{Reference Type}: Journal Article {Title}: Association of student performance between dental anatomy waxing and preclinical operative dentistry. {Author}: Liang L;Ha V;Lin A;Chutinan S;Ohyama H; {Journal}: J Dent Sci {Volume}: 19 {Issue}: 1 {Year}: 2024 Jan {Factor}: 3.719 {DOI}: 10.1016/j.jds.2023.08.021 {Abstract}: Spatial perception and psychomotor skills are critical components to clinical dentistry. However, measures within the dental school curricula have not been sufficiently studied and evaluated for their effectiveness in predicting preclinical performance. The objective of this study was to examine whether students' waxing skills are associated with preclinical operative performance. This study included 65 students from two class years at the Harvard School of Dental Medicine. Regression analysis was utilized to assess associations between waxing scores and operative exam scores. Waxing scores were found to be positively correlated with all operative practical exam scores and significantly associated with the class III resin composite restoration (coefficient, 0.42; P = 0.02) and the combined operative exam scores (coefficient, 0.33; P = 0.04). Wax-up assessments could serve as a predictor for preclinical performance and identify students who would benefit from additional assistance to help foster a more inclusive learning environment.