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Goodwill and Intangible Assets - Change in Carrying Value of Goodwill (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2017
USD ($)
Goodwill [Roll Forward]  
Balance as of December 31, 2016 $ 81,998
Balance as of September 30, 2017 90,070
Clear Aligner  
Goodwill [Roll Forward]  
Balance as of December 31, 2016 61,044
Goodwill from distributor acquisitions 3,247
Adjustments 324
Balance as of September 30, 2017 $ 64,615