Gijbels Frieda, Jacobs Reinhilde, Princen Katrijn, Nackaerts Olivia, Debruyne Frans
Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Clin Oral Investig. 2006 Mar;10(1):8-16. doi: 10.1007/s00784-005-0003-6. Epub 2005 Sep 22.
The aim of this study was to gather data on occupational health effects among Flemish dentists. A questionnaire on various potential health effects was sent out to randomly selected Flemish dentists. Pilot experimental studies were performed on hearing and sensory function of the fingers on small groups of dentists. Audiometric data of both ears, gathered with an interval of 10 years, were analysed. Sensory tests of the fingers were performed for dominant and non-dominant hands in relation to exposure time to (ultra)sonic equipment. Positive responses for the questionnaire were as follows: low back pain, 54% (stress-correlated); vision problems, 52.3% (age-correlated); infections, 9%; allergies, 22.5% (mainly latex); stress level was scored 7 on a scale from 0 to 10; diminished sensitivity of the fingertips, 6% and auditory disorders, 19.6%. Pilot audiometric data showed a hearing loss at 4,000 Hz for the left ear, presumably indicative of occupational noise trauma. The two-point discrimination ability of the dominant hand tended to diminish in line with the number of years of practice. Dentists in Flanders were found to suffer from various health-related problems. More elaborate studies are required to provide more details on the risks for occupational hearing impairment and vibration hand neuropathy and to determine whether the problems described were related to the practice of dentistry.
本研究的目的是收集有关弗拉芒地区牙医职业健康影响的数据。一份关于各种潜在健康影响的问卷被发送给随机挑选的弗拉芒地区牙医。对一小群牙医的听力和手指感觉功能进行了初步实验研究。分析了每隔10年收集的双耳听力测定数据。针对与(超)声波设备接触时间相关的优势手和非优势手进行了手指感觉测试。问卷的阳性反馈如下:腰痛,54%(与压力相关);视力问题,52.3%(与年龄相关);感染,9%;过敏,22.5%(主要是乳胶过敏);压力水平在0至10的量表上得分为7;指尖感觉减退,6%;听觉障碍,19.6%。初步听力测定数据显示左耳在4000赫兹处有听力损失,可能表明存在职业性噪声创伤。优势手的两点辨别能力倾向于随着从业年限的增加而下降。研究发现弗拉芒地区的牙医存在各种与健康相关的问题。需要进行更详尽的研究,以提供更多关于职业性听力损伤和振动性手部神经病变风险的细节,并确定所描述的问题是否与牙科执业有关。