- Only one platform has a confirmed FDA clearance for the AI image analysis itself: DentalMonitoring, cleared through the FDA’s De Novo pathway as a Class II prescription, home-use device. Grin and the brand-built apps (Invisalign Virtual Care AI, OrthoFX FXOnTrack) make no equivalent clearance claim in the sources we checked.
- Three of the 6 aligner brands we track don’t build their own monitoring — they resell DentalMonitoring or Grin under their own name: Spark (DentalMonitoring), ClearCorrect RemoteCare (DentalMonitoring) and Clarity Aligners (Grin, since a 2025 integration). Only Invisalign and OrthoFX run a monitoring app they built themselves.
- Dedicated platforms bill per patient, brand-built apps are bundled into the case fee. Third-party pricing listings put DentalMonitoring around $13.20 down to $10.56 per monitored patient per month depending on volume, and Grin around $10 per patient plus a per-Scope hardware fee — both on top of hardware costs, and neither vendor publishes its own price list.
- “AI-powered” is marketing language more often than a regulatory claim. OrthoFX markets FXOnTrack with AI-adjacent language; we found no FDA submission backing that specific claim, unlike DentalMonitoring’s documented one.
Two new kinds of search have started showing up in our own traffic: people asking which aligner service offers "continuous teledentistry monitoring" and which provider handles "follow-up and emergencies" remotely. Both point at the same underlying question practices have been asking for longer — do you bolt a dedicated monitoring platform onto whatever aligners you already prescribe, or rely on the monitoring your aligner brand already built in? This guide lays out both paths with real prices and regulatory claims, not vendor marketing.
Independent: vendors cannot buy a position here. We have not tested these products hands-on; every claim below links to its source. Read the disclosure and the methodology.
Two paths: a dedicated platform, or your aligner brand's own app
DentalMonitoring and Grin
Bolts onto whatever aligners (or braces) you already prescribe. Bills per monitored patient, usually needs a scanning accessory you buy or lease, and — in DentalMonitoring's case — carries a specific FDA clearance for the AI analysis itself. Right if you run multiple aligner brands, or want one monitoring workflow across your whole ortho caseload.
Invisalign Virtual Care AI and OrthoFX FXOnTrack
Built by the aligner company and bundled into the case fee — no extra per-patient bill, no extra hardware. The trade-off: it only works with that one brand's aligners, and neither makes the kind of FDA clearance claim DentalMonitoring does for its own analysis.
Spark, ClearCorrect RemoteCare, and Clarity Aligners
These three don't build monitoring in-house — Spark and ClearCorrect route to DentalMonitoring, Clarity Aligners (Solventum) routes to Grin via a 2025 integration. Functionally you are getting the dedicated-platform experience, often skinned to look native, so the pricing and regulatory notes for the underlying platform apply.
Platforms compared
Every claim below is sourced individually — see the method box for why we did not reduce this to a single ranked score.
| Platform | Type | How the patient captures data | Hardware | Price (third-party, not vendor-published) |
|---|---|---|---|---|
| DentalMonitoring | Dedicated platform | Smartphone photos/video via the DM app, frequency set per patient by the orthodontist | ScanBox cheek-retractor holder (sold/leased separately) | ≈$13.20/patient/mo (0–99 patients), down to ≈$10.56/patient/mo (200+), per a published AAO TechSelect listing, plus ScanBox cost; vendor does not publish prices itself |
| Grin | Dedicated platform | Smartphone + Grin Scope attachment, patient self-scans on a schedule the practice sets | Grin Scope (hardware attachment), billed per unit | ≈$3,000 one-time practice fee + ≈$10/patient/mo + ≈$12/Grin Scope, per a published AAO TechSelect listing; vendor does not publish prices itself |
| Invisalign Virtual Care AI | Brand-built app | Weekly photos through the My Invisalign app, often with a clip-on lens | None beyond the patient’s own phone | Bundled into Invisalign case fees; no separate per-patient price published |
| OrthoFX FXOnTrack | Brand-built app | Scheduled check-ins with guided photo capture and wear-time tracking | None beyond the patient’s own phone | Bundled into OrthoFX treatment; no separate per-patient price published |
| Spark (via DentalMonitoring) | Brand-built app | Same as DentalMonitoring above — Spark has no separate native monitoring app | ScanBoxpro (DentalMonitoring hardware) | Same DentalMonitoring pricing above; Ormco’s own Spark Approver software is for case design and oversight, not patient check-ins |
| ClearCorrect RemoteCare (via DentalMonitoring) | Brand-built app | Same as DentalMonitoring above — RemoteCare is DentalMonitoring embedded in the ClearCorrect Doctor Portal | ScanBox (DentalMonitoring hardware) | Access through a DentalMonitoring rep; no separate list price published for ClearCorrect users |
| Clarity Aligners (via Grin) | Brand-built app | Same as Grin above — Solventum linked Clarity Portal to Grin in 2025; an older standalone 3M Treatment Tracking app may no longer be current | Grin Scope (Grin hardware) | Same Grin pricing above, reached through Clarity Portal |
"Brand-built app" includes the three that resell a dedicated platform under their own name (Spark, ClearCorrect RemoteCare, Clarity Aligners) — see the connection matrix below for which underlying platform each one actually runs on.
