
As we witness the rapid growth of the clear aligner market, projected to reach $30 billion by 2030,1 it’s imperative to address a pressing issue: the lack of access to these transformative dental solutions for many individuals. Despite increasing demand and technological advancements, the cost and complexity of clear aligners remain significant barriers for those seeking straighter teeth and improved oral health. This issue is especially pertinent today, as economic disparities widen and access to healthcare, including dental care, becomes increasingly challenging for a large segment of the population.
The link between oral health and overall well-being
Before diving into the specifics of clear aligners, it’s crucial to understand that oral health is intrinsically linked to overall health. Poor oral hygiene and untreated dental issues can have far-reaching consequences. Studies have shown strong correlations between oral health and systemic diseases such as cardiovascular disease, diabetes, and respiratory infections. Furthermore, misaligned teeth can contribute to difficulties in chewing, speaking, and maintaining proper oral hygiene, increasing the risk of cavities, gum disease, and other dental problems. Addressing orthodontic issues, therefore, is not merely about aesthetics; it’s an investment in one’s overall health and quality of life.
The cost barrier
The average cost of clear aligners in Canada ranges from $2,000 to $8,000 CAD, depending on the provider, the complexity of the case, and whether the treatment is in-office or direct-to-consumer.2,3 This financial burden is substantial, especially when compared to the cost of traditional braces. In a time where many families are struggling with rising costs of living, from groceries to housing, the upfront cost of clear aligners is simply prohibitive, limiting access to those who can afford it. This creates a two-tiered system where those with disposable income can access advanced dental treatments while others are left behind, potentially impacting their self-esteem and overall well-being and increasing their risk of broader health issues stemming from poor oral health.
Market growth vs. access
While the clear aligner market is booming, this growth primarily benefits those with the means to afford these treatments. The market’s expansion into emerging markets and the integration of advanced technologies like AI and telehealth further highlight the disparity in access. As the market grows, so does the gap between those who can afford clear aligners and those who cannot. This trend mirrors a broader concern in healthcare: technological advancements often exacerbate existing inequalities if they are not implemented with accessibility in mind. The benefits of innovation should be shared broadly, not concentrated among the privileged.
The role of technology and AI in improving efficiency
Technological advancements, particularly in AI, are crucial in making clear aligners more accessible and efficient. AI applications in clear aligner therapy are on the rise, offering improved efficiency, accuracy, and predictability in orthodontic planning. AI excels in tooth segmentation, treatment outcome predictions, and remote monitoring, which can significantly reduce treatment times and costs. For instance, AI-powered treatment planning can analyze 3D scans of patients’ teeth, creating precise plans in a fraction of the time it takes without using machine learning applications, potentially lowering costs for patients. This is where the promise of technology truly shines—by streamlining processes and reducing overhead, we can bring down the overall cost of treatment and make it available to a wider audience. As Dr. Ahmad Keichour, Five Star Orthodontic Lab, states:
“The future of orthodontics is not just about straightening teeth; it’s about creating smiles that change lives, and technology is leading the way.”
Moreover, AI-driven remote monitoring systems simplify the monitoring process, ensuring aligners fit properly and reducing the need for frequent in-office visits. This not only enhances patient convenience but also allows orthodontists to manage more cases effectively, expanding access to care. In an era where telehealth is revolutionizing healthcare delivery, remote monitoring can break down geographical barriers and bring orthodontic care to underserved communities.
Orthodontists’ challenges
Orthodontists face several challenges in offering clear aligner solutions. Ensuring patient compliance with the recommended hours of daily wear is crucial for successful treatment. Additionally, the complexity of cases and the need for precise treatment planning require significant expertise and resources. Despite these challenges, orthodontists are eager to provide clear aligners as a discreet and effective alternative to traditional braces. However, they need support in terms of technology and resources to effectively serve a broader patient base.
The need for democratization
Democratizing access to clear aligners involves addressing both the cost and the complexity of treatment. This can be achieved through:
- Affordable pricing models: Offering flexible payment plans and insurance coverage options can make clear aligners more accessible. We need to advocate for policies that encourage insurance companies to cover clear aligner treatment on par with traditional braces and explore innovative financing solutions that make treatment more manageable for lower-income individuals.
- Technological advancements: Leveraging AI and telehealth to streamline treatment planning and monitoring can reduce costs and improve outcomes. Further investment in research and development of AI-powered solutions is essential to drive down costs and improve efficiency.
- Education and awareness: Raising awareness about the benefits of clear aligners and their availability can encourage more individuals to seek treatment. Targeted outreach programs are needed to educate underserved communities about the benefits of orthodontic treatment and the availability of clear aligners. These programs should also emphasize the link between oral health and overall well-being, highlighting how addressing orthodontic issues can contribute to a healthier life.
Conclusion
As the clear aligner market continues to grow, it’s essential that we prioritize making these life-changing treatments available to everyone, regardless of income or location. In today’s world, where access to healthcare is increasingly recognized as a fundamental right, we must ensure that advancements in dental technology benefit all members of society. By embracing technology and advocating for policies that promote equity, we can create a future where everyone has the opportunity to achieve a confident, healthy smile.
About the author

Khamzat Asabaev is the founder and CEO of SoftSmile, a New York-based company revolutionizing orthodontics by making treatment more affordable and accessible through AI-powered software. Inspired by a childhood marked by displacement from Chechnya and limited access to healthcare, Khamzat transitioned from a successful legal career at Linklaters-where he advised global corporations and earned a Master’s in Law from Columbia-to entrepreneurship. He co-founded several startups, including a Swiss braces producer and a Dubai car-sharing company, before dedicating himself fully to SoftSmile in 2019. Under his leadership, SoftSmile developed VISION, an FDA-approved AI-driven orthodontic treatment planning software that serves over 100,000 patients worldwide, enabling orthodontists to deliver faster, cost-effective care. Khamzat’s mission is rooted in his personal experience with healthcare inequality and his commitment to innovation, making him a prominent figure in both tech and healthcare sectors