Table of contents
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:
| Scanner | Format | Notes |
|---|---|---|
| iTero Element 5D / 5D Plus | STL | Export via iTero portal. Select "Orthodontic" export. Disable color export (larger file, no benefit). |
| 3Shape TRIOS 3/4 | STL / OBJ | Export via TRIOS Patient App or direct USB. Select high-resolution mesh. OBJ accepted but STL preferred. |
| Carestream CS 3700 | STL | Full-arch export required. Do not use "quadrant only" export setting. |
| Medit i700 / i500 | STL | Export from Medit Link. Select "Standard" resolution — "High" resolution produces unnecessarily large files. |
| Dentsply Primescan | STL | Export via CEREC Ortho Software. Full arch mandatory. |
| PVS impression + model scan | STL | Accepted 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
| Parameter | Recommended value | Why it matters |
|---|---|---|
| Mesh resolution | Standard (≈ 30–50 MB per arch) | High resolution (> 100 MB) adds no clinical value and slows processing |
| File format | Binary STL preferred over ASCII STL | ASCII STL files are 5× larger for identical geometry — no benefit |
| Color texture | Disabled | Color maps double file size; not used in planning workflow |
| Coordinate system | Auto (scanner default) | Do not rotate or mirror the exported file — orientation is set during planning |
| Bite format | Same resolution as arch scans | Lower 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:
- 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).
- 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.
- 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.
- 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.
- 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.
- 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).
| View | Required | Protocol |
|---|---|---|
| Full face — rest | Yes | Patient relaxed, lips together, eyes forward. Room lighting. No flash directly overhead. |
| Full face — smile | Yes | Natural full smile. Same lighting as rest photo. |
| Profile | Yes | Right profile, lips relaxed. Reveals nasolabial angle and lip support. |
| Frontal — intraoral | Yes | Retractors in, teeth in occlusion. Both arches visible. Perpendicular angle. |
| Right lateral — intraoral | Yes | Right cheek retractor. Class II/III angle visible. Posterior occlusion visible. |
| Left lateral — intraoral | Yes | Mirror image of right. Must be taken separately — do not flip/mirror the image. |
| Upper occlusal | Yes | Mirror on lower lip, wand at 45° to ceiling. Full arch visible including second molars. |
| Lower occlusal | Yes | Mirror 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 hoursScan, photograph, and record completeness check. Pass/fail returned by email with specific findings.
Treatment plan preview
3–5 business daysDigital plan with stage-by-stage tooth movements, attachment placement, IPR schedule, and bite ramp positions.
Plan revision (1 round)
1–2 business daysAny single revision to the approved plan is processed within 1–2 business days at no charge.
Manufacturing
5–7 business days after plan approvalFull aligner series manufactured and shipped to your practice.
Express turnaround
2 business days after approvalAvailable 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.
