[PDF] American Academy of Cosmetic Dentistry





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Cosmetic Dentistry

Tamara has completed her degree in dentistry from Modern Science and Art University She has more than ten years of experience in the cosmetic dentistry, contributed in many sessions and seminars Dr Tamara now a medical director of a cosmetic dental clinic Citation: Tamara Talib; Cosmetic Dentistry; Dental Care 2021; May 25, 2021




State of the Cosmetic Dentistry Industry - AACD

How many years have you been in practice? The reduction in practices of 20 or more years is largely related to the increase in sample size among non-members While the percentage dropped among General members (from 46 to 36 ), there was little change for Accredited members and non-members Practice Location

Cosmetic State ofDentistry the Industry - AACD

Staying Power—How many years has your practice been in operation? Most cosmetic dentistry practices are well?established within their communities More than half (57 ) have been in operation for 20 years or more Newer practices (in operation fewer than 5 years) represent 12 of the total

State of the Cosmetic Dentistry Industry - AACD

dynamics of the cosmetic dentistry market and determine the size and impact—in terms of procedures and revenues— and the patient makeup of this market Previous benchmarking surveys were conducted in 2004, 2007, 2011, 2013, and 2015 by Levin Group, Inc , Readex




AACD State of the Cosmetic Dentistry Industry 2013

Staying Power—How many years has your practice been in operation? Most cosmetic dentistry practices are well?established within their communities Slightly more than half (51 ) have been in operation for 20 years or more Newer practices (in operation fewer than 5 years) represent 15 of the total

[PDF] American Academy of Cosmetic Dentistry

Staying Power—How many years has your practice been in operation? A Team Effort—Primary individual initiating dialog about cosmetic dental procedures

[PDF] LEE WYANT, DDS - Smile Arkansas

haven't had any cosmetic dental training since – can or even any – cosmetic dentistry procedures does many procedures a year will have the experience

Keys To Choosing A 'Cosmetic Dentist' - Advanced Cosmetic and

Some of the major advances that have taken place in the last ten years enable dentists to replace missing teeth with implants, cavities no longer need

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[PDF] American Academy of Cosmetic Dentistry 65371_7AACDStateoftheCosmeticDentistryIndustry2013.pdf

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American Academy of Cosmetic Dentistry

www.AACD.comCosmeticDentistry

StateoftheIndustry

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TableofContents

AboutThisStudy..................................................................................................................................4

FINDINGS:RespondentDemographics.................................................................................................5

AACDMembervs.NonͲMember..............................................................................................................5

DentistsDominated..................................................................................................................................5

Communityofpracticeor"specialty"identification................................................................................6

Aquestionofage......................................................................................................................................6

FINDINGS:PracticeProfile....................................................................................................................7

StayingPower - Howmanyyearshasyourpracticebeeninoperation? .................................................7 CosmeticDentistryTrendingUrban - Inwhattypeofcommunityisyourpracticelocated?..................7

HeadCount - Totalnumberofemployeesworkingatyourpractice.......................................................8

Whatbestdescribesyourpractice?.........................................................................................................8

FINDINGS:Let'sTalkLabs.....................................................................................................................9

LaboratoryLoyalty - Howmanydifferentdentallabsdoesyourpracticepatronize?.............................

9 Whendecidingwhichdentallaboratorytouse,whatareyourprimaryconsiderations?.......................9

LocatingaLab - Howdidyoufindoutaboutthelab(s)you'reworkingwith?......................................10

Lab+AACDAffiliation1 - IsyourprimarylaboratorytechniciananAACDMember?...........................10

Lab+AACDAffiliation2 - Isyour

primarylaboratorytechniciananAACDAccreditedMember?........11

FINDINGS:ComprehensiveCosmeticDentistry...................................................................................12

ATeamEffort - Primaryindividualinitiatingdialogaboutcosmeticdentalprocedures.......................12

ReferralsRule - Importanceoffactorsindrivingcosmeticdentistrydemands.....................................12

Whoarewetreating? - Genderofcosmeticdentistrypatients............................................................13

Whoarewe

treating? - Agerangeofcosmeticdentistrypatients........................................................13

Tolookandfeelbetter,ofcourse! - Whatreasonsdoyourpatientsciteforwantingcosmetic

dentistrytreatments?.............................................................................................................................14

