Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study

Abstract Background Evidence on the effect of magnification devices on procedure quality in restorative dentistry is scant. This study therefore aimed to assess, under simulated clinical conditions, if magnification loupes affect the quality of preparations carried out by undergraduate dental studen...

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Main Authors: Florin Eggmann, Delia R. Irani, Patrizia A. Fehlbaum, Klaus W. Neuhaus
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02232-z
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author Florin Eggmann
Delia R. Irani
Patrizia A. Fehlbaum
Klaus W. Neuhaus
author_facet Florin Eggmann
Delia R. Irani
Patrizia A. Fehlbaum
Klaus W. Neuhaus
author_sort Florin Eggmann
collection DOAJ
description Abstract Background Evidence on the effect of magnification devices on procedure quality in restorative dentistry is scant. This study therefore aimed to assess, under simulated clinical conditions, if magnification loupes affect the quality of preparations carried out by undergraduate dental students. Methods 59 undergraduate dental students underwent two visual acuity tests, based on which they were divided into a “low visual acuity group” (visus < 1) and a “good visual acuity group” (visus ≥ 1). In a randomized crossover experiment, participants performed a two-dimensional S and a three-dimensional O figure preparation with a dental handpiece on standardized acrylic blocs designed for preclinical restorative training. Each participant carried out the preparation tasks twice, once with magnification loupes (2.5×) and once without. Two blinded investigators independently evaluated parameters of preparation precision. Data were analyzed using Spearman rank correlation coefficients, intra-class correlation coefficients, and Wilcoxon rank-sum tests (α = 0.05). Results Participants from the “low visual acuity group” did not show a statistically significant improvement in accuracy when they used magnification loupes for the S figure preparation (p ≥ 0.0625). Participants from the “high visual acuity group” obtained a higher level of accuracy (p ≤ 0.0012) when they used magnification loupes for the S figure preparation. The use of magnification loupes had no statistically significant effect on the accuracy parameters of the O figure cavity preparations (p ≥ 0.1865). Participants with high visual acuity achieved only a marginally better accuracy than participants with a visus < 1. Conclusions This study suggests that loupes with 2.5× magnification increase the accuracy of two-dimensional preparations while they have no significant effect, favorable or otherwise, on the accuracy of complex, three-dimensional cavity preparations of untrained dental students.
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spelling doaj.art-c41cc06fa47045a3ac84b79de57d1b8e2022-12-22T03:25:52ZengBMCBMC Oral Health1472-68312022-05-012211810.1186/s12903-022-02232-zDo magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover studyFlorin Eggmann0Delia R. Irani1Patrizia A. Fehlbaum2Klaus W. Neuhaus3Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of BaselDepartment of Preventive, Restorative and Pediatric Dentistry, University of BernDepartment of Preventive, Restorative and Pediatric Dentistry, University of BernDepartment of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of BaselAbstract Background Evidence on the effect of magnification devices on procedure quality in restorative dentistry is scant. This study therefore aimed to assess, under simulated clinical conditions, if magnification loupes affect the quality of preparations carried out by undergraduate dental students. Methods 59 undergraduate dental students underwent two visual acuity tests, based on which they were divided into a “low visual acuity group” (visus < 1) and a “good visual acuity group” (visus ≥ 1). In a randomized crossover experiment, participants performed a two-dimensional S and a three-dimensional O figure preparation with a dental handpiece on standardized acrylic blocs designed for preclinical restorative training. Each participant carried out the preparation tasks twice, once with magnification loupes (2.5×) and once without. Two blinded investigators independently evaluated parameters of preparation precision. Data were analyzed using Spearman rank correlation coefficients, intra-class correlation coefficients, and Wilcoxon rank-sum tests (α = 0.05). Results Participants from the “low visual acuity group” did not show a statistically significant improvement in accuracy when they used magnification loupes for the S figure preparation (p ≥ 0.0625). Participants from the “high visual acuity group” obtained a higher level of accuracy (p ≤ 0.0012) when they used magnification loupes for the S figure preparation. The use of magnification loupes had no statistically significant effect on the accuracy parameters of the O figure cavity preparations (p ≥ 0.1865). Participants with high visual acuity achieved only a marginally better accuracy than participants with a visus < 1. Conclusions This study suggests that loupes with 2.5× magnification increase the accuracy of two-dimensional preparations while they have no significant effect, favorable or otherwise, on the accuracy of complex, three-dimensional cavity preparations of untrained dental students.https://doi.org/10.1186/s12903-022-02232-zVisual acuityMagnification deviceDental educationUndergraduate trainingRestorative dentistry
spellingShingle Florin Eggmann
Delia R. Irani
Patrizia A. Fehlbaum
Klaus W. Neuhaus
Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
BMC Oral Health
Visual acuity
Magnification device
Dental education
Undergraduate training
Restorative dentistry
title Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
title_full Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
title_fullStr Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
title_full_unstemmed Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
title_short Do magnification loupes affect the precision of cavity preparations made by undergraduates? A randomized crossover study
title_sort do magnification loupes affect the precision of cavity preparations made by undergraduates a randomized crossover study
topic Visual acuity
Magnification device
Dental education
Undergraduate training
Restorative dentistry
url https://doi.org/10.1186/s12903-022-02232-z
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