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Main Authors: Miao, Yiyi, Wu, Taoyu, Jiang, Ji, Chen, Tong, Tang, Zhe, Jiang, Zhengyong, Stefanidis, Angelos, Yu, Limin, Su, Jionglong
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2511.14343
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author Miao, Yiyi
Wu, Taoyu
Jiang, Ji
Chen, Tong
Tang, Zhe
Jiang, Zhengyong
Stefanidis, Angelos
Yu, Limin
Su, Jionglong
author_facet Miao, Yiyi
Wu, Taoyu
Jiang, Ji
Chen, Tong
Tang, Zhe
Jiang, Zhengyong
Stefanidis, Angelos
Yu, Limin
Su, Jionglong
contents Reliable 3D-2D alignment between intraoral scan (IOS) models and lateral cephalometric radiographs is critical for orthodontic diagnosis, yet conventional intensity-driven registration methods struggle under real clinical conditions, where cephalograms exhibit projective magnification, geometric distortion, low-contrast dental crowns, and acquisition-dependent variation. These factors hinder the stability of appearance-based similarity metrics and often lead to convergence failures or anatomically implausible alignments. To address these limitations, we propose DentalSCR, a pose-stable, contour-guided framework for accurate and interpretable silhouette-to-contour registration. Our method first constructs a U-Midline Dental Axis (UMDA) to establish a unified cross-arch anatomical coordinate system, thereby stabilizing initialization and standardizing projection geometry across cases. Using this reference frame, we generate radiograph-like projections via a surface-based DRR formulation with coronal-axis perspective and Gaussian splatting, which preserves clinical source-object-detector magnification and emphasizes external silhouettes. Registration is then formulated as a 2D similarity transform optimized with a symmetric bidirectional Chamfer distance under a hierarchical coarse-to-fine schedule, enabling both large capture range and subpixel-level contour agreement. We evaluate DentalSCR on 34 expert-annotated clinical cases. Experimental results demonstrate substantial reductions in landmark error-particularly at posterior teeth-tighter dispersion on the lower jaw, and low Chamfer and controlled Hausdorff distances at the curve level. These findings indicate that DentalSCR robustly handles real-world cephalograms and delivers high-fidelity, clinically inspectable 3D--2D alignment, outperforming conventional baselines.
format Preprint
id arxiv_https___arxiv_org_abs_2511_14343
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Silhouette-to-Contour Registration: Aligning Intraoral Scan Models with Cephalometric Radiographs
Miao, Yiyi
Wu, Taoyu
Jiang, Ji
Chen, Tong
Tang, Zhe
Jiang, Zhengyong
Stefanidis, Angelos
Yu, Limin
Su, Jionglong
Computer Vision and Pattern Recognition
Reliable 3D-2D alignment between intraoral scan (IOS) models and lateral cephalometric radiographs is critical for orthodontic diagnosis, yet conventional intensity-driven registration methods struggle under real clinical conditions, where cephalograms exhibit projective magnification, geometric distortion, low-contrast dental crowns, and acquisition-dependent variation. These factors hinder the stability of appearance-based similarity metrics and often lead to convergence failures or anatomically implausible alignments. To address these limitations, we propose DentalSCR, a pose-stable, contour-guided framework for accurate and interpretable silhouette-to-contour registration. Our method first constructs a U-Midline Dental Axis (UMDA) to establish a unified cross-arch anatomical coordinate system, thereby stabilizing initialization and standardizing projection geometry across cases. Using this reference frame, we generate radiograph-like projections via a surface-based DRR formulation with coronal-axis perspective and Gaussian splatting, which preserves clinical source-object-detector magnification and emphasizes external silhouettes. Registration is then formulated as a 2D similarity transform optimized with a symmetric bidirectional Chamfer distance under a hierarchical coarse-to-fine schedule, enabling both large capture range and subpixel-level contour agreement. We evaluate DentalSCR on 34 expert-annotated clinical cases. Experimental results demonstrate substantial reductions in landmark error-particularly at posterior teeth-tighter dispersion on the lower jaw, and low Chamfer and controlled Hausdorff distances at the curve level. These findings indicate that DentalSCR robustly handles real-world cephalograms and delivers high-fidelity, clinically inspectable 3D--2D alignment, outperforming conventional baselines.
title Silhouette-to-Contour Registration: Aligning Intraoral Scan Models with Cephalometric Radiographs
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.14343