ProceduresParticipatedIn......................................................................................................................14

Isthereaparticularprocedure/treatmentthatyoucompletemorefrequentlythanothers?.............15

Whatisthemost

popularcosmeticprocedureatyourpractice?..........................................................15 TheDoctorWillSeeYouNow - Numberofpatientsseenbyyourpracticeforcosmeticdentistry

proceduresinthepreviousyear.............................................................................................................16

LocationorExpertise?Howfar,onaverage,dopatientstraveltogettoyourpractice?......................16

WhatPatientsREALLYCare

About - Issuesofprimaryconcern.............................................................17

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FINDINGS:DollarsandSense..............................................................................................................18

ShowMetheMoneyI - Averageproductionpercosmeticpatientpervisit.........................................18

Averagespentperpatientoncosmeticdentistryservicesperyear......................................................18

FinancialAssistance - DidyourpracticeofferthirdͲpartyfinancingoptions?.......................................19

CaseAcceptanceBoosted - Didofferingexternalfinancinghelpwithtreatment acceptance?............19

What'stheBuzz? - Howdomostofyourpatientsfindyou?.................................................................20

GettingSocial - Doyouoryourpracticeusesocialmediatoreachprospectiveandcurrentpatients?

Whichoutletsdoyouuse?......................................................................................................................20

ShowMetheMoneyII - TotalrevenuesforALLdentistryprocedures(cosmeticandnonͲcosmetic) ..21

Totalrevenuesforcosmeticdentistryprocedures.................................................................................21

RevenueChangeforTopCosmeticProcedures...................................................................................22

FINDINGS:ExecutiveSummary..........................................................................................................25

General....................................................................................................................................................25

CosmeticDentalPracticeDemographics................................................................................................25

CosmeticDentistryPatients....................................................................................................................25

CosmeticDentistryinDollarsandCents.................................................................................................26

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AboutThisStudy

ThissingleͲmodesurvey(emaildrivingtoanonlineinstrument)ofdentalpracticeswasconductedbythe AmericanAcademyofCosmeticDentistry(AACD)tobetterunderstandthedynamicsofthecosmetic dentistrymarketanddeterminethesizeandimpact(intermsofproceduresandrevenues)andthe patientmakeupofthis market. Previousbenchmarkingsurveyswereconductedin2004,2007,and2011byLevinGroup,Inc.,Readex Research,andAACDrespectively.Dataforthe2013studywascollectedbetweenOctober17and November18,2013.Atotalof659responsesweretabulated,withfewerrespondentscompletingthe latterportionofthe survey.Thenetnumberofrespondentsisnotedoneachexhibit. TheinvitationtoparticipatewasprimarilyofferedviaemailtotheAACDmembershipatlarge,butalso distributedtononͲAACDmemberdentalprofessionalsviasocialmediatoprovideanoutsideͲinviewof nonͲmemberdentalpracticesthatderive incomefromcosmeticprocedures.

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FINDINGS:RespondentDemographics

AACDMembervs.NonǦMember

82%ofrespondentswerecurrentAACDmembersand18%werenonͲmembers.OfAACDmembers

participatinginthisstudy,respondentsincluded71%generalmembers,10%AccreditedMembers,and

1%AccreditedFellows,AACD'shighestlevelofclinicalachievement.

512responding

DentistsDominated

Thevastmajorityofrespondentsindicatedthattheyarepracticingdentists.

507responding

71%18%

10% 1%

AACDMember

NonͲAACDMember

AACDAccreditedMember

AACDAccreditedFellow

96%2%
2%

Dentist

LabTechnician

Other

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Communityofpracticeor"specialty"identification

91%ofrespondentsidentifiedthemselvesaseithergeneralorcosmeticdentists.

494responding

Aquestionofage

Theageofsurveyrespondentsisfairlyevenlydistributed,withthelargestgroup55orolder.

510responding

31%
60%4%
4%

Cosmeticdentist

Generaldentist

Prosthodontist

Endodontist

Periodontist

Orthodontist

OtherAnswers

19% 24%

27%30%

20Ͳ35

36Ͳ45

46Ͳ55

55+

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FINDINGS:PracticeProfile

StayingPower - Howmanyyearshasyourpracticebeeninoperation? MostcosmeticdentistrypracticesarewellͲestablishedwithintheircommunities.Slightlymorethanhalf (51%)havebeeninoperationfor20yearsormore.Newerpractices(inoperationfewerthan5years) represent15%ofthetotal.Comparedtothebenchmarkingsurveyof2011,theaverageageofdental practiceshas droppedslightly.

