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Before CAD/CAM design, keep implant-position data distinct from soft-tissue data, confirm the scan-body library mapping, and register the datasets using the workflow supported by your scanner and dental CAD software. “Cleaning” should not alter geometry that defines implant position: there is no universally established sequence for trimming, smoothing, filling holes, or remeshing these scans.
What each scan contributes
Extraoral photogrammetry records implant positions, not the surrounding soft-tissue morphology. The intraoral scan (IOS) supplies soft-tissue contours needed for a more complete restoration model. The ITI workflow guide by Dr. Kamil Zafar, Dr. Xiaoyu Li, Dr. Jianzhang Liu, and Dr. Bo Chen, published April 14, 2026, puts the distinction plainly: “EPG only captures the three-dimensional positions of implants and does not record the surrounding soft tissue morphology.” Read the ITI workflow guide.
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Do not treat the photogrammetry file as a complete model of the mouth. The goal of registration is to combine implant locations from photogrammetry with soft-tissue contours from IOS while retaining the intended implant-position geometry.
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Before registration, establish what each dataset represents and which implant library entry applies to the captured scan bodies. Check the scanner and CAD software instructions for the relevant file types, scan-body identities, implant connection, library, and export path. Preserve untouched copies of the original files so you can return to the source data if an edit or alignment produces an unexpected result.
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Library mapping is a geometric workflow step, not cosmetic mesh cleanup. In its IntraoralScan 3.5.6 documentation for Aoralscan Elite, SHINING 3D describes selecting a manufacturer, implant type and subtype (or importing a local file), matching the coded scan body, and marking it to a tooth position. Those instructions are specific to that software version and system; use the corresponding instructions for your own setup. See SHINING 3D’s scan-body information.
Register the scans using the supported reference
Registration connects the implant-position dataset to the IOS data before design. The precise reference and sequence depend on the software and capture system. An ITI-described workflow aligns IOS scan bodies with standard scan bodies in a database, then matches those standard bodies to the scan bodies in the extraoral photogrammetry scan. The resulting integrated model uses photogrammetry for implant locations and IOS for soft tissue.
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PIC Dental describes importing and aligning a PIC STL with standard mesh-alignment features in dental CAD software. This is a vendor description, not independent validation that every CAD package or workflow will behave the same way. See PIC Dental’s PIC file description.
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SHINING 3D IntraoralScan 3.5.6 example
For Aoralscan Elite, SHINING 3D’s documented intraoral photogrammetry process includes jaw scanning, coded scan-body scanning, gingiva alignment, scan-body conversion and marking, and a bite check. If automatic alignment fails in that workflow, the documented manual fallback is to select three sets of corresponding points and preview the alignment before proceeding. Treat this as a software-specific recovery method, not a universal clinical protocol. See the version 3.5.6 scanning instructions.
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Clean conservatively and inspect the result
Mesh editing and registration are separate tasks. Open Tech Dental’s wiki lists data editing, alignment, mesh generation, mesh editing, implant-library alignment, and CAD export as distinct functions; its wizard also lists base cutting and automatic cleaning. That documentation does not establish a universally safe cleaning recipe for photogrammetry scans. See the Open Tech Dental Wiki.
- Keep an unchanged copy of each original scan and make edits on working copies.
- Confirm the scan-body and implant/library identity before relying on the registered model.
- Inspect the registration result and the combined model before moving into CAD/CAM design.
- Do not assume trimming, smoothing, hole filling, or remeshing is harmless around geometry that defines implant position; follow the scanner and CAD software instructions for any such operation.
The available documentation does not establish a universal acceptance tolerance or validation protocol. Do not infer that a visually tidy mesh proves the implant-position registration is correct.
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How to interpret published accuracy figures
An in-vitro study of intraoral photogrammetry reported a mean 3D Euclidean deviation of 57.22 ± 27.41 μm and a mean angular deviation of 0.26° ± 0.19° across 146 implant positions. These are results from that study’s test conditions, not a clinical guarantee, a universal result for all systems, or an acceptance threshold for a particular case. Read the in-vitro study.
Handoff to CAD/CAM design
Once the registration and library mapping have been checked, the integrated model can proceed to CAD/CAM design: the photogrammetry dataset contributes implant locations, and IOS contributes soft-tissue contours. Design and fit acceptance criteria depend on the clinical case and the applicable system workflow; the scan-registration sources do not establish a single criterion for them.
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