CrownGen: Patient-customized Crown Generation via Point Diffusion Model

Abstract: Digital crown design remains a labor-intensive bottleneck in restorative dentistry. We present \textbf{CrownGen}, a generative framework that automates patient-customized crown design using a denoising diffusion model on a novel tooth-level point cloud representation. The system employs two core components: a boundary prediction module to establish spatial priors and a diffusion-based generative module to synthesize high-fidelity morphology for multiple teeth in a single inference pass. We validated CrownGen through a quantitative benchmark on 496 external scans and a clinical study of 26 restoration cases. Results demonstrate that CrownGen surpasses state-of-the-art models in geometric fidelity and significantly reduces active design time. Clinical assessments by trained dentists confirmed that CrownGen-assisted crowns are statistically non-inferior in quality to those produced by expert technicians using manual workflows. By automating complex prosthetic modeling, CrownGen offers a scalable solution to lower costs, shorten turnaround times, and enhance patient access to high-quality dental care.