498responding

CosmeticDentistryTrendingUrban - Inwhattypeofcommunityisyour practicelocated? Followingatrendtowardurbancentersfirstseeninthe2011benchmarkingsurvey,therecontinuesto beamigrationawayfromsuburbanandruralsettingstomoreurbanenvironments,acategorywhich hasincreased10percentagepointsinthepastsixyears.Still,almosthalf(42%)ofcosmeticdentistry practicesreport thetypeofcommunityinwhichtheyarelocatedassuburban.

495responding

15% 8% 16%

10%51%

Fewerthan5years

5Ͳ9years

10Ͳ15years

16Ͳ20years

Morethan20years

36%

42%19%

3% Urban

Suburban

SmallTown

Rural

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com HeadCount - Totalnumberofemployeesworkingatyourpractice Respondentswereaskedtoindicatehowmanypeople,intotal(dentistsandothers),wereemployedby theirpractices,bothfullͲandpartͲtime,in2013.Smallerpractices(fewerthan5employees)represent

25%,a3Ͳpointdropsince2011.Andthoseemploying10ormoreindividualsmakeuponeͲfifth(20%)

of practices,indicating5Ͳpointdropsincethe2011survey.Mostpracticesareinthemiddle,withbetween

3and9employees.

495responding

Whatbestdescribesyourpractice?

NearlytwoͲthirdsofrespondentsindicatedthattheyworkinasolopracticeenvironment,withanother thirdclaimingaffiliationwithagrouppractice.

494responding

6% 19% 21%

23%17%

14%

1Ͳ2

3Ͳ4

5Ͳ6

7Ͳ9

10Ͳ14

15ormore

60%31%5%

4%

SoloPracticioner

Group

Corporate

University

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FINDINGS:Let'sTalkLabs

LaboratoryLoyalty - Howmanydifferentdentallabsdoesyourpractice patronize? Theuseofmultiplelaboratoriesbycosmeticdentistrypracticesiscommon.Only5%indicatedtheir practicesusedasinglelaboratoryin2013,representinga1Ͳpointdecreasesince2011.Themajority (57%)indicateduseoftwoorthreelabs,while35%usedfourormorelaboratories.

493responding

Whendecidingwhichdentallaboratorytouse,whatareyourprimary considerations? Respondentswereabletochoosemorethanoneanswerindicatingtheirprimaryconsiderationsfor decidingonalaboratory."Estheticconsiderations"wasthetopmention(83%),afourͲpointincrease since2011.

494responding

5% 22%
38%

18%17%

1 2 3 4

5ormore

1%13%46%64%83%

0% 20% 40% 60% 80% 100%

DonotusemorethanonelabOtherAnswersCostofcaseProcedureorspecialityEstheticconsiderations

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com LocatingaLab - Howdidyoufindoutaboutthelab(s)you'reworkingwith? Anewquestionfor2013,wordͲofͲmouthisclearly,andbyfar,thenumberonewaydentistslearnabout alab'sreputationforestheticresults.

495responding

Lab+AACDAffiliation1 - IsyourprimarylaboratorytechniciananAACD

Member?

MorethanoneͲquarterofrespondentspatronizelaboratorytechnicianswhoaremembersofthe

Academy,whileaboutthatsamenumberareuncertain.

489responding

1%6%14%15%19%19%71%

0% 20% 40% 60% 80%

LabreferralthruGiveBackaSmileInternetAdvertisingAACDColleagueVisitbyRepresentativeOtherWordofMouth 26%

46%28%

Yes No

Uncertain

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Lab+AACDAffiliation2 - IsyourprimarylaboratorytechniciananAACD

AccreditedMember?

Elevenpercentofrespondentssaidyes,andconsideringAACDmembershipiscomprisedof4%lab technicians,clearlyAACDAccreditation - andtheestheticexcellenceitrepresents - areimportant factorsinworkingwithalabtech.

