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全科牙医与听力障碍。

General dental practitioners and hearing impairment.

机构信息

Department of Public Health and Infectious Diseases, Sapienza University, Piazzale Aldo Moro 5, 00185 Rome, Italy.

出版信息

J Dent. 2012 Oct;40(10):821-8. doi: 10.1016/j.jdent.2012.06.006. Epub 2012 Jun 29.

Abstract

OBJECTIVE

Hearing impairment (HI) remains a problem among dentists Hearing loss at speech frequencies was recently reported among dentists and dental hygienists. This study aimed to investigate prevalence and factors associated with perceived HI among dentists.

METHODS

In 2009-2010, 100 general dental practitioners (GDPs) and 115 general (medical) practitioners (GPs) (mean ages, 43.7 and 44.4 years) from Rome (Italy), who commenced practice ≥ 10 years ago, were interviewed on a series of occupation- and recreation-related HI risk factors and on HI-associated symptoms (tinnitus, sensation of fullness, hypoacusis). Prevalence of presumptive HI (≥ 1 symptom perceived during workdays and weekends) was assessed and factors associated with presumptive HI were investigated.

RESULTS

Prevalence was 30.0% (95% confidence interval, 21.0-39.0%) and 14.8% (95% confidence interval, 8.3-21.3%) among GDPs and GPs, respectively. Occupation (GDP vs. GP), family history of hypoacusis, hypertension, ear diseases and smoking were significantly associated with presumptive HI. Within GDPs alone, significant associations were found for frequent use of ultrasonic scalers, use of dental turbines aged≥1 year and prosthodontics as prevalent specialty.

CONCLUSIONS

GDPs experienced HI risk than GPs. Such a risk was not generalized to all dentists, but was specific for those who frequently used noisy equipment (aged turbines, ultrasonic scalers) during their daily practice.

CLINICAL SIGNIFICANCE

GDPs with 10 or more years of practice who routinely use potentially noisy equipment, could be at risk of HI. In order to prevent such condition, daily maintenance and periodical replacement of dental instruments is recommended.

摘要

目的

听力障碍(HI)仍然是牙医的问题。最近有报道称牙医和牙科保健员存在言语频率听力损失。本研究旨在调查牙医中普遍存在的感知听力障碍(HI)及其相关因素。

方法

2009-2010 年,对来自意大利罗马的 100 名普通牙科医生(GDPs)和 115 名普通(医学)医生(平均年龄分别为 43.7 岁和 44.4 岁)进行了一系列与职业和娱乐相关的 HI 危险因素以及与 HI 相关的症状(耳鸣、耳闷感、听力下降)访谈。评估了疑似 HI(工作日和周末期间出现≥1 种症状)的患病率,并调查了与疑似 HI 相关的因素。

结果

GDPs 和 GPs 中的患病率分别为 30.0%(95%置信区间,21.0-39.0%)和 14.8%(95%置信区间,8.3-21.3%)。职业(GDPs 与 GPs)、听力下降家族史、高血压、耳部疾病和吸烟与疑似 HI 显著相关。仅在 GDPs 中,频繁使用超声洁牙机、使用≥1 年的牙科涡轮机以及义齿修复科作为常见专业与 HI 显著相关。

结论

GDPs 比 GPs 面临 HI 风险。这种风险并非普遍存在于所有牙医中,而是特定于那些在日常实践中经常使用嘈杂设备(涡轮机老化、超声洁牙机)的牙医。

临床意义

具有 10 年以上从业经验并经常使用潜在噪音设备的 GDPs 可能存在 HI 风险。为了预防这种情况,建议定期维护和更换牙科器械。

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