Dergiler / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 5

Pixel-based analysis of dental loupe-assisted simulated calculus removal by dental students: a randomized crossover preclinical study

Resül Çolak(BÜLENT ECEVİT ÜNİVERSİTESİ DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-5210-1119
Merve Küçükoğlu Çolak(Zonguldak Bülent Ecevit University, Faculty of Dentistry, Department of Periodontics)0000-0002-7652-0016
Sedef Ercan(Zonguldak Bülent Ecevit University, Faculty of Dentistry, Department of Periodontics)0009-0007-3379-7641
Semiha Türkan(Zonguldak Bülent Ecevit University, Faculty of Dentistry, Department of Periodontics)0009-0007-1343-1167
Sayfa
—
Yayın Tarihi
2026-09-19
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: Dental loupe use was associated with improved simulated calculus removal and may represent a valuable adjunct to preclinical periodontal instrumentation training.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Aims: Dental loupes are increasingly used in dental education to improve visualization, posture, and instrument precision.
📊
Temel Bulgular & Veri:However, evidence regarding their contribution to periodontal instrumentation performance by dental students remains limited.
💡
Sonuç & Katkı:Conclusion: Dental loupe use was associated with improved simulated calculus removal and may represent a valuable adjunct to preclinical periodontal instrumentation training.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Simulated calculus removal · preclinical training · pixel-based analysis

Abstract

Aims: Dental loupes are increasingly used in dental education to improve visualization, posture, and instrument precision. However, evidence regarding their contribution to periodontal instrumentation performance by dental students remains limited. This randomized crossover preclinical study aimed to evaluate the effect of dental loupe use on simulated calculus removal by dental students using a pixel-based image analysis. Methods: Thirty third-year dental students were enrolled in the study. Each participant performed scaling procedures on standardized typodont models under both loupe-assisted and control conditions. Results: Simulated calculus was applied to the buccal, mesial, and distal surfaces of the teeth. Residual simulated calculus was quantified using pixel-based image analysis of images obtained before and after the instrumentation. The primary outcome was predefined as the change in total simulated calculus pixel area. Participant perceptions were assessed using a structured, non-validated, 15-item Likert-type questionnaire. Simulated calculus was significantly reduced under both conditions after instrumentation (p<0.001). The primary outcome was significantly greater under the loupe-assisted condition than that under the control condition (p=0.026). Exploratory surface-level analyses revealed a similar overall trend. The highest median questionnaire score was observed in the Educational Value domain. Conclusion: Dental loupe use was associated with improved simulated calculus removal and may represent a valuable adjunct to preclinical periodontal instrumentation training.

🔖

Bu Makaleye Atıf Yap

Çolak, R., Çolak, M. K., Ercan, S., Türkan, S. (2026). Pixel-based analysis of dental loupe-assisted simulated calculus removal by dental students: a randomized crossover preclinical study. Journal of Health Sciences and Medicine, Volume: 9 Issue: 5. https://doi.org/10.32322/jhsm.1990968

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (35)

