切换至 "中华医学电子期刊资源库"

中华口腔医学研究杂志(电子版) ›› 2017, Vol. 11 ›› Issue (02) : 119 -125. doi: 10.3877/cma.j.issn.1674-1366.2017.02.010

所属专题: 专题评论 文献

口腔医学教育

虚拟实验室Simodont系统用于口腔医学窝洞预备教学的效果评价
王艳红1, 朱晓华2, 李斯文1, 李施施1, 张皓1, 史秀娣1, 马红梅3,()   
  1. 1. 110002 沈阳,中国医科大学附属口腔医院综合科
    2. 110002 沈阳,中国医科大学口腔医学院牙体牙髓病教研室
    3. 110002 沈阳,中国医科大学附属口腔医院综合科;110002 沈阳,中国医科大学口腔医学院修复教研室
  • 收稿日期:2016-11-15 出版日期:2017-04-01
  • 通信作者: 马红梅
  • 基金资助:
    辽宁省自然科学基金(2015020468); 院级教学研究基金(J101593-15-01)

Evaluation of virtual laboratory Simodont in the teaching of dental cavity preparation

Yanhong Wang1, Xiaohua Zhu2, Siwen Li1, Shishi Li1, Hao Zhang1, Xiudi Shi1, Hongmei Ma3,()   

  1. 1. General Dentistry, Hospital of Stomatology, China Medical University, Shenyang 110002, China
    2. Department of Endodontics, School of Stomatology, China Medical University, Shenyang 110002, China
    3. General Dentistry, Hospital of Stomatology, China Medical University, Shenyang 110002, China; Department of Prothodontics, School of Stomatology, China Medical University, Shenyang 110002, China
  • Received:2016-11-15 Published:2017-04-01
  • Corresponding author: Hongmei Ma
  • About author:
    Corresponding author: Ma Hongmei, Email:
引用本文:

王艳红, 朱晓华, 李斯文, 李施施, 张皓, 史秀娣, 马红梅. 虚拟实验室Simodont系统用于口腔医学窝洞预备教学的效果评价[J]. 中华口腔医学研究杂志(电子版), 2017, 11(02): 119-125.

Yanhong Wang, Xiaohua Zhu, Siwen Li, Shishi Li, Hao Zhang, Xiudi Shi, Hongmei Ma. Evaluation of virtual laboratory Simodont in the teaching of dental cavity preparation[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2017, 11(02): 119-125.

目的

评价分析虚拟实验室Simodont系统应用于口腔医学临床窝洞预备教学的效果。

方法

选择中国医科大学口腔医学院口腔临床医学专业本科生30人为研究对象,经统一理论培训后,简单随机抽样法分为3组,每组10人,男女均等,其中C组为对照组,F组为仿头模组使用传统塑料牙在仿头模上进行练习,M组为穆格(Moog)组在Simodont系统进行练习。并且于训练之前、期间和之后分别进行测试,检验窝洞预备技能掌握情况。根据恒磨牙Ⅱ类洞窝洞预备要求,由教师目测评估结合数字化评估系统进行评分。两种方法获取的评估结果分析采用Kruskal Wallis检验以及多重比较,检验水准α=0.05。

结果

实验组学生经过不同程度的练习之后技能都得到了提高,M组练习的学生进步更加明显,TEST3成绩分别为C组3.8 ± 2.2、F组5.2 ± 1.9、M组7.4 ± 1.4,差异有统计学意义(tCF= 2.79,PCF= 0.021;tCM= 4.65,PCM= 0.001;tFM= 3.01,PFM= 0.013)。数字化评估结果与教师目测评分结果一致,F组与M组的成绩经过2个阶段练习后均得到了提高(χ2F=39.56,PF<0.001;χ2M=41.73,PM<0.001),M组成绩显著优于对照组及仿头模组(χ2CM=31.16,PCM=0.001;χ2FM=24.89,PFM= 0.006)。

结论

Simodont系统有利于口腔医学生手法技能的提高,加强窝洞预备实验课的教学效果,值得在临床前教学中加以推广应用。

Objective

To analyze and evaluate the effect of Virtual Laboratory Simodont applied in the preclinic teaching of dental cavity preparation.

Methods

Thirty dental undergraduates from China Medical University were selected and randomly divided into three groups after being unified with theory training, 10 students for each group with gender parity. Group C was a control, whereas group F and M were trained in the traditional phantom lab (with conventional plastic prefab tooth) and in the Simodont lab, respectively. Tests for the preparation skill were performed before, during and after training. Scores were recorded upon both the visual assessment of teachers and a digital evaluation system according to the preparation requirements of permanent molars ClassⅡ cavity. Evaluation results were analyzed with Kruskal Wallis test and multiple comparisons, with significance level α= 0.05.

