Effectiveness of digital visualization in teaching crown preparation to predoctoral dental students – A Pilot study
Main Article Content
Keywords
Dental, haptic simulation, tooth preparation, training
Abstract
Background: Virtual simulation via haptic feedback could be a good approach to get a lot of preclinical experience for dental students in a fast and efficient way. This study aimed to evaluate and compare the crown preparation by third year dental students via virtual reality and the same done in a conventional training environment on typodont teeth.
Materials and methods: 24 second-year dental students of the Saveetha Dental College and Hospitals, Chennai were enrolled and randomly defined. Group A (n=12) included crown preparations on Virteasy haptic simulator, and group B (n=12) included conventional crown preparation on typodont teeth (Nissin Dental Products, India). The students performed four crown preparations and each crown preparation was graded by the same teacher. Statistical analysis was done using independent t-test.
Result: The 1st tooth preparation of both the groups showed no statistical difference (p>.05), but all the subsequent tooth preparations of Group B were significantly better (p<.05) than those of Group A.
Conclusion: Haptic simulation is an effective tool in teaching crown preparation to pre doctoral dental students and can provide better training as compared to conventional crown preparation on typodont teeth.
References
1. Gorman PJ, Meier AH, Rawn C, Krummel TM. The future of medical education is no longer blood and guts, it is bits and bytes. Am J Surg. 2000 Nov;180(5):353–6.
2. Roberts KE. Evolution of surgical skills training [Internet]. Vol. # 12, World Journal of Gastroenterology. 2006. p. 3219. Available from: http://dx.doi.org/10.3748/wjg.v12.i20.3219
3. Kachhara S, Nallaswamy D, Ganapathy DM, Sivaswamy V, Rajaraman V. Assessment of intraoral scanning technology for multiple implant impressions - A systematic review and meta-analysis. J Indian Prosthodont Soc. 2020 Apr 7;20(2):141–52.
4. Kim L, Hwang Y, Park SH, Ha S. Dental Training System using Multi-modal Interface [Internet]. Vol. 2, Computer-Aided Design and Applications. 2005. p. 591–8. Available from: http://dx.doi.org/10.1080/16864360.2005.10738323
5. Yau HT, Tsou LS, Tsai MJ. Octree-based Virtual Dental Training System with a Haptic Device [Internet]. Vol. 3, Computer-Aided Design and Applications. 2006. p. 415–24. Available from: http://dx.doi.org/10.1080/16864360.2006.10738480
6. Aparna J, Maiti S, Jessy P. Polyether ether ketone - As an alternative biomaterial for Metal Richmond crown-3-dimensional finite element analysis. J Conserv Dent. 2021 Nov-Dec;24(6):553–7.
7. Towers A, Field J, Stokes C, Maddock S, Martin N. A scoping review of the use and application of virtual reality in pre-clinical dental education [Internet]. Vol. 226, British Dental Journal.2019. p. 358–66. Available from: http://dx.doi.org/10.1038/s41415-019-0041-0
8. Suebnukarn S, Hataidechadusadee R, Suwannasri N, Suprasert N, Rhienmora P, Haddawy P. Access cavity preparation training using haptic virtual reality and microcomputed tomography tooth models [Internet]. Vol. 44, International Endodontic Journal. 2011. p. 983–9. Available from: http://dx.doi.org/10.1111/j.1365-2591.2011.01899.x
9. Janani K, Teja KV, Ajitha P, Sandhya R. Evaluation of tissue inflammatory response of four intracanal medicament - An animal study. J Conserv Dent. 2020 Dec 4;23(3):216–20.
10. Perry S, Bridges SM, Burrow MF. A review of the use of simulation in dental education. Simul Healthc. 2015 Feb;10(1):31–7.
11. Senthilkumar V, Ramesh S. Systematic review on alternative methods for caries removal in permanent teeth. J Conserv Dent. 2020 Oct 10;23(1):2–9.
12. Joseph D, Jehl JP, Maureira P, Perrenot C, Miller N, Bravetti P, et al. Relative contribution of haptic technology to assessment and training in implantology. Biomed Res Int. 2014 Feb 20;2014:413951.
