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Virtual Simulation Versus Traditional Training for Orthodontic Bracket Positioning: A Pilot RCT.

Danlin Lai1, Baoliang Lai2, Liang Xu1

  • 1Department of Stomatology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China; Department of Stomatology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

International Dental Journal
|March 29, 2026
PubMed
Summary

Virtual simulation training for orthodontic bracket placement resulted in greater accuracy in mesiodistal and buccolingual directions compared to traditional methods. This pilot study suggests virtual simulation is a valuable addition to dental education curricula.

Keywords:
Bracket placement accuracyDental educationOrthodontic bondingVirtual simulation

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Area of Science:

  • Dental education
  • Orthodontic training
  • Virtual simulation technology

Background:

  • Accurate orthodontic bracket placement is crucial for successful treatment outcomes.
  • Traditional training methods for bracket placement may have limitations in achieving precision.

Purpose of the Study:

  • To compare the accuracy of orthodontic bracket placement between virtual simulation and traditional training methods.
  • To evaluate dental interns' motivation and satisfaction with both training modalities.

Main Methods:

  • Twenty dental interns were randomized into traditional (Group A) or virtual simulation (Group B) training groups.
  • Bracket placement accuracy was assessed using 3D deviations on head-simulator models.
  • Motivation and satisfaction were measured using ARCS questionnaires; Mann-Whitney U test was applied for analysis.

Main Results:

  • The virtual simulation group demonstrated significantly less mesiodistal and buccolingual deviation in bracket positioning (P < .05).
  • No significant difference in vertical deviation was observed between the groups (P > .05).
  • The virtual simulation group reported higher satisfaction and motivation scores, though not all were statistically significant.

Conclusions:

  • Virtual simulation training is associated with improved accuracy in specific aspects of orthodontic bracket placement.
  • Virtual simulation offers comparable educational outcomes to traditional training without compromising technical accuracy.
  • This technology represents a valuable enhancement for modern dental curricula, warranting further research with larger cohorts.