Align Technology reported Q4 total revenues of $1.0476 billion, representing a 5.3% year-over-year increase and 5.2% sequential growth. Clear Aligner revenues reached $838.1 million, up 5.5% from a year ago, driven by a record 676,855 cases—a 7.7% increase year-over-year. Imaging Systems and CAD/CAM Services revenues rose 4.2% to $209.4 million, supported by strong demand for iTero Lumina intraoral scanners, which accounted for approximately 86% of system sales.

Despite top-line strength, GAAP gross margin declined to 65.3%, impacted by foreign exchange headwinds of roughly 0.1 point sequentially. Operating margin narrowed to 14.8% as the company absorbed $67.5 million in restructuring and accelerated depreciation charges. On a non-GAAP basis, gross margin improved to 72.0% and operating margin expanded to 22.7%, reflecting the exclusion of restructuring expenses and other non-cash adjustments.

Management emphasized initiatives to expand international adoption, deepen general dentist engagement and drive teen and kids utilization. In the quarter, 87,700 doctors submitted Invisalign cases—another Q4 record—led by orthodontists. Cash and cash equivalents rose to $1.0949 billion, with $300 million available under the revolving credit facility. For Q1 2026, the company forecasts mid-single-digit revenue growth, anticipating continued volume gains in EMEA and APAC and stable performance in North America.