Implementing online learning of Diagnostic Criteria for the Temporomandibular Disorders (DC/TMD) protocol in undergraduate dental education

Authors

  • Jaana Malmberg Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland; Department of Prosthetic Dentistry and Stomatognathic Physiology, Institute of Dentistry, University of Turku, Turku, Finland
  • Ritva Näpänkangas Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland; Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
  • Marjo-Riitta Liljeström Department of Prosthetic Dentistry and Stomatognathic Physiology, Institute of Dentistry, University of Turku, Turku, Finland
  • Johanna Tanner Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland
  • Tuija Teerijoki-Oksa Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland
  • Auli Suominen Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
  • Kirsi Sipilä Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland; Medical Research Center, Oulu University Hospital and University of Oulu, Oulu

DOI:

https://doi.org/10.2340/aos.v83.40984

Keywords:

DC/TMD, undergraduate dental education, online

Abstract

Introduction: The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) is part of the undergraduate dental curriculum. Online teaching has nowadays become common also in dentistry.

Objective: To compare undergraduate students’ self-assessed ability and satisfaction with learning DC/TMD Axis I between traditional and online learning and to evaluate the possible gains of online teaching.

Material and Methods: Third-year undergraduate dental students in 2018 (traditional learning, Group 1, n = 43/50) and in 2019 (online learning, Group 2, n = 34/50) at the University of Oulu, Finland evaluated their self-assessed ability and satisfaction with learning DC/TMD clinical examination and diagnostics on a 10-point scale. Additionally, those participating in online courses answered to two open-ended questions; Group 2 (n = 50) and another group from the University of Eastern Finland in 2019 and 2020 (n = 75, Group 3). Total of 105/125 students (84%) responded. Content analysis was used to open-ended responses.

Results: The online course reported significantly higher self-assessed ability in measurements (p = 0.004), identifying referred pain (p = 0.043) and statement for the diagnostics (p = 0.017) and also higher self-assessed satisfaction in measurements (p = 0.046). According to the content analysis, essential gains of online teaching were efficient learning, videos and exercises, and adjustability to own timetable.

Conclusion: The online learning course can be considered as a good option for traditional learning of the DC/TMD protocol. 

Downloads

Download data is not yet available.

References

DC-TMD InternationalRDC-TMD Consortium[Internet]. [cited 2022 Jun 10]. Available from: https://ubwp,buffalo.edu/rdc-tmdinternational/other-resources/translation-guidelines/

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014;28:6–27. https://doi.org/10.11607/jop.1151 DOI: https://doi.org/10.11607/jop.1151

Steenks MH. The gap between dental education and clinical treatment in temporomandibular disorders and orofacial pain. J Oral Rehabil. 2007;34:475–7. https://doi.org/10.1111/j.1365-2842.2007.01711.x DOI: https://doi.org/10.1111/j.1365-2842.2007.01711.x

Plasschaert AJM, Holbrook WP, Delap E, et al. Profile and competences for the European dentist. Eur J Dent Educ. 2005;9:98–107. https://doi.org/10.1111/j.1600-0579.2005.00369.x DOI: https://doi.org/10.1111/j.1600-0579.2005.00369.x

Klasser GD, Greene CS. Predoctoral teaching of temporomandibular disorders: a survey of U.S. and Canadian dental schools. J Am Dent Assoc 1939. 2007;138:231–7. https://doi.org/10.14219/jada.archive.2007.0142 DOI: https://doi.org/10.14219/jada.archive.2007.0142

Hiltz SR. The virtual classroom: learning without limits via computer networks. Intellect Books, Bristol; 1994.

TheGoodTeacher.pdf [Internet]. [cited 2022 Jun 10]. Available from: https://njms.rutgers.edu/education/office_education/community_preceptorship/documents/TheGoodTeacher.pdf

Berge Z. Interaction in post-secondary Web-based learning. Educ Technol. 1999;39(1):5-11.

Smith, D, Hardaker G. e-Learning Innovation through the Implementation of an Internet Supported Learning Environment. J Educ Technol Soc. 2000;3:422-432

Alexander, S. E‐learning developments and experiences, Education + Training, 2001;43 (4/5):240-248. DOI: https://doi.org/10.1108/00400910110399247

Kemp N, Grieve R. Face-to-face or face-to-screen? Undergraduates’ opinions and test performance in classroom vs. online learning. Front Psychol. 2014;5:1278. https://doi.org/10.3389/fpsyg.2014.01278 DOI: https://doi.org/10.3389/fpsyg.2014.01278

Ohrbach R, Bjorner J, Jezewski M, et al. Guidelines for establishing cultural equivalency of instruments: 94.

