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Using Mixed-Reality Technology to Enhance Miniscrew Implant Insertion Training: A Feasibility Mixed-Methods Study.
Yi Lin Song1,2,3, Chee Wee Benjamin Ng1,2,4, Li Yen Elaine Tan1,2,3
1National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.
Journal of Dental Education
|March 29, 2025
Summary
Mixed reality (MR) training for miniscrew implant insertion using the S.M.I.L.E. tool showed improved self-perceived skills but no significant difference in assessed competency compared to traditional methods. Further prototype development is recommended.
Area of Science:
- Dental education
- Medical simulation
- Mixed reality technology
Background:
- Conventional miniscrew implant insertion training relies on hands-on typodont models.
- Limited access to advanced dental models hinders visualization of surrounding anatomy.
- Novel educational tools are needed to enhance surgical training.
Purpose of the Study:
- To evaluate the potential of a mixed reality (MR) educational tool, S.M.I.L.E. (Specialized Mixed-reality Innovative Learning Experience), for teaching miniscrew implant insertion.
- To detail the iterative improvement of the S.M.I.L.E. prototype based on user feedback.
Main Methods:
- A mixed-methods study comparing conventional training (Group A, n=13) with the S.M.I.L.E. MR tool (Group B, n=14).
- Quantitative data collected via pre-/post-intervention surveys, assessments, and post-workshop surveys.
- Qualitative data gathered from free-text responses and focus group discussions.
Main Results:
- Participants using S.M.I.L.E. reported significant improvements in self-perceived competency post-intervention.
- No significant differences in self-reported or assessed competency were found between the MR and conventional groups.
- Positive feedback highlighted engagement, understanding, visualization, and practice opportunities; negative feedback noted lack of tactile feedback and technical issues.
Conclusions:
- The S.M.I.L.E. MR tool shows promise for miniscrew implant insertion training, with user feedback driving prototype enhancements.
- Identified areas for development include tactile feedback simulation and technological refinement.
- Future iterations aim to provide a more comprehensive training experience.

