{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:58:45Z","timestamp":1790823525033,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Dental Education"],"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To evaluate whether a web\u2010based Dental Practicality Index (DPI) training improves treatment\u2010planning decision\u2010making skills and confidence among undergraduate dental students.<\/jats:p>\n <\/jats:sec>\n \n Methodology<\/jats:title>\n A multicentre, randomized, prospective interventional study was conducted across 12 dental schools in 10 countries and included 426 final\u2010year undergraduate dental students. Participants were allocated to either a control group (no DPI training) or an experimental group that received DPI training prior to assessment. The intervention consisted of an interactive web\u2010based module introducing the principles and application of the Dental Practicality Index. Following the intervention, both groups completed 15 validated clinical scenarios and a 10\u2010point decision\u2010making confidence questionnaire. Primary outcomes were agreement with expert\u2010referenced scenario decisions and confidence scores. Statistical analysis was performed using non\u2010parametric tests (Wilcoxon; Kruskal\u2013Wallis with DSCF adjustments) and ordinal logistic regression, accounting for the ordinal structure of the confidence measure.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Students who received DPI training showed significantly higher performance, demonstrated by greater agreement with expert\u2010referenced decisions (median score 7 vs. 6;\n p<\/jats:italic>\n \u2009=\u20090.009), as well as higher decision\u2010making confidence (median 8 vs. 7;\n p<\/jats:italic>\n \u2009=\u20090.002). These effects remained significant after adjusting for geographic context, with DPI training independently associated with improved performance (OR\u2009=\u20091.65; 95% CI: 1.10\u20132.49) and higher confidence (OR\u2009=\u20092.51; 95% CI: 1.46\u20134.31). Although regional variations were observed, the benefit of DPI training was consistent across schools. Model calibration and discrimination were acceptable (Hosmer\u2013Lemeshow\n p<\/jats:italic>\n \u2009\u2265\u20090.56; c\u2010statistic ~0.64\u20130.73).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Web\u2010based DPI training improved agreement with expert\u2010referenced treatment\u2010planning decisions and increased decision\u2010making confidence among senior undergraduate dental students. These findings suggest that incorporating DPI into undergraduate dental curricula may help standardise treatment\u2010planning education, although further research is needed to determine the readiness for practice.<\/jats:p>\n <\/jats:sec>\n \n Clinical Significance<\/jats:title>\n DPI provides a structured and holistic decision\u2010making framework that can help reduce uncertainty during treatment planning, support more appropriate and timely referral decisions, and ultimately enhance the quality of patient\u2010centered care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/eje.70300","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:32:51Z","timestamp":1790821971000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Multicentre Evaluation of Web\u2010Based Dental Practicality Index Training for Undergraduate Treatment\u2010Planning Education"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0205-9236","authenticated-orcid":false,"given":"Abhishek","family":"Parolia","sequence":"first","affiliation":[{"name":"College of Dentistry and Dental Clinics University of Iowa Iowa City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6274-5188","authenticated-orcid":false,"given":"Shalini","family":"Kanagasingam","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Lancashire Preston UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3203-5876","authenticated-orcid":false,"given":"Anelise","family":"Masiero","sequence":"additional","affiliation":[{"name":"College of Dentistry and Dental Clinics University of Iowa Iowa City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2861-6099","authenticated-orcid":false,"given":"Fang","family":"Qian","sequence":"additional","affiliation":[{"name":"College of Dentistry and Dental Clinics University of Iowa Iowa City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-3499","authenticated-orcid":false,"given":"Fabricio","family":"Teixeira","sequence":"additional","affiliation":[{"name":"College of Dentistry Texas A&M University Dallas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Miller","sequence":"additional","affiliation":[{"name":"College of Dentistry and Dental Clinics University of Iowa Iowa City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0614-6951","authenticated-orcid":false,"given":"Shanon","family":"Patel","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Oral & Craniofacial Sciences King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Research Workgroup Members","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"3","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1038\/sj.bdj.2014.648","article-title":"Preparedness of Dental Graduates for Foundation Training: A Qualitative Study","volume":"217","author":"Ali K.","year":"2014","journal-title":"British Dental Journal"},{"issue":"6","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1038\/sj.bdj.2017.272","article-title":"Preparedness of Undergraduate Dental Students in the United Kingdom: A National Study","volume":"222","author":"Ali K.","year":"2017","journal-title":"British Dental Journal"},{"issue":"10","key":"e_1_2_13_4_1","first-page":"619","article-title":"The Impact of the Dental Practicality Index on Treatment Planning","volume":"230","author":"Hamer S.","year":"2021","journal-title":"British Dental Journal"},{"issue":"3","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/0022-3913(91)90241-N","article-title":"Decision Making in Dentistry. 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F.","year":"2023","journal-title":"International Endodontic Journal"}],"container-title":["European Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70300","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eje.70300","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70300","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:32:57Z","timestamp":1790821977000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eje.70300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":23,"alternative-id":["10.1111\/eje.70300"],"URL":"https:\/\/doi.org\/10.1111\/eje.70300","archive":["Portico"],"relation":{},"ISSN":["1396-5883","1600-0579"],"issn-type":[{"value":"1396-5883","type":"print"},{"value":"1600-0579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"eje.70300"}}