Validation of Assessment-of-Clinical-Exodontia-Skill (ACES) Rating Scale for Assessment of Exodontia in Undergraduate Dental Students

Authors

  • Muhammad Usman Khalid Department of Oral & Maxillofacial Surgery, PMC Dental Institute, Faisalabad Medical University, Faisalabad Pakistan
  • Abid Ashar Department of Oral & Maxillofacial Surgery, Fatima Memorial Hospital, College of Medicine & Dentistry, Lahore Pakistan
  • Tanzeela Khalid Department of Dermatology, University Medical & Dental College, The University of Faisalabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i1.10868

Keywords:

Assessment, Dental students, Educational measurements, Tooth extraction, Validation

Abstract

Objective: To validate assessment-of-clinical-exodontia-skill (ACES) rating scale for formative and summative assessment of undergraduate dental students’ exodontia skill.

Study Design: Validation study.

Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faisalabad Medical University, Faisalabad, Pakistan, from Feb to Sep 2022.

Methodology: Two forms were used for data collection: ACES form and feedback form. Two consultant oral and maxillofacial surgeons assessed each student simultaneously while extraction on live patients was performed and scores were recorded. This was done after one month and after completion (2 months) of oral surgery rotation. Both students and consultants filled in a feedback form and results were analyzed.

Results: Fifty (n=50) students participated in study and validity was measured in terms of construct validity where all variables of ACES rating scale had a p-value of >0.05 for both observers while reliability was measured in terms of internal consistency and inter-rater reliability. Internal consistency was 0.88±0.01 and 0.83±0.08 for Observer 1 and 2 respectively. Inter-rater reliability of overall score was 0.69 and 0.75 for formative and summative assessment respectively. ACES rating scale was a fair instrument (48.10%) and it provided adequate feedback to the students regarding their competence level (59.60%). Overall students and examiners thought that ACES rating scale should be used for assessment of exodontia skills (61.50%).

Conclusion: ACES was found to be acceptable and feasible by students and assessors as a validated tool for formative and summative assessment of exodontia skills in terms of construct validity, internal consistency and inter-rater reliability

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Published

28-02-2026

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Original Articles

How to Cite

1.
Khalid MU, Abid Ashar, Tanzeela Khalid. Validation of Assessment-of-Clinical-Exodontia-Skill (ACES) Rating Scale for Assessment of Exodontia in Undergraduate Dental Students. Pak Armed Forces Med J [Internet]. 2026 Feb. 28 [cited 2026 Mar. 5];76(1):88-92. Available from: https://pafmj.org/PAFMJ/article/view/10868