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Method Article

Instructional Videos Demonstrating Periodontal Instrumentation on a Typodont with Simulated Calculus

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DOI:

10.3791/70415

August 11th, 2026

In This Article

Summary

This manuscript reports on the development of a series of high-resolution instructional videos on periodontal instrumentation techniques using a typodont with plastic teeth coated with simulated supra- and subgingival calculus deposits. Dental students found the recorded videos useful and suggested directions for further development.

Abstract

Video‑assisted instruction can enhance the teaching and learning of periodontal instrumentation when visualization and content quality support clear demonstration of technique. This study aimed to describe the development of high‑resolution instructional videos demonstrating armamentarium and techniques on a typodont with simulated calculus, and to evaluate perceived usefulness among predoctoral dental students. The institutional review board determined that the study was exempt. Instructional videos were recorded in 8K resolution and demonstrated instrument selection, ergonomics, adaptation, angulation, and activation of strokes on a typodont with transparent gingiva and simulated supra‑ and subgingival calculus deposits. Perceived usefulness was evaluated through a brief anonymous survey with optional open-ended feedback. The same cohort was invited to evaluate both video sets, but anonymous responses could not be linked across surveys. Proportions were summarized with 95% Wilson score confidence intervals (CIs). Due to the study's descriptive design, no formal hypothesis testing was performed. Sixteen students completed the survey evaluating the previously used instructional videos; 37.5% rated them "Extremely useful" (95% CI [18.5, 61.4%]), and 50% rated them "Very useful." Fourteen students completed the survey evaluating the new videos; 64.3% rated them "Extremely useful" (9/14; 95% CI [38.8, 83.7%]), 28.6% "Very useful" (4/14), 7.1% "Slightly useful" (1/14), and no participant chose "Moderately useful" or "Not at all useful." All participants indicated they would refer to the new videos in the future. Descriptive categorization of 27 comments identified five recurring themes: clarity, zoom, technique, realism, and accessibility. Students valued improved resolution and close‑up views, while suggestions emphasized captions/written explanations and demonstrations on natural teeth. The findings further support the role of high-resolution instructional videos as useful adjuncts to preclinical periodontal instruction. Future studies should evaluate objective performance outcomes and explore additional content and accessibility features.

Introduction

High-quality periodontal instrumentation is essential for delivering excellent patient care, supporting skill development, and enhancing the patient experience. Various studies have shown that video-assisted clinical instruction in dentistry can effectively complement clinical teaching, enhance understanding in a non-threatening environment, and foster self-directed, active learning1. At the University of Sydney (Westmead, NSW, Australia), the use of narrated instructional videos to teach dental local anesthesia improved psychomotor skills that required accuracy in 90% of students, which correlated positively with the number of video views....

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Protocol

For the present study (Figure 1), the Colorado Multiple Institutional Review Board (COMIRB) determined that the study was exempt (protocol #22-2099). Conduct all procedures in accordance with relevant local institutional review board or ethics committee guidelines and regulations and with the principles of the Declaration of Helsinki, as revised in 20136. Sections 5–10 discuss the steps involved in making the demonstration videos.

1. Confirming ethics determination and study design

  1. Confirm that the appropriate institutional review board or ethics committee has granted the required e....

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Results

Survey results

The following survey results reflect the perceived educational usefulness of the videos and do not measure the technical performance of periodontal instrumentation.

Legacy videos

A total of 16 students (7 DS3 and 9 ISP1) evaluated the legacy videos and completed the survey. Overall, 37.5% of participants (2 DS3 and 4 ISP1) found the videos "Extremely useful" (95% CI [18.5, 61.4%]); 50% of p.......

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Discussion

The present protocol provides a detailed, high-resolution framework for teaching periodontal instrumentation with explicit steps, QC endpoints, and troubleshooting. The instructional videos were designed to support self-directed learning and repeated viewing. Each video module focused on a distinct technique or instrument type, could be viewed repeatedly, and was structured to demonstrate (1) Proper instrument selection and grasp, (2) Fulcrum placement and ergonomics, (3) Adaptation and angulation techniques, (4) Activat.......

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Disclosures

The authors declare that neither they nor their immediate family members have financial, commercial, or other relationships with commercial entities whose products or platforms were used in this study. All tools and resources were solely for educational and research purposes. The funders of the study had no role in the study design, data collection, data analysis, data interpretation, or manuscript writing.