What it actually costs
Neither DentalMonitoring nor Grin publishes an official price list; the figures below come from a published AAO TechSelect listing, a third-party directory aimed at orthodontists, not the vendors themselves. Treat them as a planning estimate and get a current quote for your volume.
DentalMonitoring tier used: $13.20/patient under 100, $11.88/patient 100–199, $10.56/patient 200+. Grin: $10/patient/month, flat. Neither figure includes the ScanBox or Grin Scope hardware, which both vendors price separately, or Grin's roughly $3,000 one-time practice setup fee (amortized here over 12 months). Source: AAO TechSelect listings, not the vendors.
Hardware and setup are real line items that a per-patient quote often hides: ask both vendors for the device cost, who pays for lost or damaged units, and whether the practice fee is refundable if you cancel in the first year.
What "FDA-cleared" actually means here
Only DentalMonitoring's AI image-analysis software has a confirmed FDA clearance in the sources we checked — a De Novo classification as a prescription, home-use "Dental Image Analyzer." The FDA's own decision summary says the orthodontist, not a fixed schedule, sets how often the patient is asked to scan. That is a specific, narrow regulatory claim about one piece of software doing one job (comparing images against a treatment plan) — it is not a blanket safety certification for teledentistry, and it does not transfer to a different vendor's product just because it performs a similar function.
We found no equivalent FDA submission backing Grin's monitoring/AI claims, Invisalign Virtual Care AI, or OrthoFX's "AI-powered" marketing for FXOnTrack, in the public sources available to us. That does not necessarily mean no such clearance exists — only that we could not confirm one. If a vendor tells you their app is "FDA-cleared" or "FDA-approved," ask for the clearance or submission number and look it up yourself in the FDA's own database rather than taking the claim on a sales page at face value.
Which aligner brand connects to which platform
| Aligner brand | Monitoring | Relationship |
|---|---|---|
| Invisalign | Invisalign Virtual Care AI | Built in-house by Align Technology |
| OrthoFX | FXOnTrack | Built in-house by OrthoFX |
| Spark Clear Aligners | DentalMonitoring | Third-party integration, not Ormco's own app |
| ClearCorrect | DentalMonitoring (as "RemoteCare") | Third-party platform embedded in the ClearCorrect Doctor Portal |
| Clarity Aligners | Grin | Third-party integration via Clarity Portal, announced 2025 |
| Angel Align | Not confirmed | No monitoring claim found in the sources we checked at the time of writing |
"Not confirmed" means we found no sourced claim either way, not that the brand definitely lacks remote monitoring. Ask the vendor directly before ruling it out.
Which one fits your practice
- You run several aligner brands, or also want to monitor braces: a dedicated platform (DentalMonitoring or Grin) is the only option that works across your whole caseload instead of one brand at a time.
- You're all-in on one brand and want zero extra line items: the brand-built apps (Invisalign Virtual Care AI, OrthoFX FXOnTrack) cost nothing extra per patient, at the price of being locked to that brand.
- You already prescribe Spark, ClearCorrect or Clarity Aligners: your monitoring decision is mostly already made — ask your rep to activate the existing DentalMonitoring or Grin integration rather than shopping a third option.
- The FDA clearance matters to your case mix or your state's telehealth rules: DentalMonitoring is currently the only name in this guide with a documented clearance for the analysis software itself.
Starting remote monitoring without losing visits you actually needed
The risk practices report is not technical — it's clinical judgment. A monitoring app can tell you a tray isn't tracking; it can't replace a hands-on check for the few things that need one.
- Pilot with one provider and 10–20 patients before rolling it out practice-wide, so you can see photo quality and compliance before committing to a per-patient fee at scale.
- Decide up front which visits monitoring does not replace — attachment checks, elastics problems, or anything involving pain, and tell patients explicitly what still needs an in-person look.
- Ask about compliance, not just capability: a scan accessory that patients lose, forget or misuse produces no data. Ask both vendors for their real-world patient compliance rate, not the marketing number.
- Check your state's telehealth/teledentistry rules before billing monitoring as a separate service or doing it across state lines — requirements vary and change; this is not legal advice.
Related reading: the full aligner systems ranking, the remote monitoring category page, and our ClearCorrect vs Invisalign comparison if you're still choosing the aligner brand itself.
FAQ
What is remote monitoring for clear aligners?
Software that lets a patient send photos or short scans of their teeth from home, between in-office visits, so the orthodontist or dentist can check that treatment is tracking to plan without an in-person appointment every time. It reduces the number of chair visits needed and flags problems (a tray not seating, a tooth not moving) earlier than the next scheduled check-up.
