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Segments and Geographical Information - Summarized Financial Information by Reportable Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]        
Net revenues $ 1,012,449 $ 1,028,490 $ 1,991,711 $ 2,025,921
Cost of net revenues 304,332 305,862 603,486 605,477
Gross profit 708,117 722,628 1,388,225 1,420,444
Operating expenses 545,084 575,582 1,094,092 1,119,263
Segment income from operations 163,033 147,046 294,133 301,181
Operating Segments        
Segment Reporting Information [Line Items]        
Segment income from operations 352,748 370,416 671,435 706,347
Unallocated corporate expenses        
Segment Reporting Information [Line Items]        
Operating expenses 189,715 223,370 377,302 405,166
Segment income from operations (189,715) (223,370) (377,302) (405,166)
Clear Aligner | Operating Segments        
Segment Reporting Information [Line Items]        
Net revenues 804,617 831,738 1,601,460 1,648,989
Cost of net revenues 240,811 243,201 475,565 481,306
Gross profit 563,806 588,537 1,125,895 1,167,683
Operating expenses 296,795 288,911 598,660 581,819
Segment income from operations 267,011 299,626 527,235 585,864
Systems and Services | Operating Segments        
Segment Reporting Information [Line Items]        
Net revenues 207,832 196,752 390,251 376,932
Cost of net revenues 63,521 62,661 127,921 124,171
Gross profit 144,311 134,091 262,330 252,761
Operating expenses 58,574 63,301 118,130 132,278
Segment income from operations $ 85,737 $ 70,790 $ 144,200 $ 120,483