{"id":31186,"date":"2026-08-04T10:12:28","date_gmt":"2026-08-04T15:12:28","guid":{"rendered":"https:\/\/www.aae.org\/specialty\/?p=31186"},"modified":"2026-08-01T13:15:31","modified_gmt":"2026-08-01T18:15:31","slug":"new-fluent-market-analysis-highlights-changing-trends-in-endodontic-care-2","status":"publish","type":"post","link":"https:\/\/www.aae.org\/specialty\/new-fluent-market-analysis-highlights-changing-trends-in-endodontic-care-2\/","title":{"rendered":"New Fluent Market Analysis Highlights Changing Trends in Endodontic Care"},"content":{"rendered":"

\"\"<\/p>\n

The American Association of Endodontists has published two new member-exclusive analyses from Fluent Research: the Q1 2026 Endodontic Market Landscape Report<\/strong> and the Q1 2026 Endodontic Market Landscape Report: Miscellaneous CDT Codes Analysis<\/strong>.<\/a><\/p>\n

Together, the reports provide a comprehensive view of how commercially insured patients are accessing endodontic care and how practice patterns continue to evolve.<\/p>\n

Because the analyses are based on insurance claims, they reflect utilization within the commercially insured population and may not capture procedures performed outside the insured environment. Several notable trends emerged.<\/p>\n

Endodontic Treatment Volume Continues to Shift<\/strong><\/h3>\n

A notable finding from the Endodontic Market Landscape report is a decline in endodontic treatment volume within the commercially insured population analyzed by Fluent.<\/p>\n

According to the report, treatment volume declined 2.3% in 2024 and an additional 5.7% in 2025. While those numbers may appear concerning at first glance, researchers cautioned against interpreting them as a direct measure of all endodontic care occurring nationwide.<\/p>\n

Insurance claims reflect not only treatment decisions but also changes in insurance enrollment, and benefit design. The findings suggest several possible factors that may have contributed to the trend.<\/p>\n

One factor is a reduction in the number of patients covered by commercial dental insurance. Fluent’s projections, based on the National Association of Dental Plans (NADP) total insured population, indicate that the commercially insured market was smaller than in previous years, with the total insured population declining approximately 2\u20133% from 2023 to 2024. At the same time, many Medicare Advantage plans have modified dental benefits, shifting from more comprehensive coverage toward preventive and diagnostic-focused models.<\/p>\n

Endodontists Increased Their Share of Procedures<\/strong><\/h3>\n

Although overall treatment volume declined, endodontists continued to perform a larger share of endodontic procedures.<\/p>\n

The percentage of treatments performed by endodontists increased from 43% in 2023 to 45% in 2025. During the same period, the percentage performed by general practitioners declined from 46% to 45%, while the percentage performed by other specialties declined from 11% to 10%.<\/p>\n

Treatment volume among endodontists also proved more resilient than among other provider groups. Endodontist-performed procedures declined 0.7% in 2024 and 2.0% in 2025, compared with declines of 2.5% and 7.0%, respectively, for general practitioners. This suggests that even as overall demand softens, more complex cases continue to be referred to specialists.<\/p>\n

Demographic Shifts Are Reshaping Endodontic Care<\/strong><\/h3>\n

One of the clearest findings in the report is a shift in the demographic profile of endodontic patients.<\/p>\n

Within the claims data analyzed, adults age 65 and older were the only age group to show growth in treatment volume during 2024. Although utilization moderated somewhat in 2025, older adults continue to represent a growing share of endodontic care. At the same time, younger age groups, including patients ages 0 to 19, experienced declining utilization.<\/p>\n

Researchers attribute these changes to several long-term trends. Americans are retaining their natural teeth longer and entering retirement with more heavily restored dentitions, increasing the need for tooth-preserving treatment later in life. Expanded dental coverage through Medicare Advantage may also be contributing to greater utilization among older adults.<\/p>\n

Researchers also noted that advances in preventive and minimally invasive dentistry could influence future treatment patterns. New therapies designed to arrest or reverse early carious lesions before they progress may reduce the need for endodontic treatment among younger patients. Although it is too early to understand the full impact of these innovations, they are expected to play an increasing role in how dental disease is managed.<\/p>\n