Results

The preparation skill of the experimental groups was improved through the training, especially for the students trained in the Simodont lab (TEST3C= 3.8 ± 2.2, TEST3F= 5.2 ± 1.9, TEST3M= 7.4 ± 1.4; tCF= 2.79, PCF= 0.021; tCM= 4.65, PCM= 0.001; tFM= 3.01, PFM= 0.013) . The result of digital evaluation was consistent with that of visual assessment by teachers. Both group F and M were improved after two stages of practice (χ2F=39.56, PF< 0.001; χ2M= 41.73, PM<0.001) . The result of group M was significantly better than that of group C and F (χ2CM= 31.16, PCM= 0.001; χ2FM= 24.89, PFM= 0.006) .

Conclusions

Simodont can help dental students improve their practice skills, and strengthen the teaching effect of cavity preparation, so that it is of high recommendation in the dental preclinical teaching.

图1 虚拟仿真实验室Simodont系统
图2 教师预备体标准洞型与3组学生预备体洞型模型比较
图3 KaVo PREPassistant数字化评估系统扫描的左下第一磨牙Ⅱ类标准洞型和学生作品比较
表1 数字化评估系统对Ⅱ类洞的评级标准
表2 教师对3组学生3次操作考核结果的评分汇总(±s
图4 3组学生3次操作考核教师评估成绩均值
表3 数字化评估系统对3组学生3次操作考核结果的预备体洞型各参数评估结果
[1]
刘宝龙,孙萍,闫涛,等.牙齿窝洞预备标准化数字教学评估研究[J].西安工业大学学报,2013,33(9):712-716.
[2]
李贤玉,梁登忠. KaVo仿真头模在口腔牙体牙髓科实验教学中的应用[J].高教论坛,2014(4):70-71,74.
[3]
王青,熊世江,李振玉,等.仿真头模系统在牙体牙髓病学实验教学中的应用与改进[J].中国高等医学教育,2013(2):69-70.
[4]
黄翠,邬凌,王贻宁,等.仿真头颅模型用于口腔修复学教学的效果评价[J].口腔医学研究,2005,21(3):330-332.
[5]
Gottlieb R, Vervoorn JM, Buchanan J. Simulation in Dentistry and Oral Health//The Comprehensive Textbook of Healthcare Simulation[M]. Springer New York,2013:329-340.
[6]
Pohlenz P, Gröbe A, Petersik A,et al. Virtual dental surgery as a new educational tool in dental school[J]. J Craniomaxillofac Surg,2010,38(8):560-564.
[7]
Soares PV, de Almeida Milito G, Pereira FA,et al. Rapid prototyping and 3D-virtual models for operative dentistry education in Brazil[J]. J Dent Educ,2013,77(3):358-363.
[8]
Steinberg AD, Bashook PG, Drummond J,et al. Assessment of faculty perception of content validity of PerioSim,a haptic-3D virtual reality dental training simulator[J]. J Dent Educ,2007,71(12):1574-1582.
[9]
于德栋,黄伟,张志勇,等.数字化技术在种植外科中的应用[J].中国实用口腔科杂志,2016,9(1):10-14.
[10]
石巧,侯建霞.虚拟现实技术在口腔诊疗操作培训中的应用[J].国际口腔医学杂志,2015,42(1):69-74.
[11]
Buchanan JA. Use of simulation technology in dental education[J]. J Dent Educ,2001,65(11):1225-1231.
[12]
Wang Dangxiao, Zhang Yuru, Hou Jianxia,et al. iDental:A Haptic-Based Dental Simulator and Its Preliminary User Evaluation[J]. IEEE Trans Haptics,2012,5(4):332-343.
[13]
de Boer IR, Wesselink PR, Vervoorn JM. The creation of virtual teeth with and without toot pathology for virtual learning environment in dental education[J]. European Journal of Dental Education,2013,17(4):191-197.
[14]
de Boer IR, Lagerweij MD, Wesselink PR,et al. Evaluation of the appreciation of virtual teeth with and without pathology[J]. Eur J Dent Educ,2015,19(2):87-94.
[15]
柳毅,郑园娜,刘月莲,等.虚拟实验室Simodont在荷兰口腔医学教学中的应用简介[J].上海口腔医学,2013,22(2):237-239.
