Table 3 Data extraction from included articles.

From: Game-based learning in orthodontic education: a systematic review

Authors (Year)

Details of GBL

Research objectives

Research methodology

Participants

Outcome measurements

Key findings

Risk of bias

Dhaliwal et al. [18]

Problem-based learning enhanced with audience response system

To determine the impact of ARS in an undergraduate orthodontic course

Cross-over RCT

Dental undergraduates

- User experience

- Knowledge retention

- Student involvement in class

- Participants had more positive perceptions with the use of ARS.

- Knowledge retention was found better with ARS use.

- Involvement in class was not affected by ARS.

Moderate

Sakowitz et al. [19]

A simulated patient implemented with virtual reality technology

To compare educational impact in diagnosing and treatment

planning of orthognathic cases between VR and 2D prediction tracing method

RCT

Participants allocated into two groups:

1. VR

2. 2D tracing

Dental undergraduates

Knowledge and understanding in diagnosis and treatment

planning of orthognathic cases

After completing the learning tasks, significant improvements in the test scores were found among participants from both groups. However, no significant difference between the two groups was found.

Low

Huang et al. [20]

Virtual reality system for orthodontic bracket bonding

To investigate user experience in the orthodontic training VR application.

Questionnaire survey following the learning task

Dental undergraduates

User experience

Participants had positive perceptions toward the VR, considered as an enjoyable learning task for training orthodontic bracket bonding.

Moderate

Zhang et al. [21]

Uceph: An online game-based learning for cephalometric training, adopting the pattern of shooting games.

To assess whether

Uceph can improve tracing accuracy and speed

RCT

Participants allocated into three groups:

1. Uceph

2. Teacher guidance

3. Self-training

Orthodontic resident

- Tracing accuracy

- Tracing speed

- Self-perception

Uceph offered better performance on tracing accuracy and more positive perceptions. No significant difference between the Uceph and teacher guidance group in terms of tracing speed was found.

Moderate

Chen et al. [22]

Virtual reality to stimulate students to learn orthodontic concepts and

treatment process

To evaluate impact of VR compared with PowerPoint for traditional case analysis

RCT

Participants allocated into two groups:

1. VR

2. PowerPoint

Dental undergraduates

Learning motivation and user experience

Participants reported higher motivation and more positive perceptions for VR than PowerPoint.

Moderate

Rahmani et al. [23]

Educational game: A quiz game format with 2D animation and interactive feedback for teaching orthodontic lateral cephalometric and dental cast analysis.

To evaluate the attitudes of students toward edutainments

Questionnaire survey following the learning task

Dental undergraduates

User experience

Participants had positive perceptions toward the educational multimedia enhanced with edutainments.

Moderate

Tran and Lipp [24]

Dealodontics: A card game for basic orthodontic concepts

To evaluate learner engagement and game-playing experience.

Questionnaire survey following the learning task

Dental undergraduates

User experience

Participants had positive perceptions toward the card game.

Moderate