A global survey of 130 dental educators across 115 institutions in 57 countries reveals that haptic virtual reality and mixed reality technologies remain far less common than traditional simulation methods in dental training. Phantom heads and benchtop exercises account for approximately 81 percent of reported clinical training time, compared with about 14 percent for immersive technologies.

Why adoption lags behind expectations

Resource constraints emerge as the primary barrier to wider use of haptic virtual reality in dental schools. High initial costs for hardware, software licences, maintenance and faculty training disproportionately affect low- and middle-income countries. Beyond financial obstacles, staff resistance and limited confidence in digital tools slow implementation. Educators trained in traditional methods often lack sufficient time and support to transition to new pedagogical approaches. Student enthusiasm for virtual reality-based training has grown with increasing digital fluency, yet institutional barriers remain the decisive factor.

Undergraduate versus postgraduate disparities

Adoption rates differ markedly between undergraduate and postgraduate programmes. Undergraduate training benefits from national accreditation requirements, larger teaching teams, extensive planning and dedicated resource allocation, allowing immersive technologies to be embedded into curricula. Postgraduate programmes, typically delivered by smaller teams with narrower learning objectives and fewer resources, show lower uptake. Immersive tools prove most effective in preclinical undergraduate training, where they bridge theoretical learning and clinical skills development.

Global inequality in access

The survey found that higher socio-economic status of countries correlates with greater use of haptic virtual reality in undergraduate education. Lower-income settings face unreliable power supplies, insufficient technical support and fewer trained staff, limiting sustained adoption of advanced technologies. This creates a digital divide in training access and outcomes across regions.

The researchers recommend strategic collaboration among dental schools to negotiate lower purchasing prices, share simulation resources and create common repositories of digital cases and teaching materials. They also propose phased hybrid models combining traditional simulation with immersive technologies and artificial intelligence-supported learning, coupled with shared faculty development and multicentre research to strengthen the evidence base.