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Segments and Geographical Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Segment Reporting Information [Line Items]        
Net revenues $ 969,553 $ 1,010,808 $ 1,942,772 $ 1,905,579
Gross profit 687,559 758,538 1,396,905 1,435,636
Income from operations 188,196 268,902 386,278 494,348
Stock-based compensation 34,140 28,855 65,761 56,096
Depreciation and amortization 30,281 25,892 59,907 51,527
Interest income 245 383 922 2,026
Other income (expense), net (14,832) (483) (26,105) 34,049
Net income before provision for income taxes 173,609 268,802 361,095 530,423
Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 352,808 412,301 716,326 786,994
Unallocated corporate expenses        
Segment Reporting Information [Line Items]        
Income from operations (164,612) (143,399) (330,048) (292,646)
Stock-based compensation 30,903 26,049 59,456 50,825
Depreciation and amortization 9,476 9,100 18,413 19,070
Clear Aligner        
Segment Reporting Information [Line Items]        
Net revenues 798,398 840,959 1,608,094 1,594,228
Gross profit 585,245 646,665 1,190,941 1,231,199
Clear Aligner | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 307,209 347,626 619,928 675,091
Stock-based compensation 3,001 2,632 5,855 4,926
Depreciation and amortization 14,029 12,170 27,796 23,290
Systems and Services        
Segment Reporting Information [Line Items]        
Net revenues 171,155 169,849 334,678 311,351
Gross profit 102,314 111,873 205,964 204,437
Systems and Services | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 45,599 64,675 96,398 111,903
Stock-based compensation 236 174 450 345
Depreciation and amortization $ 6,776 $ 4,622 $ 13,698 $ 9,167