489responding

11% 58%
31%
Yes No

Uncertain

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FINDINGS:ComprehensiveCosmeticDentistry

ATeamEffort - Primaryindividualinitiatingdialogaboutcosmeticdental procedures Respondentswereabletochoosemorethanoneanswer.Instigationofnewbusinessisoverwhelmingly drivenbythedentist.Thebigswingfromthe2011wastheroleofthehygienistingettingthedialog started,jumpingfrom26%in2011to43%in2013.However,it'sclearthattheentire dentalteamis involvedinrecommendingproceduresintheirpractices,while30%ofrespondentsindicatedthat patientsalsoinitiatedialogueregardingtreatmentoptions.

385responding

ReferralsRule - Importanceoffactorsindrivingcosmeticdentistrydemands Usinga5Ͳpointscale,where5=extremelyimportantand1=notimportant,respondentswereaskedto indicatetheimportanceofvariousfactorsindrivingdemandattheirpractices.Respondentsbelievethe continueddemandforcosmeticdentistryisprimarilydrivenbyreferralsfromotherswhohavehada positive experience(91%).

385responding

24%30%31%43%85%

0% 20% 40% 60% 80% 100%

TreatmentCoordinator/Office

ManagerPatientClinicalAssistantHygienistDentist

25%27%58%63%68%72%78%91%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%

RetaildistributionofwhiteningtreatmentsLowerpricesforsomecosmeticservicesMediacoverageBettermarketingofdentalpracticesIncreasedinformationonlineImprovedcosmeticmaterialsAboomergenerationwithexpendable...Referralsfromfriendsandfamily

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Whoarewetreating? - Genderofcosmeticdentistrypatients Respondentswereaskedtoindicatethepercentageoftheirpatientsin2013bygender.ThreeͲfifthsof cosmeticdentistrypatientswerefemale(60%),andtwoͲfifthsweremale(40%),identicaltotheresults ofthe2011benchmarkingsurvey.

375responding

Whoarewetreating? - Agerangeofcosmeticdentistrypatients Regardingtheageofcosmeticdentistrypatients,thedistributionisfairlyevenacrossallagerangeswith nearly56%ofpatientsfallingbetweentheagesof31and60.However,therewasvirtuallynochangein thisdatareportedfromthebenchmarkingsurveyof2011.

355responding

40%
60%
Male

Female

15%14%18%20%18%14%

0% 5% 10% 15% 20% 25%

20andUnder21Ͳ3031Ͳ4041Ͳ5051Ͳ6060+

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Tolookandfeelbetter,ofcourse! - Whatreasonsdoyourpatientscitefor wantingcosmeticdentistrytreatments? Respondentscouldcheckallthatapplied,butoverwhelmingly,thetopanswerwastoimprovephysical attractivenessandselfͲesteem(89%).

494responding

ProceduresParticipatedIn

Whilethesmallestintermsofspecificproceduresperformedinthepastyear,orthodonticscontinuesto showapositiveshift(4%morethandatacollectedin2011,and14%morethandatacollectedin2007), andimplantsarealsoup4%overthe2011study.

495responding

2%16%23%49%50%51%54%89%

0% 20% 40% 60% 80% 100%

OtherImprovesuccessinaromanticrelationshipImprovecareersuccessUpcomingevents(weddings,etc)TolookandfeelyoungerFixapreviousfailedcosmetictreatmentRestorative/healthreasons(accident,injury)Improvephysicalattractiveness/selfͲesteem

49%58%72%84%87%88%89%90%93%97%

0% 20% 40% 60% 80% 100% 120%

OthercosmeticdentalproceduresOrthodonticsInlaysoronlaysDirectbonding:PosteriorImplantsRemovableprostheticsVeneersDirectbonding:AnteriorBleachingorwhiteningCrownandbridgework

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Isthereaparticularprocedure/treatmentthatyoucompletemorefrequently thanothers? Respondentscouldcheckasmanyasapplicable.Crowns,bonding,veneers,whitening,implants,and bridgesmakeupthebulkofcosmetictreatmentsbeingperformedintheestheticdentist'schair.

485responding

Whatisthemostpopularcosmeticprocedureatyourpractice? Checkingonlyoneoption(sothetotalis100%),respondentswereaskedtoidentifythemostpopular treatmentsperformedattheiroffice.Bonding,whitening,andveneersmadeup83%oftheresponses.