13. Kinoshita H, Nagahata M, Takano N, Takemoto S, Matsunaga S, Abe S, et al. Development of a Drilling Simulator for Dental Implant Surgery. J Dent Educ. 2016 Jan;80(1):83–90.
14. Venugopal A, Vaid N, Bowman SJ. The quagmire of collegiality vs competitiveness. Am J Orthod Dentofacial Orthop. 2021 May;159(5):553–5.
15. Pohlenz P, Gröbe A, Petersik A, von Sternberg N, Pflesser B, Pommert A, et al. Virtual dental surgery as a new educational tool in dental school. J Craniomaxillofac Surg. 2010 Dec;38(8):560–4.
16. Samuel SR, Kuduruthullah S, Khair AMB, Shayeb MA, Elkaseh A, Varma SR. Dental pain, parental SARS-CoV-2 fear and distress on quality of life of 2 to 6 year-old children during COVID-19. Int J Paediatr Dent. 2021 May;31(3):436–41.
17. Kikuchi H, Ikeda M, Araki K. Evaluation of a virtual reality simulation system for porcelain fused to metal crown preparation at Tokyo Medical and Dental University. J Dent Educ. 2013 Jun;77(6):782–92.
18. Jose J, Khandelwal A, Siddique R. Qualitative Assessment of the Surface Topographic Changes of XP-endo Shaper and TruNatomy files after exposure to Sodium Hypochlorite and
Ethylenediaminetetraacetic Acid. Eur Endod J. 2021 Aug;6(2):197–204.
19. Ramamurthy S, Thiagarajan K, Varghese S, Kumar R, Karthick BP, Varadarajan S, et al. Assessing the Antioxidant and Anti-inflammatory Activity of Crude Extract. J Contemp Dent Pract. 2022 Apr 1;23(4):437–42.
20. Nilsson TA, Hedman LR, Ahlqvist JB. A randomized trial of simulation-based versus conventional training of dental student skill at interpreting spatial information in radiographs. Simul Healthc. 2007 Autumn;2(3):164–9.
21. Ravikumar PAT, Dinesh SPS. Identifying cortical plate inclination as a parameter to re-assess transverse discrepancies in untreated adults with different vertical facial heights-A retrospective CBCT study. Orthod Craniofac Res. 2022 May;25(2):219–25.
22. Vincent M, Joseph D, Amory C, Paoli N, Ambrosini P, Mortier É, et al. Contribution of Haptic Simulation to Analogic Training Environment in Restorative Dentistry. J Dent Educ. 2020 Mar;84(3):367–76.
23. Piromchai P, Avery A, Laopaiboon M, Kennedy G, O’Leary S. Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat [Internet]. Cochrane Database of Systematic Reviews. 2012. Available from: http://dx.doi.org/10.1002/14651858.cd010198
24. Moorthy K, Munz Y, Adams S, Pandey V, Darzi A. A Human Factors Analysis of Technical and Team Skills Among Surgical Trainees During Procedural Simulations in a Simulated Operating Theatre [Internet]. Vol. 242, Annals of Surgery. 2005. p. 631–9. Available from: http://dx.doi.org/10.1097/01.sla.0000186298.79308.a8
25. Quinn F, Keogh P, McDonald A, Hussey D. A study comparing the effectiveness of conventional training and virtual reality simulation in the skills acquisition of junior dental students. Eur J Dent Educ. 2003 Nov;7(4):164–9.
26. Meijden OAJ van der, van der Meijden OAJ, Schijven MP. The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review [Internet]. Vol. 23, Surgical Endoscopy. 2009. p. 1180–90. Available from: http://dx.doi.org/10.1007/s00464-008-0298-x
27. Wierinck ER, Puttemans V, Swinnen SP, van Steenberghe D. Expert performance on a virtual reality simulation system. J Dent Educ. 2007 Jun;71(6):759–66.
28. Gallagher K, Stephenson J, Brown R, Holmes C, Ballester P. 14. Exploiting 3D Spatial Sampling in Inverse Modeling of Thermochronological Data [Internet]. Low-Temperature Thermochronology: 2005. p. 375–88. Available from: http://dx.doi.org/10.1515/9781501509575-016
29. Gallagher AG, Richie K, McClure N, McGuigan J. Objective psychomotor skills assessment of experienced, junior, and novice laparoscopists
with virtual reality. World J Surg. 2001 Nov;25(11):1478–83.
