Desai Khushi A, Pandya Khyati G, Arora Ankit, Kapoor Sonali, Bhadang Harshil R
Department of Conservative Dentistry and Endodontics, Manubhai Patel Dental College and Hospital, Vadodara, IND.
Cureus. 2025 Jun 17;17(6):e86201. doi: 10.7759/cureus.86201. eCollection 2025 Jun.
Introduction Psychomotor skill development forms the cornerstone of competency in procedure-oriented professions, and dentistry is no exception. The dental practice is a complex interplay of neuroplastic abilities encompassing fine motor control, dexterity, visuospatial awareness, precise visuomotor coordination, finger dexterity, hand-arm steadiness, and multi-limb coordination for executing intricate procedures. Neuroplasticity is neuronal plasticity of the brain that occurs during learning motor skills. Hence, optimizing training methods becomes paramount. This study explores the potential of neurosculpting exercises (NSE) to enhance dental education by specifically targeting fine motor skills, dexterity, and neuromuscular coordination. The study aimed to evaluate the effects of the difference in class one cavity preparation design on typodont teeth done by undergraduate students after NSE. Method The study included all 40 students in the second-year Bachelor of Dental Surgery (BDS) undergraduate program. The students were randomly assigned to two groups (even and odd) of 20 each. In Group 1-experimental group (N = 20, 50%), students got regular pre-clinical practical training at the dental school and NSE for 15 minutes three times a day for two months. In Group 2-control group (N = 20, 50%), students received regular pre-clinical practical training at the dental school without NSE for two months. The class one cavity preparations of both groups were assessed and scored before and after intervention based on their outline form, depth, undercuts, and pulpal floor orientation parameters. The statistical analysis was done with the appropriate non-parametric tests: the Mann-Whitney U test for intergroup comparisons and the Wilcoxon signed-rank test for intragroup comparisons. Results The intergroup comparison of scores before the intervention between the control (N = 20, 50%) and experimental (N = 20, 50%) groups was negligible. The p-values were consistently above 0.05 (a p-value < 0.05 is significant), showing that both groups were comparable at baseline. At the end of eight weeks, both groups showed changes. However, the experimental group's scores increased drastically when compared to the control group across all measures of the mean. The intragroup comparisons after intervention between the scores were statistically significant, as evidenced by p-values of 0.05 or less, highlighting the distinction in performance by the experimental group. This demonstrates a significant impact of the NSE intervention on the experimental group. The outline variable in the intragroup comparison of the experimental group improved from a mean of 5.36 (standard deviation (SD) = 1.07) before intervention to 6.22 (SD = 1.06) after intervention. Furthermore, the undercut scores improved from a mean of 5.14 (SD = 1.35) before the intervention to 6.67 (SD = 1.01) after the intervention. Conclusion NSE improved fine motor skills, leading to better results in complex tasks requiring precision. The p-values of significant variations suggestively explained the pivotal role of NSE in enhancing psychomotor skills. As the study proved positive, the NSE can be included in the curriculum, thereby evolving dental education.
引言
心理运动技能发展是面向程序的职业能力的基石,牙科也不例外。牙科实践是神经可塑性能力的复杂相互作用,包括精细运动控制、灵活性、视觉空间意识、精确的视觉运动协调、手指灵活性、手臂稳定性以及执行复杂程序所需的多肢体协调。神经可塑性是大脑在学习运动技能过程中发生的神经元可塑性。因此,优化训练方法至关重要。本研究探讨神经塑形练习(NSE)通过专门针对精细运动技能、灵活性和神经肌肉协调来增强牙科教育的潜力。该研究旨在评估本科学生在进行NSE后,一类洞制备设计差异对模型牙的影响。
方法
该研究纳入了牙科外科学士(BDS)本科二年级课程的所有40名学生。学生被随机分为两组(偶数组和奇数组),每组各20名。在第1组——实验组(N = 20,50%)中,学生在牙科学院接受常规临床前实践培训,并每天进行3次15分钟的NSE,持续两个月。在第2组——对照组(N = 20,50%)中,学生在牙科学院接受常规临床前实践培训,不进行NSE,为期两个月。基于外形、深度、倒凹和髓室底方向参数,在干预前后对两组的一类洞制备进行评估和评分。使用适当的非参数检验进行统计分析:组间比较采用曼-惠特尼U检验,组内比较采用威尔科克森符号秩检验。
结果
干预前,对照组(N = 20,50%)和实验组(N = 20,50%)之间的组间分数比较可忽略不计。p值始终高于0.05(p值<0.05具有统计学意义),表明两组在基线时具有可比性。在八周结束时,两组均有变化。然而,与对照组相比,实验组在所有均值测量指标上的分数均大幅提高。干预后组内分数比较具有统计学意义,p值为0.05或更低,突出了实验组在表现上的差异。这表明NSE干预对实验组有显著影响。实验组组内比较中的外形变量从干预前的平均5.36(标准差(SD)= 1.07)提高到干预后的6.22(SD = 1.06)。此外,倒凹分数从干预前的平均5.14(SD = 1.35)提高到干预后的6.67(SD = 1.01)。
结论
NSE提高了精细运动技能,在需要精确性的复杂任务中取得了更好的结果。显著差异的p值暗示性地解释了NSE在增强心理运动技能中的关键作用。由于该研究结果呈阳性,NSE可纳入课程,从而推动牙科教育的发展。