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ARTICLE · 14 JULY 2026

European Commission – First Formal Antitrust Investigation In The Medical Devices Sector

NAZALI Attorney Partnership
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The European Commission has launched its first formal investigation in the medical devices sector, examining whether Align Technology's business practices constitute anticompetitive behavior by allegedly forcing dental professionals to purchase iTero scanners in order to use Invisalign clear aligners. The investigation centers on claims that Align has refused to approve competing scanners and rejected digital scans from other manufacturers since 2017, potentially creating a closed ecosystem that shields its

TurkeyAntitrust/Competition Law

The European Commission (“Commission”) has opened its first formal investigation in the medical devices sector to assess whether Align Technology has breached EU competition rules by tying its intra-oral scanners to its dental clear aligners under the Invisalign brand.

Align Technology specialises in two product lines, namely clear dental aligners used in teeth misalignment treatment and intra-oral scanners branded as iTero used to generate 3D scans of patients’ teeth and jaws for the production of clear aligners. Intra-oral scanners play a key role in the clear aligner market as they are the starting point of the treatment process.

The Commission is concerned that Align Technology may be unfairly leveraging its position in the clear aligner market by requiring dental professionals to purchase the iTero scanner if they wish to order Invisalign for their patients.

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