AlKhodier Haifa, Alqahtani Mohammad, Alshenaifi Abdulaziz, Alnuwaiser Mazen
Dentistry: Pediatric, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU.
General Dentistry, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU.
Cureus. 2022 Apr 6;14(4):e23876. doi: 10.7759/cureus.23876. eCollection 2022 Apr.
Objectives This study aims to determine the prevalence of the first carpometacarpal (CMC) joint osteoarthritis and Carpal Tunnel Syndrome (CTS) among dentists from different specialties in Saudi Arabia and their association with gender, years of practice, and weekly working hours. Materials and Methods In this cross-sectional study, 361 dentists in Saudi Arabia have completed an online questionnaire of three parts: demographic and health data, the Thumb Disability Exam (TDX), and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). Univariate and multivariate analyses of logistic regression were performed to investigate the participants' predictors of the first CMC joint osteoarthritis and Carpal Tunnel Syndrome. The level of significance was set at α = 0.05 for all tests. Results Thumb disability was significantly associated with the female gender (aOR 2.21; 95 percent CI 1.31-3.56) and dentists aged 50 or older (aOR 9.63; 95 percent CI 1.05-88.47). The symptom severity scale (SSS) part of BCTQ was significantly associated with increased risk in the female gender (aOR 1.62; 95% CI 1.62-2.58). Limiting the clinical work to 10-20 hours per week showed a significant reduction in the odds of reporting CTS symptoms in SSS (aOR 0.44; 95% CI 0.21-0.90). CTS-related hand disability was more likely to be reported by the female gender (aOR 2.21; 95% CI 1.36-3.57) and less likely to be reported by endodontic specialists (aOR 0.15; 95% CI 0.04-0.58). Conclusion The female gender was significantly associated with first CMC joint osteoarthritis and CTS among dentists in Saudi Arabia. Other predictors were also identified in this cross-sectional study.
目的 本研究旨在确定沙特阿拉伯不同专业牙医中第一腕掌（CMC）关节骨关节炎和腕管综合征（CTS）的患病率，以及它们与性别、从业年限和每周工作时长的关联。
材料与方法 在这项横断面研究中，沙特阿拉伯的361名牙医完成了一份包含三个部分的在线问卷：人口统计学和健康数据、拇指残疾检查（TDX）以及波士顿腕管综合征问卷（BCTQ）。进行了逻辑回归的单变量和多变量分析，以研究参与者患第一CMC关节骨关节炎和腕管综合征的预测因素。所有检验的显著性水平设定为α = 0.05。
结果 拇指残疾与女性性别（调整后比值比[aOR] 2.21；95%置信区间[CI] 1.31 - 3.56）以及50岁及以上的牙医（aOR 9.63；95% CI 1.05 - 88.47）显著相关。BCTQ的症状严重程度量表（SSS）部分与女性性别风险增加显著相关（aOR 1.62；95% CI 1.62 - 2.58）。将临床工作限制在每周10 - 20小时显示，在SSS中报告CTS症状的几率显著降低（aOR 0.44；95% CI 0.21 - 0.90）。女性更有可能报告与CTS相关的手部残疾（aOR 2.21；95% CI 1.36 - 3.57），而牙髓病专科医生报告的可能性较小（aOR 0.15；95% CI 0.04 - 0.58）。
结论 在沙特阿拉伯的牙医中，女性性别与第一CMC关节骨关节炎和CTS显著相关。在这项横断面研究中还确定了其他预测因素。