[16]
Bakker D, Lagerweij M, Wesselink P,et al. Transfer of manual dexterity skills acquired in the Simodont,a dental haptic trainer with a virtual environment,to reality:a pilot study p21[J]. Bio-Algorithms and Med-Systems,2014,6(11):21-24.
[17]
余丽霞,李晓箐,项涛,等. Simodont虚拟牙医训练系统在手部技能训练的实践及效果评价[C]//中华口腔医学会. 2015年全国口腔医学教育学术年会论文集,乌鲁木齐,2015.
[18]
张文,王冠博,凌均棨,等. Simodont虚拟仿真系统和KaVo仿真头模在龋病学实验课教学中的联合应用[J/CD].中华口腔医学研究杂志(电子版),2015,9(3):226-231.
[19]
樊明文.牙体牙髓病学[M]. 4版.北京:人民卫生出版社,2012.
[20]
de Boer IR, Wesselink PR, Vervoorn JM. Student performance and appreciation using 3D vs. 2D vision in a virtual learning environment[J]. Eur J Dent Educ,2016,20(3):142-147.
[21]
de Boer IR, Bakker DR, Wesselink PR,et al. The Simodont in dental education[J]. Ned Tijdschr Tandheelkd,2012,119(6):294-300.
[22]
Sampaio-Fernandes MA, Sampaio-Fernandes MM, Fonseca PA,et al. Evaluation of occlusal rest seats with 3D technology in dental education[J]. J Dent Educ,2015,79(2):166-176.
[23]
林家成,王阿丹,刘丽敏,等. KaVo PREPassistant数字化评估系统应用于牙体洞型制备质量评估[J/CD].中华口腔医学研究杂志(电子版),2011,5(4):428-434.
[24]
褚凤清,陆晓庆,李谨,等. KaVo PREPassistant系统在口腔实验教学中的初步应用[J].南京医科大学学报(社会科学版),2013,55(2):172-174.
[25]
Renne WG, McGill ST, Mennito AS,et al. E4D compare software:an alternative to faculty grading in dental education[J]. J Dent Educ,2013,77(2):168-175.
[1] 廖心敏, 李月梅, 陈婵婵, 丁桂聪. 全身麻醉下乳牙牙髓治疗研究进展[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 128-132.
[2] 赵宏, 崔红, 宋雪杨, 曾敏敏. 儿童牙科畏惧症的影响因素及其与父母教养方式的相关性研究[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 111-117.
[3] 王乐诗, 张曼莉, 申玉芹, 余挺. 口腔医学本科生对牙周医学的认知状况调查[J]. 中华口腔医学研究杂志(电子版), 2023, 17(01): 55-61.
[4] 李茂雪, 刘恩言, 肖诗梦, 丁一. 医患互动体验教学模式在口腔医学临床技能教育中的应用初探[J]. 中华口腔医学研究杂志(电子版), 2022, 16(06): 382-387.
[5] 张长源, 卢枳岑, 马允, 于皓. 基于线上教学的口腔医学科研设计研究生课程建设与实践[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 318-321.
[6] 徐舒豪, 杨燃, 邹静, 黄睿洁. 儿童口腔医学教学中健康宣教能力的培养[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 313-317.
[7] 张雪峰, 徐浩. 我国口腔医学博士学位论文的演进路径研究[J]. 中华口腔医学研究杂志(电子版), 2022, 16(04): 255-259.
[8] 胡博文, 戴英波. 泌尿外科机器人手术新趋势[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(04): 418-421.
[9] 王祎, 王峻峰, 杨超, 晋云, 胡苹苹. 数字医学技术在肝脏分段及解剖性肝切除中的应用现状[J]. 中华肝脏外科手术学电子杂志, 2023, 12(01): 16-21.
[10] 姜佳慧, 毕鸿雁. 基于虚拟现实技术施经颅直流电刺激对脑卒中患者上肢功能影响的Meta分析[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(02): 75-83.
[11] 陆志峰, 周佳佳, 梁舒. 虚拟现实技术在治疗弱视中的临床应用研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 891-895.
[12] 李岩松, 李涛, 张元鸣飞, 李志鹏, 周谋望. 头戴式虚拟现实设备辅助全膝关节置换术后康复的初步研究[J]. 中华临床医师杂志(电子版), 2023, 17(06): 676-681.
[13] 黄爱茹, 付婧, 余茜. 多模块3D虚拟现实技术联合重复经颅磁刺激治疗卒中后认知功能障碍的效果[J]. 中华临床医师杂志(电子版), 2022, 16(11): 1089-1095.
[14] 索源, 曹伟, 杨书聪, 杨成, 周宇立, 郁慧杰. 沉浸式虚拟现实结合高仿真伤情化妆技术在创伤紧急医学救治培训中的应用效果评价[J]. 中华卫生应急电子杂志, 2023, 09(02): 85-89.
[15] 常飞飞, 曹迎春, 吴晓冰, 王晓涵. 基于虚拟现实技术任务导向性训练对脑卒中多病共存患者功能状态的影响[J]. 中华脑血管病杂志(电子版), 2023, 17(02): 124-129.
阅读次数
全文


摘要