Dental3R: Geometry-Aware Pairing for Intraoral 3D Reconstruction from Sparse-View Photographs

Intraoral 3D reconstruction is fundamental to digital orthodontics, yet conventional methods like intraoral scanning are inaccessible for remote tele-orthodontics, which typically relies on sparse smartphone imagery. While 3D Gaussian Splatting (3DGS) shows promise for novel view synthesis, its application to the standard clinical triad of unposed anterior and bilateral buccal photographs is challenging. The large view baselines, inconsistent illumination, and specular surfaces common in intraoral settings can destabilize simultaneous pose and geometry estimation. Furthermore, sparse-view photometric supervision often induces a frequency bias, leading to over-smoothed reconstructions that lose critical diagnostic details. To address these limitations, we propose \textbf{Dental3R}, a pose-free, graph-guided pipeline for robust, high-fidelity reconstruction from sparse intraoral photographs. Our method first constructs a Geometry-Aware Pairing Strategy (GAPS) to intelligently select a compact subgraph of high-value image pairs. The GAPS focuses on correspondence matching, thereby improving the stability of the geometry initialization and reducing memory usage. Building on the recovered poses and point cloud, we train the 3DGS model with a wavelet-regularized objective. By enforcing band-limited fidelity using a discrete wavelet transform, our approach preserves fine enamel boundaries and interproximal edges while suppressing high-frequency artifacts. We validate our approach on a large-scale dataset of 950 clinical cases and an additional video-based test set of 195 cases. Experimental results demonstrate that Dental3R effectively handles sparse, unposed inputs and achieves superior novel view synthesis quality for dental occlusion visualization, outperforming state-of-the-art methods.

Silhouette-to-Contour Registration: Aligning Intraoral Scan Models with Cephalometric Radiographs

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.

ArchMap: Arch-Flattening and Knowledge-Guided Vision Language Model for Tooth Counting and Structured Dental Understanding

A structured understanding of intraoral 3D scans is essential for digital orthodontics. However, existing deep-learning approaches rely heavily on modality-specific training, large annotated datasets, and controlled scanning conditions, which limit generalization across devices and hinder deployment in real clinical workflows. Moreover, raw intraoral meshes exhibit substantial variation in arch pose, incomplete geometry caused by occlusion or tooth contact, and a lack of texture cues, making unified semantic interpretation highly challenging. To address these limitations, we propose ArchMap, a training-free and knowledge-guided framework for robust structured dental understanding. ArchMap first introduces a geometry-aware arch-flattening module that standardizes raw 3D meshes into spatially aligned, continuity-preserving multi-view projections. We then construct a Dental Knowledge Base (DKB) encoding hierarchical tooth ontology, dentition-stage policies, and clinical semantics to constrain the symbolic reasoning space. We validate ArchMap on 1060 pre-/post-orthodontic cases, demonstrating robust performance in tooth counting, anatomical partitioning, dentition-stage classification, and the identification of clinical conditions such as crowding, missing teeth, prosthetics, and caries. Compared with supervised pipelines and prompted VLM baselines, ArchMap achieves higher accuracy, reduced semantic drift, and superior stability under sparse or artifact-prone conditions. As a fully training-free system, ArchMap demonstrates that combining geometric normalization with ontology-guided multimodal reasoning offers a practical and scalable solution for the structured analysis of 3D intraoral scans in modern digital orthodontics.

EndoWave: Rational-Wavelet 4D Gaussian Splatting for Endoscopic Reconstruction

In robot-assisted minimally invasive surgery, accurate 3D reconstruction from endoscopic video is vital for downstream tasks and improved outcomes. However, endoscopic scenarios present unique challenges, including photometric inconsistencies, non-rigid tissue motion, and view-dependent highlights. Most 3DGS-based methods that rely solely on appearance constraints for optimizing 3DGS are often insufficient in this context, as these dynamic visual artifacts can mislead the optimization process and lead to inaccurate reconstructions. To address these limitations, we present EndoWave, a unified spatio-temporal Gaussian Splatting framework by incorporating an optical flow-based geometric constraint and a multi-resolution rational wavelet supervision. First, we adopt a unified spatio-temporal Gaussian representation that directly optimizes primitives in a 4D domain. Second, we propose a geometric constraint derived from optical flow to enhance temporal coherence and effectively constrain the 3D structure of the scene. Third, we propose a multi-resolution rational orthogonal wavelet as a constraint, which can effectively separate the details of the endoscope and enhance the rendering performance. Extensive evaluations on two real surgical datasets, EndoNeRF and StereoMIS, demonstrate that our method EndoWave achieves state-of-the-art reconstruction quality and visual accuracy compared to the baseline method.

EndoFlow-SLAM: Real-Time Endoscopic SLAM with Flow-Constrained Gaussian Splatting

Efficient three-dimensional reconstruction and real-time visualization are critical in surgical scenarios such as endoscopy. In recent years, 3D Gaussian Splatting (3DGS) has demonstrated remarkable performance in efficient 3D reconstruction and rendering. Most 3DGS-based Simultaneous Localization and Mapping (SLAM) methods only rely on the appearance constraints for optimizing both 3DGS and camera poses. However, in endoscopic scenarios, the challenges include photometric inconsistencies caused by non-Lambertian surfaces and dynamic motion from breathing affects the performance of SLAM systems. To address these issues, we additionally introduce optical flow loss as a geometric constraint, which effectively constrains both the 3D structure of the scene and the camera motion. Furthermore, we propose a depth regularisation strategy to mitigate the problem of photometric inconsistencies and ensure the validity of 3DGS depth rendering in endoscopic scenes. In addition, to improve scene representation in the SLAM system, we improve the 3DGS refinement strategy by focusing on viewpoints corresponding to Keyframes with suboptimal rendering quality frames, achieving better rendering results. Extensive experiments on the C3VD static dataset and the StereoMIS dynamic dataset demonstrate that our method outperforms existing state-of-the-art methods in novel view synthesis and pose estimation, exhibiting high performance in both static and dynamic surgical scenes. The source code will be publicly available upon paper acceptance.

ProMISe: Promptable Medical Image Segmentation using SAM

With the proposal of the Segment Anything Model (SAM), fine-tuning SAM for medical image segmentation (MIS) has become popular. However, due to the large size of the SAM model and the significant domain gap between natural and medical images, fine-tuning-based strategies are costly with potential risk of instability, feature damage and catastrophic forgetting. Furthermore, some methods of transferring SAM to a domain-specific MIS through fine-tuning strategies disable the model's prompting capability, severely limiting its utilization scenarios. In this paper, we propose an Auto-Prompting Module (APM), which provides SAM-based foundation model with Euclidean adaptive prompts in the target domain. Our experiments demonstrate that such adaptive prompts significantly improve SAM's non-fine-tuned performance in MIS. In addition, we propose a novel non-invasive method called Incremental Pattern Shifting (IPS) to adapt SAM to specific medical domains. Experimental results show that the IPS enables SAM to achieve state-of-the-art or competitive performance in MIS without the need for fine-tuning. By coupling these two methods, we propose ProMISe, an end-to-end non-fine-tuned framework for Promptable Medical Image Segmentation. Our experiments demonstrate that both using our methods individually or in combination achieves satisfactory performance in low-cost pattern shifting, with all of SAM's parameters frozen.