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Endodontic Reparative Cement Market

Growing Dental Tourism Industry and Increasing Availability of Dental Reimbursements are Factors Set to Promote the Growth of the Endodontic Reparative Cement Market

Endodontic Reparative Cement Market Segmented By Bioceramic-Based Sealers, Zinc Oxide Eugenol-Based, Epoxy Resin-Based, Silicone-Based, Calcium Hydroxide-Based, Glass Ionomer Based, Methacrylate Resin-based Product with Root Canal Obturation, Dental Restoration, Cavity Lining Indication

Endodontic Reparative Cement Market Outlook (2023-2033)

The global revenue from the endodontic reparative cement market stands at US$ 328.2 Mn in 2022, with the global market expected to grow at a CAGR of 3.9% to reach a valuation of approximately US$ 503.1 Mn by the end of 2033.

Attributes Key Insights

Market Size (2022)

US$ 328.2 Mn

Projected Market Value (2033)

US$ 503.1 Mn

Global Market Growth Rate (2023-2033)

3.9% CAGR

Market Share of Top 4 Countries


As assessed by Persistence Market Research, bioceramic-based sealers products hold a market share of around 45.1% in 2022. Overall, endodontic reparative cement market sales account for approximately 18.2% revenue share in the global dental endodontics market, which was valued at around US$ 1.8 Bn in 2022.

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Sales Analysis of Market from 2013 to 2022 Vs Market Outlook for 2023 to 2033

The global market recorded a historic CAGR of 4.1% in the last 9 years from 2013 to 2022.

The majority of endodontic operations performed presently include full obturation. Obturation involves filling the canal space and creating an apical, lateral, and coronal seal. Complete obturation is more frequently used by endodontists and is seen to be equivalent to a natural healing process.

The number of dental treatments performed worldwide is currently increasing. The prevalence of such treatments is attributed to a number of variables, such as tobacco consumption, junk food eating habits, trauma incidents, conditions like cancer, and more.

Another factor driving the market is the rising awareness along with the developing field of dentistry. It provides an opportunity for businesses to see a sharp increase in revenue by indirectly filling the gaps left by the target population of rural and underserved areas. A sizeable portion of the population is being driven to adopt endodontic repair owed to the rising awareness.

Inducing periapical bone healing and promoting cementogenesis are primary objectives of endodontic therapy. Because these materials are in direct contact with vital tissues in clinical settings and the tissue response to these materials may affect the result of endodontic therapy, the biological affinity of the root sealant is of utmost importance.

The development and marketing of novel sealants with biocompatible properties will provide traction to the global market over the forecasted years.

Owed to the above mentioned factors, the global market is thus likely to show high growth over the coming years at a CAGR of 3.9% and reach a global market size of US$ 503.1 Mn by 2033.

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How Can the Global Market Grow?

Emergence of Sealants with Greater Biocompatibity and Reimbursement Availability

Due to its high sealing ability and biocompatibility, mineral trioxide aggregate (MTA) has gained a lot of attention as an endodontic repair filling material. MTA has poor handling properties, despite having a superior sealing ability than conventional endodontic repair filling materials like calcium hydroxide.

Recently, a brand-new endodontic repair filling material with a comparable chemical makeup and enhanced handling properties was developed.

It has also been asserted, that BioAggregate repair filling materials are biocompatible, encourage cementogenesis, and create a tight seal within the root canal. More recently, the industry was introduced to Biodentine & EndoSequence endodontic restorative materials.

Additionally, the fact that healthcare costs for any particular procedure or product in case are reimbursed is a major factor in the increase in the percentage of individuals seeking dental treatment over time.

The average Medicaid compensation for children is 61.8 percent, and the average Medicaid reimbursement for adults is 46.1%, for endodontic treatment procedures. Healthy reimbursement scenarios are a compelling marketing tactic to draw in new customers.

Because of their relationships with the businesses and their knowledge of the specifics of their products, the insurance firms are able to develop carefully thought-out reimbursement incentives for consumers while still preserving healthy profit margins.

These factors are set to advance the growth of the market at a lucrative pace, over the forecast period.

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Can the Endodontic Reparative Cement Market Growth Be Affected in Any Way?

Restrictions of Sealants and Lack of Integration of Oral Health Strategies in Low Income Groups

Although the composition of mineral trioxide aggregate (MTA) has undergone various changes, MTA still has some drawbacks, including tooth discolouration, manipulation issues, a prolonged setting time, and the discharge of heavy metals. The lengthy setting time is another drawback that prevents the clinical use of bioactive endodontic cements.

Moreover, difficulties handling in a medical setting, and its ageing or biodegradation tendency once applied, which leads to undesirable dental discolorations, are additional drawbacks of using MTA.

