SP-40 - Virtual Reality and Haptic Training in Clinical and Surgical Microendodontics

Presentation Description/Abstract: Endodontic microsurgery (EMS) procedures demand high precision and accuracy. Among all outcome predictors, a ‘major procedural error’ during surgery in ostectomy for root apex identification and root end management seems to be the most impacting factor. Data from AAE active members indicate that access and visualization followed by root-end management are considered the most difficult stages for surgery. Most responders would positively consider additional advanced learning through new technologies.
The conventional approach relies entirely on a free hand technique, which is operator dependent and subjected to difficulties and risk of complications.
Among preclinical training options, 3D printed jaw models or cadaver lab are mostly utilized. However, they are destructive procedures and usually affected by high costs.
Virtual reality simulations are demonstrating a huge potential and stimulating increased attention in dental medicine as a teaching tool. They provide a new and non-destructive approach whereby the operator can practice and repeat procedures with no limitations. The physical interactivity through haptic technology provides tactile force feedback to the user.
To date there are no VR simulators equipped with software exercises to plan and practice EMS: osteotomy, apicectomy and ultrasonic retro preparation with real time assessment of the performance.
The aim of this presentation is to illustrate the application of VR haptic simulation in endodontics and the creation of a novel virtual reality haptic training program in EMS. Furthermore, the potential integration with artificial intelligence and sensors based ergonomic software for student/operator profiling, quality assessment and risk prevention will be also discussed.