Evidence map›Paper›PMID 40207994›Full record

Trial reportInternational endodontic journal2026

A comparison of traditional and virtual reality haptic simulator approaches in preclinical endodontic training: Impacts on skill acquisition, confidence and stress.

Sıla Nur Usta, Emmanuel João Nogueira Leal Silva, Cangül Keskin, Hilal Tekkanat, Mikko Liukkonen, Szabolcs Felszeghy

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International endodontic journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07097233 (The Impact of Virtual Reality Haptic Simulators and Mobile Apps on Manual Competence, Stress Levels, and Self-confidence of Dental Students in Endodontic Clinical Practice), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07097233 nanot yet recruitingnot on this map

The Impact of Virtual Reality Haptic Simulators and Mobile Apps on Manual Competence, Stress Levels, and Self-confidence of Dental Students in Endodontic Clinical Practice: A Randomized Clinical Trial

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2025 to 2025Enrolled30ConditionsManual Dexterity, Self-Confidence, Stress LevelArmsVirtual Reality Haptic Simulator, Mobile app, Control
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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  4. Beyond the Drill: Can Digital Gadgets Redefine the Future of Dental Education?European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sıla Nur UstaDepartment of Endodontics, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey.ORCID https://orcid.org/0000-0001-9513-0841
Emmanuel João Nogueira Leal SilvaDepartment of Endodontics, School of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-6445-8243
Cangül KeskinDepartment of Endodontics, Faculty of Dentistry, University of Ondokuz Mayıs, Samsun, Turkey.ORCID https://orcid.org/0000-0001-8990-4847
Hilal TekkanatDepartment of Endodontics, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey.
Mikko LiukkonenInstitute of Clinical Medicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-4259-4041
Szabolcs FelszeghyInstitute of Dentistry, School of Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0003-2656-3939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to evaluate the influence of virtual reality (VR) haptic simulators on manual dexterity, self-confidence and stress levels of 3rd-semester dental students during preclinical endodontic training, as well as to determine the optimal timing for their introduction into the curriculum-before or after training with artificial teeth. METHODOLOGY: Forty volunteered dental students enrolled in preclinical endodontic training were randomly divided into two groups. Group 1 (VR Haptic Simulator group, n = 20) completed four sessions with VR haptic simulators, including three training sessions followed by an evaluation session, before practicing on artificial teeth, whilst Group 2 (Control group, n = 20) performed a single attempt on artificial teeth first followed by the identical VR haptic simulator training period as Group 1. Prior to the training sessions, both groups received standardized lectures and demonstrations on access cavity preparation. Pre- and post-training evaluations included stress levels measured via a visual analog scale (VAS) at different phases, assessment of manual dexterity through preclinical training with artificial teeth performance scores, and self-confidence surveys. Statistical analyses were conducted with significance set at p < .05.

resultsGroup 1 demonstrated significantly higher manual dexterity scores and self-assessed proficiency compared to Group 2 (p < .05). Stress levels, measured via VAS, were notably reduced following simulator practice in both groups, with Group 1 reporting lower anxiety levels during preclinical training with artificial teeth sessions (p < .05). Simulator-based performance metrics were comparable between the groups (p > .05). Self-confidence surveys indicated that Group 1 felt better prepared and more confident in performing access cavity preparations and managing procedural challenges.

conclusionThe integration of VR haptic simulators before preclinical training with artificial teeth has a positive effect on students' manual dexterity along with reduced stress and increased self-confidence in clinical skills. Further research is needed to explore long-term effects and optimal integration strategies for VR simulators in dental curricula.

Indexed as

Clinical CompetenceEducation, DentalEndodonticsSimulation TrainingStress, PsychologicalStudents, DentalVirtual RealityAdultFemaleHumansMaleSelf ConceptYoung Adultdental educationendodonticssimulatorstressvirtual systems

Identifiers

PMID40207994
PMCPMC13158535

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.