Furthermore, a variety of materials, including amalgam, zinc phosphate cement, and gold foil, have been employed as retrograde fillings in the past. However, several innovative materials have been developed for retrograde filling due to their shortcomings, such as marginal leaking, lack of resistance to corrosion, and sensitivity to periapical tissues.

In some locations, there is also a lack of integration of oral health strategies with general health promotion initiatives. This is mainly seen in areas with little healthcare spending; oral health is typically one of the last provisions to be included to legislation that is passed by governments.

Therefore, an even greater number of individuals would be affected by the rising cost of dental care. Limited access to dental care is greater in low and middle-income nations.

Such restrictions limit the ability of the producers to increase their regional presence while also affecting the market's overall potential.

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Country-wise Insights

Why is the U.S. Market Booming?

“Growing Prevalence of Oral Diseases and Availability of Dental Reimbursements”

The U.S. is set to account for around 23.3% market share in the global market in 2023. The market is expanding primarily as a result of the country's introduction of enhanced endodontic reparative cement variants, rising geriatric population, growing dental industry, and rising prevalence of dental disorders resulting in an increase in endodontic procedures.

Moreover, the presence of reimbursement policies such as Medicaid and Medicare has further enhanced the adoption rates of endodontic procedures. Growing awareness initiatives on oral health is an additional factor propelling the market growth within the country.

Will Germany Be a Lucrative Market for Endodontic Reparative Cement?

“Utilization of 3D Printing and Adoption of Adhesive Dentistry in Endodontic Procedures”

Germany is set to hold around 5.0% market share of the global market in 2023. The main driver of the use of endodontic therapies is technological advancement. The demand for chemicals and medical devices used in endodontic treatments is growing as a result of developments in the healthcare industry.

Regenerative endodontics using 3D printing are anticipated to increase demand for endodontic procedures by offering dentists a pre-treatment model of the endodontic treatment and root anatomy. Additionally, there has been demand on the market for these cements to maintain the periapical health of growing teeth with pulp necrosis with undeveloped roots.

The prevalence of adhesive dentistry in endodontic operations has prompted the development of several material combinations employed in endodontic reparative cement, driving the market's expansion within the country.

How is Japan Emerging as a Prominent Market?

“Government Incentives for Oral Health”

Japan is set to hold a market share of about 9.4% of the global market in 2023. The market for oral health care is expanding as a result of these government initiatives.

Through a universal health insurance system that has been in place since 1961, Japan has built a system for efficiently providing high-quality and appropriate medical treatment. Most restorative, prosthetic, and oral surgery treatments are covered by this health insurance.

As a result, dental care is affordable for everyone and charged at a consistent rate across the country. In Japan, local governments offer public oral health services in accordance with the population's stage of life. Private dentists working under agreements with regional governments offer the majority of these treatments.

These factors promote the growth of the overall market within Japan.

Category-wise Insights

Which Product is Driving Demand within the Global Market?

“Greater Material Efficacy and Biocompatibility”

The bioceramic-based sealers segment held around 45.1% of the total market in 2022. The improved physical, chemical, and biological qualities of bioceramic-based sealers over conventional endodontic sealers led to their introduction in endodontics.

Root canal sealants made of bioceramic material are regarded as a useful endodontic technique. Humans frequently employ bioceramics for replacement and repair, and they boast powerful bioconductive and bioinductive qualities.

The purpose of developing these materials was to make them universally applicable and biocompatible with human tissue. Either they can operate as human tissues or they can resorb and promote the regeneration of healthy tissues.

Which Indication in the Endodontic Reparative Cement is Largely of Focus within the Global Market?

“Widespread Adoption and Minimized Risk of Infection”

Root canal obturation held a share of about 73.1% in 2022. All of the current obturating methods use a sealer to strengthen the seal of the endodontic filling material. Sealants for root canals are the binding agents used to cover the gap between the obturating materials and the root canal walls.

A sealer's primary function is to cover the gaps between both the core material and the root canal walls, in addition to between the gutta-percha cones, in an effort to construct a cohesive mass of obturating material free of spaces.

To stop microbes and bacterial toxins from entering the endodontic system, the root canal system is obturated utilizing a tight seal. Owed to these factors, the segment holds a larger share in the global market, and is expected to continue to do so, over the forecast period.

Which End User Provides the Global Market With a Large Share?

“Increasing Medical Tourism and Availability of Dental Reimbursement”

The dental clinics segment held a share of about 49.3% in 2022. There has been observed, a trend in the rise in the number of dental clinics around the globe. Moreover, with the growth in the medical tourism industry, the dental clinics segment generates greater incomes when compared with other dental facilities. Increasing disposal incomes, as well as the presence of appropriate reimbursements have further propelled the growth of the segment.