  1. Tonetti MS, Jepsen S, Jin L, Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: a call for global action. J Clin Periodontol. 2017;44(5):456-462. doi:10.1111/jcpe.12732
  2. Lang NP. Indications and rationale for non-surgical periodontal therapy. Int Dent J. 1983;33(2):127-136.
  3. Rateitschak-Plüss EM, Schwarz JP, Guggenheim R, Düggelin M, Rateitschak KH. Non-surgical periodontal treatment: where are the limits? An SEM study. J Clin Periodontol. 1992;19(4):240-244. doi:10. 1111/j.1600-051X.1992.tb00460.x
  4. Bud M, Pricope R, Pop RC, et al. Comparative analysis of preclinical dental students’ working postures using dental loupes and dental operating microscope. Eur J Dent Educ. 2021;25(3):516-523. doi:10.1111/eje.12627
  5. Belcher JM. A perspective on periodontal microsurgery. Int J Periodontics Restorative Dent. 2001;21(2):191-196.
  6. Mohan R, Agrawal S, Gundappa M. Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: a randomized controlled clinical study. Contemp Clin Dent. 2013;4(3):286-294. doi:10.4103/0976-237X.118347
  7. Preshaw PM, Ramseier CA, Loos BG, et al. Contemporary educational methods in periodontology. J Clin Periodontol. 2024;51(suppl 27):117-192. doi:10.1111/jcpe.13986
  8. Huang X, Wei L, Ning Y, Lin Z, Hong Y. Multisensory preclinical training strategy of periodontal scaling for undergraduates. Int Dent J. 2023;73(5):709-716. doi:10.1016/j.identj.2023.03.004
  9. Hofer D, Gartenmann SJ, Wiedemeier DB, Sener B, Attin T, Schmidlin PR. Preclinical competency in scaling/root planing: comparing dental and dental hygiene students’ outcomes. Swiss Dent J. 2019;129(3):186-191. doi:10.61872/sdj-2019-03-500
  10. Gartenmann SJ, Hofer D, Wiedemeier D, Sahrmann P, Attin T, Schmidlin PR. Comparative effectiveness of hand scaling by undergraduate dental students following a two-week pre-clinical training course. Eur J Dent Educ. 2019;23(1):1-7. doi:10.1111/eje.12361
  11. Kayaalti-Yuksek S, Besiroğlu-Turgut E, Agirman M, Keles GC. Effect of preclinical training in periodontal instrumentation on undergraduate students’ anxiety, clinical performance, satisfaction. BMC Oral Health. 2025;25(1):1167. doi:10.1186/s12903-025-06041-y
  12. Rohit T, Prudhvi SS, Nagarakanti S, Sandhya B, Bandi H, Hasini KM. Comparative analysis of dental treatment accuracy using 2.5× magnification loupes versus the naked eye: a randomized clinical trial. Cureus. 2026;18:5. doi:10.7759/cureus.108204
  13. Button KS, Ioannidis JPA, Mokrysz C, et al. Power failure: why small sample size undermines the reliability of neuroscience. Nat Rev Neurosci. 2013;14(5):365-376. doi:10.1038/nrn3475
  14. Aras RÇ, Geduk G, Cicek O. Ultrasonographic and cephalometric assessment of tongue thickness across angle’s classes of malocclusion in skeletal class I patients. Sci Rep. 2026;16:8459. doi:10.1038/s41598-026-40135-z
  15. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. 11th ed. Saunders Elsevier; 2011.
  16. Corbella S, Taschieri S, Cavalli N, Francetti L. Comparative evaluation of the use of magnification loupes in supragingival scaling procedures. J Investig Clin Dent. 2018;9:2. doi:10.1111/jicd.12315
  17. Parvez MF, Manjunath N. Comparative evaluation of conventional scaling with and without magnification loupes. IOSR J Dent Med Sci. 2018;17(5):73-76. doi:10.9790/0853-1705027376
  18. Aldosari MA. Dental magnification loupes: an update of the evidence. J Contemp Dent Pract. 2021;22(3):310-315. doi:10.5005/jp-journals-10024- 3057
  19. Dadwal A, Kaur R, Jindal V, Jain A, Mahajan A, Goel A. Comparative evaluation of manual scaling and root planing with or without magnification loupes using scanning electron microscope: a pilot study. J Indian Soc Periodontol. 2018;22(4):317-321. doi:10.4103/jisp.jisp_139_18
  20. Goyal SK, Prasanna MP. Effect of visual enhancement on root surface instrumentation: an in vitro scanning electron microscope study. J Dent Def Sect. 2022;16:24-29.
  21. Wright HN, Mayer ET, Lallier TE, Maney P. Utilization of a periodontal endoscope in nonsurgical periodontal therapy: a randomized, split-mouth clinical trial. J Periodontol. 2023;94(8):933-943. doi:10.1002/JPER.22-0081
  22. Dunegan KA, Deas DE, Powell CA, Ruparel NB, Kotsakis GA, Mealey BL. Subgingival scaling and root planing during minimally invasive periodontal surgery: a randomized controlled split-mouth trial. J Periodontol. 2024;95(1):9-16. doi:10.1002/JPER.23-0198
  23. Wajngarten D, Botta AC, Garcia PPNS. Magnification loupes in dentistry: a qualitative study of dental students’ perspectives. Eur J Dent Educ. 2021;25(2):305-309. doi:10.1111/eje.12605
  24. Narula K, Kundabala M, Shetty N, Shenoy R. Evaluation of tooth preparations for Class II cavities using magnification loupes among dental interns and final year BDS students in preclinical laboratory. J Conserv Dent. 2015;18(4):284-287. doi:10.4103/0972-0707.159724
  25. Maggio MP, Villegas H, Blatz MB. The effect of magnification loupes on the performance of preclinical dental students. Quintessence Int. 2011; 42(1):45-55.
  26. Fontoura C, Siddanna G, Mantesso A, Karl E. Dental students’ performance and perceived experience with magnifying dental loupe. Open Access J Dent Oral Surg. 2023;4(1):1053. doi:10.54026/OAJDOS/ 1053
  27. Abasseri T, Ha W. Value of including loupes in prosthodontic and endodontic components of dental degrees: a systematic review. Br Dent J. 2023. doi:10.1038/s41415-023-6112-2
  28. Costa RTF, Miranda SB, Montes MAJR, Ribeiro AKC, Carreiro AFP, Moraes SLD. Impact of using magnifying dental loupes on clinical performance during tooth preparation: a systematic review. J Clin Exp Dent. 2024;16:2. doi:10.4317/jced.61098
  29. Ramesh A, Guo AJ, Patel HJ, et al. The impact of magnification on undergraduate dental students’ performance during cavity preparations: a systematic review. J Dent Educ. 2024;88(8):1091-1100. doi:10.1002/jdd. 13528
  30. Hayes MJ, Rogers AA, Chuanon J, Tan T, Lai IJ, Yong E. Dental and oral health students’ perceptions of loupes. Int J Occup Saf Ergon. 2021;27(1): 136-143. doi:10.1080/10803548.2019.1574110
  31. Aboalshamat K, Daoud O, Mahmoud LA, et al. Practices and attitudes of dental loupes and their relationship to musculoskeletal disorders among dental practitioners. Int J Dent. 2020;2020:8828709. doi:10.1155/2020/8828709
  32. Reinhardt JW, Romine JJ, Xu Z. Factors contributing to student satisfaction with dental loupes and headlights. Eur J Dent Educ. 2020; 24(2):266-271. doi:10.1111/eje.12493
  33. Adriaens PA, Adriaens LM. Effects of nonsurgical periodontal therapy on hard and soft tissues. Periodontol 2000. 2004;36:121-145. doi:10.1111/j.1600-0757.2004.03676.x
  34. Hoerler SB, Branson BG, High AM, Mitchell TV. Effects of dental magnification lenses on indirect vision: a pilot study. J Dent Hyg. 2012; 86(4):323-330.
  35. Çolak R, Gül İ, Küçükoğlu Çolak M. The effect of dental loupes on postural ergonomics during non-surgical periodontal therapy. Sci Rep. 2025;15:44439. doi:10.1038/s41598-025-28124-0