Posturedontics: How does dentistry fit you?

Jodalli, Praveen; Kurana, Suchi; Shameema,; Ragher, Mallikarjuna; Khed, Jaishree; Prabhu, Vishnudas

doi:10.4103/0975-7406.163463

Cited by 14 publications

(58 citation statements)

References 6 publications

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“…It was proven that dentist do better restorative treatments under microscopic view due to the precision of the diagnosis and the proper completion of the treatment steps [10][11][12][13][14]. A magnified image of the operative field may help the dentist to check cavity preparations, matrix fitting, saliva infiltration, remaining dentine debris, composite layering, occlusal morphology, macro/micro details, surface texture of restoration, air voids, impurities and over-contours in a better way.…”

Section: Improve In Overall Quality Of the Treatmentmentioning

confidence: 99%

The advantages of the dental operative microscope in restorative dentistry

Bud¹,

Jitaru²,

Lucaciu

et al. 2020

Medicine and Pharmacy Reports

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Magnification devices improve direct and indirect vision and precision being significantly higher in microscope use compared to the loupes. Dental loupes are the most commonly used devices for magnification, due to the more affordable prices and the ease of use without major changes in the working protocol and ergonomics. Loupes primary benefits reported refers to ergonomics and posture, restoration evaluation/detection and overall treatment quality. There are some disadvantages that limit the use of loupes among dentists: lack of fixed position (fine movements of the dentist's head disturb the image of the magnified operating field); the need to change the loupes to achieve different magnification. On the contrary, the use of a dental microscope require minimum adjustment and effort so as to reduce postural deviation while working. It has been more than 30 years since dental practitioners raised the issue of using dental operating microscopes (DOM) in restorative dentistry, identifying the benefits of magnification in diagnosis and treatment steps. The growth is evident in recent years, maybe because of the familiarity of dentists with dental microscopes which have already become implicit endowment for endodontic specialists. Fiber optic lighting is the key factor that complements the magnification offered by the microscope so that treatments can now be performed under increased safety conditions and in conditions of significantly higher quality than in the past. Since the beginning of the 2000s the principles of minimally invasive dentistry have been widely promoted in dentistry. These principles are major impetus for the use of microscope by dentists. Working with magnification leads dentists to be more conservative with dental tissues.

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Section: Improve In Overall Quality Of the Treatmentmentioning

confidence: 99%

The advantages of the dental operative microscope in restorative dentistry

Bud¹,

Jitaru²,

Lucaciu

et al. 2020

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

show abstract

“…The most recent study, published in 2005 by Sartorio et al (2005) reported that these disorders occur in 54–93% of dentists, with a higher incidence in older individuals and women. The areas of the body mainly affected by repetitive strain are the shoulders and wrists, which often display symptoms of carpal tunnel syndrome ( Abichandani, Shaikh & Nadiger, 2013 ; Jodalli et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: an umbrella review

Sio

Traversini

Rinaldo

et al. 2018

PeerJ

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IntroductionDental practitioners are exposed to different occupational hazards during the course of their professional activity, such as physical, chemical, biological, ergonomic factors. The ergonomic hazards, caused by strained posture and prolonged repetitive movements, can induce musculoskeletal disorders. It occurs in 54–93% of dental professionals and involve the spine, shoulder and hand-wrist tract. Through a systematic review of international literature, we analyzed specific ergonomic risk factors and preventive measures of musculoskeletal disorders in professional dental activity.MethodsThis systematic review is coherent with the PRISMA statement. The scientific research on the major online databases was based on the following keywords: dentist, prevention, ergonomic, dentistry, musculoskeletal, neck pain, posture, ergonomics, work and occupational. The studies included in this review focus on disorders related to ergonomics and on the most effective preventive measures to be adopted. No restrictions were applied for language or publication type. We excluded reports not related to ergonomic prevention in dentistry, reports of minor academic significance, editorial articles, individual contributions, and studies published in scientific conferences.ResultsOnline research indicated 4188 references: PubMed (2919), Scopus (1257) e Cochrane Library (12). We excluded 3012 of these, because they were unrelated to ergonomics theme and 187 due to duplication. From the remaining 989 studies, 960 papers did not meet inclusion criteria and they were excluded. Therefore, we analyzed 29 articles, including 16 narrative reviews and 13 original article. The main risk factor for the development of musculoskeletal disorders found in our analysis is static posture adopted during work, highlighted in 87.5% of reviews and 84% of original articles. With regard to preventive measures, 75% of the reviews highlighted the importance of stretching after each working session and at the end of the working day, while 61.5% of the original articles emphasized the use of modern and ergonomic instruments.DiscussionThis review showed that static postures are strongly responsible in the etiology of musculoskeletal disorders. The awkward postures more frequently identified among dental professionals are: extreme forward-head and neck flexion; trunk inclination and rotation towards one side; lifting one or both shoulders; increased curvature of the thoracic vertebral column; incorrect positioning of the lower limbs with thigh-leg angle of less than 90°. It is really important to use of a modern workstation with appropriate ergonomic supports. Among the preventive ergonomic measures, literature has widely recognized the role of physical activity and of a neutral and balanced posture. The present review has some limits: a large part of the selected studies did not have a high methodological quality score and an inadequate statistical analysis.

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“…Similarly, dentists, worked with repetitive head rotation, spine rotation and prolonged leg bending resulting in dentists complaining about WMSDs [26]. Furthermore, bad working habits and uncomfortable physical postures are the causes of MSDs, discomfort and fatigue among dentists [27]. Regarding these working postures, Haddad et al [7] found that the ordinary dentist chair was a risk factor that caused WMSDs in the trapezius muscle among dentists so they designed an ergonomic dentist chair with an arm rest and thoracic support.…”

Section: Discussionmentioning

confidence: 99%

Interventions commonly used to prevent work-related musculoskeletal disorders among healthcare workers

Sirisawasd

Taptagaporn

Boonshuyar

et al. 2018

JHR

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Purpose -The purpose of this paper is to review the prevalence and risk factors of work-related musculoskeletal disorders (WMSDs) among healthcare workers (HCWs) in order to ascertain the occupation with the highest susceptibility to WMSD in the health sector. This paper will also review the effective interventions which have been used to prevent WMSDs among HCWs. Design/methodology/approach -This study is a literature review of 11 papers related to the prevalence and risk factors of WMSDs and 12 papers about the interventions being used to prevent WMSDs among HCWs. The papers were retrieved from respectable databases such as PubMed, Science Direct, Google Scholar and E-Thesis. Findings -Nurses belong to the major group of HCWs who had the highest prevalence of WMSDs compared with other health professionals and other hospital workers. Although there are several interventions being commonly used to prevent WMSD risk factors, some interventions were unsuccessful in the prevention of WMSDs in healthcare tasks. Therefore, it is necessary that future research focuses on the tasks of HCWs that are WMSD risk factors and tries to innovate or redesign ergonomic workstations to prevent those risk factors. Originality/value -The expected benefit of this study is to motivate ergonomists to provide appropriate and innovative interventions to ensure health and safety for nurses and other HCWs.

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Posturedontics: How does dentistry fit you?

Cited by 14 publications

References 6 publications

The advantages of the dental operative microscope in restorative dentistry

The advantages of the dental operative microscope in restorative dentistry

Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: an umbrella review

Interventions commonly used to prevent work-related musculoskeletal disorders among healthcare workers

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