Ergonomic danger and preventive measures of musculoskeletal problems within the dentistry surroundings: an umbrella assessment.

Articles

Ergonomic danger and preventive measures of musculoskeletal problems within the dentistry surroundings: an umbrella assessment.

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 totally different occupational hazards in the course of the course of their skilled exercise, comparable to bodily, chemical, organic, ergonomic elements. The ergonomic hazards, brought on by 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. Via a scientific assessment of worldwide literature, we analyzed particular ergonomic danger elements and preventive measures of musculoskeletal problems in skilled dental exercise.
Strategies: This systematic assessment is coherent with the PRISMA assertion. The scientific analysis on the key on-line databases was based mostly on the next key phrases: dentist, prevention, ergonomic, dentistry, musculoskeletal, neck ache, posture, ergonomics, work and occupational. The research included on this assessment deal with problems associated to ergonomics and on the simplest preventive measures to be adopted. No restrictions have been utilized for language or publication kind. We excluded stories not associated to ergonomic prevention in dentistry, stories of minor educational significance, editorial articles, particular person contributions, and research printed 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 as a consequence of duplication. From the remaining 989 research, 960 papers didn’t meet inclusion standards they usually have been excluded. Due to this fact, we analyzed 29 articles, together with 16 narrative evaluations and 13 unique article. The primary danger issue for the event of musculoskeletal problems present in our evaluation is static posture adopted throughout work, highlighted in 87.5% of evaluations and 84% of unique articles. With regard to preventive measures, 75% of the evaluations 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 the usage of trendy and ergonomic devices.
Dialogue: This assessment 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 facet; 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 essential 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 assessment 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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