fueling innovation in the premium dental market · a pioneerofdental implants foundedasa...
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Fueling innovation in the premiumdental market
Francisco FaoroHead Product Development BUSurgical
8 October 2012
A pioneer of dental implants
Founded as a family owned researchinstitute in 1954
Headquartered in Basel, Switzerland
Dental solutions available in more than70 countries through 20 fully ownedsales subsidiaries and a broaddistributor network
>2400 employees from 30+ nations
Straumann – a global leader in replacement,restorative and regenerative dentistry
Straumann 2
1954 – 1970Material testing
and research
1970 – 1990Medical devices
Since 1990Dental medical
devices
Half a century of science-based innovation andprecision engineering
1974First StraumannDental implant
Straumann 3
A global business…
Gräfelfing (D):scanner assembly
Leipzig (D):CADCAM milling
Malmö (S):Regenerative productsAndover (USA):
Implant production
Villeret (CH):Implant production
Present in >70 countries through 20 sales subsidiaries and a broad distributor network
Arlington (USA):CADCAM milling
Straumann subsidiaries
Production plants
Distributors
Head Quarter
Straumann 4
…has achieved leadership through organic growthand innovation
Innovation
Geographical
Gro
wth
Straumann
Tooth replacement,restoration and
regeneration
Global GDP
Drivers
Straumann 5
Expandingprovider base
Solution andservice
Straumann
New surface scored highest in the USNew surface and new material ranked top in EuropePrevention of peri-implantitis scored best in Asia
Factors influencing customer choiceof implant company1
What drives the choice to buy premium products?
Proportion of respondents2 willing to pay apremium for indicated product features
0
20
40
60
80
100
New surface New material Prevention ofperi-implantitis
Optimal size
%
28%
18%
6%
48%
Service & practice supportEducationPricingInnovation & product performance
Straumann 61 Perception pulse study: dental implants 2011; 2046 respondents in Americas, Asia, and Europe, MRG2 SAi MedPartners 2011 Sample: 170 respondents in Americas, Asia, and Europe
Innovation leadership based on surface- and materialscience
Inno
vatio
n
1974 TPSBetter osseointegration
1994 SLA®Enhanced osseointegration
2009 Roxolid®Enhanced mechanical properties
1970Blade
implants
1960Invasive
implants inlower jaw
2011 NNC®Small diameter implants
with wider indication
400b.c.metal straps(Etruscan)
600a.c.ivory teeth(Honduras)
2005 SLActive®Superior osseointegration
Straumann 7Straumann
Market
Time
Macro
19741st generation
Micro
19942nd generation
SLActiveMolecular
20053rd generation
SLActive
Straumann leads implant surface innovation
SLATPS
Straumann 8
Development of surfacetopography
Development of surfacechemistry
Hydrophilic surface cuts healing time in half1
Hydrophobic sand blastedand acid etched titanium
surface2
Body can immediately accessthe active surface for
osseointegration
Body has to remove the passivelayer for osseointegration
Straumann 91 Raghavendra, Wood, Taylor, 2005 and Oates et al., 20072 Straumann SLA®3 Straumann SLActive®
Hydrophilic sand blastedand acid etched titanium
surface3
Bone remodelling with SLActive® also in large defects
Straumann 10Histological cross-sections at 12 weeks after implant placement
Results from preclinical studies presented by Becker J, Schwarz F (Heinrich-Heine University,Düsseldorf, Germany) at 15th Ann. Sci. Meeting of the EAO, Zürich, 2006
SLA®Implant
Surroundingbone
Newbone
SLActive®Implant
Surroundingbone
There is an increasing trend towards narrow implantswhich is based on …
Clinical needs:- small bone ridge- small inter-dental gap- bone conservation
Patient requirements:- less invasive treatment- reduced treatment time- less cost intensive- aesthetic solution
Straumann 11With courtesy of Dr Roccuzzo, Italy
Roxolid® designed for more confidence by combiningstrength and excellent osseointegration
Higher strength than pure titanium1,2,3
Higher stability1,2,3
More bone in-growth4
Improved osseointegration4
0
500
1000
1500
Tens
ileS
tregh
t[M
pa]
ASTMTiGr41)
STMNTiGr42) Roxolid3)
Straumann 12
1 ASTM F672 used for all Ti Straumann implants3 used for all Roxolid Straumann implants4 Gottlow, J., et al. "Evaluation of a New Titanium-Zirconium Dental Implant: A Biomechanical andHistological Comparative Study in the Mini Pig." Clin.Implant.Dent.Relat Res. (2010).
RoxolidImplant
Surrounding bone
The usage of narrow implantsis currently limited to frontteeth
Straumann 13
Narrow implants have limited treatment options
Straumann 14
0
50
100
150
200
250
300
350
400
0 1 2 3 4 5 6
Benchmark for anterior region1
Benchmark for pre-molar region1
Benchmark for molar region1
Ø Implant [mm]
Fatig
uest
reng
th[N
]
Strong correlation between implant diameter and its fatigue stregth2
1 2012-09-05 Mech Strength Benchmarking for Dent Impl Syst_V02 (Straumann internal data)2 According to ISO 14801; data on file (Straumann)
Enhanced materialCurrent material
To maintain leadership in innovation – leapfroggingtechnology in materials is needed
ASTMTiGr4
StraumannTiGr4
Roxolid® Enhancedmaterial
0
200
400
600
800
1000
1200
1400
?
Straumann 15
Tens
ileSt
reng
th[M
Pa]
www.straumann.com