Evidence map›Paper›PMID 40263729›Full record

Trial reportJournal of dental education2025

Immersive Virtual Reality and Deliberate Practice for Complex Skills Acquisition During Inferior Alveolar Nerve Block Training.

Miranda Haas-Stroede, Elizabeth Van Tubergen, Vidya Ramaswamy, Deborah Lee, Dah Youn Baek, Jaeeun Kim, Daniel Hannapel, Hera Kim-Berman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of dental education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Miranda Haas-StroedeDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Elizabeth Van TubergenDepartment of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Vidya RamaswamySchool of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-1439-2346
Deborah LeeSchool of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
Dah Youn BaekSchool of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Jaeeun KimSchool of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Daniel HannapelSchool of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Hera Kim-BermanDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4465-3700

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to determine construct and transfer validity of a virtual reality inferior alveolar nerve (VRIAN) injection simulation to improve the technique of inferior alveolar nerve block (IANB) delivery for novice students.

methodsSecond year dental students (n = 44) were randomized into VR and control groups. At baseline (T1), both groups completed the traditional lecture instruction for IANB injections. During the educational intervention (T2), the VR group underwent additional training with VRIAN completing 10 injections sequentially. At T3, both groups participated in the peer-to-peer injection exercise with student mentors. Descriptive and comparative statistics on the data and mean improvement of IANB accuracy over time were performed (p < 0.05).

resultsOver the 10 sequential injection attempts, the VR group was able to improve their injection positioning by a mean of 0.63 mm when evaluating the 3D distance (p = 0.004). In the x dimension (anterior, posterior), VR group started more anteriorly with their first attempt and moved more posteriorly by a mean of 0.55 mm (p < 0.001). There was no significant improvement in the y (superior, inferior) and z dimensions (medial, lateral). The VR group improved their confidence from T1 (0.4 ± 0.80) to T2 (7.6 ± 1.46) and at T3, the VR group felt more confident in delivering the IANB (8.0 ± 1.33) compared to the control group (7.0 ± 1.36) (p = 0.011). Both groups were similarly successful at providing anesthesia during the peer-to-peer exercise.

conclusionsAlthough the participants found the peer-to-peer injection training important for IANB skills training, the VRIAN injection simulation may be an effective adjunct in improving students' learning experiences, self-confidence and IANB injection technique through deliberate practice.

Indexed as

Anesthesia, DentalClinical CompetenceEducation, DentalMandibular NerveNerve BlockVirtual RealityFemaleHumansMaleStudents, DentalAnesthesiaComputer SimulationEducationEducational TechnologyPreclinical Skills/TopicsTechnology

Identifiers

PMID40263729
PMCPMC12720058

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Registered trials

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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.