Patterned dental positioning appliances including a shell including one or more cavities shaped to receive and exert repositioning forces on one or more teeth of a subject's dentition. An inner surface of at least a portion of the one or more cavities may include a raised mesh pattern arranged to contact one or more teeth within the at least a portion of the one or more cavities. The raised mesh pattern may be arranged to impart a contact force that affects one or more of a direction, a duration and a magnitude of the repositioning forces exerted on the one or more teeth. The raised mesh pattern may be is integrally formed with the shell and is made of the same polymer material as the shell.