Bracciale Alessandro, Manso Maria Conceição, Bracciale Francesca, Gavinha Costa Liliana
Faculty of Health Sciences, University Fernando Pessoa, 4200-150 Porto, Portugal.
RISE-Health, Faculty of Health Sciences, University Fernando Pessoa, Fernando Pessoa Teaching and Culture Foundation, 4200-150 Porto, Portugal.
Healthcare (Basel). 2025 Apr 28;13(9):1020. doi: 10.3390/healthcare13091020.
: A dentist may assume incorrect working positions throughout their professional career, which can lead to musculoskeletal disorders (MSDs). This study aimed to quantify the prevalence of self-reported MSDs in dentists and the body region most affected, as well as to evaluate the most frequent working position, the area of work and the age group most frequently associated with MSDs. : This is a cross-sectional observational study adhering to the STROBE and CHERRIES guidelines, approved by the local Ethics Committee. An online questionnaire (including the Nordic Musculoskeletal Symptoms Questionnaire) was applied to a convenience sample of Portuguese and Italian dentists. Data analysis was conducted with non-parametric comparisons (IBM© SPSS Statistics vs. 28.0, < 0.05). : A total of 341 dentists (170 Portuguese, 171 Italian) aged 18-75 years participated. The prevalence of self-reported MSDs in Portugal and Italy was 78.8% and 81.9%, respectively. The most affected self-reported MSD body regions were the neck (65.3% Portuguese and 61.4% Italian dentists), shoulder (49.4% Portuguese and 39.2% Italian) and lumbar region (52.4% and 39.2%, respectively). The neck region was the one reported to cause the highest work absenteeism. The higher age group (41-50 years and higher) has a higher risk for self-reported MSD. Multivariate analysis highlighted increased practice time as a significant risk factor for MSDs in the previous year in both countries. Age group, practice duration and work position relative to the patient were significantly linked to MSD occurrence and work avoidance. : Dentists showed a high prevalence of self-reported MSD despite performing clinical activity mostly seated. It was concluded that dentists older than 40 years and those who have been working for more than 20 years have a higher risk of MSD, and that endodontics is the area where they report feeling more discomfort. Dentists should be encouraged to take more breaks between appointments and regular exercise to prevent the development/progression of MSDs.
在整个职业生涯中,牙医可能会采取不正确的工作姿势,这可能导致肌肉骨骼疾病(MSD)。本研究旨在量化牙医自我报告的MSD患病率以及受影响最严重的身体部位,同时评估最常见的工作姿势、工作区域以及与MSD最常相关的年龄组。 这是一项遵循STROBE和CHERRIES指南的横断面观察性研究,已获得当地伦理委员会的批准。一份在线问卷(包括北欧肌肉骨骼症状问卷)被应用于葡萄牙和意大利牙医的便利样本。数据分析采用非参数比较(IBM© SPSS Statistics 28.0版,P<0.05)。 共有341名年龄在18 - 75岁之间的牙医(170名葡萄牙人,171名意大利人)参与。葡萄牙和意大利自我报告的MSD患病率分别为78.8%和81.9%。自我报告受影响最严重的MSD身体部位是颈部(65.3%的葡萄牙牙医和61.4%的意大利牙医)、肩部(49.4%的葡萄牙牙医和39.2%的意大利牙医)和腰部区域(分别为52.4%和39.2%)。据报告,颈部区域导致的工作缺勤率最高。年龄较大的年龄组(41 - 50岁及以上)自我报告患MSD的风险更高。多变量分析强调,在这两个国家,上一年工作时间的增加是MSD的一个重要风险因素。年龄组、工作时长以及相对于患者的工作姿势与MSD的发生和工作回避显著相关。 尽管牙医大多坐着进行临床活动,但他们自我报告的MSD患病率很高。研究得出结论,40岁以上以及工作超过20年的牙医患MSD的风险更高,并且牙髓病学是他们报告感觉更不适的领域。应该鼓励牙医在预约之间多休息并定期锻炼,以预防MSD的发生/进展。