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

TY - JOUR

T1 - Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in Western countries: A systematic literature review and meta-analysis

AU - Lietz, Janna

AU - Kozak, Agnessa

AU - Nienhaus, Albert

PY - 2018/12

Y1 - 2018/12

N2 - 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.

AB - 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.

KW - Journal Article

U2 - 10.1371/journal.pone.0208628

DO - 10.1371/journal.pone.0208628

M3 - SCORING: Journal article

C2 - 30562387

VL - 13

SP - e0208628

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 12

ER -