It has been about a month since the last earnings report for Align Technology (ALGN). Shares have lost about 1.6% in that time frame, underperforming the S&P 500.

But investors have to be wondering, will the recent negative trend continue leading up to its next earnings release, or is Align Technology due for a breakout? Before we dive into how investors and analysts have reacted as of late, let’s take a quick look at its latest earnings report in order to get a better handle on the important catalysts.

ALGN Q1 Earnings and Revenues Beat, Margins Rise

Align Technology, Inc. (ALGN) reported first-quarter 2026 non-GAAP earnings of $2.58 per share, which rose 21.1% year over year and beat the Zacks Consensus Estimate by 14.41%. Total revenues of $1.04 billion increased 6.2% from the year-ago quarter and beat the consensus mark by 1.81%.

The results were supported by record Invisalign clear aligner shipments of 685.7 thousand cases, up 6.7% year over year, reflecting double-digit growth in EMEA, APAC and Latin America and continued stability in North America.

ALGN’s Clear Aligner Strength Drives Top-Line Growth

Clear Aligner revenues rose 7.4% year over year to $856.0 million, supported by higher volumes and increased average selling prices. Management also attributed the year-over-year increase to favorable foreign exchange, price actions and lower net deferrals, partially offset by higher discounts and a mix shift toward lower-priced countries and products.

On the demand side, shipments to orthodontists and GP dentists increased 7.4% and 5.6%, respectively, year over year. By patient cohort, Invisalign adult shipments increased 7.8% year over year, while teen and kid patients improved 4.8%, aided by continued adoption of Invisalign First, the Invisalign Palatal Expander and mandibular advancement with occlusal blocks.

Align Sees Mixed Scanner Seasonality, Solid Year-Over-Year Gain

Imaging Systems and CAD/CAM Services revenues increased 0.9% year over year to $184.1 million. However, the segment’s sale declined sequentially as first-quarter capital equipment seasonality weighed on results.

Management noted that the number of scanners sold to new doctors increased by double digits year over year, while the installed base of active scanners exceeded 125,000 globally during the quarter. The company highlighted double-digit year-over-year revenue growth for exocad, reinforcing its strategy to integrate orthodontics and restorative dentistry workflows.

ALGN’s Margins Improve Y/Y, Legal Costs Hit Expenses

First-quarter gross margin expanded 160 basis points (bps) year over year to 70.8%, primarily reflecting operational efficiencies and higher Clear Aligner ASP. The company noted foreign exchange was an unfavorable 0.4-point headwind to gross margin on a year-over-year basis. On a non-GAAP basis, gross margin was 71.8%, also up 160 bps.

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