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Goodwill and Intangible Assets - Change in Carrying Value of Goodwill (Details) - Clear Aligner
$ in Thousands
3 Months Ended
Mar. 31, 2020
USD ($)
Goodwill [Roll Forward]  
Balance as of December 31, 2019 $ 63,924
Adjustments (640)
Balance as of March 31, 2020 $ 63,284