Spain, Portugal and Italy Orthodontics Market Size, Share, and Trends Analysis Report – Industry Overview and Forecast to 2032

Spain, Portugal and Italy Orthodontics Market Size

• The Spain, Portugal and Italy orthodontics market size was valued at USD 336.07 million in 2024 and is expected to reach USD 590.51 million by 2032, at a CAGR of 7.3% during the forecast period
• The market growth is largely fueled by the growing adoption and technological advancements in dental care, particularly in orthodontic treatment options such as clear aligners, 3D imaging, and CAD/CAM systems, which are transforming clinical workflows across Spain, Portugal, and Italy
• Furthermore, rising consumer demand for aesthetic, non-invasive, and personalized dental solutions is establishing orthodontics as a preferred avenue for both cosmetic and therapeutic treatments. These converging factors are accelerating the uptake of Spain, Portugal, and Italy Orthodontics solutions, thereby significantly boosting the industry's growth

Spain, Portugal and Italy Orthodontics Market Analysis

• Orthodontic solutions, including both traditional braces and invisible aligners, are increasingly becoming vital components of modern dental care in both public and private healthcare systems across Spain, Portugal, and Italy, due to their enhanced aesthetics, improved treatment outcomes, and rising consumer awareness of dental health
• The escalating demand for orthodontics is primarily fueled by the increasing prevalence of malocclusion and dental crowding, greater focus on facial aesthetics, growing adoption of digital dentistry technologies (like 3D imaging and intraoral scanners), and rising disposable incomes
• Spain dominated the Spain, Portugal, and Italy orthodontics market with the largest revenue share of 41.3% in 2024, characterized by a strong public-private healthcare mix, government-supported oral health programs, and growing consumer preference for cosmetic dental treatments such as clear aligners and ceramic braces
• Portugal is expected to witness the fastest growth in the Spain, Portugal, and Italy orthodontics market during the forecast period due to increasing urbanization, expanding access to private dental care, and rising demand for advanced orthodontic technologies among the middle-class population
• The Teenagers segment dominated the Spain, Portugal, and Italy orthodontics market with a share of 53.2% in 2024, as most orthodontic interventions begin during adolescence, supported by parental investment and early dental diagnostics

Report Scope and Spain, Portugal and Italy Orthodontics Market Segmentation      

Spain, Portugal and Italy Orthodontics Market Trends

“Advancements in Digital Orthodontics and Treatment Personalization”

• A significant and accelerating trend in the Spain, Portugal, and Italy orthodontics market is the increasing integration of advanced digital technologies such as 3D printing, AI-based treatment planning, and intraoral scanning, which are dramatically enhancing both clinician efficiency and patient experience
  • For instance, clear aligner systems like Invisalign and Spark are now utilizing AI-powered software to generate personalized treatment simulations, enabling orthodontists to visualize projected outcomes and optimize care with greater precision. These innovations are also helping patients make more informed treatment decisions
• Digital scanning technologies such as iTero and 3Shape TRIOS have largely replaced traditional molds in many clinics across these countries, offering faster, more accurate impressions and reducing chair time. This shift is especially evident in urban areas with a higher concentration of private dental clinics
• In addition, CAD/CAM technology enables orthodontic laboratories in Spain, Portugal, and Italy to design and produce custom appliances more efficiently, supporting faster turnaround times and improved fit and comfort for patients
• The seamless integration of digital orthodontic systems with practice management software and imaging tools is streamlining workflows, from diagnosis to treatment monitoring, creating a fully connected and patient-centric orthodontic experience
• This trend toward smarter, data-driven, and personalized orthodontic solutions is fundamentally transforming the dental care landscape across Southern Europe. As a result, leading orthodontic providers in the region are investing heavily in technology upgrades and digital training for practitioners to stay competitive
• The demand for advanced digital orthodontic treatments is rising rapidly across both adolescent and adult patient groups, as consumers increasingly seek discreet, efficient, and highly personalized dental correction options in both private and public sectors across Spain, Portugal, and Italy

Spain, Portugal and Italy Orthodontics Market Dynamics

Driver

“Growing Need Due to Rising Demand for Aesthetic Dental Treatments and Clear Aligners”

