510(k) Report

510(k) · Cleared

Cleared

SureSmile Software

K253565510(k) TraditionalCleared Mar 4, 2026107-day reviewClass II21 CFR 872.5470

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Dentsply Sirona, Inc. · PNN Orthodontic Software

Cleared on Mar 4, 2026 as substantially equivalent to K213916 (Archform, Inc., 2021) after a 107-day review. Its family tree reaches back 5 generations to 2009.

Decided
Mar 4, 2026
Review
107 days
Class
Class II
Product code
PNN
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K082207 (2009). No later device cites it as a predicate yet.

  1. Root · 5 generations backK082207 Orthocad IQCadent, Inc. · 2009
  2. 4 generations backK152086 3Shape Ortho System3Shape A/S · 2016
  3. 3 generations backK171634 Ortho System3Shape A/S · 2018
  4. 2 generations backK181112 Orchestrate 3DOrchestrate 3D · 2018 · Recalled
  5. 1 generation backK213916 ArchForm Orthodontic Software SystemArchform, Inc. · 2021
  6. This deviceK253565 SureSmile SoftwareDentsply Sirona, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K082207Orthocad IQCadent, Inc.2009—
−4K1520863Shape Ortho System3Shape A/S2016—
−3K171634Ortho System3Shape A/S2018—
−2K181112Orchestrate 3DOrchestrate 3D20181
−1K213916ArchForm Orthodontic Software SystemArchform, Inc.2021—
0 (this device)K253565SureSmile SoftwareDentsply Sirona, Inc.2026—
FIG. 1 — Lineage of K253565, 2009–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in PNN? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new PNN device

  1. #1 K262196 Invisalign Systemscore 14.5 · 9 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K213916ArchForm Orthodontic Software System
Summary page 5
…Predicate Device 510(k) Company Name ArchForm Orthodontic K213916 ArchForm, Inc. Software System Table FS.2: Reference d…
Archform, Inc.2021—
†K171634Ortho System3Shape A/S2018—
†K203737Spark Clear Aligner SystemOrmco Corporation2021—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 17 years and passes through 5 companies; a new generation was cleared every 3.1 years on median.
  • 1 of the 5 ancestors has a recall of any class.

How does its category compare?

All PNN devices

PNN Orthodontic Software: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · PNN

2in 2025

2016: 12017: 22018: 52019: 22020: 72021: 42022: 12023: 32024: 42025: 22026 (partial year): 6
2007high 7 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PNN

177in 2024

2018: 229 days median2020: 221 days median2021: 58 days median2023: 90 days median2024: 177 days median2026 (partial year): 98 days median
2007high 229 (2018) · low 58 (2021)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · PNN

1in 2022

2021: 12022: 1
2007high 1 (2021) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · PNN

1in 2024

2024: 1
2007high 1 (2024) · low 0 (2007)2025

MAUDE reports naming product code PNN, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20161—00
20172—00
2018522900
20192—00
2020722100
202145810
20221—10
202339000
2024417701
20252—00
20266980—

What is it indicated for?

The SureSmile Software is indicated for use as a front-end device for management of orthodontic models, systematic inspection, detailed analysis, treatment planning and simulation and the design of custom appliance systems, which may include sequential aligners, retainers, IDB trays, brackets, or wires, and dental casts. These applications are based on 3D models of the patient's dentition before the start of the orthodontic treatment. It can also be…

Read the full statement (139 words)

The SureSmile Software is indicated for use as a front-end device for management of orthodontic models, systematic inspection, detailed analysis, treatment planning and simulation and the design of custom appliance systems, which may include sequential aligners, retainers, IDB trays, brackets, or wires, and dental casts. These applications are based on 3D models of the patient's dentition before the start of the orthodontic treatment. It can also be applied during the treatment to inspect and analyze the progress of the treatment. It can be used at the end of the treatment to evaluate if the outcome is consistent with the planned/desired treatment objectives.

The use of the SureSmile Software requires the user to have the necessary training and domain knowledge in the practice of orthodontics, as well as to have received a dedicated training in the use of the software.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K253565: SureSmile Software.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253565

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026