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Impact of Virtual Patient-Based Learning on Temporomandibular Disorder Knowledge Among Dental Students: A Pre-Post
Caroline M Sawicki1, Linda Sangalli2
1Adams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina, USA.
Journal of Dental Education
|April 14, 2026
Summary
Virtual patient-based learning (VPBL) significantly improved dental students' diagnostic and management skills for temporomandibular disorders (TMD). This educational intervention enhanced both performance and knowledge, addressing critical gaps in predoctoral training.
Area of Science:
- Dental Education
- Medical Simulation
- Temporomandibular Disorders (TMD)
Background:
- Dental students often lack confidence and competence in managing Temporomandibular Disorders (TMD) due to limited clinical exposure during predoctoral training.
- Virtual patient-based learning (VPBL) offers a potential avenue to enhance experiential learning in dentistry.
- The impact of VPBL on clinically relevant educational outcomes for TMD remains underexplored.
Purpose of the Study:
- To evaluate the effectiveness of a TMD-specific VPBL educational intervention.
- To assess improvements in dental students' diagnostic and management performance in TMD.
- To measure changes in self-perceived confidence and knowledge regarding TMD.
Main Methods:
- A quasi-experimental pre-post study involving 83 fourth-year dental students.
- Students completed Objective Structured Clinical Examination (OSCE)-style case scenarios before and after reviewing 15 TMD virtual patient cases.
- Performance, confidence, and knowledge were assessed using standardized rubrics and scales.
Main Results:
- Overall performance in TMD diagnosis and management significantly improved post-intervention (p < 0.001).
- Self-perceived knowledge regarding TMD also increased significantly (p < 0.001).
- Moderate confidence in TMD skills correlated positively with post-intervention knowledge (r = 0.70, p < 0.001).
Conclusions:
- A TMD-specific VPBL intervention demonstrably enhances dental students' diagnostic and management skills.
- VPBL is a valuable educational strategy for improving predoctoral TMD curricula.
- The findings support the integration of VPBL to bolster dental education in managing complex conditions like TMD.

