled information on the current trends in the Botox treatment industry in the United States. We leveraged various reputable industry report publishers and market databases, such as MarketWatch, Transparency Market Research, and PR Newswire, among others, for relevant reports, articles, and news releases. However, information specific to the United States is very limited and some are behind a paywall. The only trends we found were from an industry professional site, specifically about using Botox for migraine and the increasing number of millennials getting Botox.

Next, we expanded the scope of the research and looked into the aesthetic and filler industry for trends specific to Botox. Through this strategy, we were able to find some trends; however, these trends are similar to the first set of trends we found, which was using Botox for clinical treatments and the millennials' preventative Botox. We still did not find other information specific to new applications, services, and other similar metrics in the Botox industry.

Lastly, we searched for press releases, interviews, and media statements from professionals in the industry in leading media publications, such as the New York Times, Business Insider, Forbes, the Washington Post, and The Guardian among others. However, through this strategy, we found the same trends. Unfortunately, these articles also did not provide additional information, but just confirmed the trends. We compiled all the trends we found in the findings above. We also concluded that more trends in this industry could be found behind this paywall. 
Part
09
of twelve
Part
09

Medical Services Industries: Botox Treatment, Market Size and Growth

While there is no publicly available information to fully answer the question at hand, we've used the available data to pull together helpful findings. Below you'll find an outline of our research strategies to better understand why the information you've requested is publicly unavailable, as well as a deep dive into our findings.

HELPFUL FINDINGS

  • The global Botulinum Toxin market size is expected to reach USD $7.5B in 2026, with a growth rate of 8%.
  • The North American facial injectables market is expected to reach a valuation of US$5.8B by the end of 2024, as compared to US$2.1B by the end of 2015.
  • Some of the factors that will attribute growth include rising aesthetic consciousness, increasing number of cosmetic procedures and the demographic trend towards an aging population.
  • On the other hand, the side effects of the procedures, the presence of counterfeit products and unregistered practitioners, as well as unfavorable reimbursement policies could impede market growth.
  • The Botox application segment is categorized into aesthetics and therapeutics, the aesthetics segment is expected to dominate the market over the next few years due to increasing use of facial injectables for aesthetics procedures such as treatment of parentheses lines, wrinkles on face, lip lines, and so on.
  • In the facial injectables market, hyaluronic acid holds the largest share due to the increased usage of dermal fillers in aesthetic surgeries.

RESEARCH STRATEGY

We were unable to find or calculate the current market size and the growth of the services aspect of the US Botox treatment industry.

1. We started the search by looking for pre-compiled market reports on the topic of facial aesthetic providers market size and growth. Numerous reliable US market research sites such as reuters.com, alliedmarketresearch.com, marketwatch.com were searched. Search determined no reports focused on the US Botox treatment provider industry, though some reports briefly focused on the overall Botox market by application type.

2. We searched for segmentations of the US Botox market by end user, hoping to find a percentage of the market the retail/treatment end takes up, to further calculate the market size using the US facial injectables market size. To find this, we searched market reports on reliable market research sites. The search determined no such segmentantions are available publicly. The closest we were able to find was a study that, among other things, focused on US Botox Market Revenue and Forecast By End Use. We were unable to move forward with the search because the study was not publicly available.

3. We then searched for global Botox treatment provider industry market size, and for the percentage the US takes up of the global Botox market size in order to triangulate the US Botox treatment providers market size. We were unable to find either the percentage of the global Botox market the US takes up or the general facial injectables industry market size.

4. Following this, we searched for market sizes for US Botox treatment providers by each application type, searching for market sizes and growth of facial line correction treatment providers; lip augmentation treatment providers; face lift providers; acne scar treatment providers; lipoatrophy treatment providers; chin augmentation; and earlobe rejuvenation providers. The intent was to add market sizes together to get total US Botox treatment providers market size. For most of the application types, there was no information on market sizes, likely due to lack of conducted market reports regarding the particular application types. Information regarding growth focused on increasing number of customers for the treatments. For lip augmentation, market size was available, however segmentation by distribution channels was hidden behind paywalls. Because of this, it was not possible to determine the market size of the treatment industry alone.

5. We also searched for a list of the largest US Botox treatment providers by revenue or any other comparable metric to estimate the market size by adding their revenues together. The idea behind the research strategy was that the largest treatment providers will take up a majority of the market size. Their revenues would be added together to calculate an estimate of the US Botox treatment industry market size. This strategy has also failed as the search determined no lists of the largest US Botox treatment providers exist and there was no way to determine the largest US Botox treatment providers, either by revenue or a comparable metric like customers served.

6. Since search determined Botox treatments can be therapeutic or aesthetic, we searched for market sizes and growth of therapeutic and aesthetic US Botox treatments to add the market sizes together, to get the US Botox treatment market size. The available information focused on irrelevant things like target customer bases. No market sizes for these types of treatments were available.

7. As an ultimate resort, we attempted to estimate the US Botox treatment industry market size by searching for the average US cost of a Botox treatment and the number of US Botox treatments for the year 2018. Although we were able to find the average US Botox procedure cost, the most recent data available for the number of Botox treatments in the year 2016 and is likely outdated. Still, we have included the estimated 2016 US Botox treatment industry market size as a helpful finding.