Acknowledgements

The authors would like to thank all students who participated in the study. The authors are also grateful to all authors of the referenced literature whose work laid the foundation for the current study. This work was funded by the CU Open Educational Resources (OER) Creation Stipends and the CU Anschutz SDM Dean's Innovation Grant.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
11/12 Periodontal ExplorerHu-Friedy6008097Double-ended periodontal explorer (paired ends)
11/12 Rigid Gracey CuretteHu-FriedySG11/12R9E2Area-specific curette; rigid shank; lower cutting edge used; mesial surfaces of posterior teeth; for moderate to heavy calculus
13/14 Rigid Gracey CuretteHu-FriedySG13/14R9E2Area-specific curette; rigid shank; lower cutting edge used; distal surfaces of posterior teeth; for moderate to heavy calculus
3/4 Rigid Gracey CuretteHu-FriedySG3/4R4XE2Area-specific curette; rigid shank; lower cutting edge used; anterior teeth; for moderate to heavy calculus
5/6 Barnhart CuretteHu-Friedy2010619Double-ended universal curette; two cutting edges per end; anterior and posterior use
7/8 Younger-Good CuretteHu-Friedy6000687Double-ended universal curette; two cutting edges per end; anterior and posterior use
Cotton Pliers (DP2)Hu-Friedy6002432College pliers, non-locking, smooth beaks, stainless steel
Dental Manikin HeadN/AN/AMount for typodont; patient-position simulation
H6/H7 Anterior Sickle Scaler (#7 handle)Hu-Friedy6000047Double-ended sickle scaler; two cutting edges; supragingival removal on anterior teeth
Image-editing softwareAdobePhotoshop (with Camera Raw)RAW processing and still image adjustments
Macro lens (100 mm)CanonRF 100mm F2.8 L MACRO IS USMClose-up capture of instrument–tooth interaction
Mask (Level 3)EcoguardN/AASTM Level-3 surgical mask with ear loops
Mezzanine editing codecAppleProRes 4444 XQIntermediate high-quality editing codec
Mirror Handle (Cone Socket #7)Hu-Friedy6001980Cone-socket mirror handle (#7), stainless steel
Mirror Head (Size 5, front surface)Hu-Friedy5866658Mouth mirror head, size 5, front-surface, cone-socket, stainless steel
Mirrorless Digital CameraCanonEOS R5Body used for still and 8K video capture
ModuPRO Perio TypodontAcadentalN/ATransparent gingiva; simulated supra-/subgingival deposits (ModuPRO Perio)
Nabers ProbeHu-FriedyPQ2N7CDouble-ended furcation probe; markings at 3, 6, 9, 12 mm; #7 handle
Nitrile Exam GlovesHalyardN/APowder-free nitrile; 'lavender' line; exam gloves
Non-linear video editorBlackmagic DesignDaVinci Resolve Studio v.20.3.1Editing; picture-in-picture; stabilization; color
On-camera RGB LED PanelLuxli10″ (Cello series)Adjustable illumination; glare reduction
Prime lens (50 mm)CanonRF 50mm F1.2 L USMWider-angle views for ergonomics/hand position
SCNevi 4/9 Posterior SickleHu-FriedyN/ADouble-ended sickle scaler; two cutting edges; supragingival removal on posterior teeth
Ultrasonic scalerN/AN/ATip selection, adaptation, stroke activation (supra/subgingival)
UNC-15 Periodontal ProbeHu-Friedy6005726Single-ended CP-15 UNC probe; color-coded 1–15 mm; #7 metal handle
Web-based survey platformQualtricsN/ASecure, anonymous survey distribution/collection
Yellow Isolation GownMedlineN/A

References

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  2. Wong G, Apthorpe HC, Ruiz K, Nanayakkara S. An innovative educational approach in using instructional videos to teach dental local anaesthetic skills. Eur J Dent Educ. 2019;23(1):28-34.
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  4. Aragon CE, Zibrowski EM. Does exposure to a procedural video enhance preclinical dental student performance in fixed prosthodontics? J Dent Educ. 20....

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Tags

Typodont SimulationDental EducationInstrument SelectionStroke ActivationErgonomics TechniqueGingiva VisualizationPreclinical Instruction

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