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4 min read 14 sources

SureSmile vs. Invisalign: Costs, Treatment, and Differences

Khushbu Gopalakrishnan
Medically reviewed by
Khushbu Gopalakrishnan
DDS, UCLA School of Dentistry

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In this article

SureSmile and Invisalign are prescription clear-aligner systems planned and monitored by a dentist or orthodontist. The clinician, diagnosis, treatment plan, and follow-up care can matter as much as the brand, so compare complete written treatment plans rather than relying on one national price or timeline.

SureSmile vs. Invisalign

Both systems use a clinician-directed digital workflow. The provider evaluates your teeth and bite, creates the treatment plan, monitors progress, and decides whether refinements or attachments are needed.

QuestionSureSmileInvisalign
Who provides treatment?A participating dentist or orthodontistA participating dentist or orthodontist
Initial recordsPhotos and a digital scan selected by the providerA provider creates a 3D scan and treatment plan
Planning systemSureSmile treatment-planning platform and digital lab workflowClinCheck software with Invisalign’s provider workflow
Published materialThe current patient instructions do not identify one universal materialSmartTrack material
Provider accessSmaller provider networkBroader provider network
CostProvider quote; SureSmile does not publish a fixed national treatment priceProvider quote; cost varies with case and provider
Treatment timeDetermined by the prescribed case planDetermined by the prescribed case plan
MonitoringRegular provider check-insRegular provider check-ins
RetentionSureSmile retainers can be ordered after treatmentVivera retainers are available through providers

How SureSmile Treatment Works

SureSmile treatment begins with an examination, photos, and a digital scan chosen by the participating provider. The provider uses the SureSmile treatment-planning process and digital lab workflow to prescribe a series of aligners and monitor treatment.

SureSmile Clear Aligner Treatment for Misaligned Teeth 2

The number of aligners, check-in schedule, attachments, refinements, and total treatment time depend on the case plan. SureSmile does not publish one national treatment price, so the complete provider quote is the useful comparison.

Before treatment, ask the provider which records are included and how they will evaluate your bite, gums, and restorations. A scan shows tooth position, but the clinical examination determines whether clear aligners are appropriate and whether other dental care should happen first.

During treatment, the provider may use attachments, enamel reduction between selected teeth, or other prescribed steps to help carry out the plan. These decisions are case-specific. Ask how progress will be checked, when a new scan might be needed, and whether refinements are included in the quoted fee.

How Invisalign Treatment Works

An Invisalign provider examines your teeth, creates a 3D scan, and plans treatment through the Invisalign provider workflow with ClinCheck software. Invisalign aligners use SmartTrack material, and providers can prescribe attachments or refinements based on the case.

Invisalign Review

Invisalign has a broad provider network, but provider availability does not determine which system is appropriate for your bite. Read the complete Invisalign review for more detail on its process.

The provider also determines the wear schedule, visit cadence, and whether auxiliaries such as attachments or elastics are part of treatment. Brand marketing cannot answer those questions for an individual case, so the written plan should identify the movements being attempted and the way progress will be assessed.

If an aligner stops fitting as expected, contact the treating office instead of advancing trays on your own. The clinician can decide whether to continue, pause, rescan, or revise the plan. Ask the office how urgent fit questions are handled before you begin treatment.

Cost and Insurance

Neither brand has one reliable national treatment price. SureSmile’s current treatment-cost guidance directs patients to provider quotes, and fees vary with diagnosis, treatment complexity, records, refinements, monitoring, and retainers.

Ask for a written fee that identifies every included service. Dental insurance coverage also varies by plan, so review the NewMouth guides to clear-aligner costs and clear-aligner insurance before comparing quotes.

The quote should state whether diagnostic records, attachments, refinement aligners, replacement trays, emergency visits, and the first set of retainers are included. It should also explain financing charges and the cost of treatment that extends beyond the original estimate. Comparing the same line items prevents a lower initial quote from hiding later fees.

If you plan to use orthodontic insurance or a flexible spending account, confirm eligibility with the plan administrator before treatment. The provider can supply procedure and payment information, but the insurer decides what the plan covers and when benefits are paid.

Questions to Ask Each Provider

Ask each provider for the diagnosis, planned tooth movements, estimated number of aligners, refinement policy, visit schedule, total fee, records and retainer charges, cancellation terms, and what happens if treatment runs longer than expected. Choose the plan and clinician that best fit your case, not the lowest headline estimate.

Also ask who will handle routine check-ins and urgent problems, how often the treating clinician will personally review progress, and what happens if the predicted movement does not occur. If one provider offers both brands, ask why they recommend one system for your specific bite rather than assuming the brands are interchangeable.

Review the retention plan before signing. Teeth can shift after active treatment, so you need to know which retainer is prescribed, when to wear it, what replacements cost, and whom to contact if it no longer fits.

For a broader view of treatment types and candidacy, see the guide to clear aligners.

Summary

SureSmile and Invisalign are doctor-directed clear-aligner systems. A complete treatment plan, provider access, monitoring, total cost, and refinement terms offer a stronger basis for comparison than unsupported national averages.

Sources

  1. Invisalign.” Invisalign, 2023.
  2. Dentsply Sirona. “How SureSmile Works.” Accessed August 11, 2026.
  3. Invisalign Before and After | Success Stories.” Invisalign, 2023.
  4. Kravitz et al. “How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign.” American Journal of Orthodontics and Dentofacial Orthopedics, 2009.
  5. Haouili et al. “Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign.” Am J Orthod Dentofacial Orthop., 2020.
  6. Saxe et al. “Efficiency and effectiveness of SureSmile.” World journal of orthodontics, 2010.
  7. SureSmile Reviews: Read our testimonials.” Dentsply Sirona, 2023.
  8. SureSmile before and after: See the difference!.” Dentsply Sirona, 2023.
  9. Should I Get Invisalign? | Smile Assessment.” Invisalign, 2023.
  10. Treatable Cases.” Invisalign, 2023.
  11. Should I get Clear Aligners? Find out.” Invisalign, 2023.
  12. SureSmile.” Dentsply Sirona, 2023.
  13. Frequently Asked Questions.” Invisalign, 2023.
  14. How should Clear Aligners fit? Find out with VPro.” Dentsply Sirona, 2023.
Khushbu Gopalakrishnan
Dr. Khushbu Aggarwal
Medical Reviewer

UCLA-trained dentist practicing in public health. Focuses on whole-body approach to dental care.

Rebecca Henderson
Rebecca Henderson
Writer

Freelance writer specializing in detailed dental health product reviews.