Following this, we decided the requested information cannot be found or triangulated because data points required to perform calculations are scarce or outdated. Because of this, we expanded the scope to present information about market size and growth of the Botox industry in general, as well as some outdated information, as helpful findings.
Part
10
of twelve
Part
10

Medical Services Industries: Sleep Apnea Treatment, Market Size and Growth

The global revenue of sleep testing services is estimated to reach $8.3 billion in 2021 with a CAGR of 12.9% from 2015 to 2021.

THE U.S. SLEEP APNEA TREATMENT INDUSTRY

  • The sleep testing services include treatment monitoring, diagnostic services, home-sleep testing, in lab testing, MSLT, polymnosography, wakefulness test, electroencephalogram, and CPAP & BiPAP titration.
  • The United States has the highest sleep testing treatment and can be considered to offer the most premium service in the health sector.
  • The high cost of sleep apnea treatment can restrain the market from growing.
  • The number of people with sleep apnea disorder in the United States will increase from 2017 to 2025 due to the increasing reported incidents about sleep-related problems.
  • The North American sleep apnea treatment industry is segmented by product, end-user, and country.

SLEEP TESTING SERVICES — GLOBAL MARKET SIZE

  • The global sleep testing services revenue is estimated to reach $8.3 billion by 2021.
  • The estimated CAGR of the global testing services market from 2015 to 2021 is 12.9%.
  • North America will account the highest global market share in 2015 due to its increasing trend in HST.
  • The global testing services revenue is estimated to reach $5.9 billion in 2017 with a CAGR of 13.2%.
  • The United States dominates the global sleep testing services industry market because they have a high prevalence of different types of sleep disorders which increases the awareness in sleep testing treatments.
  • The global sleep testing services revenue is estimated to grow overtime when it comes to demand, supply, revenue, etc.

YOUR RESEARCH TEAM APPLIED THE FOLLOWING STRATEGY:

Despite an extensive search, we were unable to provide or calculate the estimated market size of the sleep apnea treatment industry in the United States and its growth rate over time. However, we provided a general overview of the United States sleep apnea treatment industry and the global sleep testing services market size.

First, we tried searching for media coverage, sponsored media statements, and interviews done by industry experts discussing the estimated U.S. market size of the sleep apnea treatment industry as well as the growth rate over time. There are many industry experts in the medical services industries specializing in sleep apnea treatment and we thought that from there we could locate statements concerning the current status of the market, its market size, and shares by segments, future growth, possible trends, etc.

We looked for press releases from sleep apnea industry experts or specialists in the United States. Results of our searches were only about different foundations and programs helping patients with sleep apnea. We tried using these facilities to find the required data. We found that many Americans suffer from sleep apnea. As a result, the United States is continuously developing treatments and devices for its patients.

Subsequently, we decided to calculate the market size by multiplying the average cost of sleep apnea treatment service and the number of sleep apnea treatments in the United States by year. This would enable us to come up with the estimated market size of sleep apnea treatment industry in the US. For this, we analyzed statistics and market reports. But, we were not able to locate the data.

Lastly, we decided tried to triangulate the requested information by locating the top United States key players in the global sleep apnea treatment market and calculate the key player's revenue and share in the global sleep apnea treatment market as a proxy. However, we couldn't find the key players in the U.S. market. Majority of the substantial data that we came across was locked behind a paywall.
Part
11
of twelve
Part
11

Medical Services Industries: Dental Implant Providers, Market Size and Growth

Information specific to the current market size and historical and forecasted growth rate of the dental implants services industry is not available in the public domain. The dental implants services market was valued at $10.5 billion in 2015. The dental implant products market is expected to grow at 5.1% CAGR in the period 2019-25.

HELPFUL FINDINGS

  • The size of the dental implant services industry in the United States was $10.5 billion in 2015.
  • The dental implant products industry is worth $1.1 billion and is forecasted to grow at 5.1% CAGR in the period 2019-25.
  • The dental services industry (overall) grew at 2.5% in the period 2014-2019.
  • As of 2019, the dentist's industry in the United States is valued at $135.4 billion.
  • According to the American College of Prosthodontists, there are 35 million people in the United States that have a missing tooth.
  • The United States has a growing population of seniors, which is likely to increase the demand for dental implants.

RESEARCH STRATEGY

In order to fulfill this request, we began by looking for research reports on the dental prosthetics/ prosthodontics/ dental implants industry in the United States. While we were able to find report--by Global Market Insights and iData Research--on the dental implants manufacturing industry, we did not find reports specific to the services industry. The United States dental implants products market is valued at $1.1 billion is expected to grow at a CAGR of 5.1% in the period 2019-25.

Next, we looked for research reports on the dental services industry that provided category-specific market sizes, dental implants being a sub-category/sub-sector of dental services. This too did not result in any success. Although we were able to find reports on the dental services industry in the United States, we did not find any that provided us with the market size and historical/ forecasted growth rates of prosthodontic services.

