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Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in Western countries: A systematic literature review and meta-analysis

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  • Janna Lietz
  • Agnessa Kozak
  • Albert Nienhaus

Abstract

Background: This review aimed at examining the prevalence of musculoskeletal diseases and pain among dental professionals in Western countries. Furthermore, possible occupational risk factors were analyzed. Methods: The literature search was conducted from June to July 2016, with an update in December 2017 using the databases MEDLINE, CINAHL, LIVIVO, Science Direct, PubMed, and Web of Science. The quality assessment was performed with a standardized instrument consisting of 10 items. A meta-analysis was carried out to compute pooled prevalence rates for musculoskeletal diseases and pain. Results: A total of 41 studies were included in this review; 30 studies met the criteria for the meta-analysis. Prevalence rates of musculoskeletal diseases and pain among dental professionals ranged from 10.8% to 97.9%. The neck was the body region affected most often (58.5%, 95% CI = 46.0–71.0) followed by the lower back (56.4%, 95% CI = 46.1–66.8), the shoulder (43.1%, 95% CI = 30.7–55.5) and the upper back (41.1%, 95% CI = 32.3–49.9). Potential occupational risk factors included an awkward working posture, high number of treated patients, administrative work, vibration, and repetition. Conclusions: Musculoskeletal diseases and pain are a significant health burden for dental professionals. This study showed high prevalence rates for several body regions. Therefore, suitable interventions for preventing musculoskeletal diseases and pain among dental professionals are needed.

Suggested Citation

  • Janna Lietz & Agnessa Kozak & Albert Nienhaus, 2018. "Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in Western countries: A systematic literature review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-26, December.
    • Handle: RePEc:plo:pone00:0208628
    DOI: 10.1371/journal.pone.0208628
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    1. Daniela Ohlendorf & Laura Fraeulin & Jasmin Haenel & Werner Betz & Christina Erbe & Fabian Holzgreve & Eileen M. Wanke & Doerthe Brueggmann & Albert Nienhaus & Christian Maurer-Grubinger & David A. Gr, 2021. "Ergonomic Comparison of Four Dental Workplace Concepts Using Inertial Motion Capture for Dentists and Dental Assistants," IJERPH, MDPI, vol. 18(19), pages 1-14, October.
    2. Lenka Hodačová & Nela Pilbauerová & Eva Čermáková & Stanislav Machač & Jan Schmidt & Jan Hodač & Martin Kapitán, 2022. "The Prevalence and Development of Neck and Lower Back Pain and Associated Factors in Dentistry Students—A Long-Term Prospective Study," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    3. Janna Lietz & Nazan Ulusoy & Albert Nienhaus, 2020. "Prevention of Musculoskeletal Diseases and Pain among Dental Professionals through Ergonomic Interventions: A Systematic Literature Review," IJERPH, MDPI, vol. 17(10), pages 1-28, May.
    4. Kim Sarah Blume & Fabian Holzgreve & Laura Fraeulin & Christina Erbe & Werner Betz & Eileen M. Wanke & Doerthe Brueggmann & Albert Nienhaus & Christian Maurer-Grubinger & David A. Groneberg & Daniela , 2021. "Ergonomic Risk Assessment of Dental Students—RULA Applied to Objective Kinematic Data," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    5. Umile Giuseppe Longo & Sergio De Salvatore & Arianna Carnevale & Salvatore Maria Tecce & Benedetta Bandini & Alberto Lalli & Emiliano Schena & Vincenzo Denaro, 2022. "Optical Motion Capture Systems for 3D Kinematic Analysis in Patients with Shoulder Disorders," IJERPH, MDPI, vol. 19(19), pages 1-16, September.
    6. Rami J. Anshasi & Adi Alsyouf & Fahad Nasser Alhazmi & Abeer Taha AbuZaitoun, 2022. "A Change Management Approach to Promoting and Endorsing Ergonomics within a Dental Setting," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    7. Maria Giovanna Gandolfi & Fausto Zamparini & Andrea Spinelli & Alessandro Risi & Carlo Prati, 2021. "Musculoskeletal Disorders among Italian Dentists and Dental Hygienists," IJERPH, MDPI, vol. 18(5), pages 1-20, March.
    8. Hadeel R. Bakhsh & Heba H. Bakhsh & Seham M. Alotaibi & Maha A. Abuzaid & Latefah A. Aloumi & Shoug F. Alorf, 2021. "Musculoskeletal Disorder Symptoms in Saudi Allied Dental Professionals: Is there an Underestimation of Related Occupational Risk Factors?," IJERPH, MDPI, vol. 18(19), pages 1-18, September.
    9. Daniela Ohlendorf & Yvonne Haas & Antonia Naser & Jasmin Haenel & Laura Maltry & Fabian Holzgreve & Christina Erbe & Werner Betz & Eileen M. Wanke & Dörthe Brüggmann & Albert Nienhaus & David A. Grone, 2020. "Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    10. Daniela Ohlendorf & Antonia Naser & Yvonne Haas & Jasmin Haenel & Laura Fraeulin & Fabian Holzgreve & Christina Erbe & Werner Betz & Eileen M. Wanke & Doerthe Brueggmann & Albert Nienhaus & David A. G, 2020. "Prevalence of Musculoskeletal Disorders among Dentists and Dental Students in Germany," IJERPH, MDPI, vol. 17(23), pages 1-19, November.
    11. Yvonne Haas & Antonia Naser & Jasmin Haenel & Laura Fraeulin & Fabian Holzgreve & Christina Erbe & Werner Betz & Eileen M Wanke & Doerthe Brueggmann & Albert Nienhaus & David A Groneberg & Daniela Ohl, 2020. "Prevalence of self-reported musculoskeletal disorders of the hand and associated conducted therapy approaches among dentists and dental assistants in Germany," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-15, November.
    12. Yuko Yamamoto & Yoshiaki Nomura & Ayako Okada & Erika Kakuta & Naomi Yoshida & Noriyasu Hosoya & Nobuhiro Hanada & Noriko Takei, 2021. "Improvement of Workplace Environment That Affects Motivation of Japanese Dental Hygienists," IJERPH, MDPI, vol. 18(3), pages 1-12, February.
    13. Ioana Cristina Talpos-Niculescu & Andrei Zoltan Farkas & Diana Lungeanu & Veronica Argeşanu & Mirella Dorina Anghel & Riham Nagib, 2022. "Perception and Knowledge of Dental Ergonomics among Romanian Dental Students," IJERPH, MDPI, vol. 19(24), pages 1-10, December.

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