# topsEcho vs Premium Aligners

The clearest difference is ads: topsEcho at none against Premium Aligners's shown. On price, update cadence, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

topsEcho ships an update every 4 months, Premium Aligners every 2 months. The most recent releases landed on October 23, 2026 and October 16, 2026 respectively.

## The numbers

| Metric | topsEcho | Premium Aligners |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | Every 4 months | **Every 2 months** |
| Monetization | Free | — |
| Size | 7 MB | 52 MB |
| Requires iOS | **11.4** | 12.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [Cogent Design, Inc.](https://appshunter.io/developer/370754365) | [Bassem Dalleh](https://appshunter.io/developer/1812874647) |

## What reviewers say

### topsEcho

[App page](https://appshunter.io/ios/app/topsecho/id370754362)

Access your orthodontic practice information in real-time from your iPhone or iPod touch. View patient details, images, X-rays, appointments, and schedules securely and instantly, without syncing.

**Highlights:** Real-time practice data access, View patient information, Access high-resolution images and X-rays, Manage appointments and schedules, Secure and fast connection, Direct integration with topsOrtho

**In-app purchases:** none


### Premium Aligners

[App page](https://appshunter.io/ios/app/premium-aligners/id6746139793)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is topsEcho free?

topsEcho is free to download, with no in-app purchases.

### Is Premium Aligners free?

Premium Aligners is free to download, with no in-app purchases.

### Do topsEcho or Premium Aligners have ads?

Premium Aligners shows ads; topsEcho does not.

### Which is updated more often, topsEcho or Premium Aligners?

topsEcho ships an update every 4 months, and Premium Aligners every 2 months. Most recently, topsEcho was updated on October 23, 2026 and Premium Aligners on October 16, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*