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

Abstract

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.