Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study

Abstract Background Practicing and assessment of selective caries removal techniques in dental students remain challenges in many dental schools. The aim of this study was to utilize a 3D assessment technique, within a designated acceptable range of deviation, to evaluate the tendency of dental stud...

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Main Authors: Worachate Romalee, Nattira Suksudaj, Patchayaporn Doungkom, Ding-Han Wang, Ming-Lun Hsu, Piyaphong Panpisut
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-024-05296-3
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author Worachate Romalee
Nattira Suksudaj
Patchayaporn Doungkom
Ding-Han Wang
Ming-Lun Hsu
Piyaphong Panpisut
author_facet Worachate Romalee
Nattira Suksudaj
Patchayaporn Doungkom
Ding-Han Wang
Ming-Lun Hsu
Piyaphong Panpisut
author_sort Worachate Romalee
collection DOAJ
description Abstract Background Practicing and assessment of selective caries removal techniques in dental students remain challenges in many dental schools. The aim of this study was to utilize a 3D assessment technique, within a designated acceptable range of deviation, to evaluate the tendency of dental students in performing selective caries removal (SCR). The correlation between 3D assessment results and the conventional rubric rated by an instructor was also determined. Methods Fifth-year dental students (n = 61) performed the SCR task on 3D-printed teeth containing simulated deep caries lesions in occlusal and proximal surfaces. One instructor assessed the results using a conventional analytic rubric. The excavated teeth were additionally evaluated using 3D analysis software with the designated acceptable range of deviations (± 0.5 mm) from the standard cavities. The average root mean square (RMS) value, representing the deviation between student-prepared cavities and the predefined standard cavities, was recorded. A tendency towards over-excavation was defined for RMS values > 0.5 mm, and towards under-excavation for RMS values < 0.5 mm. Results The mean (min-max) of RMS was 0.27 (0.18–0.40) for occlusal and 0.29 (0.20–0.57)for proximal cavities. A tendency of dental students toward over-excavation was observed in both occlusal (74%) and proximal cavities (87%). There was a moderate negative correlation between the RMS values and the traditional rubric scores for both occlusal (R2 = 0.148, P = 0.002) and proximal cavities (R2 = 0.107, P = 0.010). Conclusions The 3D evaluation technique effectively revealed specific tendencies in dental students’ caries removal skills. The integration of computerized assessments with traditional methods could potentially assist the instructors in delivering more objective and specific feedback to students. Further research is encouraged to investigate the impact of this assessment technique on improving student performance in selective caries removal skills.
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spelling doaj.art-ad2b5856b43443618df30dd014b8e1712024-03-17T12:29:28ZengBMCBMC Medical Education1472-69202024-03-012411710.1186/s12909-024-05296-3Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot studyWorachate Romalee0Nattira Suksudaj1Patchayaporn Doungkom2Ding-Han Wang3Ming-Lun Hsu4Piyaphong Panpisut5College of Dentistry, National Yang Ming Chiao Tung UniversityFaculty of Dentistry, Thammasat UniversityMechanical Metrology Department, National Institute of Metrology ThailandCollege of Dentistry, National Yang Ming Chiao Tung UniversityCollege of Dentistry, National Yang Ming Chiao Tung UniversityFaculty of Dentistry, Thammasat UniversityAbstract Background Practicing and assessment of selective caries removal techniques in dental students remain challenges in many dental schools. The aim of this study was to utilize a 3D assessment technique, within a designated acceptable range of deviation, to evaluate the tendency of dental students in performing selective caries removal (SCR). The correlation between 3D assessment results and the conventional rubric rated by an instructor was also determined. Methods Fifth-year dental students (n = 61) performed the SCR task on 3D-printed teeth containing simulated deep caries lesions in occlusal and proximal surfaces. One instructor assessed the results using a conventional analytic rubric. The excavated teeth were additionally evaluated using 3D analysis software with the designated acceptable range of deviations (± 0.5 mm) from the standard cavities. The average root mean square (RMS) value, representing the deviation between student-prepared cavities and the predefined standard cavities, was recorded. A tendency towards over-excavation was defined for RMS values > 0.5 mm, and towards under-excavation for RMS values < 0.5 mm. Results The mean (min-max) of RMS was 0.27 (0.18–0.40) for occlusal and 0.29 (0.20–0.57)for proximal cavities. A tendency of dental students toward over-excavation was observed in both occlusal (74%) and proximal cavities (87%). There was a moderate negative correlation between the RMS values and the traditional rubric scores for both occlusal (R2 = 0.148, P = 0.002) and proximal cavities (R2 = 0.107, P = 0.010). Conclusions The 3D evaluation technique effectively revealed specific tendencies in dental students’ caries removal skills. The integration of computerized assessments with traditional methods could potentially assist the instructors in delivering more objective and specific feedback to students. Further research is encouraged to investigate the impact of this assessment technique on improving student performance in selective caries removal skills.https://doi.org/10.1186/s12909-024-05296-3Dental cariesDental educationDental studentsOperative dentistrySelectiveCaries removal
spellingShingle Worachate Romalee
Nattira Suksudaj
Patchayaporn Doungkom
Ding-Han Wang
Ming-Lun Hsu
Piyaphong Panpisut
Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
BMC Medical Education
Dental caries
Dental education
Dental students
Operative dentistry
Selective
Caries removal
title Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
title_full Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
title_fullStr Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
title_full_unstemmed Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
title_short Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study
title_sort utilization of 3d evaluation for assessing selective caries removal practice in pre clinical dental students a pilot study
topic Dental caries
Dental education
Dental students
Operative dentistry
Selective
Caries removal
url https://doi.org/10.1186/s12909-024-05296-3
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