Following this, we searched industry portals such as the American Dental Association (ADA), American Academy of Implant Dentistry (AAID), American College of Prosthodontists (ACP), and Decisions in Dentistry, but were unable to find the services segment market size and growth rates. Separately, we also looked for any sources that may be citing AAD or AAID data. According to the American Academy of Implant Dentistry, "more than 500,000 dental implants are placed every year in the U.S.", and according to the American Dental Association, "5 million implant procedures are performed in the U.S. every year" and an estimated "69% of Americans age 35 to 44 have at least one missing tooth". The American College of Prosthodontists estimates that there are 35 million individuals in the US with one or more missing teeth and "approximately 2.3 million implant-supported crowns are placed annually".

One way of triangulating the market size for dental implant services would have been to multiply the number of tooth implants every year with the average cost of one tooth implant. However, we found the average total cost of a tooth implant to be specified as a wide range ($1,500 to $6,000) across sources; and, the estimates for the number of tooth implants done every year in the United States were not consistent across reputed sources like the AAID, ADA, and ACP.

Following this, we looked for sources older than two years that may have market sizes and forecasted growth rates to the present day. It would be possible to determine the current market size based on the historical market size and growth forecast. Though we did not find any reports specific to prosthodontic services in the United States, we found a dental services report published by Brocair Partners. In 2015, Brocair Partners estimated the size of the United States dental services market and the United States prosthodontics services market to be $119 billion and $10.5 billion, respectively. However, the report did not provide any future growth rates for the industry. More recent reports published by Brocair Partners pertain to the global dental products industry; more recent dental services industry reports were not found. The market size published by Brocair Partners tallied with Ibis World's market size estimate of the dentists market (those who provide dental services).

The only way to accurately calculate the historical growth rate in the available time would have been using the historical and current market size data. However, as we did not know the current market size it was not possible to calculate the historical growth rate. Similarly, it was not possible to calculate the future growth rate either.
Part
12
of twelve
Part
12

Medical Services Industries: Orthodontics Providers, Market Size and Growth Rate

While there is no publicly available information to fully answer the question at hand, we've used the available data to pull together helpful findings. Below you'll find an outline of our research strategies to better understand why the information you've requested is publicly unavailable, as well as a deep dive into our findings.

HELPFUL FINDINGS

  • According to IBIS World, the US orthodontist industry total 2019 revenue is USD $12B.
  • The US orthodontist industry has seen a 1.5% annual growth from 2014 to 2019.
  • According to Allied Market Research, the global orthodontics market is projected to grow at a CAGR of 8.2% from 2017 to 2023 and is expected to reach USD 2,597,000,000 by 2023.
  • According to IBIS World, the market size of the Orthodontists industry is expected to increase by 0.9% in 2019.
  • In the past years, the market size of the US Orthodontists industry has been increasing faster than the overall economy.
  • Value Penguin places the average cost of a braces procedure between $5,000 and $6,000.

RESEARCH STRATEGY

We started to research by comparing the terms orthodontist and orthodontics provider, to see if a difference between these two terms exist. The official definitions on governmental sites like bls.gov and dol.gov were noted. Since the official definitions on the governmental sites do not provide any information regarding the term "orthodontics provider", there was no way to determine if these two terms represent the same thing. We decided to proceed by focusing on the term "orthodontics providers".

1. We started the search by looking for pre-compiled data regarding market size and growth of US orthodontics provider industry, excluding the orthodontic products. To find this information, we combed through reliable US market research sites such as marketwatch.com and ibisworld.com. Information on these sites mainly focused on orthodontic products market size and growth. There were no available preexisting reports focused specifically on orthodontics providers. The closest report available was focused on the orthodontist industry's market size and growth as a whole in the United States.

2. We also searched for the global orthodontics provider industry market size, excluding orthodontic products, and the percentage of the global industry the US takes up, to triangulate a value and use that percentage to calculate the US orthodontics provider industry market size. This strategy failed because the closest available segmentation focused on North America as a whole instead of the US. Also, there was no data available regarding the global orthodontics provider industry market size or growth.

3. We also attempted to identify the leading US orthodontic providers and look into their revenues to estimate the orthodontic providers market size. The idea behind the strategy was that the key players in the industry will take up the vast majority of the market, and by adding their revenues together we could estimate the market size. Relevant publications were searched, such as The American Association of Orthodontists, as well as market publications such as PR Newswire, as they usually publish key players in the industry lists. Unfortunately, we were unable to proceed with this strategy as the search determined no sources listing the largest or most profitable US orthodontists, and the key players in the industry could not be determined.

4. Ultimately, we attempted to find the average cost of an orthodontic procedure and the number of orthodontic procedures in the US in 2018. The idea behind the strategy was that we could estimate the market size in USD using these two numbers by multiplying them. Unfortunately, we were not able to move forward with the calculation because data for the total number of orthodontic procedures in the US was not available for any of the years between 2014-2019. Some available data focused on the number of dental procedures. However, there was no way to determine how many of those are orthodontic procedures.

Following this, we have determined there is not enough information available to find or calculate the US orthodontics provider industry market size and growth excluding the products. We decided to expand scope to include information focusing on the orthodontist industry and the orthodontics industry in general as helpful findings shown above.