Taken together, these findings suggest that future demand for endodontic care will be influenced by both an aging population and continued advances in prevention and early intervention.<\/p>\n

Shifts in Endodontic Procedure Mix<\/strong><\/h3>\n

The analysis identified shifts within procedure categories. Pulp capping increased its share of treatment volume from 11% in 2023 to 12% in 2025. Procedures classified as “other,” driven in part by intraorifice barriers, increased from 4% to 5%. Pulpotomy and endodontic therapy each experienced modest declines in overall share during the study period, reflecting broader changes in how disease is managed and treated earlier in its progression.<\/p>\n

State-Level Trends Varied, but All Major Markets Declined in 2025<\/strong><\/h3>\n

The eight states with the highest treatment volume, California, Florida, Illinois, New York, Pennsylvania, Texas, Virginia, and Washington, all experienced declines in 2025.<\/p>\n

Declines ranged from 4.2% in Florida to 15.2% in New York. While state-level performance varied during 2024, every major market analyzed experienced lower treatment volume in 2025. Regional economic conditions, differences in insurance coverage, and local provider dynamics likely contributed to the variation in decline across states.<\/p>\n

Diagnostic and Imaging Services Continued to Expand<\/strong><\/h3>\n

The Miscellaneous CDT Codes Analysis identified continued growth across diagnostic and imaging-related procedures.<\/p>\n

Combined treatment volume for the miscellaneous CDT codes analyzed increased 6.8% in 2024 and 5.0% in 2025.<\/p>\n

Radiographic imaging codes D0220 and D0230 accounted for the largest share of utilization, representing more than 200 million projected procedures in 2025.<\/p>\n

Among lower-volume codes, D0364 (CBCT with interpretation and report) demonstrated the strongest growth, increasing 13.4% in 2024 and 11.0% in 2025. The analysis also found continued growth in consultation services, pulp vitality testing, and post-removal procedures.<\/p>\n

Imaging Utilization Continued to Increase<\/strong><\/h3>\n

Imaging-related services represented the fastest-growing category among the miscellaneous CDT codes analyzed.<\/p>\n

Growth occurred across all provider types and age groups. General practitioners performed the majority of imaging and diagnostic procedures, although utilization also increased among endodontists and other specialists. The report projects continued growth in imaging utilization through 2026, driven by advances in technology, increased accessibility, and the growing role of imaging in diagnosis and treatment planning.<\/p>\n

Large Group Practices Continued to Expand<\/strong><\/h3>\n

Practice size remained an important differentiator.<\/p>\n

Practices with 50 or more locations increased treatment volume by 12.2% in 2024 and 8.1% in 2025 within the miscellaneous CDT code analysis. By comparison, solo practices grew 5.5% in 2024 and 6.1% in 2025.<\/p>\n

Within the core endodontic treatment analysis, large group practices experienced smaller declines than solo practices and continued to gain market share.<\/p>\n

Key Takeaways<\/strong><\/h3>\n

The Fluent reports identified several important trends within the commercially insured marketplace:<\/p>\n

    \n
  • Endodontists continue to perform an increasing share of endodontic procedures.<\/li>\n
  • Adults age 65 and older represent a growing segment of the patient population.<\/li>\n
  • Diagnostic imaging, including CBCT, continues to expand.<\/li>\n
  • Large group practices continue to gain market share relative to smaller practice models.<\/li>\n<\/ul>\n

    While claims-based analyses do not capture every procedure performed nationwide, they provide valuable insight into utilization patterns and evolving market dynamics affecting endodontic care. As patient demographics, technology, and practice models continue to evolve, these findings provide an important benchmark for understanding the forces shaping the future of endodontic care.<\/p>\n","protected":false},"excerpt":{"rendered":"

    The American Association of Endodontists has published two new member-exclusive analyses from Fluent Research: the Q1 2026 Endodontic Market Landscape Report and the Q1 2026 Endodontic Market Landscape Report: Miscellaneous…<\/p>\n","protected":false},"author":12,"featured_media":31187,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[263],"tags":[],"feature":[202],"class_list":["post-31186","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-news","feature-communique"],"yoast_head":"\nNew Fluent Market Analysis Highlights Changing Trends in Endodontic Care - American Association of Endodontists<\/title>\n<meta name=\"robots\" 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