I would add to what Scanner Man has stated. One important aspect to have good overall accuracy is to have a very close integration of the scanner, CAD and CAM. Secondly, for scan adapters, the scan fitting within the CAD or withinn the scanner software is very important. Scan fitting is a feature which merges two kind of data for use in inspection, alignment etc. For implants the actual CAD (measured design) geometry of Scan bodies is aligned with the scanned Scanbodies, and collects information about the implant positions. These positions are converted into Workplanes (x,y,z planes)
It is always recommended that these locations be directly transfered to the CAM along with the CAD design. Creating STLs at every stage adds to the error, since STLs are created at a specific tolerance, usually 10 microns.