RSS-Feed abonnieren

DOI: 10.1055/s-0045-1808256
Active Learning Strategies for Improving Dental Students' Skills in Preclinical Restorative Dentistry

Abstract
Objective
Practical assessment in dental education is crucial for developing clinical competencies. This study investigated the effectiveness of action research (AR) and active learning strategies in improving student achievement in a preclinical restorative dentistry course among 58 third-year dental students.
Materials and Methods
The intervention focused on teaching composite cavity preparation techniques through student engagement and participation. Using a mixed-methods approach, data were collected over 10 weeks through observations, surveys, poster presentations, performance evaluations, and peer assessments. Data analysis employed SPSS-20.0 for quantitative measures, including one-sample t-tests with a mean value of 3.6 as the cutoff point on the Likert scale for high-quality ratings (Ho: μ = 3.6, p ≤ 0.05).
Results
The surveys demonstrated high internal reliability (Cronbach's alpha = 0.91). Students reported the highest satisfaction with topic relevance (90%) and showed significant improvement in learning outcomes through poster presentations and peer assessments (p < 0.05). However, activity organization (p = 0.526), clinical practice impact (p = 0.072), and cross-course applicability (p = 0.671) were nonsignificant. Pre- and post-test data were analyzed both statistically and descriptively to evaluate learning outcomes.
Conclusion
These findings suggest that implementing AR and active learning strategies can enhance student learning and achievement in preclinical dental education, though further research is needed to optimize organizational aspects and clinical practice.
Keywords
action research - active learning - assessment methods - dental education - flipped classroom - mixed methods - peer assessment - poster presentation - surveysData Availability Statement
The data that support the findings of this study are attached to the manuscript, as a part of the manuscript, as well as in the form of supplementary files.
Ethical Approval
This study was performed in conformity with all the rules and regulations set forth by the regional human subjects' oversight committee and the IAU-Ethical committee. The protocol is the authorization code for this investigation: #IRB-2023–02–216.
Publikationsverlauf
Artikel online veröffentlicht:
07. Mai 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Wiggins G. Teaching to the (authentic) test. In: Developing Minds: A Resource Book for Teaching Thinking (Costa AL, ed). 1st ed. USA: ERIC (Education Resources Information Center); 1991: 344-350
- 2 Divaris K, Barlow PJ, Chendea SA. et al. The academic environment: the students' perspective. Eur J Dent Educ 2008; 12 (Suppl. 01) 120-130
- 3 Murphy RJ, Gray SA, Straja SR, Bogert MC. Student learning preferences and teaching implications. J Dent Educ 2004; 68 (08) 859-866
- 4 McLaughlin JE, White PJ, Khanova J, Yuriev E. Flipped classroom implementation: a case report of two higher education institutions in the United States and Australia. Computers in the Schools 2016; 33 (01) 24-37
- 5 Butt A.. Student views on the use of a flipped classroom approach: Evidence from Australia. Business education & accreditation 2014; 6 (01) 33-43
- 6 Song Y, Jong MS, Chang M, Chen W. Guest Editorial: “HOW” to design, implement and evaluate the flipped classroom?–A synthesis. J Educ Technol Soc 2017; 20 (01) 180-183
- 7 Asok D, Abirami A, Angeline N, Lavanya R. Active learning environment for achieving higher-order thinking skills in engineering education. IEEE 2016; 47-53
- 8 Divaris K, Barlow PJ, Chendea SA. et al. The academic environment: the students' perspective. Eur J Dent Educ 2008; 12 (1, Suppl 1): 120-130
- 9 Sailer M, Sailer M. Gamification of in-class activities in flipped classroom lectures. Br J Educ Technol 2021; 52 (01) 75-90
- 10 Strayer JF. How learning in an inverted classroom influences cooperation, innovation and task orientation. Learn Environ Res 2012; 15: 171-193
- 11 Williams B, Horner C, Allen S. Flipped v's traditional teaching perspectives in a first year accounting unit: an action research study. Account Educ 2019; 28 (04) 333-352
- 12 McNiff J. Action Research: Principles and Practice. Oxfordshire: Routledge; 2013
- 13 Tomlinson S. EBOOK: Race and Education: Policy and Politics in Britain. Maidenhead: McGraw-Hill Education (UK); 2008
- 14 Aagaard T, Lund A. Digital Agency in Higher Education: Transforming Teaching and Learning. Oxfordshire: Routledge; 2019
- 15 Holter IM, Schwartz-Barcott D. Action research: what is it? How has it been used and how can it be used in nursing?. J Adv Nurs 1993; 18 (02) 298-304
- 16 Mertler CA. Action Research: Improving Schools and Empowering Educators. Thousand Oaks, CA: Sage Publications; 2024
- 17 Meyle J, Lambert F, Winning L. et al. Continuing professional development (CPD) and vocational education and training (VET) in periodontology and implant dentistry. J Clin Periodontol 2024; 51 (Suppl. 27) 91-116
- 18 Koole S, Fine P, De Bruyn H. Using discussion groups as a strategy for postgraduate implant dentistry students to reflect. Eur J Dent Educ 2016; 20 (01) 59-64
