Ergonomic threat and preventive measures of musculoskeletal problems within the dentistry atmosphere: an umbrella overview.

Articles

Ergonomic threat and preventive measures of musculoskeletal problems within the dentistry atmosphere: an umbrella overview.

PeerJ. 2018;6:e4154

Authors: De Sio S, Traversini V, Rinaldo F, Colasanti V, Buomprisco G, Perri R, Mormone F, La Torre G, Guerra F

Summary
Introduction: Dental practitioners are uncovered to completely different occupational hazards through the course of their skilled exercise, similar to bodily, chemical, organic, ergonomic elements. The ergonomic hazards, attributable to strained posture and extended repetitive actions, can induce musculoskeletal problems. It happens in 54-93% of dental professionals and contain the backbone, shoulder and hand-wrist tract. By way of a scientific overview of worldwide literature, we analyzed particular ergonomic threat elements and preventive measures of musculoskeletal problems in skilled dental exercise.
Strategies: This systematic overview is coherent with the PRISMA assertion. The scientific analysis on the most important on-line databases was primarily based on the next key phrases: dentist, prevention, ergonomic, dentistry, musculoskeletal, neck ache, posture, ergonomics, work and occupational. The research included on this overview deal with problems associated to ergonomics and on the simplest preventive measures to be adopted. No restrictions have been utilized for language or publication sort. We excluded reviews not associated to ergonomic prevention in dentistry, reviews of minor educational significance, editorial articles, particular person contributions, and research revealed in scientific conferences.
Outcomes: On-line analysis indicated 4188 references: PubMed (2919), Scopus (1257) e Cochrane Library (12). We excluded 3012 of those, as a result of they have been unrelated to ergonomics theme and 187 because of duplication. From the remaining 989 research, 960 papers didn’t meet inclusion standards and so they have been excluded. Subsequently, we analyzed 29 articles, together with 16 narrative critiques and 13 unique article. The principle threat issue for the event of musculoskeletal problems present in our evaluation is static posture adopted throughout work, highlighted in 87.5% of critiques and 84% of unique articles. With regard to preventive measures, 75% of the critiques highlighted the significance of stretching after every working session and on the finish of the working day, whereas 61.5% of the unique articles emphasised using fashionable and ergonomic devices.
Dialogue: This overview confirmed that static postures are strongly accountable within the etiology of musculoskeletal problems. The awkward postures extra continuously recognized amongst dental professionals are: excessive forward-head and neck flexion; trunk inclination and rotation in the direction of one aspect; lifting one or each shoulders; elevated curvature of the thoracic vertebral column; incorrect positioning of the decrease limbs with thigh-leg angle of lower than 90°. It’s actually necessary to make use of of a contemporary workstation with applicable ergonomic helps. Among the many preventive ergonomic measures, literature has widely known the position of bodily exercise and of a impartial and balanced posture. The current overview has some limits: a big a part of the chosen research didn’t have a excessive methodological high quality rating and an insufficient statistical evaluation.

PMID: 29362689 [PubMed]

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