Department of Prosthodontics, College of Dentistry, Universidad de Los Andes, Santiago, Chile.
Restorative Dentistry Department, Faculty of Dentistry, University of Chile, Santiago, Chile.
Eur J Dent Educ. 2021 Nov;25(4):856-863. doi: 10.1111/eje.12665. Epub 2021 Feb 3.
Digital workflow is currently available for different fields of dentistry. Additionally, to clinical use, digital technology is focused on the education and training of students. The objective of this study was to show the potential benefit of the use of digital CAD / CAM technology and assisted training software in the evaluation and improvement of student skills in preclinical and clinical environments.
30 models of dental preparations were digitalised and analysed by PrepCheck software, after that was used the PrepCheck Report tool, gathering the results of the analysis in an automatically created report and containing the following parameters: analysis of the conicity, distance between a preparation and the opposing jaw, analysis of the type of preparation, quality of the margin and total occlusal convergence.
The use of the PrepCheck Pro 2.1 software makes evident the errors made by the students during the biomechanical preparation, since they generally change the inclination, in order to have less difficulties to comply with the parameters established in the preparations. Regarding the evaluated parameters for anterior and posterior fixed prosthesis) such as: 'Conicity', 'Type of preparation' and 'Distance to the antagonist', the preparations, in their majority, were classified within the tolerance range with of 50-60%, 80-93% and 53-67%, respectively.
This pilot study demonstrated the benefits of using software and CAD/CAM technology in both preclinical and clinical environments for teaching and learning. Its use on preclinical environments allows the student observe qualitatively and quantitatively a preparation flaws when compared to a master's preparation. Lastly, the ease of visualising errors associated with magnification would allow students to improve their skills.
数字工作流程目前可用于不同的牙科领域。此外,数字技术除了应用于临床,还专注于学生的教育和培训。本研究的目的是展示使用数字 CAD/CAM 技术和辅助培训软件在临床前和临床环境中评估和提高学生技能的潜在益处。
对 30 个牙预备模型进行数字化处理,并使用 PrepCheck 软件进行分析,然后使用 PrepCheck Report 工具,将分析结果汇总到自动创建的报告中,并包含以下参数:分析锥度、预备体与对颌牙之间的距离、预备体类型分析、边缘质量和总咬合收敛。
使用 PrepCheck Pro 2.1 软件可以明显看出学生在生物力学预备过程中犯的错误,因为他们通常会改变倾斜度,以便在预备时减少遵守既定参数的难度。对于评估的前牙和后牙固定修复体参数,如“锥度”、“预备类型”和“与对颌牙的距离”,大多数预备体的分类在 50-60%、80-93%和 53-67%的容差范围内。
这项初步研究表明,在临床前和临床环境中使用软件和 CAD/CAM 技术进行教学具有优势。在临床前环境中使用它可以让学生在与大师预备体进行定性和定量比较时观察到预备体的缺陷。最后,放大相关误差的可视化将使学生能够提高他们的技能。