Additionally, the presence of skilled professionals as well as the availability of innovative equipment for endodontic procedures are factors further propelling the growth of the overall market during the forecast period.

Competition Landscape

The main techniques used by manufacturers to enhance sales in various geographies include merger and acquisition, infrastructure investments, product releases, and adoption of innovative technology-based products. In order to regulate the value chain, manufacturers are also emphasising forward integration through collaborations with wholesalers, distributors, and other channel partners.

Through improvements in distribution channels, the use of analytics for computation of treatment effectiveness correlations and gains through competitive pricing is increasing. In order to increase their market share, businesses frequently tend to bundle or combine services with products while using online sales to offer discounts.

Some key instances of development include:

  • Ultradent Products, Inc. announced the introduction of MTApex bioceramic root canal sealer, a novel endodontic solution, in February 2022.
  • Pac-Dent stated in October 2022 that it would introduce the iVac Apical Negative Pressure Irrigation and Activation System at the Greater New York Dental Meeting in November 2022. With the introduction of this innovative irrigation system, Pac- Dent's expanding dental offering is expanded, and its position as a dominant force in endodontics is further established.

Similarly, the team at Persistence Market Research has tracked recent developments related to companies in the endodontic reparative cement market, which are available in the full report.

Endodontic Reparative Cement Market Report Scope

Attribute Details

Forecast Period


Historical Data Available for


Market Analysis

USD Million for Value

Key Countries Covered

  • U.S.
  • Canada
  • Brazil
  • Argentina
  • Mexico
  • Germany
  • France
  • U.K.
  • Italy
  • Spain
  • Russia
  • India
  • Thailand
  • Malaysia
  • Indonesia
  • China
  • Japan
  • South Korea
  • Australia
  • New Zealand
  • Turkey
  • GCC
  • North Africa
  • South Africa

Key Market Segments Covered

  • Product
  • Indication
  • End User
  • Region

Key Companies Covered

  • Angelus Dental Products Industry S / A
  • Ultradent Products Inc.
  • Pulpdent Corporation
  • Coltène Group
  • Ivoclar Vivadent
  • Innovative BioCeramix, Inc.
  • Septodont USA
  • Brasseler USA
  • B.J.M. Laboratories Ltd.
  • Parkell, Inc.
  • FKG Dentaire SA
  • Essential Dental Systems, Inc.
  • Insight Endo
  • Kerr Corporation
  • Pac-Dent

Report Coverage

  • Market Forecast
  • Competition Intelligence
  • DROT Analysis
  • Market Dynamics and Challenges
  • Strategic Growth Initiatives

Customization & Pricing

Available upon Request

Key Segments Covered in Global Endodontic Reparative Cement Market Research


  • Bioceramic-Based Sealers
    • Mineral Trioxide Aggregate (MTA)-Based
    • Calcium Silicate-Based
    • Calcium Phosphate-Based
  • Zinc Oxide Eugenol-Based
  • Epoxy Resin-Based
  • Silicone-Based
  • Calcium Hydroxide-Based
  • Glass Ionomer Based
  • Methacrylate Resin-based


  • Root Canal Obturation
  • Dental Restoration
  • Cavity Lining

End User:

  • Hospitals
  • ASCs
  • Dental Clinics


  • North America
  • Latin America
  • Europe
  • South Asia
  • East Asia
  • Oceania
  • Middle East & Africa

- Companies Covered in This Report -

  • Angelus Dental Products End User S / A
  • Ultradent Products Inc.
  • Pulpdent Corporation
  • Coltène Group
  • Ivoclar Vivadent
  • Innovative BioCeramix, Inc.
  • Septodont USA
  • Brasseler USA
  • B.J.M. Laboratories Ltd.
  • Parkell, Inc.
  • FKG Dentaire SA
  • Essential Dental Systems, Inc.
  • Insight Endo
  • Kerr Corporation
  • Pac-Dent

- Frequently Asked Questions -

The global market is currently valued at around US$ 328.2 Mn in 2022.

Sales of the market are set to witness growth at a CAGR of 3.9% and be valued at around US$ 503.1 Mn by 2033.

Demand for the global market increased at a 4.1% CAGR from 2013 to 2022.

The U.S., Germany, Japan, and Australia account for most demand within the market, currently holding around 42.3% market share.

The U.S. is set to account for around 23.3% share of the global market in 2023.

Europe is set to expand at CAGR of nearly 3.9% over the forecast period.

Japan market is set to hold a share of about 9.4% in the global market in 2023.

Germany is set to hold around 5.0% market share of the global market in 2023.

China market is expected to grow at 4.2% CAGR during the forecast period.

The market in India is set to expand at a 5.1% CAGR over the forecast period.

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