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Intraoral Scanner Integration:
Optimizing Your Scan-to-Aligner Workflow.

Practical guide to scanner compatibility, STL export settings, margin trimming, digital model quality control, and submission protocols for the fastest turnaround with Infinity Aligner OKC.

Infinity Aligner Team

Clinical Technology · Infinity Aligner OKC

June 3, 20268 min readWorkflow reference
Doctor reviewing digital dental scan with patient — Infinity Aligner OKC
Fig. 0 — Digital scan review station at Infinity Aligner OKC. All submitted STL files pass through a 12-point quality control checklist before entering the treatment planning queue.
Table of contents
  1. Introduction
  2. Compatible Scanners
  3. Scan Protocol
  4. STL Export Settings
  5. Common Scan Errors & Fixes
  6. Digital Model Quality Control
  7. Case Submission Workflow
  8. Photographs & Bite Records
  9. Turnaround & Communication
  10. Conclusion

1. Introduction

The transition from PVS impressions to intraoral scanning has transformed the speed and accuracy of aligner manufacturing. A correctly captured digital scan eliminates the dimensional distortion inherent in conventional impressions, enables real-time quality assessment before the patient leaves the chair, and integrates directly with the Infinity Aligner OKC planning portal — reducing case submission time from days to minutes.

However, the digital workflow introduces its own class of errors — STL file artifacts, stitching failures, incorrect occlusal registration, and inadequate margin capture — that, if undetected, propagate all the way to the manufactured aligner and produce a poor-fitting tray. This guide covers the technical requirements, quality checkpoints, and submission protocols necessary to achieve consistent first-attempt approval of your digital cases.

A high-quality scan submitted with complete records is processed in 3–5 business days. A scan requiring resubmission adds 5–7 business days. The scan quality protocol is the fastest thing you can invest time in.

2. Compatible Scanners

Infinity Aligner OKC accepts STL and OBJ files from all major intraoral scanning systems. The following scanners have been validated through our quality control pipeline with zero reported stitching or surface accuracy issues:

ScannerFormatNotes
iTero Element 5D / 5D PlusSTLExport via iTero portal. Select "Orthodontic" export. Disable color export (larger file, no benefit).
3Shape TRIOS 3/4STL / OBJExport via TRIOS Patient App or direct USB. Select high-resolution mesh. OBJ accepted but STL preferred.
Carestream CS 3700STLFull-arch export required. Do not use "quadrant only" export setting.
Medit i700 / i500STLExport from Medit Link. Select "Standard" resolution — "High" resolution produces unnecessarily large files.
Dentsply PrimescanSTLExport via CEREC Ortho Software. Full arch mandatory.
PVS impression + model scanSTLAccepted for practices transitioning to digital. Ziploc + overnight courier to our lab for scanning.

3. Scan Protocol

Consistent scan technique eliminates the most common quality control failures before submission. The following protocol is scanner-agnostic and applies regardless of system brand.

  1. 01

    Patient preparation

    Retract lips and cheeks adequately. Air-dry each quadrant before scanning — moisture on enamel creates surface artifacts and holes in the STL. Remove all temporary restorations that will not be present in the final aligner-wearing state.

  2. 02

    Scan sequence

    Standard: upper arch first (palatal → buccal → lingual), then lower arch (lingual → buccal → facial), then buccal bite registration in centric occlusion. Do not rely on auto-bite detection for aligner cases — capture bite manually in centric.

  3. 03

    Extend margins

    Extend the scan 3–4 mm beyond the gingival margin on all teeth. The aligner trim line is cut 1 mm above the gingival crest — insufficient gingival depth leaves no room for accurate scalloping.

  4. 04

    Check coverage

    Before ending the scan, visually confirm: all crowns captured to contact points, no black (hole) areas on tooth surfaces, bite registration covers at least one tooth per quadrant bilaterally.

  5. 05

    Occlusal bite registration

    Close the patient to maximum intercuspation. Capture buccal bite from both sides. If a functional shift is present, capture both centric relation and MIP positions separately and note this in the submission form.

