A comparative orthodontic treatment planning tool that can provide multiple treatment plan options based on a single initial tooth data set. A user can use the treatment planning tool to select a treatment plan based on factors, including cost, treatment duration, treatment complexity, and material or feature selection. Tooth arrangements at different treatment stages can be compared. In some cases, a tooth arrangement at one treatment stage can be superimposed over a tooth arrangement at a different treatment stage or over a tooth arrangement from a different treatment plan.