Sources
Sources
From Part 01

Botox: How Does Botox Work?

medicalnewstoday.com
Publication Year: 2017
Quotes
  • "Botox is used medically to treat certain muscular conditions, and cosmetically to remove wrinkles by temporarily paralyzing muscles. It is made from a neurotoxin called botulinum toxin that is produced by the bacterium Clostridium botulinum."
  • "People also use Botox to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders."

January 16th, 2017 | Vol. 189, No. 3 | U.S.

time.com
Publication Year: 2017
Quotes
  • "Botox is a neurotoxin derived from the bacterium Clostridium botulinum. Ingested in contaminated food, it can interfere with key muscles in the body, causing paralysis and even death. But when injected in tiny doses into targeted areas, it can block signals between nerves and muscles, causing the muscles to relax. That’s how it smooths wrinkles: when you immobilize the muscles that surround fine lines, those lines are less likely to move–making them less noticeable. It’s also why it’s FDA-approved to treat an overactive bladder: Botox can prevent involuntary muscle contractions that can cause people to feel like they have to pee even when they don’t."
  • "In 2015, Botox, produced by pharmaceutical maker Allergan, generated global revenue of $2.45 billion–more than half of which came from therapeutic rather than cosmetic uses. That noncosmetic revenue is likely to balloon in the years ahead as doctors try out Botox for even more off-label uses and as Allergan conducts studies of its own."
  • "In the majority of these cases, it’s the doctors at the front line who start using Botox off-label, and then we see the treatment of things we never expected the toxin to work for,” says Min Dong, a researcher at Harvard Medical School who studies botulinum toxins in the lab and has no financial ties to Allergan. “I meet with physicians who are using the toxin everywhere–for diseases you would never know about."
  • "In just over a decade, the number of people in the U.S. receiving cosmetic botulinum toxin type A injections–mostly from Botox but also from another brand called Dysport, which commands less than 10% of the market–exploded. From 2000 to 2015, use of the toxins for wrinkles increased 759%. It became a cultural phenomenon too, spawning Botox parties, Simpsons jokes, even greeting cards. "
  • "It’s true that Botox’s ever expanding uses have been largely physician-driven. But drugmakers are also often aware of off-label uses long before those uses are officially recognized by the FDA; that’s how Botox ended up being approved for wrinkles, after all."
  • "As with any drug, Allergan is legally required to make known Botox’s most severe potential side effects, and in 2009 the FDA required Botox to bear a black-box warning–the strongest type of warning label given to any drug–cautioning that there was evidence the drug had been linked to serious side effects. With Botox, this includes effects spreading from the injection site to other parts of the body, causing muscle weakness, double vision and drooping eyelids."

Subscribe to read | Financial Times

ft.com
Publication Year: 2018
Quotes
  • " Now a Silicon Valley biotech company is trying to squeeze Allergan with not one but two competing products.  Revance is developing a cheaper copycat or “biosimilar” version of Botox, as well as a new neurotoxin that purportedly reduces the appearance of forehead wrinkles or “glabellar lines” for six months, versus three-to-four months for Allergan’s product.  Last week, Revance announced it was teaming up with Mylan, the world’s largest generic drugmaker by market value, to develop the biosimilar product, prompting a sell-off in Allergan’s shares. "
  • " The investor fear is understandable. Botox is Allergan’s best-selling product by far, generating $3.17bn of revenues last year and accounting for roughly 30 per cent of operating profits, according to Ronny Gal, an analyst at Bernstein.  "
  • " In the US, Nestlé’s Galderma unit markets a rival, known as Dysport, while Germany's Merz pharma sells a neurotoxin under the Xeomin brand.  Both companies have a loyal following among some cosmetic patients, but neither has managed to make too much of a dent in the Botox powerhouse, which still has a market share in the region of 65 per cent.  Mr Browne says his company has a unique opportunity to develop a copycat Botox because its raw ingredients come from the same source as Allergan’s. "
  • " such a product could win a chunk of the Botox prescriptions written by medical professionals for conditions such as excessive sweating and certain muscular illnesses. Private and public healthcare systems foot the bill for these patients and are always looking for ways to cut costs.  This “therapeutics” side of Allergan’s Botox business is growing at a faster clip than the cosmetics part and generates more revenue, pulling in $1.7bn of sales last year.  "
d

Challenges to Botox threaten a market makeover

docs.google.com
Publication Year: 2018
d

Jeuveau takes aim at aesthetic market share

dermatologytimes.com
Publication Year: 2019
Quotes
  • "Allergan has led the market for many years and today commands about 70% of the market share. Dysport (abobotulinumtoxinA, Ipsen) has about 20% market share, followed by Xeomin (incobotulinumtoxinA, Merz) with about 10%, according to Moatazedi. “This market in the U.S. is probably a $1.2 billion category for neurotoxins. And it’s the number one aesthetic procedure done in the U.S.,” Moatazedi says."