- 19 Rao GKL, Mokhtar N. Dental education in the information age: teaching dentistry to generation Z learners using an autonomous smart learning environment. In: Handbook of Research on Instructional Technologies in Health Education and Allied Disciplines. Hershey, Pennsylvania, United States: IGI Global; 2023: 243-264
- 20 Cure RJ. An Evaluation of Education in an Orthodontic Training Centre [PhD Thesis]. Coventry, England: University of Warwick; 2014
- 21 Sweet J, Wilson J, Pugsley L. Educational innovations for dentistry. Br Dent J 2009; 206 (01) 29-34
- 22 Winning T, Townsend G. Problem-based learning in dental education: what's the evidence for and against...and is it worth the effort?. Aust Dent J 2007; 52 (01) 2-9
- 23 Rafter ME, Pesun IJ, Herren M. et al. A preliminary survey of interprofessional education. J Dent Educ 2006; 70 (04) 417-427
- 24 Hendricson WD, Anderson E, Andrieu SC. et al. Does faculty development enhance teaching effectiveness?. J Dent Educ 2007; 71 (12) 1513-1533
- 25 Allison BN, Rehm ML. Effective teaching strategies for middle school learners in multicultural, multilingual classrooms. Middle School Journal 2007; 39 (02) 12-18
- 26 Walker E.. Literacy-oriented pedagogy in the advice of experienced language teachers as prospective practicum assessors. Pedagogies 2012; 7 (02) 182-198
- 27 Sexton M. Convenience sampling and student workers: Ethical and methodological considerations for academic libraries. J Acad Librariansh 2022; 48 (04) 102539
- 28 Stratton SJ. Population research: convenience sampling strategies. Prehosp Disaster Med 2021; 36 (04) 373-374
- 29 Tashakkori A, Teddlie C. Epilogue: Current developments and emerging trends in integrated research methodology. In: Sage Handbook of Mixed Methods in Social & Behavioral Research. 2010: 803-826
- 30 Ivankova N, Plano Clark V. Teaching mixed methods research: using a socio-ecological framework as a pedagogical approach for addressing the complexity of the field. Int J Soc Res Methodol 2018; 21 (04) 409-424
- 31 Sivarajan S, Soh EX, Zakaria NN. et al. The effect of live demonstration and flipped classroom with continuous formative assessment on dental students' orthodontic wire-bending performance. BMC Med Educ 2021; 21 (01) 326
- 32 Chantanahom P, Rungsiyakull C, Sukapattee M, Chaijareenont P, Rungsiyakull P. Effects of computer-assisted learning for removable partial denture design on learning outcomes and satisfaction. BMC Med Educ 2025; 25 (01) 104
- 33 Szparagowski R. . The effectiveness of the flipped classroom. Honor Projects 127, 2014. Accessed at https://scholarworks.bgsu.edu/honorsprojects/127
- 34 Soliman NA. Teaching English for academic purposes via the flipped learning approach. Procedia Soc Behav Sci 2016; 232: 122-129
- 35 Güvenç G. The flipped classroom approach in teaching writing: an action research. Int J Social Sci Educ Res 2018; 4 (03) 421-432
- 36 Roach T. Student perceptions toward flipped learning: new methods to increase interaction and active learning in economics. Int Rev Econ Educ 2014; 17: 74-84
- 37 Smith JD. Student attitudes toward flipping the general chemistry classroom. Chem Educ Res Pract 2013; 14 (04) 607-614
- 38 Nederveld A, Berge ZL. Flipped learning in the workplace. J Workplace Learn 2015; 27 (02) 162-172
- 39 Tan D, Ganapathy M, Mehar Singh MK. Kahoot! It: gamification in higher education. Pertanika J Soc Sci Humanit 2018; 26: 565-582
- 40 Wang AI, Tahir R. The effect of using Kahoot! for learning–a literature review. Comput Educ 2020; 149: 103818
- 41 Berry J, Nyman MA. Introducing mathematical modelling skills to students and the use of posters in assessment. Problems, Resources, and Issues in Mathematics Undergraduate Studies 1998; 8 (02) 103-115
- 42 Mulnix A, Penhale SJ. Modeling the activities of scientists: a literature review & poster presentation assignment. Am Biol Teach 1997; 482-487
- 43 Eker C. The effect of posters used as an alternative learning tool on studens' academic achievement and attitudes towards the course [in Turkish]. J Theory Pract Educ 2016; 12 (01) 103-121
- 44 Brown S, Burroughs E. Poster projects: mathematics in context. PRIMUS (Terre Ht Ind) 2008; 18 (05) 475-487
- 45 Prichard C, Ferreira D. The effects of poster presentations and class presentations on low-proficiency learners. TESOL J 2014; 5 (01) 172-185
- 46 Johnson D, Cujec B. Comparison of self, nurse, and physician assessment of residents rotating through an intensive care unit. Crit Care Med 1998; 26 (11) 1811-1816
- 47 Bryan RE, Krych AJ, Carmichael SW, Viggiano TR, Pawlina W. Assessing professionalism in early medical education: experience with peer evaluation and self-evaluation in the gross anatomy course. Ann Acad Med Singap 2005; 34 (08) 486-491
- 48 Kusto AR, Afful SE, Mattingly BA. Students' perceptions of and preferences for professors. New School Psychol Bull 2010; 8 (01) 47-55
- 49 Kanwar A, Sanjeeva M. Student satisfaction survey: a key for quality improvement in the higher education institution. J Innov Entrep 2022; 11 (01) 27
- 50 Hand L, Rowe M. Evaluation of student feedback. Account Educ 2001; 10 (02) 147-160
- 51 Mandouit L. Using student feedback to improve teaching. Educ Action Res 2018; 26 (05) 755-769