Frequently Asked Questions

What do you want to know about the SureSmile experience?


1What is SureSmile® treatment?
SureSmile® is a treatment that works to gradually straighten teeth through the process of wearing a series of clear, custom-fit removable aligners. There are no brackets or wires like traditional metal braces.

SureSmile® can also help you plan lingual and labial bracket cases, including custom archwire and IBD designs. It’s not uncommon to use a hybrid treatment that eventually leads to treatment with SureSmile® clear aligners.
2Who can use SureSmile® clear aligners?
Of course, only a doctor can tell you if SureSmile® is right for you.

SureSmile® clear aligners can be a great way for adults to straighten their teeth with a virtually invisible option.

From simple teeth-straightening issues to complex, and maybe even bite issues, SureSmile® might be your best option when it comes to treatment with clear aligners.

SureSmile® may be used alone or in combination to straighten and fix:
  • Overly crowded teeth
  • Overbite
  • Underbite
  • Crossbite
  • Gaps between teeth
  • Slight winged or crooked teeth
3How does treatment with SureSmile® clear aligners straighten teeth?
Your doctor will use the world’s most advanced and accurate digital treatment planning software from SureSmile® to evaluate your treatment options. SureSmile® clear aligners are created using a proprietary algorithm and validated by an expert digital lab team to straighten teeth tooth-by-tooth for comfort with a laser-trimmed precision fit.

SureSmile® invisible aligners provide gentle force over time to move your teeth. Typically, you will change aligners every 2 weeks. Each set of aligners will gently move your teeth with precision to achieve the ideal smile. Read more about how clear aligners work here.
4How long does treatment take?
Every smile is unique, and treatment times will vary. However, SureSmile® is specifically designed to expedite treatment time with fewer refinements. SureSmile® is a completely integrated workflow solution that is proven to expedite treatment time. By combining proprietary software with clinical decision support, registration of Ceph, 3D imaging models and robotic technology, you arrive at your desired smile faster with precision.

In a clinical trial, the average SureSmile® treatment time was found to be much shorter than conventional treatment time—about 8 months shorter. In some cases, SureSmile® reduced treatment time up to 31% over conventional treatment. † And that really is something to smile about.

Sachdeva R, Aranha S, Egan ME, et al. Treatment time: SureSmile® vs Conventional. Orthodontics(Chic.). 2012;13(1):72-85.
5How many hours per day are SureSmile® clear aligners worn?
For the best results possible, SureSmile® aligners should be worn between 20-22 hours each day (including while asleep).
6How do you know which SureSmile® aligner to wear?
Each aligner is engraved with the first four letters of your name, a “U” for the upper teeth aligner and an “L” for the lower teeth, followed by the stage/next in series number.
7Should SureSmile® clear aligners be removed when drinking water?
When drinking plain water, you don’t have to remove your SureSmile® aligners. If the water is flavored or infused with sugar then the aligners must be removed prior to drinking. And ingredients other than plain water may cause discoloration over time to your aligners and make them less invisible. More importantly, if liquids or food get between your teeth and the aligners it could cause tooth decay.

The best advice? Take your SureSmile® clear aligners out when you wish to enjoy anything other than water.
8Are there food restrictions while wearing SureSmile® aligners?
You don’t need to give up any of your favorite foods while in treatment. However, you need to remove your SureSmile® clear aligners when eating all snacks and meals, and when drinking all liquids except for cool water.


While wearing your aligners, please do not:
  • Chew gum
  • Drink hot, sweet, or colored liquids including clear soda

Take extra care with liquids. Hot liquids like coffee or soup may warp or distort the aligners. Drinking liquids like coffee, tea, wine or any other colored liquid may compromise the invisibility of your aligners.
9How should SureSmile® aligners be stored when they are not worn?
SureSmile® clear aligners should be placed in the cases that were provided in the kit. There are two.
10Can heat negatively affect SureSmile® clear aligners?
Yes, hot temperatures may affect SureSmile® aligners. Avoid exposing SureSmile® aligners to excessive heat or heat sources. Do not leave them on the dashboard of a car at the beach, near a hot curling iron on the bathroom counter, or on the kitchen counter next to a stove that’s on or been on.
11What are some common cleaning mistakes to avoid?
When it comes to keeping your aligners clean, don’t make the mistake of cleaning SureSmile® aligners with the same products used to brush teeth.

Products to avoid and why:
  • Toothbrush & toothpaste: Can scratch the surface of the aligner and reduce clarity
  • Mouthwash: Most mouthwashes contain dyes that can discolor the aligner
  • Scented or colored soaps: Can discoloration, cloudiness & leave an unpleasant taste in the mouth
  • Hot water: Can potentially soften & distort the aligner
12What should be used to clean the aligners?
Retainer Brite® products are recommended to clean your SureSmile® aligners safely and effectively.* Always clean the aligners before each insertion. Be sure to choose the Retainer Brite® cleaning method that fits your daily routine. SureSmile® aligners can be quickly cleaned while you shower, eat meals, or if you are out on-the-go.