Ideal Image MedSpa Expands National Franchise Program

prnewswire.com
Publication Year: 2019
Quotes
  • "Ideal Image MedSpa, the nation's leading MedSpa concept specializing in non-invasive skin, face, and body treatments, announced today the expansion of the company's franchising opportunities and a new franchise leadership team, effective immediately."
  • "This is a great opportunity for successful entrepreneurs who are looking to be part of the quickly growing aesthetics industry and build a tremendous business helping consumers look and feel their best naturally," said David Prokupek, CEO, Ideal Image MedSpa. "As the nation's largest MedSpa concept, with more than 140 successful locations in the USA and Canada, we are excited to offer franchise opportunities to highly successful franchise operators."
  • "Ideal Image is the nation's leading MedSpa, performing more non-invasive aesthetic treatments than any other company in the United States. At Ideal Image, clients work with a team of highly-trained medical professionals and Skin, Face & Body Specialists to develop personalized treatment plans consisting of FDA-approved, non-surgical, gentle-touch procedures that deliver natural looking results. From laser hair removal to Botox and facial fillers, CoolSculpting fat reduction, and restorative services for skin and face health, Ideal Image uses the most advanced technology and services to provide long-lasting, natural results that help people look and feel their best. "

Botox - Laser Facial, Botox

vividface.com

Franchise Opportunities - Laser Facial, Botox

vividface.com

Why We’re Great at It | Refinery Skin Clinic in Burnsville, MN

therefineryskinclinic.com
Quotes
  • "Out of over 36,000 Botox clinics in the United States, The Refinery Skin Clinic is in the top 4%."

Botox Pittsburgh PA | The Skin Center Medical Spa

theskincentermd.com
Publication Year: 2019
Quotes
  • "As the largest provider of Botox in Pittsburgh, PA and Columbus, OH, and ranked as one of the top ten Botox providers in the country, our highly-skilled medical estheticians and expert injectors consistently deliver the natural-looking results you desire."

Evolus’ Botox competitor is here. Will it dent Allergan’s sales?

fiercepharma.com
Publication Year: 2019
Quotes
  • "The moment Allergan's been dreading has arrived. Evolus has snagged an OK for its rival to Allergan’s lead moneymaker, Botox. And now, as Wells Fargo analyst David Maris put it in a note to clients, “the wait is on” to see what kind of damage it does to the blockbuster’s sales. Evolus picked up a go-ahead late Friday for Jeuveau, which will compete with Botox on the aesthetics side as a treatment for frown lines. Allergan’s $3.6 billion drug, which generated 23% of the company's revenue last year, also bears medical indications, including migraine. But analysts still predict the new product could make a dent when it comes to Botox’ top line."
  • "RBC Capital Markets’ Randall Stanicky, for one, ran two surveys over the weekend, and their results “suggest potential for greater than expected acceptance of Jeuveau,” he wrote in his own note to clients. In the first survey, a group of dermatologists and plastic surgeons said they expected to switch 43% of patients over to the newcomer."
b

Tempe Botox provider gets lift from Think Global Institute

bizjournals.com
Publication Year: 2015
Quotes
  • "Tempe-based Derma Health may be the second largest provider of Botox in the nation, but owner Trish Gulbranson needed help communicating better with her all-female staff of 50."

Botox Top Provider

kristingunn.com
Publication Year: 2018
Quotes
  • "Botox Top Provider Kristin Gunn holds an Allergan top 1% Black Diamond designation for Botox Injections, and top 5% Botox provider on RealSelf."
  • "A Black Diamond Provider is someone who does a large amount of Botox on a daily basis… more than 99% of the rest of the United States."

Can this “Drybar of Botox” disrupt the cosmetic injectables biz?

fastcompany.com
Publication Year: 2018
Quotes
  • "Welcome to Alchemy 43, the aesthetics bar dubbed the “Drybar of Botox.” Like blowout emporium Drybar, Joli Beauty Bar, or Skin Laundry, it focuses on just one thing."
  • "Then there’s the services menu, which boasts cheeky names like “Smooth Talker” (a laugh-line treatment of Juvéderm and Restylane) and “Hello, Bright Eyes” (Botox to target crow’s feet and frown lines) that make the treatments sound less, well, intimidating. Prices are on par if not slightly lower than an average medical clinic. The average spend per visit is $485."
  • "Founded in 2016, Alchemy 43 has two locations (the other is in Beverly Hills, natch) that are both situated on high-end shopping stretches where other beauty services are clustered. The point is to make it part of your shopping outing."
  • "We were really interested in the trends around injectables—and Botox specifically—that are becoming much more mainstream,” says Eurie Kim, general Partner of Forerunner Ventures, an early backer of Alchemy 43. “People used to be sheepish about it . . . The consumer is really evolving in how he or she is thinking about the entire experience."
From Part 02