  6. 06

    Export

    Export upper arch, lower arch, and bite as separate STL files. Label: LASTNAME_FIRSTNAME_UPPER.stl / _LOWER.stl / _BITE.stl. Use consistent file naming — our intake system flags inconsistent naming for manual review, adding 24 hours to processing.

4. STL Export Settings

STL file quality is determined by mesh density (triangles per surface area). Too low and the tooth surface is faceted — attachment positions cannot be accurately planned. Too high and the file size exceeds upload limits and strains the planning software.

ParameterRecommended valueWhy it matters
Mesh resolutionStandard (≈ 30–50 MB per arch)High resolution (> 100 MB) adds no clinical value and slows processing
File formatBinary STL preferred over ASCII STLASCII STL files are 5× larger for identical geometry — no benefit
Color textureDisabledColor maps double file size; not used in planning workflow
Coordinate systemAuto (scanner default)Do not rotate or mirror the exported file — orientation is set during planning
Bite formatSame resolution as arch scansLower resolution bite causes misregistration artifacts during virtual articulation

5. Common Scan Errors & Fixes

The Infinity Aligner QC team returns approximately 12% of submitted scans for correction. The following are the four most common error categories, with their root causes and corrections.

Stitching artifacts / merged teeth

Problem

Adjacent teeth appear fused or interpenetrating on the STL surface. Root cause: scanner moved too quickly between teeth, or saliva created a reflective bridge between contacts.

Fix

Re-scan the affected quadrant. Air-dry aggressively before scanning. Reduce scan speed to 60–70% of maximum at posterior contacts.

Black holes / incomplete surface

Problem

Missing surface areas appear as holes in the STL mesh. Root cause: inadequate drying, scanning angle too steep, or crowns with high-shine ceramic that reflects scanner light.

Fix

Apply anti-reflective scanning spray (Scan Powder) to high-shine restorations. Re-scan the affected tooth with a slower, more perpendicular wand angle.

Bite misregistration

Problem

Upper and lower arch files do not align correctly when articulated. Root cause: bite captured in protrusion or with patient chewing through the registration.

Fix

Retake bite in centric with verbal guidance ("bite all the way back"). Confirm visually that the patient is in maximum intercuspation before ending bite capture.

Insufficient gingival depth

Problem

Tooth STL ends at the gingival margin without extending to soft tissue. Root cause: scan terminated at the gingival crest, or gingival retraction insufficient.

Fix

Re-scan with deliberate apical extension of the wand path. For deep gingival margins, temporary retraction cord (size 000) improves access without significant tissue trauma.

6. Digital Model Quality Control

Before uploading, open the STL files in your scanner software or a free viewer (Meshmixer, 3D Builder, or GrabCAD) and run the following 12-point check. This takes less than 3 minutes and eliminates >90% of QC returns.

All 14 teeth present per arch (or all expected teeth present with missing teeth confirmed)

No fused or merged adjacent teeth at contact points

No black holes on any tooth crown surface

Gingival tissue visible apical to all teeth (≥ 2 mm margin extension)

Bite file correctly aligns upper and lower arches in MIP

No obvious double-scan artifacts (ghosting)

Palatal vault captured in full in upper arch scan

Lingual mandibular surface captured to floor of mouth

No inverted surface normals (surfaces appear inside-out in viewer)

File size 10–80 MB per arch (indicates correct resolution)

File naming convention followed (LASTNAME_FIRSTNAME_UPPER/LOWER/BITE)

Scan date consistent with submission date (not > 30 days old)

7. Case Submission Workflow

The Infinity Aligner OKC submission portal accepts digital cases 24/7. The complete submission package requires:

  1. 01

    Digital scan files

    Upper arch STL, lower arch STL, bite registration STL. All files named per convention. Or: upload directly from your intraoral scanner via our portal integration (iTero, TRIOS, Medit supported for direct push).

  2. 02

    Clinical photographs

    Minimum 5 views: full face (rest + smile), profile, intraoral (upper occlusal, lower occlusal, right lateral, left lateral, frontal in occlusion). JPG/PNG, minimum 1200 px width.