30. Gallagher AG, Lederman AB, McGlade K, Satava RM, Smith CD. Discriminative validity of the Minimally Invasive Surgical Trainer in Virtual Reality (MIST-VR) using criteria levels based on expert performance. Surg Endosc. 2004 Apr;18(4):660–5.
2. Roberts KE. Evolution of surgical skills training [Internet]. Vol. # 12, World Journal of Gastroenterology. 2006. p. 3219. Available from: http://dx.doi.org/10.3748/wjg.v12.i20.3219
3. Kachhara S, Nallaswamy D, Ganapathy DM, Sivaswamy V, Rajaraman V. Assessment of intraoral scanning technology for multiple implant impressions - A systematic review and meta-analysis. J Indian Prosthodont Soc. 2020 Apr 7;20(2):141–52.
4. Kim L, Hwang Y, Park SH, Ha S. Dental Training System using Multi-modal Interface [Internet]. Vol. 2, Computer-Aided Design and Applications. 2005. p. 591–8. Available from: http://dx.doi.org/10.1080/16864360.2005.10738323
5. Yau HT, Tsou LS, Tsai MJ. Octree-based Virtual Dental Training System with a Haptic Device [Internet]. Vol. 3, Computer-Aided Design and Applications. 2006. p. 415–24. Available from: http://dx.doi.org/10.1080/16864360.2006.10738480
6. Aparna J, Maiti S, Jessy P. Polyether ether ketone - As an alternative biomaterial for Metal Richmond crown-3-dimensional finite element analysis. J Conserv Dent. 2021 Nov-Dec;24(6):553–7.
7. Towers A, Field J, Stokes C, Maddock S, Martin N. A scoping review of the use and application of virtual reality in pre-clinical dental education [Internet]. Vol. 226, British Dental Journal.2019. p. 358–66. Available from: http://dx.doi.org/10.1038/s41415-019-0041-0
8. Suebnukarn S, Hataidechadusadee R, Suwannasri N, Suprasert N, Rhienmora P, Haddawy P. Access cavity preparation training using haptic virtual reality and microcomputed tomography tooth models [Internet]. Vol. 44, International Endodontic Journal. 2011. p. 983–9. Available from: http://dx.doi.org/10.1111/j.1365-2591.2011.01899.x
9. Janani K, Teja KV, Ajitha P, Sandhya R. Evaluation of tissue inflammatory response of four intracanal medicament - An animal study. J Conserv Dent. 2020 Dec 4;23(3):216–20.
10. Perry S, Bridges SM, Burrow MF. A review of the use of simulation in dental education. Simul Healthc. 2015 Feb;10(1):31–7.
11. Senthilkumar V, Ramesh S. Systematic review on alternative methods for caries removal in permanent teeth. J Conserv Dent. 2020 Oct 10;23(1):2–9.
12. Joseph D, Jehl JP, Maureira P, Perrenot C, Miller N, Bravetti P, et al. Relative contribution of haptic technology to assessment and training in implantology. Biomed Res Int. 2014 Feb 20;2014:413951.
13. Kinoshita H, Nagahata M, Takano N, Takemoto S, Matsunaga S, Abe S, et al. Development of a Drilling Simulator for Dental Implant Surgery. J Dent Educ. 2016 Jan;80(1):83–90.
14. Venugopal A, Vaid N, Bowman SJ. The quagmire of collegiality vs competitiveness. Am J Orthod Dentofacial Orthop. 2021 May;159(5):553–5.
15. Pohlenz P, Gröbe A, Petersik A, von Sternberg N, Pflesser B, Pommert A, et al. Virtual dental surgery as a new educational tool in dental school. J Craniomaxillofac Surg. 2010 Dec;38(8):560–4.
16. Samuel SR, Kuduruthullah S, Khair AMB, Shayeb MA, Elkaseh A, Varma SR. Dental pain, parental SARS-CoV-2 fear and distress on quality of life of 2 to 6 year-old children during COVID-19. Int J Paediatr Dent. 2021 May;31(3):436–41.
