Al Azzawi Arkan Muslim, Hasan Hasan Sabah, Nahidh Mohammed, Elkolaly Mohamed, Kolemen Ayshan
Orthodontics Department, College of Dentistry-University of Babylon, Babil, Iraq.
Orthodontic Department, Khanzad Teaching Center, General Directorate of Hawler-Ministry of Health, Erbil, Iraq.
Int J Dent. 2021 Mar 4;2021:6644470. doi: 10.1155/2021/6644470. eCollection 2021.
This study aimed to clarify the effect of large hair clips on patient head posture on the dental chair headrest and its harmful impact on orthodontist body posture and neck-back pain. One hundred orthodontists voluntarily participated in a web-based questionnaire designed and distributed online by using the Google form posted in the Telegram group of Iraqi orthodontists to assess the opinions of orthodontists regarding the effect of a large hair clip on the patient's position on the dental chair and site of pain perception during different stages of orthodontic treatment. Ninety percent of the orthodontists get bothered by the large hair clip. About 92% of the responses preferred their patients to remove the large hair clip; 99% of them responded that the large hair clip does affect the position of the patient's head on the chair's headrest. Eighty-nine percent responded that a large hair clip could disturb the operator during taking intraoral photographs, and 64% disturbed while taking dental impressions. Orthodontists reported that 4% had "back pain," 28% had "neck pain," and 60% had both "back and neck pain" during bonding appointment, while only 8% reported "no pain." Regarding the activation appointments, 4% had "back pain," 26% had "neck pain," and 48% had both, while only 22% reported "no pain." During the debonding appointments, 7% of the respondents had "back pain," 29% had "neck pain," and 44% had both "back and neck pain," yet 20% stated absence of pain. Wearing a hair clip and changing patient position on dental chair and orthodontist posture during different stages of orthodontic work such as bonding, regular recall, and depending on the procedure may be directly related to the neck-back pain perception to an orthodontist.
本研究旨在阐明大发夹对牙科椅头靠上患者头部姿势的影响及其对正畸医生身体姿势和颈背疼痛的有害影响。100名正畸医生自愿参与了一项通过伊拉克正畸医生Telegram群组中发布的谷歌表单在线设计和分发的网络问卷，以评估正畸医生对大发夹在正畸治疗不同阶段对患者在牙科椅上的位置及疼痛感知部位的影响的看法。90%的正畸医生会因大发夹而烦恼。约92%的回复者希望他们的患者取下大发夹；99%的人回应说大发夹确实会影响患者头部在椅头靠上的位置。89%的人回应说大发夹会在拍摄口腔内照片时干扰操作人员，64%的人在取牙印时受到干扰。正畸医生报告说，在粘接预约期间，4%的人有“背痛”，28%的人有“颈痛”，60%的人同时有“背痛和颈痛”，而只有8%的人报告“无疼痛”。关于激活预约，4%的人有“背痛”，26%的人有“颈痛”，48%的人两者都有，而只有22%的人报告“无疼痛”。在拆除矫治器预约期间，7%的受访者有“背痛”，29%的人有“颈痛”，44%的人同时有“背痛和颈痛”，然而20%的人表示没有疼痛。在正畸工作的不同阶段，如粘接、定期复诊时佩戴发夹以及根据操作改变患者在牙科椅上的位置和正畸医生的姿势，可能与正畸医生的颈背疼痛感知直接相关。
