Review of SureSmile Clear Aligners

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Are you considering SureSmile Clear Aligners for your orthodontic needs? Wondering how they stack up against industry giants like Invisalign? You’ve come to the right place for answers. In our review, we dive deep into these questions and more.

We will closely examine the distinctive qualities of SureSmile Aligners, discussing both their advantages and drawbacks and how they establish their niche in the orthodontic market. Our exploration includes identifying the ideal candidates for these aligners, the anticipated duration of treatment, and a breakdown of the costs involved.

Our goal with this article is to provide comprehensive insights, arming you with the information needed to decide if SureSmile Aligners are a suitable choice for your dental care journey. Join us for an in-depth look at what SureSmile Aligners bring to the table whether they align with your oral health objectives.

Who Is Behind SureSmile Aligners?

SureSmile® Aligners are developed by a company with more than 20 years of experience in orthodontic solutions. Established in 1998, the company initially focused on developing archwire technology for lingual braces before transitioning to the production of clear aligners in 2007. This expansion into clear aligners enriched their portfolio in the orthodontic sector. SureSmile is supported by Dentsply Sirona, a well-established leader in the dental solutions industry, with a history extending over 100 years in oral healthcare.

PROs and CONs of SureSmile Clear Aligners


  • A doctor-directed approach
  • Wide range of treatable cases
  • SureSmile® VPro™ High-Frequency Vibration Device that improves comfort and may reduce treatment time
  • Whitening kit after completion of treatment
  • Customizable aligner design
  • Fewer refinements 
  • More affordable in-office treatment


  • May not be suitable for very severe malocclusions
  • Requires follow-up visits to the doctor

Worth Knowing

The study published on PubMed Central reveals that a significant number of adults favor discreet orthodontic solutions like aligners or lingual braces.

What Are SureSmile Aligners Made Of

SureSmile Aligners are produced using Essix ACE, a high-quality dental plastic well-regarded in the orthodontic industry for its effectiveness and aesthetic qualities. This material is chosen for its ability to straighten teeth efficiently while maintaining a pleasing visual appearance. The material is free from BPA, BPS, latex, or gluten.

In the manufacturing of SureSmile Aligners, advanced 3D printing technology is employed to create precise models. The production process includes automated marking and robotic laser trimming, ensuring each aligner is produced with a high degree of precision and consistency.

See also: Suresmile vs Invisalign: Choosing the Right Treatment

How Are SureSmile Aligners Different?

SureSmile offers its own take on clear aligners. Like industry leader Invisalign, they use an in-office doctor-driven approach to create customized treatment plans tailored to each patient’s unique needs. However, SureSmile presents its aligners as a more accessible option price-wise. This opens up innovative orthodontic treatment to more patients previously hindered by cost concerns with alternatives like Invisalign.

Statistics shared by SureSmile suggest their aligners require fewer refinements or mid-course corrections. Three out of four SureSmile cases stick to the original treatment plan without needing adjustments. Their information also cites over 50% fewer refinements needed compared to other popular clear aligner brands. For doctors, this could free up valuable chair time. And for patients, it may lead to finishing treatment sooner.

In the production of their aligners, SureSmile utilizes advanced technology to ensure a precise fit. They offer dentists the choice between straight or scalloped trims for the aligners, with a preference for straight trims due to their effectiveness in transferring force, which is important for aligning teeth correctly.

To enhance patient comfort, SureSmile provides the SureSmile® VPro™, an at-home vibration device. When used for five minutes a day with the aligners, it delivers gentle vibrations that help the aligners fit better and may reduce the overall duration of treatment. This is supported by reports from doctors, with 80% noting a decrease in patient discomfort when using the SureSmile® VPro™ with their clear aligner treatments.

Who Is a Candidate for SureSmile Aligners?

SureSmile Aligners are tailored to handle a broad range of orthodontic needs, including complex dental alignments. Their design includes unique cut-outs and slits, making them compatible with intermaxillary elastics and allowing for the easy attachment of buttons on the teeth. This versatility enables the effective treatment of mild angle Class II and III cases, extending the benefits of SureSmile Aligners to a wider array of patients seeking orthodontic solutions.

