From Research to Education: When Natural Teeth Are the Only Reference-Student Perceptions of PolyJet™ 3D-Printed...

Objectives: Commercial artificial teeth (AT) and three-dimensional printed teeth (3DPT) have been increasingly used in preclinical endodontic education; however, limitations regarding anatomical realism, tactile sensation, and procedural simulation continued to be reported. This study assessed students' and evaluators' perceptions regarding AT and PolyJet™ 3DPT fabricated with RGD525™, compared with natural teeth (NT), together with the quality of endodontic procedures performed using both artificial models. Methods: Undergraduate dental students with no previous experience using AT or 3DPT performed standardized endodontic procedures on both artificial models. Students and evaluators completed questionnaires regarding anatomical realism, tactile sensation, radiographic characteristics, educational applicability, and model preference. Procedural quality and errors were independently assessed radiographically by evaluators. Results: AT received more favorable perceptions regarding external anatomy, whereas 3DPT were more positively evaluated for internal anatomy, radiopacity, resistance of root canal walls and tactile sensation during instrumentation (p ≤ 0.002). NT remained the preferred training model, followed by 3DPT, while AT received the lowest preference ratings (p < 0.001). Evaluators consistently perceived 3DPT as more similar to NT than AT. Regarding treatment outcomes, 3DPT showed significantly higher scores for endodontic preparation, verifier fitting, and root canal filling (p < 0.05), while presenting significantly fewer procedural errors than AT (p < 0.001). Conclusions: PolyJet™ 3DPT fabricated with RGD525™ demonstrated promising applicability for preclinical endodontic training, combining favorable perceptions, fewer procedural errors, and potential for low-cost large-scale in-house production. Nevertheless, improvements in material realism and tactile simulation are still required.