Evidence map›Paper›PMID 42106674›Full record

Trial reportBMC medical education2026

Integrating virtual patient-based learning into temporomandibular disorder education improves educational and behavioral outcomes.

Linda Sangalli, Elizabeth Manning, Aidai Abdykarimova, Olivia Gao, Benjamin Lok, James Hawkins, Craig S Miller

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07203456 (Testing Educational Modalities for Temporomandibular Disorders Curriculum), which is not on this map. Not yet cited in PubMed.

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

NCT07203456 narecruitingnot on this map

Testing Educational Modalities for Temporomandibular Disorders Curriculum

TypeinterventionalSponsorMidwestern UniversityRan2025 to 2026Enrolled90ConditionsConfidence, Diagnostic AbilityArmsVirtual Patient Based Learning (VPBL), Clinical exposure to patients with TMD, Clinical exposure to TMD + VPBL
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Linda SangalliCollege of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA. lsanga@midwestern.edu.
Elizabeth ManningCollege of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA.
Aidai AbdykarimovaHarper College, Palatine, Illinois, USA.
Olivia GaoCollege of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA.
Benjamin LokComputer & Information Science & Engineering, University of Florida, Gainesville, Florida, USA.
James HawkinsNaval Postgraduate Dental School, Naval Medical Leader and Professional Development Command, Uniformed Services University of the Health Sciences Postgraduate Dental College, Bethesda, Maryland, USA.
Craig S MillerCollege of Dentistry, University of Kentucky, Lexington, Kentucky, USA.

Funding

Feasibility of a New Methodology for Dental Education in Temporomandibular Disorders through Virtual Patient-Based LearningR03DE034042 · NIDCR · MIDWESTERN UNIVERSITY · PI Linda Sangalli · 2025 to 2026
$211k
NIDCR NIH HHS R03DE034042
6 · The paper itself

Abstract

backgroundPredoctoral education in temporomandibular disorders (TMD) often provides limited opportunities for clinical exposure, which may hinder students' competence and confidence. This study aimed to assess the educational and behavioral impact of a TMD-specific virtual patient-based learning (VPBL) intervention on dental students' knowledge, behavioral intention for future practice, and confidence levels when integrated into a predoctoral TMD curriculum.

methodsSeventy-seven third-year dental students at a large US predoctoral program participated in this prospective pre-post study. Initially, students received a 3-hour didactic TMD lecture by an orofacial pain specialist. One week later, they engaged in a 2-h faculty-moderated VPBL session incorporating educational videos and virtual patient cases based on Diagnostic Criteria for TMD. Participants completed assessments before and after the VPBL session, measuring TMD-related knowledge (10-item clinical-based questions), behavioral intention to incorporate TMD screening and management into practice (2 items), and confidence (validated 11-item questionnaire). Pre/post changes were analyzed using paired t-tests, Wilcoxon signed-rank, and McNemar tests.

resultsMean knowledge scores improved from 4.1 ± 1.9 to 5.9 ± 1.9 (p<0.001), with 41.6% increasing to 75.3% of participants achieving a 50% knowledge threshold (p<0.001). Confidence increased from 3.6 ± 1.9 to 6.2 ± 1.6 (p<0.001), with the proportion of participants reaching 50% sufficient confidence growing from 20.8% to 72.7% (p<0.001). Improvements were also observed in behavioral intention to integrate TMD screening and management into future practice (p<0.001).

conclusionsIntegrating a TMD-specific VPBL intervention with didactic teaching was associated with short-term improvements in students' knowledge, confidence, and positive shifts in behavioral intention, supporting VPBL plausibility as an adjunct to predoctoral TMD education.

trial registrationNCT07203456 (registration date: 09/24/2025).

Indexed as

Computer-Assisted InstructionEducation, DentalStudents, DentalTemporomandibular Joint DisordersClinical CompetenceCurriculumEducational MeasurementFemaleHumansMaleProspective StudiesBehavioral changesDigital learningORBIT modelPredoctoral dental educationTemporomandibular disorders

Identifiers

PMID42106674
PMCPMC13330305

What OpenQuestion holds

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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.