Computerized evaluation of the effectiveness of subgingival scaling in jaw models

The purpose of the present study was to improve the quality and the effectiveness of subgingival scaling managed by dental students. A training program was developed and the scaling was performed in jaw models. The teeth of these models were modified in order to ensure a quick inspection of the scaled root surfaces. Artificial "calculus", consisting of a mixture of shellac, umbra, pumice and plaster dissolved in ethanol, was painted on the root surfaces. Following the completion of the scaling test, remaining "calculus" was evaluated by adoption of a grading system. This system had scores from 0 to 3 and was defined by illustrated and described criteria. A menu-directed computer program was developed in order to ensure a rapid transformation of surface scores into clinically-related variables. The output from this program gave valuable information about the proficiency of individual students, as well as about the whole class of students as one body. Other advantages and potentials of this system are described.