Influence of preparation design on the quality of tooth preparation in preclinical dental education

牙体预备设计对临床前牙科教育中牙体预备质量的影响

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Abstract

BACKGROUND/PURPOSE: One of the major educational goals in preclinical dental education is to learn tooth preparation techniques. The purpose of this study was to evaluate the influence of different preparation designs on the development of the manual dexterity of students, in order to perform a state-of-the-art tooth preparation. MATERIAL AND METHODS: Seventy-two 1(st) semester students were divided into two groups and educated in tooth preparation for a ceramic anterior single crown. One group received cylindrical burs with a rounded edge to prepare a typodont model with a shoulder finishing line, while the other group had cylindrical burs with round noses to prepare a chamfer finishing line. All preparations were digitized and evaluated using special software focusing on the parameters of preparation depth and preparation angle. In addition, violation of the adjacent teeth was estimated. Data was statistically evaluated at a level of significance of 5%. RESULTS: The preparation design used did not show a statistically significant influence on the preparation depth or on the preparation angle. A trend to a higher tooth structure removal as required was detected. Furthermore, no influence of the type of preparation design on the number of violated adjacent teeth was found. CONCLUSION: In preclinical dental education, the type of preparation design was found to have no influence on the measured parameters representing the quality of the preparation.

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