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Crown Taper Angles Achieved by Dental Students: A Systematic Review
Kenneth J Strain1, James Mackie2, Stephen J Bonsor2
1Kenneth J. Strain, BDS, is Clinical Researcher, University of Aberdeen Dental School; James Mackie, PG Dip Dent Tech, is Senior Dental Technician and Dental Technology Instructor, University of Aberdeen Dental School; Stephen J. Bonsor, BDS, MSc, is Honorary Senior Clinical Lecturer, University of Aberdeen Dental School; and Tatiana V. Macfarlane, PhD, is Honorary Reader in Epidemiology, University of Aberdeen Institute of Applied Health Sciences. k.strain.12@aberdeen.ac.uk.
Dental students often struggle to achieve ideal convergence angles during crown preparation. However, research indicates they can produce clinically acceptable taper angles, crucial for training assessments.
Area of Science:
- Dental Education
- Prosthodontics
- Restorative Dentistry
Background:
- Accurate taper angles are essential for successful full crown preparations.
- Assessing the proficiency of dental students in achieving correct taper angles is vital for clinical competency.
Purpose of the Study:
- To systematically review existing literature on clinical taper angles achieved by dental students during crown preparation.
- To identify theoretical and clinically acceptable taper angle values reported in research.
Main Methods:
- Systematic literature search of major databases (Medline, Embase, Web of Knowledge, Cochrane Library) and key dental journals.
- Inclusion criteria focused on in vivo studies of full crown preparations by dental students, published in English.
- Data extraction included study characteristics, measurement methods, and achieved taper angles from 12 selected articles.
Main Results:
- A total of 2,306 preparations from 12 studies (1978-2014) were analyzed.
- Dental students consistently failed to achieve ideal convergence angles (4°-14°).
- Students' preparations yielded clinically acceptable taper angles, generally ranging from 10° to 20°.
Conclusions:
- The findings highlight a discrepancy between ideal and clinically acceptable taper angles in student preparations.
- These results should inform the evaluation and training strategies for dental students in crown preparation.
- Further research may be needed to refine training protocols for achieving optimal taper angles.
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