Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study
Background/Purpose: The increasing importance of computer assisted implant surgery (CAIS) in the practice of implant dentistry calls for adequate education and training of clinicians. However, limited evidence exists to support optimal educational strategies and best practices. This study aimed to i...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Dental Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1991790224002381 |
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| author | Hatsapon Teparrukkul Pravej Serichetaphongse Wareerat Chengprapakorn Sirida Arunjaroensuk Nikos Mattheos Atiphan Pimkhaokham |
| author_facet | Hatsapon Teparrukkul Pravej Serichetaphongse Wareerat Chengprapakorn Sirida Arunjaroensuk Nikos Mattheos Atiphan Pimkhaokham |
| author_sort | Hatsapon Teparrukkul |
| collection | DOAJ |
| description | Background/Purpose: The increasing importance of computer assisted implant surgery (CAIS) in the practice of implant dentistry calls for adequate education and training of clinicians. However, limited evidence exists to support optimal educational strategies and best practices. This study aimed to investigate the effectiveness of distributed training with dynamic CAIS (d-CAIS) on the precision of freehand implant placement by inexperienced operators. Materials and methods: Six senior undergraduate dental students underwent simulation training in freehand implant surgery (5 implants) followed by distributed training in d-CAIS (6 implants). A final assessment of freehand implant placement (5 implants) was conducted thereafter. Outcomes were compared to a benchmark set by an experienced surgeon who repeated the same simulation exercises. Total surgical time and implant placement precision were recorded. Results: The average precision of implant placement improved significantly after the d-CAIS training for novice operators. 3D platform deviation (1.63 ± 0.85 vs 0.92 ± 0.23; P < 0.001), 3D apical deviation (1.93 ± 0.88 vs 1.21 ± 0.19; P < 0.001), and angular deviation (5.27 ± 2.30 vs 2.74 ± 1.37; P < 0.001). The students achieved platform deviation comparable to this of the expert, but lagged in angle, apex precision, and total surgical time. Conclusion: Short-term, distributed simulation training with d-CAIS can significantly enhance the precision of freehand implant placement by novice operators. However, novice operators still lagged at certain aspects of precision and surgical time when compared with the performance of an experienced surgeon in the same setup. |
| format | Article |
| id | doaj-art-45d69a9083c74655b4d7314d97c9479a |
| institution | Kabale University |
| issn | 1991-7902 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Dental Sciences |
| spelling | doaj-art-45d69a9083c74655b4d7314d97c9479a2024-12-18T08:48:01ZengElsevierJournal of Dental Sciences1991-79022024-12-0119S122S127Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative studyHatsapon Teparrukkul0Pravej Serichetaphongse1Wareerat Chengprapakorn2Sirida Arunjaroensuk3Nikos Mattheos4Atiphan Pimkhaokham5Department of Esthetic Restorative and Implant Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandFaculty of Dentistry, Siam University, Bangkok, Thailand; Dental Center, Bumrungrad International Hospital, Bangkok, ThailandDepartment of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandOral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandOral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandOral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Corresponding author. Oral and Maxillofacial surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, 34, Henri Dunant Road, Wangmai, Patumwan, Bangkok, 10330, Thailand.Background/Purpose: The increasing importance of computer assisted implant surgery (CAIS) in the practice of implant dentistry calls for adequate education and training of clinicians. However, limited evidence exists to support optimal educational strategies and best practices. This study aimed to investigate the effectiveness of distributed training with dynamic CAIS (d-CAIS) on the precision of freehand implant placement by inexperienced operators. Materials and methods: Six senior undergraduate dental students underwent simulation training in freehand implant surgery (5 implants) followed by distributed training in d-CAIS (6 implants). A final assessment of freehand implant placement (5 implants) was conducted thereafter. Outcomes were compared to a benchmark set by an experienced surgeon who repeated the same simulation exercises. Total surgical time and implant placement precision were recorded. Results: The average precision of implant placement improved significantly after the d-CAIS training for novice operators. 3D platform deviation (1.63 ± 0.85 vs 0.92 ± 0.23; P < 0.001), 3D apical deviation (1.93 ± 0.88 vs 1.21 ± 0.19; P < 0.001), and angular deviation (5.27 ± 2.30 vs 2.74 ± 1.37; P < 0.001). The students achieved platform deviation comparable to this of the expert, but lagged in angle, apex precision, and total surgical time. Conclusion: Short-term, distributed simulation training with d-CAIS can significantly enhance the precision of freehand implant placement by novice operators. However, novice operators still lagged at certain aspects of precision and surgical time when compared with the performance of an experienced surgeon in the same setup.http://www.sciencedirect.com/science/article/pii/S1991790224002381Dynamic computer assisted implant surgery (d-CAIS)Distributed trainingFreehand implant placementImplant dentistry |
| spellingShingle | Hatsapon Teparrukkul Pravej Serichetaphongse Wareerat Chengprapakorn Sirida Arunjaroensuk Nikos Mattheos Atiphan Pimkhaokham Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study Journal of Dental Sciences Dynamic computer assisted implant surgery (d-CAIS) Distributed training Freehand implant placement Implant dentistry |
| title | Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study |
| title_full | Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study |
| title_fullStr | Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study |
| title_full_unstemmed | Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study |
| title_short | Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study |
| title_sort | training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery a prospective comparative study |
| topic | Dynamic computer assisted implant surgery (d-CAIS) Distributed training Freehand implant placement Implant dentistry |
| url | http://www.sciencedirect.com/science/article/pii/S1991790224002381 |
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