*You should follow the specific directions for use provided with each Retainer Brite product. Never put Retainer Brite Cleaning Tablets or tablet solution in your mouth.
13Can patients switch to SureSmile® if they are currently wearing braces, or have had other types of dental work done?
For many, the answer is yes.

For patients who wish to transition from traditional braces to SureSmile® clear aligners it could be a possibility. Patients who have veneers, crowns or bridgework will have to be evaluated on a case by case basis.

Whatever the scenario, SureSmile’s proprietary software can help you decide the best treatment plan for those who are eligible for SureSmile® treatment. Read about how to straighten teeth without braces here.
14Does SureSmile® provide the most precise oral models in the industry?
Yes, and SureSmile® is proven to.

SureSmile® represents the gold standard in orthodontic treatment planning to deliver the most precise models in the industry. A study published by the University of Minnesota indicated that SureSmile® CAD models were the most accurately measured.*

By combining high quality appliance fabrication with powerful planning software, SureSmile® aligners provide clinically advanced aligner treatment options. You can treat a full case or simply finish a case with SureSmile®. Either way, you can be sure to get a beautiful smile with SureSmile®.

* Study conducted in 2014. Grünheid, T.; Patel, N.; De FelippeN.; Wey, A; Gaillard, P.; Larson, B: Accuracy, reproducibility, and time efficiency of dental measurements using different technologies. Am. J. Orthod., 157-164
15How much does SureSmile® cost?
SureSmile® makes it profitable for you to migrate or incorporate SureSmile® into your practice with ease.

  • SureSmile® is the world’s most robust digital platform and it works with scanners you may already have unlike another major competitor.
  • The precision of SureSmile ® software combined with the clinical expertise of the SureSmile® Digital Lab promotes better alignment, greater patient comfort & faster treatment times
  • The clinical expertise and technical skill of SureSmile® clinicians and technicians can help expedite your productivity if needed.  From clinically advanced digital modeling to treatment planning, the SureSmile® Digital Lab can support you so you can treat more cases.
  • With SureSmile® you’re providing the clear way patients are looking to straighten their teeth.
  • For many patients, the cost of SureSmile® is similar to the cost of traditional braces. Review all the ways treatment with SureSmile® can be affordable for your patients here.
16What payment options are available for SureSmile® treatment?
Many dental insurance plans cover treatment with SureSmile® the same way they would cover braces. Coverage will vary per person, per policy and may include coverage up to a certain percentage or dollar amount.

Another option that may make SureSmile® more affordable is specifically through your doctor. Many doctors offer flexible options such as monthly payment plans or financing.

For additional information on using flexible savings accounts (FSA), health savings account (HSA) and additional options that fit your budget, continue reading here.

Practitioner FAQ


1Is there a registration fee for becoming a SureSmile® doctor?
You can begin learning the SureSmile® system after registering for $1,995 dollars and this includes a doctor starter kit and a $1,750.00 product credit that needs to be used in 6 months.*

Once registered, you can immediately begin accessing your digital education modules, personalized support and exclusive educational resources that can only be found at SureSmileU.

*Prices will vary per country globally and the amount quoted above is for US doctors only.
2Once registered to be a SureSmile® doctor, how do I begin learning?
You’ll begin learning SureSmile® through digital education modules as well as an in-office visit by a dedicated SureSmile® Clinical Ambassador—a dedicated Customer Implementation Specialist who will routinely support your practice.
3Is SureSmile® compatible with my current oral scanner?
Possibly! There are many approved CBCT scanners that work seamlessly with SureSmile® software. From Primescan and Planmeca ProMax, to Carestream CS and i-CAT CBCT scanners, review this list to see if your current scanner is approved and compatible .

For the most accurate root to crown treatment planning combine digital scanner, Ceph and facial data with CBCT 3D imaging.
4What does it mean when you say SureSmile® has an open platform?
An open platform means our software is compatible with other device platforms. In other words, with SureSmile® you don’t have to exclusively purchase only one type of oral scanner to use our product, as the open platform accepts STL files from all intraoral scanners and certain approved CBCT scanners.

If your office already has a CBCT scanner that is approved for SureSmile® compatibility, it will be even more affordable to get started. Review this list to see if your current scanner is approved.
5How does SureSmile® offer continuing education and product updates?
SureSmile® is proud to partner with the best and the brightest in the dental industry and other specialty areas to bring you what you need the way you need it.

World-class training, virtual or in-person, will be available to you. SureSmile®U is your source to access webinars, KOL special courses, and a best-in-class library of digital modules when it’s convenient for you. A dedicated SureSmile® Clinical Ambassador will also provide you with one-on-one learning, training and staff development.
6Who do I contact for SureSmile® technical support?
Should you have any questions that your SureSmile® Clinical Ambassador can not address, please contact SureSmile® customer care at 888.672.6387.