493responding

2%4%8%8%8%15%17%17%18%28%38%40%41%64%74%

0% 20% 40% 60% 80%

SnaponSmilesMicroabrasionPeriodontalplasticsurgeryLongͲtermorthoOtherDenturesShortͲtermorthoImplantͲsupporteddenturesRecontouringBridgesImplantsWhiteningVeneersBondingCrowns

2%4%5%5%26%28%29%

0% 10% 20% 30% 40%

DenturesShortͲtermorthoImplantsOtherVeneersWhiteningBonding

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com TheDoctorWillSeeYouNow - Numberofpatientsseenbyyourpracticefor cosmeticdentistryproceduresinthepreviousyear Respondentswereaskedtoindicatethenumberofpatientstheirpracticeshadforcosmeticdentistry proceduresin2013(countingmultiplevisitsbythesamepatientsasonevisit).Atthebottomendofthe spectrum,14%hadfewerthan25patients.However,atthetopendofthedistribution,6%of practices had1,000ormorepatients - anincreaseoftwopointssincethe2011survey.

385responding

LocationorExpertise?Howfar,onaverage,dopatientstraveltogettoyour practice? WhilenearlythreeͲquartersofrespondentsreportthatpatientsgenerallycomefromwithin10milesof theirpractice,29%willdrive25miles,ormuchmore,topatronizeaspecificdentist.

490responding

14% 31%

25%16%

8% 6%

1Ͳ24

25Ͳ99

100Ͳ249

250Ͳ499

500Ͳ999

1,000ormore

71%24%2%

3%

0Ͳ10miles

25Ͳ50miles

50Ͳ100miles

100+miles

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com WhatPatientsREALLYCareAbout - Issuesofprimaryconcern Usinga5Ͳpointscale,where5=greatconcernand1=notaconcern,respondentswereaskedtorate thedegreeofconcernpatientshadaboutvariousissueswhenconsideringacosmeticdentistry procedure.Definingratingsof4or5asatrueconcern,atthetopofthe listisappearance,indicatedby

96%.Indicatedbyfewer,butstillsubstantialmajorities,arecost(85%)andlongevityoftreatment

results(79%).Thisdataisvirtuallyidenticalto2011findings.

368responding

39%47%51%79%85%96%

0% 20% 40% 60% 80% 100%

AmountoforiginaltoothremovedTimeneededtocompletetreatmentPainLongevityoftreatmentresultsCostAppearance

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FINDINGS:DollarsandSense

ShowMetheMoneyI - Averageproductionpercosmeticpatientpervisit Respondentswereaskedtoindicatetheirpractice'saverageproductionperscheduledcosmetic dentistrypatientvisitinthepastyear.Thehighestcategoryavailableonthesurvey,$2,500ormore,was selectedby36%ofrespondents,an11pointjumpintwoyears!

360responding

Averagespentperpatientoncosmeticdentistryservicesperyear Respondentswereaskedtoindicatehowmuchtheaveragecosmeticdentistrypatientspentonservices inthepastyearattheirpractices.Whenevaluatingthetoptiers,$2,500to$20,000ormore,the combinedresultis48%,upthreepointssince2011andindicatingacomebackforcosmetictreatments.

355responding

8% 11% 9% 18%

11%7%36%Lessthan$500

$500Ͳ$749 $750Ͳ$999 $1,000Ͳ$1,499 $1,500Ͳ$1,999 $2,000Ͳ$2,499 $2,500ormore 6% 10% 6% 11% 10%

9%13%18%9%

3% 5%

Lessthan$500

$500Ͳ$749 $750Ͳ$999 $1,000Ͳ$1,499 $1,500Ͳ$1,999 $2,000Ͳ$2,499 $2,500Ͳ$4,999 $5,000Ͳ$9,999 $10,000Ͳ$14,999 $15,000Ͳ$19,999 $20,000ormore

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com FinancialAssistance - DidyourpracticeofferthirdǦpartyfinancingoptions?

79%ofpracticesindicatedtheyofferedtheircosmeticdentistrypatientsthirdͲpartyexternalfinancing

servicesinthepastyear,anuptickof2pointssincethe2011survey.

369responding

CaseAcceptanceBoosted - Didofferingexternalfinancinghelpwithtreatment acceptance? Coincidentally,ofthose79%ofrespondentsofferingfinancing,79%ofthemreportedthatthirdͲparty financingoptionshelpedpatientsgettoa"yes"decision.

