Musculoskeletal Disorders among Brazilian Dentists in São Paulo

Authors

  • Gabriella Barreto Soares Araçatuba School of Dentistry- Paulista State University / Unesp
  • Carlos Eduardo Gomes Siqueira School of Public and Community Services (College of Public and Community Service), University of Massachusetts Boston
  • Lorena Estrada-Martinez School of Public and Community Services (College of Public and Community Service), University of Massachusetts Boston
  • Cléa Adas Saliba Garbin Araçatuba School of Dentistry- Paulista State University / Unesp
  • Artênio José Ísper Garbin Araçatuba School of Dentistry- Paulista State University / Unesp

DOI:

https://doi.org/10.15448/1980-6523.2018.1.29699

Keywords:

ergonomics, musculoskeletal disorders, occupational health, dentistry.

Abstract

OBJECTIVE: This study aimed at investigating the relationships between health and work-related musculoskeletal disorders (WMSDs) in dentists, and the relationship with socio-demographic, work and health variables.
METHODS: We conducted a cross-sectional study of 204 dentists who work in public clinics in the state of São Paulo, Brazil. We used a self-administered survey that included questions on sociodemographic and health aspects, work-related factors, and the Nordic questionnaire.
RESULTS: WMSDs were often reported in the neck, shoulder, lower back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in the neck and age (OR = 9.48) and health problems (OR = 6.71). Moreover, strong associations were found between MSDs in the shoulders, gender (OR = 5.88) and breaks between appointments (OR = 4.17).
CONCLUSION: We concluded that the health problems diagnosed, work-related activities and gender contributed to musculoskeletal disorders in dentists in this clinic.

References

Kumar DK, Rathan N, Mohan S, Begum M, Prasad B, Prasad ERV. Exercise Prescriptions to Prevent Musculoskeletal Disorders in Dentists. J Clin Diagn Res 2014;8(7):13-16.

Carmo IC, Soares EA, Virtuoso Júnior JS, Guerra RO. Fatores associados à sintomatologia dolorosa e qualidade de vida em odontólogos da cidade de Teresina – PI. Rev Bras Epidemiol 2011;14(1):141-50.

https://doi.org/10.1590/S1415-790X2011000100013

Pozos Radillo BE, Lopez TMT, Aguilera Velasco ML, Fernandez MA, Perez GJ. Stress-associated factors in Mexican dentists. Braz Oral Res 2008;22:223-228.

https://doi.org/10.1590/S1806-83242008000300006

Rundcrantz BL, Johnsson B, Moritz U. Cervical pain and discomfort among dentists: Epidemiological, clinical and therapeutic aspects. Part 1: A survey of pain and discomfort. Swed Dent J 1990;14:71-80.

Knibbe JJ, Friele RD. Prevalence of back pain and characteristics of the physical workload of community nurses. Ergonomics 1996;39:186-198.

https://doi.org/10.1080/00140139608964450

Finsen L, Christensen H, Bakk M. Musculoskeletal disorders among dentists and variation in dental work. Appl Ergon 1998;29:119-125.

https://doi.org/10.1016/S0003-6870(97)00017-3

Santos FS, Barreto S. Atividade ocupacional e prevalência de dor osteomuscular em cirurgiõesdentistas de Belo Horizonte, Minas Gerais, Brasil: contribuição ao debate sobre os distúrbios osteomusculares relacionados ao trabalho. Cad Saúde Pública 2001;17(1):181-93.

https://doi.org/10.1590/S0102-311X2001000100019

Szymanska J. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002;9:169-173.

