Are All Dentiform Teeth with Simulated Caries the Same? A Six-Year Retrospective Study in Preclinical Operative Dentistry.

Dentiform teeth with simulated caries (DTSC), frequently used in preclinical courses, should show no variability in the amount of simulated caries from tooth to tooth. However, the level of caries variability among DTSC is currently unknown. The aim of this study was to assess the variation in simul...

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Publicado en:Journal of Dental Education Vol. 79; no. 11; pp. 1330 - 1339
Autores principales: Delgado, Alex J., Walter, Ricardo, Behar-Horenstein, Linda S., Boushell, Lee W.
Formato: research Journal Article
Publicado: Wiley-Blackwell Nov2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2015
      vid: 79
      iid: 11
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/j.0022-0337.2015.79.11.tb06030.x
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        atl: Are All Dentiform Teeth with Simulated Caries the Same? A Six-Year Retrospective Study in Preclinical Operative Dentistry.
      aug:
        au:
          Delgado, Alex J.
          Walter, Ricardo
          Behar-Horenstein, Linda S.
          Boushell, Lee W.
        affil: Clinical Assistant Professor, Department of Restorative Dental Science, Division of Operative Dentistry, College of Dentistry, University of Florida
      sug:
        subj:
          Dental Models Standards
          Education, Dental
          Dentistry, Operative Education
          Dental Caries Pathology
          Teaching Materials Standards
          Dentin Pathology
          Molar Pathology
          Educational Measurement
          Dental Restoration, Permanent Classification
          Human
          Image Processing, Computer Assisted Methods
          Retrospective Design
          Dental Restoration, Permanent Methods
          Dentistry Classification
          Equipment Design Standards
          Dentistry Methods
          Surface Properties
          Dental Enamel Pathology
          Software
          Clinical Competence
          Dental Caries Therapy
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Dentiform teeth with simulated caries (DTSC), frequently used in preclinical courses, should show no variability in the amount of simulated caries from tooth to tooth. However, the level of caries variability among DTSC is currently unknown. The aim of this study was to assess the variation in simulated caries levels in one group of DTSC and determine whether variation among DTSC impacted the preclinical performance of dental students. In the study, 80 commercially available mandibular first molar DTSC with simulated mesio-occluso-distal caries were sectioned in coronal (n=40) and sagittal (n=40) planes where the caries depth/width was greatest. Section images were analyzed for variation in levels of simulated caries using image-processing software. Three years of practical performance data using DTSC were compared with three years of practical performance data using dentiform teeth without simulated caries, for a total of six years (students' performance on two exams, Practical 1 and Practical 2). The results showed that 70% of the coronally sectioned teeth had manufacturing defects that resulted in caries overextension at the dentino-enamel junctions (DEJs). Overextensions were found at the DEJ in 41.3% of the sagittally sectioned teeth. There was a statistically significant decrease in Practical 1 performance of the students who used DTSC as compared with students who used teeth without simulated caries (p=0.0001); there was no statistically significant difference on Practical 2 performance. Of the DTSC evaluated in this study, 56.6% contained manufacturing defects, and more than 80% were found to have excessive caries variation. Prediction of which DTSC will have caries overextension is not possible. Students preparing DTSC that contain caries overextension are therefore at increased risk of receiving undeserved negative summative assessment on practical examinations.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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