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      Pedagogical development in local anaesthetic training in paediatric dentistry using virtual reality simulator

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          Abstract

          Purpose

          With the advancements in technology, dental pedagogy has also evolved, and new learning technologies have emerged. Virtual reality (VR) as an education tool in dentistry is underutilised. VR as an adjunct in local anaesthesia (LA) teaching in paediatric dentistry has not been investigated. The study aimed to investigate dental student’s perception of dental LA VR simulation on a paediatric patient and to determine whether this can improve students learning experience.

          Methods

          Seventy-one students participated in a self-administered questionnaire before and after the use of dental LA VR simulator. Descriptive analysis was performed to determine the perceptions of experience gained through VR. The data were tabulated, graphed, and analysed using SPSS and GraphPad Prism software.

          Results

          The study noted that 89.9% of participants perceived that it would improve their LA skills. After using dental LA VR, 83.1% of participants experienced more engaged in the learning activity, and 55.0% of participants agreed/strongly agreed that it improved their understanding of anatomical landmarks. Around 56.4% of participants agreed/strongly agreed that it added value compared with traditional LA teaching methods.

          Conclusion

          It can be concluded that the use of VR simulation can enhance students engagement and learning experience in paediatric dentistry settings and can be used as an additional means of LA training.

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          Most cited references25

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          Administering local anaesthesia to paediatric dental patients -- current status and prospects for the future.

          Fear-related behaviours have long been recognized as the most difficult aspect of patient management and can be a barrier to good care. Anxiety is one of the major issues in the dental treatment of children, and the injection is the most anxiety-provoking procedure for both children and adults. There is a constant search for ways to avoid the invasive, and often painful, nature of the injection, and to find more comfortable and pleasant means for anaesthesia before dental procedures. The purpose of the present review is to summarize relevant data on topics connected with the administration of local anaesthesia. The review will survey the current available methods, viz. electronic anaesthesia, lidocaine patch, computerized anaesthesia (the Wand), and the syrijet as well as the conventional injection, used for paediatric patients. Usually new techniques for locally anaesthetizing dental patients are tested on adults. However, despite recent research in the field, the injection remains the method of choice. It is necessary to continue to conduct studies using new techniques on adults and children, so that a more acceptable technique can be found.
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            Is Open Access

            Virtual Reality simulator for dental anesthesia training in the inferior alveolar nerve block

            Abstract Objectives This study shows the development and validation of a dental anesthesia-training simulator, specifically for the inferior alveolar nerve block (IANB). The system developed provides the tactile sensation of inserting a real needle in a human patient, using Virtual Reality (VR) techniques and a haptic device that can provide a perceived force feedback in the needle insertion task during the anesthesia procedure. Material and Methods To simulate a realistic anesthesia procedure, a Carpule syringe was coupled to a haptic device. The Volere method was used to elicit requirements from users in the Dentistry area; Repeated Measures Two-Way ANOVA (Analysis of Variance), Tukey post-hoc test and averages for the results’ analysis. A questionnaire-based subjective evaluation method was applied to collect information about the simulator, and 26 people participated in the experiments (12 beginners, 12 at intermediate level, and 2 experts). The questionnaire included profile, preferences (number of viewpoints, texture of the objects, and haptic device handler), as well as visual (appearance, scale, and position of objects) and haptic aspects (motion space, tactile sensation, and motion reproduction). Results The visual aspect was considered appropriate and the haptic feedback must be improved, which the users can do by calibrating the virtual tissues’ resistance. The evaluation of visual aspects was influenced by the participants’ experience, according to ANOVA test (F=15.6, p=0.0002, with p<0.01). The user preferences were the simulator with two viewpoints, objects with texture based on images and the device with a syringe coupled to it. Conclusion The simulation was considered thoroughly satisfactory for the anesthesia training, considering the needle insertion task, which includes the correct insertion point and depth, as well as the perception of tissues resistances during the insertion.
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              Virtual Reality as a novel educational tool in pre‐clinical paediatric dentistry training: Students’ perceptions

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                Author and article information

                Contributors
                s.zafar@uq.edu.au
                Journal
                Eur Arch Paediatr Dent
                Eur Arch Paediatr Dent
                European Archives of Paediatric Dentistry
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                1818-6300
                1996-9805
                10 February 2021
                : 1-8
                Affiliations
                [1 ]GRID grid.1003.2, ISNI 0000 0000 9320 7537, School of Dentistry, , The University of Queensland, ; 288 Herston Road, Herston, QLD 4006 Australia
                [2 ]GRID grid.1022.1, ISNI 0000 0004 0437 5432, School of Dentistry and Oral Health, , Griffith University, ; Cnr Parkland Drive and Olsen Avenue, Southport, QLD 4222 Australia
                [3 ]GRID grid.29980.3a, ISNI 0000 0004 1936 7830, Department of Information Science, , University of Otago, New Zealand, ; 362 Leith Street, Dunedin, Otago 9016 New Zealand
                Author information
                http://orcid.org/0000-0001-5551-8147
                http://orcid.org/0000-0001-5528-9153
                http://orcid.org/0000-0001-8999-2779
                http://orcid.org/0000-0002-2116-2047
                Article
                604
                10.1007/s40368-021-00604-7
                7874567
                33566287
                69dfa333-8ba7-44d3-980e-56492b5c5b87
                © Crown 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 25 October 2020
                : 15 January 2021
                Categories
                Original Scientific Article

                dental education,dental students,local anaesthesia,paediatric dentistry,virtual reality

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