Is Dental Monitoring or Grin better?
They solve the same problem differently. DentalMonitoring has the stronger regulatory story (FDA De Novo clearance for its AI analysis) and a tiered per-patient price that drops with volume. Grin’s published pricing is a flat per-patient fee plus a one-time practice fee and per-Scope hardware cost, and it has broader named integrations into other platforms (Henry Schein Orthodontics, Clarity Aligners via Solventum). Neither publishes an official price list, so get a current quote for your patient volume before deciding.
Does Invisalign have remote monitoring?
Yes — Invisalign Virtual Care AI, built into the My Invisalign patient app and the doctor's Invisalign Doctor Site. Patients typically submit a weekly photo (often with a clip-on lens), software does an automated first-pass assessment, and the orthodontist confirms it. It is bundled into Invisalign case fees with no separate price published, and availability depends on local regulations for remote care.
Which clear aligner brands support remote monitoring?
In our database, Invisalign, Spark Clear Aligners, OrthoFX, ClearCorrect, and Clarity Aligners confirm remote monitoring in some form. Three of those — Spark, ClearCorrect and Clarity Aligners — do it by reselling DentalMonitoring or Grin rather than running their own app. We could not confirm a monitoring claim for Angel Align at the time of writing; ask the vendor directly.
How much does aligner remote monitoring cost per patient?
Neither major dedicated platform publishes an official price list. Third-party AAO TechSelect listings we found put DentalMonitoring around $13.20 per monitored patient per month for smaller volumes, falling as low as $10.56 for 200+ patients, and Grin around $10 per patient per month plus roughly $12 per Grin Scope and a one-time practice fee near $3,000. Both also require patients to have (or the practice to supply) a scanning accessory. Brand-built apps such as Invisalign Virtual Care AI and OrthoFX FXOnTrack are bundled into the aligner case fee with no separate per-patient charge disclosed.
Is remote aligner monitoring covered by insurance or billable separately?
This varies by payer and by state, and some practices bill a teledentistry or monitoring code where their plans allow it. We have not verified specific CDT or payer codes for aligner remote monitoring and are not providing billing advice here; check current CDT guidance and your payer contracts before billing it as a separate service.
What does “FDA-cleared” mean for an app like this?
It means the FDA reviewed a specific regulatory submission for a specific claim — in DentalMonitoring’s case, a De Novo classification for its AI-driven image analysis as a prescription, home-use device. It does not mean every feature of the app is covered, and it does not extend to a different vendor’s product just because it does something similar. Ask any vendor making an FDA claim for the clearance or submission number and look it up yourself on the FDA’s database.
Can I use Dental Monitoring or Grin with any aligner brand?
Both market themselves as working with any clear aligner system, since the core job — comparing photos of tooth position against a treatment plan — doesn’t depend on whose aligners the patient is wearing. Named, vendor-documented integrations are narrower: DentalMonitoring is directly built into ClearCorrect’s and Spark’s workflows, and Grin is built into Clarity Aligners’ Clarity Portal. For other brands, ask both the aligner vendor and the monitoring vendor whether the case file (STL, ClinCheck-equivalent plan) transfers over, not just whether photos can be uploaded.
Method & sources
We tracked 2 dedicated remote-monitoring platforms and 6 clear-aligner brands, and researched each one's monitoring approach directly from FDA filings, vendor pages, app-store listings and the AAO's TechSelect directory (a third-party pricing source, not the vendors' own price lists). We did not run or test any of these apps ourselves. Because public pricing and review volume are both thin in this category, we did not force a Data Index score on these entities — every comparison here cites its source instead.
Product facts come from the Denture-ID database, where every field links to the vendor page or document it was taken from — open any product profile to see them. Rankings use the Data Index; vendors cannot pay to change a position. Found an error? Tell us.
- FDA De Novo decision summary DEN230035 (DentalMonitoring) — regulatory classification, prescription/home-use status, physician-set scan frequency
- AAO TechSelect — Dental Monitoring product listing — third-party per-patient pricing tiers
- AAO TechSelect — Grin product listing — third-party pricing: practice fee, per-patient fee, per-Scope fee
- Align Technology — Invisalign Virtual Care AI (provider pages) — how Virtual Care AI works, photo cadence, regulatory caveat on local availability
- OrthoFX — FXOnTrack app listing — app feature list, patient-side description
- Ormco — Spark DTX Portal / Dental Monitoring integration page — Spark + DentalMonitoring mid-course correction workflow
- Straumann — ClearCorrect RemoteCare (Dental Monitoring integration) — RemoteCare built on DentalMonitoring, embedded in ClearCorrect Doctor Portal
- Solventum / Orthodontic Products — Grin to integrate with Clarity by Solventum — Clarity Portal + Grin integration, announced around AAO 2025
- Denture-ID Data Index methodology — why this guide does not rank these products by score