MedPCFM-TED: One-Step Point Cloud Flow Matching for Implant Generation via Teacher-Guided Endpoint Distillation

Cranial implant generation is an important task in medical imaging. Recent point cloud based generative methods, particularly flow matching, offer strong reconstruction quality and efficient sampling, but still require multiple neural function evaluations during inference. This limits rapid generation of multiple plausible implant candidates. We propose Teacher-guided Endpoint Distillation (TED), a simple one-step distillation framework for conditional cranial implant generation on point clouds. TED trains a one-step student using teacher-guided endpoint supervision and geometric matching losses, while avoiding explicit path straightening. We evaluate TED on the SkullFix and SkullBreak benchmarks. TED achieves the best overall performance on the SkullBreak dataset, remains competitive on SkullFix, and provides the strongest Chamfer distance performance among the compared one-step methods. In addition, TED generates implants in approximately 0.04s per sample. These results show that one-step distillation can substantially accelerate conditional point cloud implant generation without sacrificing reconstruction quality.