SureSmile Clear Aligners are capable of treating a variety of malocclusions, including:

  • Open Bite: SureSmile is effective for small tooth movements to correct open bites, where teeth are gently guided to a new position.
  • Overbite: SureSmile is suitable for overbites correctable by shifting teeth within the jaw. The severity of the overbite will determine the effectiveness of clear aligners.
  • Underbite: SureSmile is ideal for mild to moderate underbites caused by tooth placement rather than jaw placement.
  • Crossbite: SureSmile can correct crossbites by redirecting teeth within the mouth. Severe crossbites might require additional support if caused by jaw placement.
  • Crowding: SureSmile is effective in cases where crowding is correctable by shifting teeth within the jaw.
  • Gap Teeth: SureSmile works by shifting teeth towards each other to eliminate gaps and ensure comfortable positioning.
  • Crooked Teeth: SureSmile guides crooked teeth to a desired location. Additional treatment may be necessary if jaw placement influences the condition.

Types of SureSmile Aligners

SureSmile provides a single type of clear aligners, specifically designed for daytime use. These aligners are meant to be worn for 20-22 hours each day, ensuring effective and continuous orthodontic treatment. Unlike some other brands, SureSmile does not offer a separate night-time aligner option. Their focus on one standard type of day-time aligner streamlines the treatment process, making it simpler and more manageable for patients.

What The Process Looks Like

SureSmile, much like Invisalign, requires a doctor’s oversight for its aligner treatment. To initiate this process, the first step is to find an authorized SureSmile provider. The treatment with SureSmile aligners then progresses through a series of steps:

  • Initial Appointment: The treatment begins with a digital scan, where your doctor captures photos and a digital scan of your teeth, avoiding the need for traditional, messy impressions.
  • Customized Treatment Plan: Following the initial appointment, your doctor collaborates with SureSmile® Digital Lab experts to create a treatment plan customized for you. Typically, you can expect to receive your aligners within 2-4 weeks after this appointment.
  • Commencement of Treatment: On your next visit, you will receive the SureSmile® Clear Aligners along with a welcome kit and the SureSmile® VPro™ High-Frequency Device (if prescribed). This device is to be used for 5 minutes daily alongside wearing the aligners, as it aids in reducing discomfort and may shorten the overall treatment duration. Your doctor will advise you on the frequency of aligner changes and the daily wear time.
  • Regular Check-ins and Monitoring: Throughout the treatment, you’ll have scheduled visits for check-ins with your doctor every 4 to 10 weeks. These sessions are essential to ensure the treatment is progressing effectively.
  • Post-Treatment Care: Upon completion of the treatment, you’ll receive a SureSmile™ Whitening Kit to enhance the brightness of your smile. It’s crucial to use the SureSmile® Retainer as instructed by your doctor to maintain the results of your treatment long-term. To preserve the alignment and appearance of your new smile, it’s important to consistently use the SureSmile® Retainer as directed by your doctor.

How Long Does Treatment Take?

The treatment duration with SureSmile aligners typically spans from 6 to 18 months, depending on the individual case’s complexity and specific orthodontic requirements. For optimal results, aligners should be worn for 20 to 22 hours per day. 

In addition to the regular use of the aligners, SureSmile offers the VPro device that can potentially shorten the treatment duration. This combination of consistent wear of the aligners and the supplementary use of the VPro device can lead to a more efficient alignment process, possibly reducing the overall treatment time compared to using the aligners alone.

Worth Knowing

An internal analysis of over 150,000 global cases by SureSmile® Aligners indicates that in 75% of cases, no additional adjustments are needed. This efficiency results in a 50% reduction in the need for further refinements when compared to other clear aligner brands, leading to shorter dental visits and enhanced treatment efficiency.

How Much Do SureSmile Aligners Cost?

The cost of SureSmile Aligners typically ranges from $2,000 to $6,000, with the average cost around $4,000. This pricing is generally more affordable than other doctor-directed treatments such as Invisalign and Spark aligners. However, the final cost of SureSmile Aligners can vary depending on the complexity of the individual’s orthodontic case and the fees charged by the treating doctor.

SureSmile offers two distinct payment plans to accommodate different needs and preferences:

  • COMPLETE Plan: This is described as a carefree plan, offering flat-rate pricing. It includes unlimited aligners and free refinements throughout the treatment period, up to 3 years from the production of the aligners. 
  • SELECT Plan: This plan is designed for those who prefer to pay only for what they need. It is particularly suitable for smaller and more manageable cases, as the cost is based on the number of aligners required for the treatment.

