Precision dentistry in preclinical education: analytic rubrics for enhanced objectivity in metal-ceramic crown preparations
Abstract
Introduction Preclinical dental training requires students to master precise tooth preparation skills that directly influence clinical success. Traditional grading methods often lack objectivity and consistency. Analytic rubrics, by deconstructing complex procedures into measurable components, may improve reliability and feedback in preclinical assessment. This study evaluated the application of an analytic rubric system for assessing anterior metal-ceramic crown preparations performed by undergraduate dental students. Methods A cross-sectional, double-blind study was conducted among fourth-year Bachelor of Dental Surgery students at King Khalid University. Forty-five students prepared the maxillary right central incisor for a metal-ceramic crown under standardized conditions. Preparations were independently evaluated by four calibrated prosthodontists using an analytic rubric comprising eight criteria, each scored on a 0–1 scale. Descriptive statistics, one-way ANOVA, and post hoc Tukey's HSD were employed to analyze examiner variation. Inter-rater reliability was assessed using Cohen's kappa. Results The overall mean score across examiners was 3.436 ± 0.522. Among the parameters, incisal reduction (57.5%) and degree of taper (61.8%) recorded the lowest scores, while finish line form (76.9%) and gingival protection (76.4%) showed the highest. ANOVA indicated no significant differences among the four examiners across all parameters ( p > 0.05). Tukey's HSD confirmed no pairwise examiner differences, demonstrating consistent grading. Inter-rater reliability yielded kappa values ranging from 0.67 to 0.85, indicating substantial to almost perfect agreement. Conclusion The analytic rubric proved to be a reliable and transparent tool for evaluating preclinical crown preparations, minimizing examiner subjectivity and enhancing feedback.
Fields of Study & Subjects
Dental Research and COVID-19
Dental materials and restorations
Medical Education and Admissions
Publication details
- Journal / source
- Frontiers in Dental Medicine
- Publisher
- Frontiers Media SA
- Volume
- 6
- Pages
- 1728355–1728355
- Publication date
- 7 January 2026
- Language
- EN