Hayes Mj, Cockrell D, Smith D R
School of Health Sciences, Faculty of Health, University of Newcastle, Ourimbah, Australia.
Int J Dent Hyg. 2009 Aug;7(3):159-65. doi: 10.1111/j.1601-5037.2009.00395.x.
Musculoskeletal problems have become a significant issue for the profession of dentistry and dental hygiene. This review provides a detailed examination and discussion regarding the prevalence of musculoskeletal disorders (MSD) in dental personnel and possible causative factors. All research studies or literature reviews, which have reported on the prevalence of musculoskeletal symptoms and/or potential risk factors for this problem in dentists, dental hygienists and dental students, were selected for inclusion. Our literature suggests that the prevalence of general musculoskeletal pain ranges between 64% and 93%. The most prevalent regions for pain in dentists have been shown to be the back (36.3-60.1%) and neck (19.8-85%), while the hand and wrist regions were the most prevalent regions for dental hygienists (60-69.5%). Interestingly, we found that studies on MSDs among dental and dental hygiene students are quite limited. Many risk factors have been identified, including static and awkward posture and work practices. Overall, the review suggests that musculoskeletal problems represent a significant burden for the dental profession. More research in the form of larger studies is urgently required, to help more clearly elucidate the development of this important issue for dental hygienists and dental hygiene students.
肌肉骨骼问题已成为牙科和口腔卫生专业的一个重要问题。本综述对牙科人员中肌肉骨骼疾病（MSD）的患病率及可能的致病因素进行了详细的研究和讨论。所有报告了牙医、口腔卫生师和牙科学生中肌肉骨骼症状患病率和/或该问题潜在风险因素的研究或文献综述均被纳入。我们的文献表明，一般肌肉骨骼疼痛的患病率在64%至93%之间。研究表明，牙医中最常见的疼痛部位是背部（36.3 - 60.1%）和颈部（19.8 - 85%），而手部和腕部区域是口腔卫生师中最常见的疼痛部位（60 - 69.5%）。有趣的是，我们发现关于牙科和口腔卫生专业学生中肌肉骨骼疾病的研究相当有限。已确定了许多风险因素，包括静态和笨拙的姿势以及工作习惯。总体而言，该综述表明肌肉骨骼问题给牙科专业带来了重大负担。迫切需要开展更多规模更大的研究，以更清楚地阐明这一重要问题在口腔卫生师和口腔卫生专业学生中的发展情况。