Sleep Testing Services Market: Global Industry Analysis, Size, Share, Growth, Trends, and Forecasts 2016–2024

zionmarketresearch.com

Home Sleep Apnea Testing Overview - Sleep Education

sleepeducation.org
Publication Year: 2019

Sleep Apnea Testing and Diagnosis - Sleep Education

sleepeducation.org
Publication Year: 2019

SleepWorks | Sleep Center Home Sleep Study | About

sleepworksinc.com
Publication Year: 2019
a

American Sleep Medicine

americansleepmedicine.com
Publication Year: 2019

Sleep Disorders Centers

medicine.umich.edu
Publication Year: 2019

Sleep Medicine - Overview

mayoclinic.org
Publication Year: 2019

Koala Sleep Centers Franchise Cost, Koala Sleep Centers Franchise For Sale

allusafranchises.com
Publication Year: 2019

DS3 Software | Franchise

dentalsleepsolutions.com
Publication Year: 2019
m

Investing in the growing sleep-health economy

mckinsey.com
Publication Year: 2017

PMC Offers New, Less Invasive Surgical Option for Obstructive Sleep Apnea – PR News

pennmedicine.org
Publication Year: 2019

UCHealth first in region to offer latest technology for central sleep apnea - UCHealth Today

uchealth.org
Publication Year: 2019

After Three Failed Surgeries and a CPAP Machine, 15 Years of Sleep Apnea Is Finally Resolved With a Custom Plan

keckmedicine.org
Publication Year: 2019

Demand for treatment of sleep illness is up as drowsy Americans seek help for potentially dangerous conditions - American Academy of Sleep Medicine – Association for Sleep Clinicians and Researchers

aasm.org
Publication Year: 2012
From Part 03

Top Dental Implant Companies in the United States - iData Research

idataresearch.com
Publication Year: 2019
Quotes
  • "Numerous top dental implant companies in the United States are looking to increase their share of this growing market. In fact, there are over 35 competitors vying for position in this $1 billion-plus United States market. "

Dental Implants Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2019-2024

researchandmarkets.com
Publication Year: 2019
Quotes
  • "The report has also analysed the competitive landscape of the market with some of the key players being Biohorizons, Nobel Biocare Services AG, Zimmer Biomet Holdings, Inc., OSSTEM IMPLANT, Straumann, Bicon, LLC, Anthogyr SAS, Dentsply Sirona, Dentium Co, T-Plus Implant Tech. Co., Ltd., Kyocera Medical Corporation, Danaher, etc"

Top Dental Software - 2019 Reviews, Pricing & Demos

softwareadvice.com
Publication Year: 2019

Global Dental Software Market 2019 Outlook by Trends, Opportunities, Size, Share, Growth and Leaders Overview to 2027

marketwatch.com
Publication Year: 2019

Techniques and trends for 2019 are shaping the future of implantology | Implant Practice US

implantpracticeus.com
Publication Year: 2019

About Us | Affordable Dentures & Implants

affordabledentures.com

Teeth Tomorrow Network Locations | Advanced Implant Dentists

teethtomorrow.com
Publication Year: 2019

NobelGuide™ | Nobel Biocare

nobelbiocare.com

Dental Wings

straumann.com
Quotes
  • "Dental Wings Inc. is a leading provider of digital dentistry technologies. Its solutions cover the full digital workflow – from treatment-planning to final restoration including dental scanning, implant planning, prosthesis design, manufacturing, and communication among dental professionals."

8 Dental Technology Startups Disrupting Dentistry

nanalyze.com
Publication Year: 2018
From Part 04
a

Dental Overview

ambwealth.com
Publication Year: 2017

IBISWorld - Industry Market Research, Reports, and Statistics

ibisworld.com
Publication Year: 2019

Best Orthodontist USA - Find the Best Orthodontist Near Me

bestorthodontistusa.com
Publication Year: 2019

Tech startups want to go inside your mouth – TechCrunch

social.techcrunch.com
Publication Year: 2019

orthodontist - Dictionary Definition

vocabulary.com

Definition of ORTHODONTICS

merriam-webster.com
From Part 05

Orthodontic Services Market Type (Fixed and Removable), and by End User (Hospitals and Dental Clinics) - Global Opportunity Analysis and Industry Forecast, 2019-2026

alliedmarketresearch.com
Publication Year: 2019

Orthodontic Services Market in China 2017-2021 - Research and Markets

researchandmarkets.com

Orthodontics Market 2019 Global Industry Analysis by Key Players, Share, Revenue, Trends, Organizations Size, Growth, Opportunities, And Regional Forecast to 2025

rfdtv.com
Publication Year: 2019

Emerging Trends Drive Growth in Orthodontic Services Market

dentistrytoday.com
Publication Year: 2017

Top 3 Trends Impacting the Global Orthodontic Services Market Through 2021: Technavio

businesswire.com
Publication Year: 2017
From Part 06

Factors Impacting Dental Implants Market Growth

getreferralmd.com
Publication Year: 2018

Global Dental Implant and Prosthetic Market Is expected to Witness a CAGR of 7.2% During 2018-2024

globenewswire.com
Publication Year: 2018

Dental Implants Market Size, Share, Growth | Industry Report 2018-2024

grandviewresearch.com
Publication Year: 2018

Dental Implant Market is Expected Grow due to Rise in Number of Patients Demanding Dental Treatment: Radiant Insights, Inc.

