Improving Early Career Dentists' Competency of Endodontic Furcal Perforation Repair: Development and Pilot Evaluation of a Simulated Model in a Quality Improvement Project

OBJECTIVE: This quality improvement project aims to evaluate the perceived benefits among early-career dentists in managing furcal perforations using a simulated clinical environment. The project focuses on the use of 3D printed models with furcal perforation and hydraulic calcium silicate-based cement to repair it, coupled with magnification tools. METHODS: The project was conducted over 2 years with two cohorts of dental core trainees. Each cohort participated in a half-day program. The session consisted of theoretical training on the causes, prognosis and management of perforations and was followed by hands-on practice, where trainees repaired furcal perforations on 3D printed teeth using hydraulic calcium silicate-based cement. Pre- and post-intervention surveys were administered to assess changes in knowledge, confidence and perceived competence. RESULTS: Trainees reported increased confidence in managing furcal perforations post-training. The use of 3D printed teeth provided a realistic and controlled environment for practice, with the opportunity to use hydraulic calcium silicate-based cement and magnification for effective repairs. CONCLUSION: Early-career dentists benefit significantly from practical experience in a simulated environment. The combination of theoretical knowledge and hands-on practice using advanced materials and tools improves their competence in managing furcal perforations, potentially leading to better clinical outcomes. This project underscores the importance of simulation-based training in dental education and its role in enhancing procedural skills and confidence among trainees.