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Enhancing Psychomotor Skills and Educational Engagement in Endodontic Microsurgery Through Virtual Reality with
Giorgia Carpegna1, Andrea Fullone1, Roberto Trinchero2
1Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy.
Journal of Dental Education
|February 25, 2026
Summary
Virtual reality (VR) simulation effectively enhances psychomotor skills in dental students and experts for endodontic microsurgery. This immersive, risk-free training improves accuracy and engagement, with a preference for VR over traditional methods.
Area of Science:
- Dental Education
- Surgical Simulation
- Virtual Reality Technology
Background:
- Traditional dental preclinical training often lacks anatomical realism and individualized skill development opportunities.
- Virtual reality (VR) and haptic technology offer potential for enhanced technical skills and engagement in dental education.
Purpose of the Study:
- To evaluate psychomotor skill acquisition in endodontic microsurgery using VR simulation.
- To assess the subjective experience of undergraduate dental students and expert clinicians with VR-based surgical training.
Main Methods:
- Development of two VR exercises (osteotomy, apicoectomy) using CBCT-derived models and Virteasy Dental V2 simulators.
- A four-week training program involving 20 undergraduate students and 20 expert operators.
- Assessment via a two-part questionnaire on prior VR exposure and learning experience perception.
Main Results:
- Significant improvements in accuracy and target progress for students in osteotomy, and accuracy in apicoectomy (p < 0.05).
- Experts demonstrated improved simulator performance, indicating adaptation to the VR environment.
- Participants reported high engagement, valued the risk-free practice, and preferred VR simulations over traditional methods.
Conclusions:
- VR simulation is a viable tool for enhancing psychomotor skills in endodontic microsurgery due to its realism and immersive nature.
- Students gained confidence and skills through safe virtual practice, highlighting VR's role in augmenting preclinical training.
- The study supports integrating VR simulations into dental curricula to complement traditional methods and improve learning outcomes.

