College of Dental Medicine, Roseman University of Health Sciences, South Jordan, Utah, 84095, USA.
Department of Medicine and Surgery, University Center of Dentistry, University of Parma, 43126, Parma, Italy.
BMC Oral Health. 2023 Oct 10;23(1):739. doi: 10.1186/s12903-023-03410-3.
Acquisition of psychomotor skills is of utmost importance for competent preclinical restorative dentistry. Recent advancements in haptic feedback technology have been incorporated into preclinical dental education to augment the conventional phantom head-based training.
This systematic review aims to assess the effectiveness of haptic feedback device, Simodont, in improving the skill development and learning outcomes of dental students during their preclinical training.
Electronic databases Web of Science, Scopus, PubMed were searched for relevant studies since inception up until March, 2023. Only English language studies that assessed the effectiveness of haptic feedback devices in preclinical dental education were included. We excluded studies that did not use Simodont as the haptic feedback device or did not involve preclinical restorative work. Study quality was assessed using the revised Cochrane risk of bias tool and ROBINS-I. The primary goal of the study is to evaluate the efficacy of Simodont as a complementary training modality for dentistry students.
Results from 9 high-quality studies were analyzed and synthesized to evaluate the overall impact of haptic feedback devices on various aspects of preclinical training. The studies were conducted on 826 undergraduate dental students enrolled in various years of their training across dental colleges and universities in different parts of the world. A majority of studies showed some concerns regarding risk of bias. Haptic feedback devices added a new layer to Virtual Reality (VR) through the perception of touch and force feedback. It assisted junior dental students improve their psychomotor skills and movement skills. Instantaneous feedback on the students' performance helped enhance their self-assessment and correction, and also eliminated the subjectivity of evaluation. Data derived from virtual simulators helped stratify dental students and predict their clinical performance, providing an opportunity to tailor the learning process to meet individual diversity in students' expertise.
Based on the limited evidence available, Simodont was effective in preclinical training of dental students, offering advantages such as unlimited reproducibility, objective evaluation of preparation by computer assessment, and cost reduction. And further studies are warranted to explore the incorporation of patient's oral environment simulation for better skill training.
获得运动技能对于胜任临床前修复牙科至关重要。最近，触觉反馈技术的进步已被纳入临床前牙科教育，以增强基于传统幻影头的培训。
本系统评价旨在评估触觉反馈设备 Simodont 在提高牙科学生临床前培训期间技能发展和学习成果方面的有效性。
从成立到 2023 年 3 月，在 Web of Science、Scopus 和 PubMed 电子数据库中搜索相关研究。仅纳入评估临床前牙科教育中触觉反馈设备有效性的英语语言研究。我们排除了未使用 Simodont 作为触觉反馈设备或不涉及临床前修复工作的研究。使用修订后的 Cochrane 偏倚风险工具和 ROBINS-I 评估研究质量。本研究的主要目的是评估 Simodont 作为牙科学生补充培训模式的疗效。
对 9 项高质量研究的结果进行了分析和综合，以评估触觉反馈设备对临床前培训各个方面的总体影响。这些研究在世界不同地区的牙科学院和大学进行，涉及 826 名本科牙科学生，他们在不同的培训年级。大多数研究都对偏倚风险表示了一些担忧。触觉反馈设备通过感知触觉和力反馈为虚拟现实 (VR) 增添了新的层面。它帮助初级牙科学生提高运动技能和动作技能。学生表现的即时反馈有助于增强他们的自我评估和纠正，并且消除了评估的主观性。从虚拟模拟器中获得的数据有助于对牙科学生进行分层，并预测他们的临床表现，从而有机会根据学生专业知识的个体差异来调整学习过程。
基于现有有限的证据，Simodont 对牙科学生的临床前培训有效，提供了无限可重复性、计算机评估对预备的客观评估以及降低成本等优势。需要进一步研究来探索纳入患者口腔环境模拟以进行更好的技能培训。
