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Segments and Geographical Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Segment Reporting Information [Line Items]        
Net revenues $ 1,028,490 $ 1,002,173 $ 2,025,921 $ 1,945,320
Gross profit 722,628 713,609 1,420,444 1,374,263
Income from operations 147,046 171,931 301,181 305,447
Stock-based compensation 47,028 37,860 85,816 75,595
Depreciation and amortization 36,166 35,819 69,112 71,639
Interest income 3,301 4,421 7,693 6,758
Other income (expense), net (6,481) (4,763) (6,622) (5,992)
Net income before provision for income taxes 143,866 171,589 302,252 306,213
Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 370,416 358,142 706,347 671,239
Unallocated corporate expenses        
Segment Reporting Information [Line Items]        
Income from operations (223,370) (186,211) (405,166) (365,792)
Stock-based compensation 37,988 33,106 72,653 65,866
Depreciation and amortization 11,473 11,486 23,148 22,762
Clear Aligner        
Segment Reporting Information [Line Items]        
Net revenues 831,738 832,674 1,648,989 1,622,478
Gross profit 588,537 603,251 1,167,683 1,169,390
Clear Aligner | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 299,626 306,093 585,864 583,614
Stock-based compensation 8,619 4,491 12,383 9,145
Depreciation and amortization 16,623 16,590 31,056 32,988
Systems and Services        
Segment Reporting Information [Line Items]        
Net revenues 196,752 169,499 376,932 322,842
Gross profit 134,091 110,358 252,761 204,873
Systems and Services | Operating Segments        
Segment Reporting Information [Line Items]        
Income from operations 70,790 52,049 120,483 87,625
Stock-based compensation 421 263 780 584
Depreciation and amortization $ 8,070 $ 7,743 $ 14,908 $ 15,889