journal article·2025-12-03Open access

Development of a Prototype Hybrid Mixed Reality and Haptic Task Trainer for Temporomandibular Joint Dislocation

Nathan Lucien Vieira, Wei Ming Ng, Soyoung Lim, Jinsoo Rhu, Jaemyung Ahn, Jong Chul Kim, Meong Hi Son, Won Chul Cha

Applied Sciences· Volume 15· Issue 23

Abstract

This study introduces a novel mixed reality (MR) TMJ dislocation teaching program developed using HoloLens 2 and collaboration with interdisciplinary teams. The program offers an immersive learning experience, enabling individuals to visualize and interact with detailed 3D temporomandibular joint (TMJ) models and practice different reduction techniques repeatedly. Real-time feedback, combining the visual holographic overlay with mechanical resistance in the physical model, supports the learning process. The 3D-printed skull model provided haptic feedback, strengthened the positive response given by the MR model, and reinforced muscle memory. Despite some challenges related to the learning curve and cost, the program shows promise for practicing uncommon, high-anxiety clinical procedures in medical education. Future research directions include comparisons with traditional teaching methods, evaluating long-term skill retention, and exploring MR applications in other clinical procedures. Overall, this project demonstrates the potential of MR technology to advance medical education and skill acquisition.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Research and COVID-19 · Augmented Reality Applications · Surgical Simulation and Training

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Digital Health, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Seoul 06351, Republic of Korea

Department of Emergency Medicine, Ng Teng Fong General Hospital, Singapore 609606, Singapore

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea

Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea

Department of Biomedical Engineering, Samsung Medical Center, Seoul 06351, Republic of Korea

Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea

Funding

Ministry of Health and Welfare, Republic of Korea

References (22)

Show source-provided references
1. Temporomandibular joint dislocation: Experiences from Zaria, Nigeria10.5125/jkaoms.2014.40.3.111 ↗
2. Temporomandibular joint dislocation: A retrospective study from a Swiss urban emergency department10.2147/OAEM.S174116 ↗
3. Bonanthaya, K., Panneerselvam, E., Manuel, S., Kumar, V.V., and Rai, A. (2021). Temporomandibular Joint Dislocation. Oral and Maxillofacial Surgery for the Clinician, Springer.10.1007/978-981-15-1346-6 ↗
4. Temporomandibular joint dislocation10.4103/0975-5950.168212 ↗
5. Exploration of temporal bone anatomy using mixed reality (HoloLens): Development of a mixed reality anatomy teaching resource prototype10.1080/17453054.2019.1671813 ↗
6. Zhang, G., Liu, X., Wang, L., Zhu, J., and Yu, J. (2022). Development and feasibility evaluation of an AR-assisted radiotherapy positioning system. Front. Oncol., 12.10.3389/fonc.2022.921607 ↗
7. Development of a Mixed Reality Platform for Lateral Skull Base Anatomy10.1097/MAO.0000000000001995 ↗
8. Virtual reality simulation training in Otolaryngology10.1016/j.ijsu.2013.11.007 ↗
9. Virtual reality simulation—The future of orthopaedic training? A systematic review and narrative analysis10.1186/s41077-020-00153-x ↗
10. User experiences of medical students with 360-degree virtual reality applications to prepare them for the clerkships10.1007/s10055-022-00731-6 ↗
11. Performance evaluation of AR/VR training technologies for EMS first responders10.1007/s10055-020-00436-8 ↗
12. Mixed Reality with HoloLens: Where Virtual Reality Meets Augmented Reality in the Operating Room10.1097/PRS.0000000000003802 ↗
13. Feasibility of using a low-cost head-mounted augmented reality device in the operating room10.4103/sni.sni_228_18 ↗
14. A Novel Evaluation Model for a Mixed-Reality Surgical Navigation System: Where Microsoft HoloLens Meets the Operating Room10.1177/1553350619893236 ↗
15. A Meta-analysis of augmented reality programs for education and training10.1007/s10055-023-00844-6 ↗
16. A review of the evidence for training effectiveness with virtual reality technology10.1007/s10055-020-00498-8 ↗
17. Toward the validation of VR-HMDs for medical education: A systematic literature review10.1007/s10055-023-00802-2 ↗
18. A scoping review of the educational uses of 6DoF HMDs10.1007/s10055-021-00556-9 ↗
19. Olinski, M., and Marciniak, P. (2025). Development of a Simplified Human Body Model for Movement Simulations. Appl. Sci., 15.10.3390/app15031011 ↗
20. A Safe and Effective Way for Reduction of Temporomandibular Joint Dislocation10.1097/01.sap.0000232981.40497.32 ↗
21. Objective structured assessment of technical skill (OSATS) for surgical residents
22. Effectiveness of simulation on health profession students’ knowledge, skills, confidence and satisfaction