322responding

79%21%

Yes No

79%21%

Yes No

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What'stheBuzz? - Howdomostofyourpatientsfindyou?

Respondentssaythat88%ofpatientsfindthemviawordofmouthandInternetsearch,withwordof mouthleadingthewaybyawidemargin.

306responding

GettingSocial - Doyouoryourpracticeusesocialmediatoreachprospective andcurrentpatients?Whichoutletsdoyouuse? Facebookdominatesthesocialscenefordentalpractices,withTwitterandYouTubecominginbehind. Dentistsexperimentwithothersocialplatforms,too,whileasurprising22%donotindulgeatall.

304responding

1%2%3%6%25%63%

0% 10% 20% 30% 40% 50% 60% 70%

DirectMailpieceAdinnewspaperormagazineSignageOtherAnswersInternetWordofMouth

1%2%6%7%10%22%24%27%75%

0% 10% 20% 30% 40% 50% 60% 70% 80%

TumblrFlickrInstagramPinterestOtherAnswersWedon'tusesocialmediaYouTubeTwitterFacebook

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com ShowMetheMoneyII - TotalrevenuesforALLdentistryprocedures (cosmeticandnonǦcosmetic) Theseresultsaddresspracticeactivityintotalrevenues.Providingfurtherevidenceofacomebackoutof themorassofaweakeconomy,thetoplevelofthesurvey,morethan$2million,hasexpanded5 percentagepointssince2011to13%.Additionally,thelowestlevelofthesurvey,lessthan$500,000 has shrunk5pointssince2011to13%,positivenewsonboththetopandbottomsendsofthespectrum.

366responding

Totalrevenuesforcosmeticdentistryprocedures

Thetopthreeselections,$500,000toMorethan$1million,collectivelyrepresenta3pointpositive swingfromthe2011survey,furtherindicatingacomebackforcosmeticdentistry.

365responding

13% 20% 18%

13%13%10%13%

Lessthan$500,000

$500,000Ͳ$749,999 $750,000Ͳ$999,999 $1.0Ͳ$1.24million $1.25Ͳ$1.49million $1.5Ͳ$1.99million

Morethan$2.0million

19% 22%

29%17%

6% 7%

Lessthan$100,000

$100,000Ͳ$249,999 $250,000Ͳ$499,999 $500,000Ͳ$749,999 $750,000Ͳ$1.0million

Morethan$1.0million

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RevenueChangeforTopCosmeticProcedures

Pleasereporttheapproximatenumberofbleaching/whiteningproceduresyourpracticeperformedin thepreviousyear:Avg.93.8 Whatistheaveragecostofawhiteningprocedureinyourpractice?Avg.$380.71 Comparedtothebleaching/whiteningproceduresintheyearprevious,thisyearwas

305responding

anincrease 25% adecrease 23% aboutthesame 52% Doyouexpectbleaching/whiteningproceduresinthecomingyearto

306responding

increase 33% decrease 7% stayaboutthesame 60% Pleasereporttheapproximatenumberofcrownandbridgeworkproceduresyourpracticeperformed inthepreviousyear:Avg.472.5 Comparedtothecrownandbridgeworkproceduresintheyearprevious,thisyearwas

302responding

anincrease 39% adecrease 18% aboutthesame 43% Doyouexpectcrownandbridgeworkproceduresinthecomingyearto

298responding

increase 48% decrease 6% stayaboutthesame 47% Pleasereporttheapproximatenumberofdirectbondingproceduresyourpracticeperformedinthe previousyear:Avg.568.8 Whatistheaveragecostofadirectbondingprocedure(pertooth)inyourpractice? Avg.$358.77 Comparedtothedirectbondingproceduresintheyearprevious,thisyearwas

294responding

anincrease 41% adecrease 9% aboutthesame 50%

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Doyouexpectdirectbondingproceduresinthecomingyearto

295responding

increase 42% decrease 4% stayaboutthesame 54%  Pleasereporttheapproximatenumberofimplantproceduresyourpracticeperformedintheprevious year:Avg.92.3 Whatistheaveragecostofanimplantprocedureinyourpractice?Avg.$2,371.41 Comparedtotheimplantproceduresintheyearprevious,thisyearwas

292responding

anincrease 44% adecrease 13% aboutthesame 42%

Doyouexpectimplantproceduresinthecomingyearto

291responding

increase 60% decrease 4% stayaboutthesame 36%  Onaverage,howmanyimplantsdoyourpatientsopttoreceive?

