Virtual Reality Haptic Simulators and Mobile Applications-Potential AI-enhanced Tools for Improving Clinical Endodontic Training: A Randomized Controlled Trial.

INTRODUCTION

This study aimed to evaluate the effects of a virtual reality haptic simulator (VRHS, VirTeaSy Dental) and a mobile application (Dental EndoMaster) on the manual competency, stress, and self-confidence levels of 4th-year dental students in endodontic clinical practice.

METHODS

Thirty dental students were randomly assigned to 3 groups as follows (n = 10): Group 1 (VRHS), Group 2 (mobile application), and Group 3 (control). Before clinical training, Groups 1 and 2 completed 3 standardized practice sessions and one final assessment session using VRHS and a mobile application. In contrast, Group 3 directly started with the clinical procedure without prior exposure to VRHS or the mobile application. All students performed access cavity preparations on maxillary incisors diagnosed with chronic apical periodontitis. Clinical performance was evaluated by an endodontist. Self-clinical scores and drilling time were recorded. Upon the termination of clinical practice, students completed a self-confidence survey. Stress levels were measured using a visual analog scale at different time points. Statistical analyses were conducted with significance set at P < .05.

RESULTS

Students in Group 1 showed significantly higher clinical and self-clinical scores and reduced drilling time compared to Group 3 (P < .05). Students in Groups 1 and 2 exhibited lower stress levels before the clinical procedures (P < .05). Groups 1 and 2 reported greater self-confidence and perceived preparedness for clinical endodontic procedures compared to Group 3.

CONCLUSIONS

The integration of artificial inteligence-enhanced VRHS and a mobile application into endodontic training significantly enhanced students' clinical performance, reduced stress levels, and increased self-confidence during their first clinical procedures.