All Title Author
Keywords Abstract


Musculoskeletal Disorders among Dental Practitioners: Does It Affect Practice?

DOI: 10.1155/2013/716897

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background. Literature reviews world over have shown a high prevalence of musculoskeletal disorders among dental practitioners. Prevalence of MSD among dental practitioners in India is not well documented. Aim. To determine the prevalence and distribution of MSD among dental practitioners in a city in the southern state of Andhra Pradesh, India. Material and Methods. A cross sectional descriptive study in which a self-administered questionnaire (the Standardized Nordic questionnaire) was used to assess the musculoskeletal symptoms among dental practitioners. The recorded data was analyzed with SPSS 13. -value 0.05 was considered to statistically significant. Results. Seventy-three dental practitioners participated in the study of which seventy-eight percent had a prevalence of at least one MSD symptom over the past twelve months. Most common areas affected by MSD in order of magnitude were neck (52%), low back (41%), shoulders (29%) and wrist (26%). One third of the practitioners (40%) required sick leave from their practice during the preceding twelve months. Conclusions. High prevalence of MSD exists among our dental practitioners affecting the daily practice of more than one third. Further studies are needed to identify the specific risk factors for MSD so as to introduce effective remedial measures. 1. Introduction Dentistry is a demanding profession involving high degree of concentration and precision. Dentists require good visual acuity, hearing, depth perception, psychomotor skills, manual dexterity, and ability to maintain occupational postures over long periods [1]. Diminution of any of these abilities affects the practitioner’s performance and productivity. Despite numerous advances in dentistry many occupational health problems still persist in modern dentistry [2]. MSD is prevalent world over and is one of the commonest causes of long-term pain and disability affecting hundreds of millions of people. This fact has been recognized by World Health Organization (WHO) and United Nations with their endorsement of the Bone and Joint decade 2000–2010 [3]. MSD is characterized by presence of discomfort, disability or persistent pain in the joints, muscles, tendons, and other soft parts, caused or aggravated by repeated movements and prolonged awkward or forced body postures [4]. Literature reviews across the world have shown a high prevalence of MSD among dentists [5–8]. Dentists assume static postures at work which require more than 50% of the body’s muscle to contract while resisting gravity [4]. When the body is repeatedly subjected to such

