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Digital Learning Meets Diagnostic Dentistry: A Mixed-Methods Study to Evaluate Intraoral Periapical Radiograph

Swarna Yerebairapura Math¹, Jia Yi Yong², Zee Hoe Teh³

¹Mike Petryk School of Dentistry, University of Alberta, Edmonton, Alberta, Canada.

European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe

|June 18, 2026

Summary

An interactive e-learning module improved oral radiology interpretation skills in dental students, with retention scores significantly higher than immediate posttest results. Student satisfaction was high, indicating potential curricular value.

Keywords:

dental education dental students e‐learning intraoral radiography

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Area of Science:

Dental Education
Medical Imaging
E-learning

Background:

The efficacy of e-learning in developing practical diagnostic skills, specifically in oral radiology, requires further investigation.
Assessing the impact of interactive e-learning on oral radiology interpretation and reporting is crucial for dental education.

Purpose of the Study:

To evaluate the impact of a self-directed e-learning module on dental students' oral radiology interpretation scores.
To assess changes in structured reporting of oral radiology findings post-module completion.
To gauge student satisfaction with the e-learning module.

Main Methods:

A mixed-methods cohort design was employed with third-year dental students.
Performance was assessed via pretest, immediate posttest, and 1-month retention tests.
Radiographic reporting compliance and student satisfaction were evaluated through clinical documentation, questionnaires, and focus groups.

Main Results:

Diagnostic interpretation scores improved significantly across all assessment time points (p < 0.001).
Retention scores were 21.6 percentage points higher than posttest scores, indicating sustained learning.
While overall reporting compliance increased modestly, only the documentation of the number of teeth showed a statistically significant difference.

Conclusions:

The e-learning module demonstrated a positive effect on oral radiology interpretation skills, with notable retention.
Modest improvements in structured reporting were observed, suggesting potential for enhanced clinical documentation.
High student satisfaction underscores the module's acceptability and potential integration into dental curricula.