AnswerPercentage

153%
235%
36%

4ormore6%

285responding

Pleasereporttheapproximatenumberofinlayoronlayproceduresyourpracticeperformedinthe previousyear:Avg.150.2 Whatistheaveragecostofaninlay/onlayprocedureinyourpractice?Avg.$980.88 Comparedtotheinlayoronlayproceduresintheyearprevious,thisyearwas

291responding

anincrease 24% adecrease 19% aboutthesame 57%

Page|24

PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Doyouexpectinlayoronlayproceduresinthecomingyearto

289responding

increase 32% decrease 7% stayaboutthesame 61%  Pleasereporttheapproximatenumberofveneerproceduresyourpracticeperformedintheprevious year:Avg.117.3

Whatistheaveragecostofaveneerinyourpractice?

Avg.$1,253.54 Comparedtotheveneerproceduresintheyearprevious,thisyearwas

291responding

anincrease 29% adecrease 24% aboutthesame 47%

Doyouexpectveneerproceduresinthecomingyearto

292responding

increase 47% decrease 6% stayaboutthesame 47% 

Onaverage,howmanyveneersdopatientsreceiveatonce?

AnswerPercentage

1Ͳ216%

4ormore64%

Theentiresmilezone20%

 Pleasereportthenumberofothercosmeticproceduresyourpracticeperformedinthepreviousyear:

Avg.289.6

Comparedtotheothercosmeticproceduresintheyearprevious,thisyearwas

279responding

anincrease 34% adecrease 10% aboutthesame 56% Doyouexpectothercosmeticproceduresinthecomingyearto

283responding

increase 45% decrease 3% stayaboutthesame 52%

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com

FINDINGS:ExecutiveSummary

General

Atotalof659responsesweretabulated,withfewerrespondentscompletingthelatterportion ofthesurvey.EightyͲtwopercentofrespondentswereAmericanAcademyofCosmetic

Dentistry(AACD)members.

Previousbenchmarkingsurveyswereconductedin2004,2007,and2011.

CosmeticDentalPracticeDemographics

NinetyͲonepercentofrespondentsidentifiedthemselvesaseitherageneralorcosmeticdentist. (Seepage6) Morethanhalfofthepracticesreporting(51%)havebeeninoperationfor20yearsormore. Since2007,there'sbeenamigrationawayfromsuburbanandruralsettingstomoreurban environments,whichincreased10percentagepointsinthepastsixyears.Still,42%ofcosmetic dentistrypracticesreportthe typeofcommunityinwhichtheyarelocatedassuburban.(See page7) SixtyͲthreepercentofreportingpracticeshavebetween3and9employees.(Seepage8) Nearlyathirdofrespondentsindicatethattheyworkinasolopracticeenvironment,with anotherthirdclaimingaffiliationwithagrouppractice.(Seepage8) Theaveragenumberofdentallaboratoriesused is3.19,anindicationoflabloyaltyconsistent with2011surveyresults."Estheticconsiderations"wasthetopconcern(83%)inselectingwhich dentallaboratorytouse - a4Ͳpointincreasesince2011 - withprocedureorspecialtyat64%. (Seepage9) Findingalabtoworkwithisoverwhelminglydrivenby wordofmouth,with71%reportingthis asthetopwaytolearnoflabreputation.Andmorethan25%reportthattheirprimarylab technicianisanAACDmemberwhile11%patronizeanAACDAccreditedlabtechnician.(See pages10&11)

CosmeticDentistryPatients

Whileit'sclearthattheentiredentalteamisinvolvedininitiatingdialogueaboutcosmetic dentistryandrecommendingprocedures,theinstigationofnewbusinessisoverwhelmingly drivenbythedentist(85%)whilethehygienistseemstobeplayingalargerroleintreatment conversations,jumping17pointssince2011.(See page12) Respondentsindicatedthatdemandforcosmeticdentistryprocedureswasprimarilydrivenby referralsfromotherswhohavehadapositiveexperience(91%)followedbyabigboomer generationwithexpendableincome(78%).(Seepage12) ThreeͲfifthsofcosmeticdentistrypatientswerefemale(60%),twoͲfifths weremale(40%),the sameratioasthe2011survey.(Seepage13) Morethanhalfofpatients(56%),onaverage,arebetweentheagesof31and60.(Seepage13) EightyͲninepercentofpatientselectcosmetictreatmentstoimprovephysicalattractivenessand selfͲesteem.Otherreasons cited:54%saidforrestorativeorhealthreasons(likeaccidentor injury);tofixapreviousfailedcosmetictreatment(51%);andtolookandfeelyounger(50%).

