J Periodontal Implant Sci.  2012 Feb;42(1):25-29. 10.5051/jpis.2012.42.1.25.

Development of the implant surgical technique and assessment rating system

Affiliations
  • 1Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea. dentall@yuhs.ac

Abstract

PURPOSE
There has been no attempt to establish an objective implant surgical evaluation protocol to assess residents' surgical competence and improve their surgical outcomes. The present study presents a newly developed assessment and rating system and simulation model that can assist the teaching staffs to evaluate the surgical events and surgical skills of residents objectively.
METHODS
Articles published in peer-reviewed English journals were selected using several scientific databases and subsequently reviewed regarding surgical competence and assessment tools. Particularly, medical journals reporting rating and evaluation protocols for various types of medical surgeries were thoroughly analyzed. Based on these studies, an implant surgical technique assessment and rating system (iSTAR) has been developed. Also, a specialized dental typodont was developed for the valid and reliable assessment of surgery.
RESULTS
The iSTAR consists of two parts including surgical information and task-specific checklists. Specialized simulation model was subsequently produced and can be used in combination with iSTAR.
CONCLUSIONS
The assessment and rating system provided may serve as a reference guide for teaching staffs to evaluate the residents' implant surgical techniques.

Keyword

Dental implantation; Educational assessment; Oral surgical procedures

MeSH Terms

Checklist
Dental Implantation
Educational Measurement
Mental Competency
Oral Surgical Procedures

Figure

  • Figure 1 Newly developed specialized simulation typodont for the evaluation of implant surgical performance (JCP All-in, M. Tech Korea, Guri, Korea; International and domestic patents pending). (A, B) Missing teeth, greater palatine arteries and underlying periosteum are shown in the maxilla and mandible models through transparent gingiva for the demonstration. (C) Frontal view with the definitive human-like gingiva is covered. (D) Periosteum-like silicon is additionally applied under the gingiva to evaluate the periosteal releasing incision and guided bone regeneration performance. Arrowhead shows the periosteal releasing incision made on the specialized periosteum under the gingiva.

  • Figure 2 Part II of implant surgical technique assessment and rating system; task-specific checklist. Mgt: management, GBR: guided bone regeneration.


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