Can SureSmile Aligners Be Covered by Insurance?

SureSmile Aligners can potentially be covered by dental or orthodontic insurance, depending on your specific insurance plan. Many insurance plans are likely to cover a portion, or in some cases, the full cost of treatment, especially when the treatment is provided by a specialist. However, insurance policies and coverage can vary significantly, so it’s important to consult directly with your dental office to understand your specific coverage options.

In addition to potential insurance coverage, many orthodontists who provide SureSmile Aligners also offer payment plans. These plans can help make the treatment more affordable by allowing you to spread the cost over a period of time.

Does SureSmile Really Work? SureSmile Customer Reviews

Customer reviews of SureSmile aligners generally indicate positive experiences, with many users expressing satisfaction with the treatment’s effectiveness. Several customers have compared the technology favorably to Invisalign, noting similar outcomes. The use of the VPro device, often included in the treatment, is frequently mentioned as a beneficial addition. Users report that it helps in reducing discomfort associated with tighter trays and may contribute to speeding up the treatment process.

See also: Invisalign vs. Byte: Choosing the Right Treatment


SureSmile aligners offer a combination of professional, doctor-led treatment quality and affordability, making them an attractive choice for those seeking cost-effective orthodontic options. One of the key strengths of SureSmile is the efficiency of the treatment process. The majority of patients using these aligners require fewer adjustments, which could lead to quicker results and more efficient management for dentists. The use of advanced technology in the customization of the aligners, including the option to choose between different trim styles, enhances this efficiency.

Additionally, SureSmile includes the SureSmile® VPro™, an at-home device aimed at increasing comfort and potentially reducing the treatment duration. This particular feature differentiates SureSmile from other at-office aligner options, including Invisalign. 

However, it is important to note that while SureSmile aligners offer advanced features like the SureSmile® VPro™ and are more comprehensive in treating various dental conditions, they are generally more expensive than simpler at-home aligner options and necessitate regular dental appointments.

Frequently Asked Questions

Are SureSmile Aligners safe?

Yes, SureSmile Aligners are safe for use. They have received FDA approval and are made without BPA, BPS, latex, or gluten. This ensures that they meet safety standards and are suitable for a wide range of users.

Does SureSmile accept insurance?

Yes, SureSmile Aligners may be covered under dental or orthodontic insurance plans. To determine if your specific insurance plan provides coverage for SureSmile Aligners, it’s recommended to discuss insurance coverage and financing options directly with your dental office.

Does SureSmile fix an overbite?

Yes, SureSmile® Clear Aligners can be effective in treating overbites that are correctable through the shifting of teeth within the jaw. However, the suitability of SureSmile® Clear Aligners for an overbite largely depends on the severity of the condition. In some cases, additional jaw placement support may be required. It is best to consult with a doctor who can evaluate your specific case and recommend the most appropriate treatment plan.


Elshazly, T. et al. Effect of Trimming Line Design and Edge Extension of Orthodontic Aligners on Force Transmission: An in vitro Study. Journal of Dentistry (2022). doi: 10.1016/j.jdent.2022.1042765. Available online at:

Bowman, S. J., Celenza, F., Sparaga, J., Papadopoulos, M. A., Ojima, K., Cheng-Yi Lin, J., Creative Adjuncts for Clear Aligners, Part 1: Class II Treatment; Journal of Clinical Orthodontists, Available online at:

Alansari, R. A., Faydhi, D. A., Ashour, B. S., Alsaggaf, D. H., Shuman, M. T., Ghoneim, S. H., Linjawi, A. I., Marghalani, H. YA., Dause, R. R>, Adult Perceptions of Different Orthodontic Appliances, Patient Prefer Adherence. 2019; DOI: 10.2147/PPA.S234449. Available online at:

Iza Wojnarowski

Content contributor

Iza is a dedicated content contributor for Toothific. Having worn braces twice and currently using Invisalign to correct a mild overbite, Iza brings a unique perspective to her writing. She spends her time staying updated on the latest dental trends and treatments, ensuring her readers have the most current information for their dental care needs.

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