DC-TMD Finnish Assessment Instruments_revised 2021_06_23.pdf | Palvelun tarjoaa Box [Internet]. [cited 2022 Jun 10]. Available from: https://buffalo.app.box.com/s/633g52vu7c33f4j59fqwpgztjxhppms7

Vilanova LSR, Garcia RCMR, List T, et al. Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration? J Headache Pain. 2015;16:505. https://doi.org/10.1186/s10194-015-0505-9 DOI: https://doi.org/10.1186/s10194-015-0505-9

Kyngäs H, Mikkonen K, Kääriäinen M, editors. The application of content analysis in nursing science research. 2020 [cited 2023 Sep 4]; Available from: http://link.springer.com/10.1007/978-3-030-30199-6 DOI: https://doi.org/10.1007/978-3-030-30199-6

Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62:107–15. https://doi.org/10.1111/j.1365-2648.2007.04569.x DOI: https://doi.org/10.1111/j.1365-2648.2007.04569.x

Oblinger, D.G., Oblinger, J.L., Lippincott, J. Educating the Net Generation. Educause, Boulder; 2005.

Lowenthal P., Wilson B.,Parrish P. Context matters: A description and typology of the online learning landscape. In M. Simonson (Ed.), 32nd Annual proceedings: Selected research and development papers presented at the annual convention of the Association for Educational Communications and Technology. Washington D. C.: Association for Educational Communications and Technology.2009.

Benson A. Using online learning to meet workforce demand: a case study of stakeholder influence. Q Rev Distance Educ. 2002;3:443–52.

Carliner S. An overview of online learning.HRD Press, Amherst;2004

Conrad D. Deep in the hearts of learners: insights into the nature of online community. J Distance Educ. 2002;17:1–19.

Naser-ud-Din S. Introducing scenario based learning interactive to postgraduates in UQ orthodontic program. Eur J Dent Educ Off J Assoc Dent Educ Eur. 2015;19:169–76. https://doi.org/10.1111/eje.12118 DOI: https://doi.org/10.1111/eje.12118

Miller CJ, Metz MJ. Can clinical scenario videos improve dental students’ perceptions of the basic sciences and ability to apply content knowledge? J Dent Educ. 2015;79:1452–60. https://doi.org/10.1002/j.0022-0337.2015.79.12.tb06045.x DOI: https://doi.org/10.1002/j.0022-0337.2015.79.12.tb06045.x

Mahmoodi B, Sagheb K, Sagheb K, et al. Catalogue of interactive learning objectives to improve an integrated medical and dental curriculum. J Contemp Dent Pract. 2016;17:965–8. https://doi.org/10.5005/jp-journals-10024-1964 DOI: https://doi.org/10.5005/jp-journals-10024-1964

Al-Jewair TS, Azarpazhooh A, Suri S, et al. Computer-assisted learning in orthodontic education: a systematic review and meta-analysis. J Dent Educ. 2009;73:730–9. https://doi.org/10.1002/j.0022-0337.2009.73.6.tb04752.x DOI: https://doi.org/10.1002/j.0022-0337.2009.73.6.tb04752.x

Al-Riyami S, Moles DR, Leeson R, et al. Comparison of the instructional efficacy of an internet-based temporomandibular joint (TMJ) tutorial with a traditional seminar. Br Dent J. 2010;209:571–6. https://doi.org/10.1038/sj.bdj.2010.1085 DOI: https://doi.org/10.1038/sj.bdj.2010.1085

Turkyilmaz I, Hariri NH, Jahangiri L. Student’s perception of the impact of E-learning on dental education. J Contemp Dent Pract. 2019;20:616–21. https://doi.org/10.5005/jp-journals-10024-2568 DOI: https://doi.org/10.5005/jp-journals-10024-2568

Feiner SK. Augmented reality: a new way of seeing. Sci Am. 2002;286:48–55. https://doi.org/10.1038/scientificamerican0402-48 DOI: https://doi.org/10.1038/scientificamerican0402-48

McCloy R, Stone R. Virtual reality in surgery. BMJ. 2001;323:912–5. https://doi.org/10.1136/bmj.323.7318.912 DOI: https://doi.org/10.1136/bmj.323.7318.912

Joda T, Gallucci GO, Wismeijer D, et al. Augmented and virtual reality in dental medicine: a systematic review. Comput Biol Med. 2019;108:93–100. https://doi.org/10.1016/j.compbiomed.2019.03.012 DOI: https://doi.org/10.1016/j.compbiomed.2019.03.012

Cheng G, Chau J. Exploring the relationships between learning styles, online participation, learning achievement and course satisfaction: an empirical study of a blended learning course. Br J Educ Technol. 2016;47:257–78. https://doi.org/10.1111/bjet.12243 DOI: https://doi.org/10.1111/bjet.12243

Published

2024-06-26