• The increasing emphasis on dental aesthetics and the rising prevalence of malocclusion and misaligned teeth across Spain, Portugal, and Italy are key drivers of orthodontic market growth. The growing middle-class population with better access to dental care, coupled with rising disposable incomes, is fueling the demand for both fixed and removable orthodontic appliances
  •  For instance, according to a report by the World Health Organization (WHO) in 2024, oral diseases affect nearly 3.5 billion people globally, with untreated dental caries in permanent teeth being the most common condition. This alarming prevalence is driving demand for advanced orthodontic solutions, particularly in developing countries where access to aesthetic and corrective dental care is rapidly expanding
• Furthermore, the surge in demand for invisible aligners such as Invisalign and other clear aligners is transforming patient preferences, especially among adult and working professionals who seek discreet treatment solutions. Brands like Angel Aligner and Nuvola World are expanding their presence in these markets with technologically advanced offerings
• The availability of specialized orthodontists, growing adoption of digital orthodontics, and expanding insurance coverage in Spain and Italy are contributing to the uptrend. Technologies such as 3D imaging, CAD/CAM, and AI-assisted treatment planning are also increasing precision and reducing treatment time

Restraint/Challenge

“High Cost of Orthodontic Treatments and Regional Access Disparities”

• Despite growing demand, high treatment costs remain a significant barrier, particularly in public healthcare systems where orthodontic coverage may be limited or restricted to severe cases. In rural and underserved areas, access to specialized orthodontists is still a challenge
• The average cost of braces or clear aligners in countries like Spain or Italy can exceed EUR 3,000–EUR 5,000, depending on the severity and treatment duration, which makes affordability a critical concern for many patients
• Moreover, while clear aligners are preferred for aesthetics and comfort, they are often priced higher than traditional braces, limiting adoption among price-sensitive consumers. Some government initiatives are underway to increase accessibility to dental care, but public funding remains insufficient to meet rising demand
• Overcoming these disparities will require strategic partnerships between private dental care providers and public institutions, as well as cost-effective orthodontic solutions designed for broader access

Spain, Portugal and Italy Orthodontics Market Scope

The market is segmented on the basis of product & services, age group, application, end user, and distribution channel.

• By Product & Services

On the basis of product & services, the Spain, Portugal, and Italy orthodontics market is segmented into invisible orthodontics and traditional orthodontics. The invisible orthodontics segment dominated with the largest revenue share of 46.5% in 2024, driven by growing demand for discreet, comfortable, and technologically advanced treatment options among adults and professionals.

The traditional orthodontics segment is expected to grow at the fastest CAGR of 20.8% from 2025 to 2032, owing to its affordability and broad insurance coverage, especially among teenage patients and public healthcare systems.

• By Age Group

On the basis of age group, the Spain, Portugal, and Italy orthodontics market is segmented into teenagers, adults, and children. The teenagers segment accounted for the largest share of 53.2% in 2024, as most orthodontic interventions begin during adolescence, supported by parental investment and early dental diagnostics.

The adult segment is anticipated to expand at the fastest CAGR of 22.4% from 2025 to 2032, fueled by rising awareness about dental aesthetics, disposable income, and preference for invisible aligners.

• By Application

On the basis of application, the Spain, Portugal, and Italy orthodontics market is segmented into malocclusion, crowding, excessive spacing, and others. The malocclusion segment held the largest share of 48.7% in 2024, owing to its high prevalence across all age groups and the growing recognition of its long-term impact on oral health.

The crowding segment is expected to witness the fastest CAGR of 21.3% from 2025 to 2032, as it is one of the most common issues prompting orthodontic treatment, particularly in urban populations.

• By End User

On the basis of end user, the Spain, Portugal, and Italy orthodontics market is segmented into dental clinics, dental hospitals, solo practices, dental academic and research institutes, dental laboratories, and others. Dental clinics captured the highest revenue share of 38.9% in 2024, due to their accessibility, advanced technology, and specialized services tailored to orthodontics.

Solo practices are projected to grow at the fastest CAGR of 23.1% during the forecast period, as digital tools enable independent orthodontists to offer competitive services in both urban and semi-urban settings.

• By Distribution Channel

On the basis of distribution channel, the Spain, Portugal, and Italy orthodontics market is segmented into direct tender, retail sales, and others. The retail sales segment dominated with a market share of 45.6% in 2024, driven by increasing online and over-the-counter sales of aligners, accessories, and dental care kits.

