Development and Usability Evaluation of a Leap Motion-Based Controller-Free VR Training System for Inferior Alveolar Nerve Block

This study developed a virtual reality (VR) simulator for training the inferior alveolar nerve block (IANB) procedure using Leap Motion-based hand tracking and the Unity engine, and evaluated its interaction performance, task-level outcomes within the simulator, and usability. Built on a 3D anatomical model, the system provides a pre-clinical practice environment for realistic syringe manipulation and visually guided needle insertion, enabling repeated rehearsal of the procedural workflow. Interaction stability was assessed using participant-level gesture recognition rates and input latency. Usability was evaluated via a questionnaire addressing ease of use, cognitive load, and perceived educational usefulness. The results indicated participant-level mean gesture recognition rates of 88.8–90.5% and mean response latencies of approximately 64–66 ms. In usability testing (n = 40), the item related to perceived procedural skill improvement received the highest score (4.25/5.0). Because this study did not include controlled comparisons with conventional training or objective measures of clinical competency transfer, the findings should be interpreted as preliminary evidence of technical feasibility and learner-perceived usefulness within a simulated setting. Controlled comparative studies using objective learning outcomes are warranted.