17. Kikuchi H, Ikeda M, Araki K. Evaluation of a virtual reality simulation system for porcelain fused to metal crown preparation at Tokyo Medical and Dental University. J Dent Educ. 2013 Jun;77(6):782–92.
18. Jose J, Khandelwal A, Siddique R. Qualitative Assessment of the Surface Topographic Changes of XP-endo Shaper and TruNatomy files after exposure to Sodium Hypochlorite and
Ethylenediaminetetraacetic Acid. Eur Endod J. 2021 Aug;6(2):197–204.
19. Ramamurthy S, Thiagarajan K, Varghese S, Kumar R, Karthick BP, Varadarajan S, et al. Assessing the Antioxidant and Anti-inflammatory Activity of Crude Extract. J Contemp Dent Pract. 2022 Apr 1;23(4):437–42.
20. Nilsson TA, Hedman LR, Ahlqvist JB. A randomized trial of simulation-based versus conventional training of dental student skill at interpreting spatial information in radiographs. Simul Healthc. 2007 Autumn;2(3):164–9.
21. Ravikumar PAT, Dinesh SPS. Identifying cortical plate inclination as a parameter to re-assess transverse discrepancies in untreated adults with different vertical facial heights-A retrospective CBCT study. Orthod Craniofac Res. 2022 May;25(2):219–25.
22. Vincent M, Joseph D, Amory C, Paoli N, Ambrosini P, Mortier É, et al. Contribution of Haptic Simulation to Analogic Training Environment in Restorative Dentistry. J Dent Educ. 2020 Mar;84(3):367–76.
23. Piromchai P, Avery A, Laopaiboon M, Kennedy G, O’Leary S. Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat [Internet]. Cochrane Database of Systematic Reviews. 2012. Available from: http://dx.doi.org/10.1002/14651858.cd010198
24. Moorthy K, Munz Y, Adams S, Pandey V, Darzi A. A Human Factors Analysis of Technical and Team Skills Among Surgical Trainees During Procedural Simulations in a Simulated Operating Theatre [Internet]. Vol. 242, Annals of Surgery. 2005. p. 631–9. Available from: http://dx.doi.org/10.1097/01.sla.0000186298.79308.a8
25. Quinn F, Keogh P, McDonald A, Hussey D. A study comparing the effectiveness of conventional training and virtual reality simulation in the skills acquisition of junior dental students. Eur J Dent Educ. 2003 Nov;7(4):164–9.
26. Meijden OAJ van der, van der Meijden OAJ, Schijven MP. The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review [Internet]. Vol. 23, Surgical Endoscopy. 2009. p. 1180–90. Available from: http://dx.doi.org/10.1007/s00464-008-0298-x
27. Wierinck ER, Puttemans V, Swinnen SP, van Steenberghe D. Expert performance on a virtual reality simulation system. J Dent Educ. 2007 Jun;71(6):759–66.
28. Gallagher K, Stephenson J, Brown R, Holmes C, Ballester P. 14. Exploiting 3D Spatial Sampling in Inverse Modeling of Thermochronological Data [Internet]. Low-Temperature Thermochronology: 2005. p. 375–88. Available from: http://dx.doi.org/10.1515/9781501509575-016
29. Gallagher AG, Richie K, McClure N, McGuigan J. Objective psychomotor skills assessment of experienced, junior, and novice laparoscopists
with virtual reality. World J Surg. 2001 Nov;25(11):1478–83.
30. Gallagher AG, Lederman AB, McGlade K, Satava RM, Smith CD. Discriminative validity of the Minimally Invasive Surgical Trainer in Virtual Reality (MIST-VR) using criteria levels based on expert performance. Surg Endosc. 2004 Apr;18(4):660–5.
Article Sidebar
Published
Jun 1, 2023
Article Details
How to Cite
Ojasvini Arora, Vinay Sivaswamy, Nabeel Ahmed, & Dhanraj Ganapathy. (2023). Effectiveness of digital visualization in teaching crown preparation to predoctoral dental students – A Pilot study. Journal of Population Therapeutics and Clinical Pharmacology, 30(12), 168–173. https://doi.org/10.47750/jptcp.2023.30.12.019
Section
Articles
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.