  3. 03

    Treatment objectives form

    Complete the online treatment objectives form: chief complaint, movement priorities (which teeth to move, which to anchor), IPR preference, expansion preference, attachment preference, retainer type.

  4. 04

    Radiographs

    Panoramic radiograph required for all cases. Lateral cephalogram required for: deep bite > 4 mm, suspected skeletal Class II/III, skeletal asymmetry. CBCT optional but reviewed if uploaded.

  5. 05

    Patient medical history

    Confirm no periodontal disease under active treatment. Note relevant systemic conditions (bisphosphonate use contraindicates intrusion movement). Note missing teeth, implants, bridges.

  6. 06

    Submit & confirm

    Once submitted, you receive a confirmation email with case ID. Our QC team reviews within 4 business hours. If the scan passes QC, treatment planning begins immediately. If QC identifies issues, you receive an email with specific correction instructions.

8. Photographs & Bite Records

Photographs are used by our clinical team to verify facial esthetics, incisal exposure, smile arc, and buccal corridor — none of which are visible in a digital scan alone. Inadequate photographs are the second most common reason for case delay (after scan quality issues).

ViewRequiredProtocol
Full face — restYesPatient relaxed, lips together, eyes forward. Room lighting. No flash directly overhead.
Full face — smileYesNatural full smile. Same lighting as rest photo.
ProfileYesRight profile, lips relaxed. Reveals nasolabial angle and lip support.
Frontal — intraoralYesRetractors in, teeth in occlusion. Both arches visible. Perpendicular angle.
Right lateral — intraoralYesRight cheek retractor. Class II/III angle visible. Posterior occlusion visible.
Left lateral — intraoralYesMirror image of right. Must be taken separately — do not flip/mirror the image.
Upper occlusalYesMirror on lower lip, wand at 45° to ceiling. Full arch visible including second molars.
Lower occlusalYesMirror on upper lip. Full lower arch visible.

Do not mirror intraoral photographs

A mirrored left lateral photograph is clinically meaningless — it does not show the actual left buccal occlusion. Our QC team flags mirrored images and will request a retake. Both lateral views must be taken separately with the cheek retractor on the correct side.

9. Turnaround & Communication

All times are from the moment a complete submission (scan + photos + records + treatment objectives form) passes QC. Incomplete submissions reset the clock.

QC review

≤ 4 business hours

Scan, photograph, and record completeness check. Pass/fail returned by email with specific findings.

Treatment plan preview

3–5 business days

Digital plan with stage-by-stage tooth movements, attachment placement, IPR schedule, and bite ramp positions.

Plan revision (1 round)

1–2 business days

Any single revision to the approved plan is processed within 1–2 business days at no charge.

Manufacturing

5–7 business days after plan approval

Full aligner series manufactured and shipped to your practice.

Express turnaround

2 business days after approval

Available for rush cases. Contact your account representative. Additional fee applies.

10. Conclusion

A well-executed digital scan workflow reduces case turnaround, eliminates re-submission delays, and improves aligner fit at the first appointment. The technical requirements are straightforward: correct scanner export settings, thorough surface capture with adequate gingival extension, a proper centric occlusion bite registration, and a complete photograph set. Our 12-point QC checklist, completed before submission, eliminates >90% of the errors that would otherwise trigger a correction request.

Practices new to digital submission typically reach optimal workflow efficiency within 3–5 cases. Our clinical technology support team is available by phone and email to assist with scanner-specific export settings, file naming questions, and portal upload issues. Contact us at Info@infinityalignerok.com or call (405) 769-3373.

Author

Infinity Aligner Team

Clinical Technology — Infinity Aligner OKC

Our clinical technology team manages scanner integration, digital workflow development, and QC protocol design at Infinity Aligner OKC. We work directly with practice staff to streamline the scan-to-aligner pipeline.

Intraoral ScanningDigital WorkflowSTL Quality ControlCase Submission
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