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Utilising a web-based e-learning platform for orthodontic case analysis training: a randomised controlled trial
Norbert Alexander Lang1, Laura Bell2, Lorena Backes3
1Department of Orthodontics and Dentofacial Orthopedics, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, Aachen, 52074, Germany. nlang@ukaachen.de.
BMC Medical Education
|July 24, 2026
Summary
A new web-based training app demonstrated diagnostic performance equivalent to traditional methods in orthodontic education. This digital tool, Orthotrainer, showed higher usability and is recommended for integrating into routine teaching.
Area of Science:
- Orthodontics
- Dental Education
- Digital Health
Background:
- Structured clinical reasoning is crucial for orthodontic diagnosis and treatment planning.
- Undergraduate dental students require effective training methods for case analysis.
- This study compares a web-based training app with conventional analogue methods.
Purpose of the Study:
- To evaluate the diagnostic performance of a web-based orthodontic training app compared to traditional analogue methods.
- To assess the usability and user experience of the digital training tool.
- To determine the potential of digital tools in orthodontic education.
Main Methods:
- A randomized controlled trial involving 28 undergraduate dental students.
- Comparison between a digital training group (Orthotrainer app) and an analogue training group.
- Assessment of baseline knowledge, performance improvement, usability (System Usability Scale, User Experience Questionnaire), and knowledge transfer via module exam.
Main Results:
- Both digital and analogue training groups showed significant performance improvement without overall differences.
- The digital tool excelled in radiographic evaluation, while analogue methods were superior in extraoral assessment.
- The Orthotrainer app received significantly higher usability and user experience ratings compared to analogue training.
Conclusions:
- The Orthotrainer web application offers diagnostic performance comparable to conventional analogue training.
- The digital tool is particularly effective for radiographic analysis and demonstrates superior usability.
- Digital tools like Orthotrainer can effectively supplement traditional orthodontic education, enhancing diagnostic reasoning skills.