Evidence map›Paper›PMID 41039447›Full record

Trial reportBMC medical education2025

Virtual reality simulation for learning minimally invasive endodontics: a randomized controlled trial.

Chalinee Srakoopun, Siriwan Suebnukarn, Peter Haddawy, Maximilian Kaluschke, Rene Weller, Myat Su Yin, Panuroot Aguilar, Panupat Phumpatrakom, Kriangkrai Pinchamnankool, Kamon Budsaba and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

11 authors.

Chalinee SrakoopunDivision of Endodontics, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand.
Siriwan SuebnukarnDivision of Endodontics, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand. ssiriwan@tu.ac.th.ORCID http://orcid.org/0000-0003-1237-1274
Peter HaddawyFaculty of Information and Communication Technology, Mahidol University, Nakhon Pathom, Thailand.ORCID http://orcid.org/0000-0003-2203-006X
Maximilian KaluschkeComputer Graphics and Virtual Reality, University of Bremen, Bremen, Germany.
Rene WellerComputer Graphics and Virtual Reality, University of Bremen, Bremen, Germany.
Myat Su YinFaculty of Information and Communication Technology, Mahidol University, Nakhon Pathom, Thailand.
Panuroot AguilarDivision of Endodontics, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand.
Panupat PhumpatrakomDivision of Endodontics, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand.
Kriangkrai PinchamnankoolDivision of Endodontics, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand.
Kamon BudsabaDepartment of Mathematics and Statistics, Thammasat University, Pathum Thani, Thailand.
Gabriel ZachmannComputer Graphics and Virtual Reality, University of Bremen, Bremen, Germany.ORCID http://orcid.org/0000-0001-8155-1127

Funding

Thammasat University Research Fund TUFT 39/2568
6 · The paper itself

Abstract

backgroundLearning minimally invasive endodontic techniques presents unique challenges, requiring precise tooth structure preservation and strong spatial awareness. This study evaluated a clinically realistic virtual reality (VR) simulator, featuring eye-tracking feedback and automated outcome scoring, as an innovative tool to support student learning in minimally invasive endodontics.

methodsA prospective randomized controlled trial was conducted with 30 fourth-year preclinical dental students assigned to either a VR group (n = 15) or a standard phantom head (PH) group (n = 15). The VR system featured high-fidelity dental arch modeling, dual haptic devices, a head-mounted display with eye-gaze and tool trajectory tracking (mirror and handpiece), and automated outcome scoring. All students completed three 1-hour training sessions and performed both Traditional Access Cavity (TradAC) and Conservative Access Cavity (ConsAC) techniques. The primary outcome was tooth volume loss assessed via micro-computed tomography (micro-CT). Secondary outcomes included procedural error scores (rated by blinded experts) and task completion time. Wilcoxon signed-rank tests evaluated pre-post differences. A split-plot ANOVA analyzed training method (between-subjects) and access technique (within-subjects).

resultsSignificant improvements were observed across all outcomes in both groups (p < 0.05). There was no significant main effect of training method or interaction. A significant main effect of access technique was found for tooth volume loss (F(1,28) = 10.46, p = 0.003) and task completion time (F(1,28) = 6.86, p = 0.014), favoring ConsAC.

conclusionThis study supports the feasibility of automated virtual reality (VR) simulation as a scalable and effective tool to support student learning in minimally invasive endodontic procedures within preclinical dental education.

trial registrationThis randomized controlled trial was registered on 29 April 2025, at the TCTR registry with the study registration number TCTR20250502004.

Indexed as

Education, DentalEndodonticsMinimally Invasive Surgical ProceduresSimulation TrainingVirtual RealityClinical CompetenceFemaleHumansMaleProspective StudiesStudents, DentalX-Ray MicrotomographyYoung AdultDental educationMinimally invasive endodonticsVirtual reality

Identifiers

PMID41039447
PMCPMC12492536

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.