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com Upcomingevents,likeawedding,alsocausepatientstoseekcosmetictreatments(49%).(See page14) Implantsandorthodontics - whilenotthemostcommonofcosmeticprocedures - continueto showthelargestincreasesoverprevioussurveys.Still,crownsandbridgework,bonding, veneers,andwhiteningcontinuetobethetopproceduresofferedby cosmeticdentists.(See pages14&15) Whenaskedtoindicatethenumberofpatientstheirpracticeshadforcosmeticdentistry proceduresin2013(countingmultiplevisitsbythesamepatientsasonevisit),6%ofpractices reportinghaving1,000ormorepatients - atwoͲpointincreasesince2011.(See page16) WhilenearlythreeͲquartersofrespondentsreportthatpatientsgenerallycomefromwithin10 milesoftheirpractice,29%willdrive25miles,ormuchmore,topatronizeaspecificdentist. (Seepage16) Respondentswereaskedtoratehowmuchofaconcernvariousissuesare topatientswhen theyconsideracosmeticdentistryprocedure.Definingratingsof4or5asatrueconcern,atthe topofthelistisappearance,indicatedby96%.Indicatedbyfewer,butstillsubstantial majorities,arecost(85%)andlongevityoftreatmentresults(79%).(Seepage17)

CosmeticDentistryinDollarsandCents

Whenaskedtoindicatetheirpractice'saverageproductionperscheduledcosmeticdentistry patientvisitinthepastyear,morethanoneͲthirdofrespondents(36%)indicatedthehighest categoryavailableonthesurvey:$2,500ormore,an11Ͳpointjumpinsince2011.(Seepage18) Whenaskedto indicatehowmuchtheaveragecosmeticdentistrypatientspentonservicesat theirpracticesinthepastyear,acombined48%selectedthetopfivetiersavailableinthe survey($2,500to$20,000+)upthreepointssince2011.(Seepage18) SeventyͲninepercentofpracticesindicatedtheyoffered theircosmeticdentistrypatientsthirdͲ partyexternalfinancingservicesinthepastyear,anincreaseoftwopointssincethe2011 survey.Andofthoseofferingfinancing,79%ofrespondentsreportedthatthirdͲpartyfinancing optionshelpedpatientsgettoa"yes"decision.(Seepage19) Whenaskedhow mostpatientsfindthem,88%ofrespondentsreportthatpatientsfindthem viawordofmouthandInternetsearch,withWOMleadingthewaybyawidemargin(63%). And,while22%ofpracticesdonotengageinanyformofsocialmedia,75%useFacebookand

27%areonTwitter.

(Seepage20) Whenaskedabouttotalrevenuesforalldentistryprocedures(cosmeticandnonͲcosmetic)in

2013,13%ofrespondentsreportedmorethan$2million,afiveͲpointincreasesince2011.

Additionally,thelowestlevelofthesurvey(lessthan$500,000)shrunkbyfivepercentagepoints indicatingpositive newsonbothendsofthespectrumcomparedtotheresultsofthe2011 survey.(Seepage21) Whenfocusingjustoncosmeticdentistryprocedures,thetopthreetiersofthesurvey ($500,000tomorethan$1million)showedathreeͲpointincreasesince2011.(Seepage21) When lookingatspecificcosmeticdentistryprocedures,surveyparticipantsoverwhelmingly believethatrevenuesgeneratedfromallproceduretypeshaveeitherincreasedorstayedthe sameyearoveryear,andtheexpectationisthatrevenueswillcontinuetoincreaseorstaythe

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PleaseattributealldatatotheAmericanAcademyofCosmeticDentistry(AACD) Formoreinformation,pleasecontactpr@aacd.comorvisitwww.AACD.com sameintonextyear.Implantssawthelargestpositiveshiftwith44%reportingthatimplants haveincreasedoverthepreviousyearand60%anticipatinganincreaseinimplantprocedures nextyear.(Seepages22Ͳ24)

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