prnewswire.com
Publication Year: 2018

Dental Prosthetics Market – Industry Trends – Forecast to 2026

tribaux.com
Publication Year: 2019
From Part 07

Sleep Apnea Devices Market Top trends | Worldwide Industry Analysis with Leading providers, Regional Overview and Outlet till 2022 |

medgadget.com
Publication Year: 2018

Sleep Apnea Devices Market Research Report- Global Forecast To 2022 | MRFR

marketresearchfuture.com
Publication Year: 2019

U.S. Sleep Apnea Devices Market to Lead the Global Market in Coming Years: P&S Intelligence

globenewswire.com
Publication Year: 2019

Sleep Apnea Treatment Options

sleepapnea.org

The Latest Treatments for Obstructive Sleep Apnea - National Sleep Foundation

sleepfoundation.org
s

AWAKE Sleep Apnea final report

sleepapnea.org
Publication Year: 2018

Geo-Fencing

sleep-apnea-marketing.com
Publication Year: 2018

Sleep Apnea Marketing for Dentists

identitydental.com
Publication Year: 2017

5 Alternative Sleep Apnea Treatment Options

aastweb.org
Publication Year: 2017

Sleep Apnea | National Heart, Lung, and Blood Institute (NHLBI)

nhlbi.nih.gov
Publication Year: 2018

Too, too tired? Jazz launches awareness push aimed at sleep apnea sufferers

fiercepharma.com
Publication Year: 2018

Social Media Services for Sleep Apnea

sleep-apnea-marketing.com
Publication Year: 2019

Expert: Science Shaky on Cannabis for OSA

medpagetoday.com
Publication Year: 2019
From Part 08

United States Botox Market: Global Key Players, Trends, Share, Industry Size, Growth, Opportunities, Forecast To 2025

pharmedicals.wordpress.com
Publication Year: 2019

Trends in the Aesthetic Industry - Sharplight

sharplightech.com
Publication Year: 2018
Quotes
  • "In the United States for example, there has been a crackdown on fake and inexpensive Botox, and OSHA (The Occupational Safety and Health Administration) has set fines up to $125,000"

Blog New Trends for Botox

doctorbinder.com
Publication Year: 2019

7 Questions About Dermal Fillers + Botox, Answered

health.clevelandclinic.org
Publication Year: 2019

‘Preventative Botox’ rising trend among millennials

foxnews.com
Publication Year: 2018
Quotes
  • "Preventative Botox, the concept of treating the facial muscles that you use more frequently in order to avoid wrinkles from forming, has become an increasingly popular procedure for young people. "
  • "Annual statistics from the American Society of Plastic Surgeons confirm this trend, as reported Botox procedures increased 28 percent since 2010 among 20 to 29-year-olds. "

Botox trends - IAPAM

web.archive.org
Publication Year: 2017
Quotes
  • "But the question on many people’s mind is ‘why is it so popular?’ or ‘what makes it such a sought after procedure?’ "
  • "Its cosmetic applications have advanced significantly over the last few years, with more and more people now looking to undergo Botox® injections with the hope of getting rid of fine lines and wrinkles. "
From Part 09

Facial Injectables Market | Growth, Trends, and Forecast (2019-2024)

mordorintelligence.com
Publication Year: 2019

Botulinum Toxin Market Size: US$7.5 Bn by 2026

marketwatch.com
Publication Year: 2019

Global Botox Market 2019, by Therapeutic Use, Aesthetic Use, Application, Provider, Industry Statistics, Trends and Growth Opportunities to 2025 - Reuters

reuters.com
Publication Year: 2019

The Facial Injectables Market: Worldwide Outlook to 2024 - Rising Aesthetic Consciousness and Number of Cosmetic Procedures is Driving Growth

globenewswire.com
Publication Year: 2019

Global Facial Injectables Market Size | Industry Report, 2018-2025

grandviewresearch.com
Publication Year: 2018
Quotes
  • "The application segment is categorized into aesthetics and therapeutics. The aesthetics segment is expected to dominate the market during the forecast period owing to increasing use of facial injectables for aesthetics procedures such as treatment of parentheses lines, wrinkles on face, lip lines, lip augmentation, lip border restoration, perioral lines, crow’s feet lines, frown lines, glabellar lines, filling furrows (deep wrinkles), periorbital wrinkles, superficial lines, acne scars, tear troughs, marionette lines, lipoatrophy of face, nasolabial folds, chin dimpling, and mouth wrinkles."

North America Facial Injectable Market to be Worth US$5.8 Billion by 2024: Focus on Physical Appearance Encourages Users to Undergo Minimally Invasive Surgeries, Notes TMR

prnewswire.com
Publication Year: 2017
Quotes
  • "According to the research report, the North America facial injectables market is expected to reach a valuation of US$5.8 bn by the end of 2024 as compared to US$2.1 bn by the end of 2015"

Cosmetic skin fillers rise in popularity, and complications

cnn.com
Publication Year: 2017
Quotes
  • "In the United States, the use of fillers soared from 1.8 million procedures in 2010 to 2.6 million in 2016, according to data from the American Society of Plastic Surgeons."

