Evaluating the difference in perception of the Akinosi technique among dentistry students: A comparison between theoretical and practical learning

J Dent Educ. 2024 May 16. doi: 10.1002/jdd.13570. Online ahead of print.

Abstract

Introduction: Effective pain control is crucial in dental practice; thus, local anesthetic techniques have been extensively taught. The Halstead technique is the most commonly used inferior alveolar nerve block despite its relatively high failure rate. On the other hand, the Vazirani‒Akinosi technique (VAT) is less commonly taught. This study evaluated changes in final-year students' perceptions of VAT after a period of active learning.

Methods: This prospective randomized study was performed in 2022 and included fifth-year dental students (n = 91). The study group (n = 49) received practical VAT training during oral surgery internships, whereas the control group (n = 42) did not. A Likert-scale questionnaire assessed students' perceptions, theoretical knowledge, and difficulty levels. An independent sample t-test was used for comparison and the statistical significance level was set at p < 0.05.

Results: The survey response rate was 100%. Statistical analysis revealed significant differences between the groups for seven of the 12 questionnaire statements (p < 0.05). Overall, perception scores favored the study group, indicating a more positive response. The statements related to theoretical knowledge, except for one statement, showed no significant differences (p > 0.05).

Conclusion: Practical training significantly improved students' perceptions of VAT, demonstrating the importance of active learning in dental education. Faculties should integrate active learning methods to enhance students' clinical skills and prepare them for professional practice.

Keywords: Halstead technique; Vazirani‒Akinosi technique; dental anesthesia; dental education; local anesthesia.