The direct tender segment is set to grow at the highest CAGR of 20.2% from 2025 to 2032, owing to procurement by hospitals, dental schools, and public institutions for bulk usage and academic training.

Spain, Portugal and Italy Orthodontics Market Regional Analysis

Spain Orthodontics Market Insight

The Spain orthodontics market captured the largest regional revenue share of 41.3% in 2024, fueled by a booming dental tourism sector, particularly in cities like Barcelona, Madrid, and Valencia. The country’s strong network of private clinics and increasing demand for aesthetic treatment options, such as clear aligners, continue to attract both domestic and international patients. Technological adoption is growing rapidly, with urban clinics integrating 3D imaging, digital scans, and treatment planning software to enhance patient outcomes.

Portugal Orthodontics Market Insight

The Portugal orthodontics market is expected to grow during the forecast period of 2025 to 2032. Growth is primarily driven by rising public awareness of orthodontic health, improved insurance coverage, and advancements in diagnostic tools. Urban centers such as Lisbon and Porto are emerging as hubs for technologically advanced clinics offering 3D scanning, digital impressions, and customized treatment plans. The market is also benefiting from Portugal’s rising appeal as a dental tourism destination due to cost-effective and high-quality services.

Italy Orthodontics Market Insight

The Italy orthodontics market accounted for of the regional orthodontics market revenue in 2024, supported by a strong base of orthodontic manufacturers and highly skilled practitioners. The country is witnessing a rapid shift towards digital workflows, with increasing investments in intraoral scanners, aligner design software, and 3D printing solutions. The demand for adult orthodontic care is expanding, particularly for clear aligners and invisible braces, which offer aesthetic advantages. Italy's emphasis on innovation and dental technology is expected to sustain its market growth in the coming years.

Spain, Portugal and Italy Orthodontics Market Share

The Spain, Portugal and Italy orthodontics industry is primarily led by well-established companies, including:

• Align Technology (U.S.)
• Henry Schein, Inc. (U.S.)
• 3M (U.S.)
• Dentsply Sirona (U.S.)
• Angel Aligner (China)
• Dentaurum GmbH & Co. KG (Germany)
• Ormco Corporation (U.S.)
• Institut Straumann (Switzerland)
• TP Orthodontics, Inc. (China)
• Forestadent – Bernhard Foerster (Germany)
• Nuvola World SRL (Italy)
• SIA Orthodontic Manufacturer (Latvia)
• Avinent Science and Technology (Spain)
• Secret Aligner (U.S.)
• Cristaline Aligners (France)
• DM. CEOSA (Spain)

Latest Developments in Spain, Portugal and Italy Orthodontics Market

• In July 2023, according to an article published by Angel Aligner., the company, introduced its custom-made clear aligners to the Portuguese market. These aligners leverage cutting-edge technology to provide enhanced orthodontic force, ensuring more precise and effective tooth movement. This launch aligns with a growing trend of advanced orthodontic solutions, reflecting an industry shift toward innovative products that promise improved treatment outcomes and patient satisfaction
•  In November 2024, according to an article published by EU-Startups, Barcelona-based Impress secured over €110 million to expand its orthodontic services across Europe. The company aims to strengthen its position as a leading tech-enabled orthodontics provider by broadening its reach and enhancing digital treatment offerings. This funding round reflects increasing investor confidence in the digital dentistry and clear aligner space amid rising demand for aesthetic dental solutions
•  In March 2024, according to Dental Tribune, Eon Dental and GC Orthodontics launched “Movaligners,” a new clear aligner system developed to meet the growing demand for discreet and effective orthodontic treatments. The collaboration combines Eon’s digital workflow expertise with GC Orthodontics' manufacturing excellence, positioning the product as a high-quality alternative in the competitive aligner market
•  In April 2024, as reported by Dental Tribune, Straumann Group divested its DrSmile business in exchange for a minority stake in the new combined entity. The move marks a strategic shift, allowing Straumann to streamline its aligner business while still retaining a foothold in the growing direct-to-consumer orthodontics segment. The transaction underlines ongoing consolidation and portfolio optimization within the orthodontic market

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