Background: Crown preparation is one of the most essential techniques in dentistry and represents a very important topic in preclinical dental education. It is obligatory for prosthodontic faculty to master this technique and demonstrate it during live operation for preclinical simulation training. Standardized tooth preparation training in simulated environment should be provided for preclinical instructors to improve their teaching performance. This study aimed to investigate the effect of advanced simulation training with digital feedback on dental faculty’s competency in tooth preparation.
Methods: Fifty prosthodontic faculty from 49 dental schools in China participated in this training program. Prior to the training course, all trainees were required to prepare the maxillary right central incisor (11#) for a ceramo-metal crown and the mandibular left first molar (36#) for a metal crown with the standard typodont tooth. Training started with the same preparations using on-site simulation facilities with 30 minutes provided for each preparation. These were graded by a digital evaluation system and adopted as pre-training competency. Then, a didactic instruction and a live demonstration about standardized tooth preparation was delivered by a senior fixed prosthodontic specialist. This was followed by three rounds of practice. All the preparations were digitally evaluated and feedback was provided to the corresponding operators. Finally, a summative examination was conducted, and the final preparations were digitally graded as post-training competency.
Results: Total scores of 11# and 36# preparations in the final test were significantly increased compared to the pre-training scores. Marks deducted for amount of reduction and margin line of prepared 11# and 36#, and taper of prepared 36#, were significantly decreased compared to that before training.
Conclusions: Advanced simulation training can effectively enhance the faculty’s competency in tooth preparation. Such training may be provided in the prosthodontic faculty development program to improve their tooth preparation competence before they begin preclinical teaching.