References

[1]  K. M. S. Ayers, W. M. Thomson, J. T. Newton, K. C. Morgaine, and A. M. Rich, “Self-reported occupational health of general dental practitioners,” Occupational Medicine, vol. 59, no. 3, pp. 142–148, 2009.
[2]  P. A. Leggat, U. Kedjarune, and D. R. Smith, “Occupational health problems in modern dentistry: a review,” Industrial Health, vol. 45, no. 5, pp. 611–621, 2007.
[3]  A. D. Woolf and B. Pfleger, “Burden of major musculoskeletal conditions,” Bulletin of the World Health Organization, vol. 81, no. 9, pp. 646–656, 2003.
[4]  B. Valachi and K. Valachi, “Preventing musculoskeletal disorders in clinical dentistry: strategies to address the mechanisms leading to musculoskeletal disorders,” Journal of the American Dental Association, vol. 134, no. 12, pp. 1604–1612, 2003.
[5]  T. U. Lehto, H. Y. Helenius, and H. T. Alaranta, “Musculoskeletal symptoms of dentists assessed by a multidisciplinary approach,” Community Dentistry and Oral Epidemiology, vol. 19, no. 1, pp. 38–44, 1991.
[6]  P. Lindfors, U. Von Thiele, and U. Lundberg, “Work characteristics and upper extremity disorders in female dental health workers,” Journal of Occupational Health, vol. 48, no. 3, pp. 192–197, 2006.
[7]  M. J. Hayes, D. R. Smith, and D. Cockrell, “Prevalence and correlates of musculoskeletal disorders among Australian dental hygiene students,” International Journal of Dental Hygiene, vol. 7, no. 3, pp. 176–181, 2009.
[8]  T. Morse, H. Bruneau, and J. Dussetschleger, “Musculoskeletal disorders of the neck and shoulder in the dental professions,” Work, vol. 35, no. 4, pp. 419–429, 2010.
[9]  E. C. Alexopoulos, I. C. Stathi, and F. Charizani, “Prevalence of musculoskeletal disorders in dentists,” BMC Musculoskeletal Disorders, vol. 5, article 16, 2004.
[10]  H. N. Saiyed and R. R. Tiwari, “Occupational health research in India,” Industrial Health, vol. 42, no. 2, pp. 141–148, 2004.
[11]  Y. Mamatha, V. Gopikrishna, and D. Kandaswamy, “Carpal tunnel syndrome: survey of an occupational hazard,” Indian Journal of Dental Research, vol. 16, no. 3, pp. 109–113, 2005.
[12]  I. Kuorinka, B. Jonsson, A. Kilbom et al., “Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms,” Applied Ergonomics, vol. 18, no. 3, pp. 233–237, 1987.
[13]  A. Puriene, V. Janulyte, M. Musteikyte, and R. Bendinskaite, “General health of dentists. Literature review,” Stomatologija, vol. 9, no. 1, pp. 10–20, 2007.
[14]  T. A. Abduljabbar, “Musculoskeletal disorders among dentists in Saudi Arabia,” Pakistan Oral and Dental Journal, vol. 28, no. 1, pp. 135–144, 2000.
[15]  P. A. Leggat and D. R. Smith, “Musculoskeletal disorders self-reported by dentists in Queensland, Australia,” Australian Dental Journal, vol. 51, no. 4, pp. 324–327, 2006.
[16]  Z. Polat, S. Ba?kan, S. Altun, and I. Tacir, “Musculoskeletal symptoms of dentists from South-East Turkey,” Biotechnology and Biotechnological Equipment, vol. 21, no. 1, pp. 86–90, 2007.
[17]  R. Mehrdad, J. T. Dennerlein, and M. Morshedizadeh, “Musculoskeletal disorders and Ergonomic hazards among Iranian physicians,” Archives of Iranian Medicine, vol. 15, no. 6, pp. 370–374, 2012.
[18]  B. O. A. Adegoke, A. K. Akodu, and A. L. Oyeyemi, “Work-related musculoskeletal disorders among Nigerian Physiotherapists,” BMC Musculoskeletal Disorders, vol. 9, article 112, 2008.
[19]  V. Bihari, C. Keshavachandran, B. S. Pangtey, A. K. Srivastava, and N. Mathur, “Musculoskeletal pain and its associated risk factors in residents of National capital region,” Indian Journal of Occupational and Environmental Medicine, vol. 15, no. 2, pp. 59–63, 2011.
[20]  A. Puriene, I. Balciuniene, V. Janulyte, and J. Tutkuveien, “Specificity of chronic self reported occupational hazards among male and female Lithuanian dentists,” Acta Medica Lituanica, vol. 15, pp. 55–60, 2008.
[21]  J. Szymańska, “Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis,” Annals of Agriculture and Environmental Medicine, vol. 9, no. 2, pp. 169–173, 2002.
[22]  A. Puriene, J. Aleksejuniene, J. Petrauskiene, I. Balciuniene, and V. Janulyte, “Self-reported occupational health issues among Lithuanian dentists,” Industrial Health, vol. 46, no. 4, pp. 369–374, 2008.
[23]  E. D. Marshall, L. M. Duncombe, R. Q. Robinson, and S. L. Kilbreath, “Musculoskeletal symptoms in New South Wales dentists,” Australian Dental Journal, vol. 42, no. 4, pp. 240–245, 1997.
[24]  T. M. Newell and S. Kumar, “Prevalence of musculoskeletal disorders among orthodontists in Alberta,” International Journal of Industrial Ergonomics, vol. 33, no. 2, pp. 99–107, 2004.
[25]  P. A. Leggat and D. R. Smith, “Musculoskeletal disorders self-reported by dentists in Queensland, Australia,” Australian Dental Journal, vol. 51, no. 4, pp. 324–327, 2006.
[26]  N. Pargali and N. Jowkar, “Prevalence of musculoskeletal pain among dentists in Shiraz, Southern Iran,” International Archives of Occupational and Environmental Health, vol. 1, no. 2, pp. 60–74, 2010.
[27]  E. Solidaki, L. Chatzi, P. Bitsios et al., “Work-related and psychological determinants of multisite musculoskeletal pain,” Scandinavian Journal of Work, Environment and Health, vol. 36, no. 1, pp. 54–61, 2010.
[28]  P. M. Bongers, C. R. De Winter, M. A. J. Kompier, and V. H. Hildebrandt, “Psychosocial factors at work and musculoskeletal disease,” Scandinavian Journal of Work, Environment and Health, vol. 19, no. 5, pp. 297–312, 1993.
[29]  N. Warren, “Causes of musculoskeletal disorders in dental hygienists and dental hygiene students: a study of combined biomechanical and psychosocial risk factors,” Work, vol. 35, no. 4, pp. 441–454, 2010.
[30]  2012, http://www.censusindia.gov.in/Census_Data_2001/National_Summary/National_Summary_DataPage.aspx.
[31]  http://cbhidghs.nic.in/writereaddata/mainlinkFile/Human%20Resources%20in%20Health%20Sector%202010.pdf.
[32]  N. Sandesh and A. Mohapatra, “Street dentistry: time to tackle quackery,” Indian Journal of Dental Research, vol. 20, no. 1, pp. 1–2, 2009.

Full-Text

comments powered by Disqus