A method includes obtaining an electronic model image representing teeth of a patient; determining a desired bracket arrangement for one or more brackets on the teeth; designing an electronic model image of an alignment device based in part on the desired bracket arrangement; and fabricating the alignment device based on the electronic model image of the alignment device. The desired bracket arrangement includes a surface location, a tip orientation, and a torque orientation of each bracket. The alignment device defines at least one slot through which a bracket can be placed at a surface location and an orientation indicator to indicate a desired tip orientation and a desired torque orientation of each bracket.