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Segments and Geographical Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Segment Reporting Information [Line Items]        
Net revenues $ 1,002,173 $ 969,553 $ 1,945,320 $ 1,942,772
Gross profit 713,609 687,559 1,374,263 1,396,905
Income from operations 171,931 188,196 305,447 386,278
Stock-based compensation 37,860 34,140 75,595 65,761
Depreciation and amortization 35,819 30,281 71,639 59,907
Interest income 4,421 245 6,758 922
Other income (expense), net (4,763) (14,832) (5,992) (26,105)
Net income before provision for income taxes 171,589 173,609 306,213 361,095
Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 358,142 352,808 671,239 716,326
Unallocated corporate expenses        
Segment Reporting Information [Line Items]        
Income from operations (186,211) (164,612) (365,792) (330,048)
Stock-based compensation 33,106 30,903 65,866 59,456
Depreciation and amortization 11,486 9,476 22,762 18,413
Clear Aligner        
Segment Reporting Information [Line Items]        
Net revenues 832,674 798,398 1,622,478 1,608,094
Gross profit 603,251 585,245 1,169,390 1,190,941
Clear Aligner | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 306,093 307,209 583,614 619,928
Stock-based compensation 4,491 3,001 9,145 5,855
Depreciation and amortization 16,590 14,029 32,988 27,796
Systems and Services        
Segment Reporting Information [Line Items]        
Net revenues 169,499 171,155 322,842 334,678
Gross profit 110,358 102,314 204,873 205,964
Systems and Services | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 52,049 45,599 87,625 96,398
Stock-based compensation 263 236 584 450
Depreciation and amortization $ 7,743 $ 6,776 $ 15,889 $ 13,698