Leggat PA, Smith DR. Musculoskeletal disorders self-reported by dentists in Queensland, Australia. Aust Dent J 2006;51:324-7.

https://doi.org/10.1111/j.1834-7819.2006.tb00451.x

Puriene A, Aleksejuniene J, Petrauskiene J, Balciuniene I, Janulyte V. Self reported occupational health issues among Lithuanian dentists. Ind Health 2008;46(4):369-374.

https://doi.org/10.2486/indhealth.46.369

Barbosa REC, Assunçao AA, Araújo TM. Distúrbios musculoesqueleticos em trabalhadores do setor de saúde de Belo Horizonte, Minas Gerais. Bras. Cad. Saúde Pública 2012;28:1569-1580.

https://doi.org/10.1590/S0102-311X2012000800015

Alexandre P, Silva I, de Souza L, Camara V, Palacios M, Meyer A. Musculoskeletal disorders among Brazilian dentists. Arch Environ Occup Health 2011;66:231-235.

https://doi.org/10.1080/19338244.2011.564571

Garcia PPNS, Presoto CD, Campos JADB. Perception of Risk of Musculoskeletal Disorders Among Brazilian Dental Students. Journal of Dental Education 2013;77(11):1543-1548.

Anton D, Rosecrance J, Merlino L, Cook T. Prevalence of musculoskeletal symptoms and carpal tunnel syndrome among dental hygienists. Am J Ind Med 2002;42:248–257.

https://doi.org/10.1002/ajim.10110

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987;18:233-7.

https://doi.org/10.1016/0003-6870(87)90010-X

Barros ENC, Alexandre NMC. Cros-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev 2003;50:101-108.

https://doi.org/10.1046/j.1466-7657.2003.00188.x

Rosecrance JC, Cook TM, Zimmermann CL. Work-related musculoskeletal disorders among construction workers in the pipe trades. Work 1996;7: 13-20.

https://doi.org/10.1016/1051-9815(96)00183-0

Coluci MZO, Alexandre NMC. Cross-cultural adaptation of an instrument to measure work-related activities that may contribute to osteomuscular symptoms. Acta Paul Enferm 2009;22(2):149-54.

https://doi.org/10.1590/S0103-21002009000200006

Occhionero V, Korpinen L, Gobba F. Upper limb musculoskeletal disorders in healthcare personnel. Ergonomics 2014;57(8):1166-91.

https://doi.org/10.1080/00140139.2014.917205

Marklin RW, Cherney K. Working postures of dentists and dental hygienists. J Can Dent Assoc 2005;33:133-136.

Rundcrantz BL, Johnsson B, Moritz U. Pain and discomfort in the musculoskeletal system among dentists. A prospective study. Swed Dent Journal 1991;15:219-228.

Carvalho MVD, Soriano EP, Caldas Jr AF, Campello RIC, Miranda HF, Cavalcanti FI. Work-related musculoskeletal disorders among Brazilian dental students. J Dent Educ 2009;73:624-30.

Garbin A, Garbin C, Moimaz S, Baldan R, Zina L.Dental practice and musculoskeletal disorders association: a look at the evidence. Arch Environ Occup Health 2011;66:26-33.

https://doi.org/10.1080/19338244.2010.506493

Dantas FFO, Lima KC. The relationship between physical load and musculoskeletal complaints among Brazilian dentists. Applied Ergonomics 2015;47:93-98.

https://doi.org/10.1016/j.apergo.2014.09.003

Kierko A, Kobus A, Jaworska M, Botulinski B. Work-related musculoskeletal disorders among dentists – A questionnaires survey. Ann Agric Environ Med 2011;18(1):79-84.

Ratzon NZ, Yaros T, Mizlik A, Kanner T. Musculoskeletal symptoms among dentists in relation to work posture. Work 2000;15:153-158.

Wazzan KA, Almas K, Al Shethri SE, Al-Qahtani MQ. Back and neck problems among dentists and dental auxillaries. J Contemp Dent Pract 2001;2(3):17-30.

Strazdins L, Bammer G. Women, work and musculoskeletal health. Soc Sci Med. 2004.;58:997-1005.

https://doi.org/10.1016/S0277-9536(03)00260-0

Jelcic A, Culjak M, Horvacic B. Low back pain in health personnel. Reumatizam 1993;40(2):13-20.

Ulbricht, C. Considerações ergonômicas sobre a atividade de trabalho de um cirurgião-dentista; um enfoque sobre as LER/DORT. [Dissertação de Mestrado]. Florianópolis, Santa Catarina: Universidade Federal de Santa Catarina, 2003.

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Published

2018-12-30

Issue

Vol. 33 No. 1 (2018)

Section

Original Article

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