How Much Does Botox Cost? (and Other First-Time Questions) - USA TODAY Classifieds

classifieds.usatoday.com
Publication Year: 2017
Quotes
  • "The national average cost for Botox treatments is $550, but they can range from $25 to $1,150 depending on what you want to get done."
From Part 10

Sleep Testing Services Market : Global Industry Analysis and Forecast 2015 - 2021

prnewswire.com
Publication Year: 2016

Sleep Testing Services Market Trends and Forecast to 2026 - TMR

transparencymarketresearch.com
Publication Year: 2018

Sleep Testing Services Market Size Expected to Grow at a CAGR over 13.2% from 2018 to 2023 | MRFR - News and Updates

marketresearchfuture.com

Sleep Apnea Market Size & Share | Industry Report, 2017-2025

transparencymarketresearch.com

Sleep Testing Services Market 2019- Industry Growth, Trend, Size, Share, Statistics, Competition Strategies, Application, Region and Analysis 2024

weny.com
Publication Year: 2019

Sleep Apnea Devices Market to Reach to $6.8 Billion by 2023

psmarketresearch.com
Publication Year: 2018
From Part 11

Dental Implants Market Analysis, Size, Trends | United States | 2019-2025 | MedSuite (Includes 5 Reports) - iData Research

idataresearch.com
Publication Year: 2019
Quotes
  • "The U.S. dental implant market was valued at around $1.1 billion in 2018 overall. This is expected to increase over the forecast period, at a CAGR of 5.1%, to reach over $1.5 billion."

Parallel walled Dental Implants Market will surge at 4.6% CAGR from 2018 to 2024 - Reuters

reuters.com
Publication Year: 2018
Quotes
  • "Developed countries such as U.S. and Germany have huge edentulous population that increases the demand for dental implants among elderly base to replace their missing teeth."

HPI Webinar – The State of the U.S. Dental Market: Outlook 2018

ada.org
b

Dental Products Industry Perspective

brocair.com
Quotes
  • "The global dental implant market was valued at $4.6 billion in 2017 and is expected to reach $8 billion by 2025, growing at a CAGR of 7.2%."

Dental Implants Rank As Top Growth Category

decisionsindentistry.com
Quotes
  • "In addition, it reports that approximately 2.3 million implant-supported crowns are placed annually."

AAID: American Academy of Implant Dentistry — Home

aaid.com
s

https://shatkinfirst.com/article-cases/wp-content/uploads/2019/05/45NDI17Greene.pdf

shatkinfirst.com

Dental Implants Market Growth Report 2024 Size Share Forecasts

gminsights.com
Quotes
  • "U.S. market valued over USD 1.1 billion in 2017 owing to rapid rise in number of baby boomers along with increase in prevalence of oral disorders in the country. As per American College of Prosthodontists, around 35 million Americans have missing teeth in one or both the jaws that will augment the demand for dental implants in the U.S."

Dental Industry Infographics – Health Policy Institute Publications

ada.org

Dental Costs & Prices | CareCredit

carecredit.com

Factors Impacting Dental Implants Market Growth

getreferralmd.com
Publication Year: 2018
Quotes
  • "The American Academy of Implant Dentistry states that more than 500,000 dental implants are placed every year in the U.S. The number is projected to increase over the coming years."
  • "As per the American Dental Association, 5 million implant procedures are performed in the U.S. every year. The above mentioned factors are anticipated to drive the market."
  • " The cost of the total procedure is $1,500 to $6,000. It includes single tooth implant cost of around $1,000 to $3,000 and the cost of abutment and crown is between $500 to $3,000."

17 Dental Implant Industry Statistics and Trends

brandongaille.com
Publication Year: 2018
Quotes
  • "About 3 million people have received an implant in the U.S. so far. About 500,000 people per year receive an implant in the United States. (American Academy of Implant Dentistry)"
b

Overview of the Dental Services Industry

brocair.com
p

Posthodontics

prosthodontics.org
Quotes
  • "Respondents were asked to report their annual practice gross billings (i.e., the total amount charged for prosthodontic care). The average (mean) gross billings was $2,052,125 with a 95% confidence interval of +/- $853,699 ($1.2 million to $2.9)."

IBISWorld - Industry Market Research, Reports, and Statistics

ibisworld.com
d

Dental Implants

docs.google.com
d

Ibis World

docs.google.com
From Part 12

IBISWorld - Industry Market Research, Reports, and Statistics

ibisworld.com
Publication Year: 2019

Orthodontics Market Expected to Reach $2,597 Million, Globally, by 2023

alliedmarketresearch.com
Publication Year: 2018
Quotes
  • "According to a new report published by Allied Market Research, titled, "Orthodontics Market by Type and Age Group: Global Opportunity Analysis and Industry Forecast, 2017-2023," the global orthodontics market was valued at $1,493 million in 2016, and is projected to reach $2,597 million by 2023, growing at a CAGR of 8.2% from 2017 to 2023. North America is anticipated to be the highest revenue contributor throughout the forecast period."
  • "The orthodontics market is anticipated to grow considerably in the near future, owing to different factors such as rise in prevalence of dental diseases & malocclusions, surge in geriatric population who are prone to tooth loss, increase in awareness towards oral health, and rise in dental tourism."

The Average Cost of Braces

valuepenguin.com
Publication Year: 2019
Quotes
  • "While the average cost for braces is $5,000 to $6,000, some individuals pay as little as $3,000 or as much as $10,000."