Ergonomic analysis of clinical dental care

Authors

  • Tânia Adas Saliba Faculdade de Odontologia de Araçatuba- FOA/UNESP
  • Ana Carolina Bernardes Machado
  • Artênio José Ísper Garbin
  • Luis Fernando Dahmer Peruchini
  • Cléa Adas Saliba Garbin

DOI:

https://doi.org/10.30979/rev.abeno.v16i3.284

Keywords:

Human Engineering. Posture. Dentistry. Specialties, Dental.

Abstract

This study aimed to analyze ergonomic aspects of clinical care provided in four dental specialties. This is an observational study, which was filmed 48 dental procedures, specialties: endodontics, surgery, restorative dentistry and periodontology, performed by undergraduate dental students in an ergonomics laboratory. The ergonomic posture was analyzed by means of a checklist, based on the specifications of ISO / FDI (International Standards Organization and the Federation Dentaire Internationale), according to this classification are observed eight points during the service, involving the professional and equipment used, getting one point for each item correctly executed. Results: endodontics treatments had an average of 3.69 positive points; surgery 4.03; restorative dentistry 4,26 points and periodontics 5,99 points. The average service time was 62.3 minutes, and the longer duration resulted in a greater number of ergonomic offenses (p <0.01). The greater the complexity of the procedure performed,   the  less   adaptation    to ergonomic principles (p = 0.01). In conclusion, the working position was unsatisfactory mainly in specialties demanded greater clinical time.

Downloads

Download data is not yet available.

Author Biography

Tânia Adas Saliba, Faculdade de Odontologia de Araçatuba- FOA/UNESP

Departamento de Odontologia Preventiva e Social

References

Anton D, Rosecrane J, Merlino L, Cook T. Prevalence of musculosketal symptoms and carpal tunnel syndrome among dental hygienists. Am J Ind Med 2002;42(3):248-57.

Horton SJ, Johnstone CL, Hutchinson CMW, Taylor PA, Wade KJ. Clinical working postures of bachelor of oral health students. N Z Dent J 2011;107(3):74-8.

Medeiros UV, Segatto GG. Lesões por esforços repetitivos (LER) e distúrbios osteomusculares (Dort) em dentistas. Rev Bras Odontol 2012;69(1):49-54.

Abreu MHNG, Costa AR, Braga AR, Moraes GFS. DASH entre estudantes de curso de odontologia, Belo Horizonte, 2007. Rev ABENO 2008;8(1):16-22 .

Gouveia LJ, Cymrot R, Smit FLP. Estudo de caso sobre as disfunções ergonômicas em cirurgiões dentistas. In: Proceedings Safety, Health and Environment World Congress; 2010 July 25-28; São Paulo, Brazil. p. 165-9.

Garbin AJI, Garbin CAS, Diniz DG, Yarid SD. Dental student`s knowledge of ergonomic postural requirements and their application during clinical care. Eur J Dent Educ 2011;15(1):31-5.

Moimaz SAS, Saliba NA, Blanco MRB. The women workforce in dentistry in Araçatuba – SP. J Appl Oral Sci 2003;11(4):301-5.

Silva Jr DS, Schneid JL, Silva DS, Castro AGB, Nunes RD. Distúrbios osteomusculares relacionados ao trabalho em cirurgiões-dentistas: uma revisão de literatura. Rev Amazônia 2013;1(1): 13-

International Standards Organization. ISO/TC 106/SC 6 Dental equipamento. 2006. Acesso em 20/10/2011. Disponível em: http://www.iso.org/iso/iso_catalogue/catalog

e_tc/catalogue_tc_browse.htm?commid=51320&published=on&development=on&withdrawn=on&deleted=on

Rovida TAS, Garbin AJI, Peruchini LFD, Machado ACB, Moimaz SAS. Ergonomia Odontológica: integrando teoria e prática para o avanço do ensino. Rev ABENO 2015; 15(4):37-44.

Ahearn DJ, Sanders MJ, Turcotte C. Ergonomic design for dental offices. Work 2010;35(4):495-503.

Schleyer TKL. Why integration is key for dental office technology. J Am Dent Assoc 2004;135 Suppl:4S-9S.

Hagan PE, Montgomery JF, O`Reilly JT, editors. Accident prevention for business and industry: engineering and technology. 12th ed. Illinois: National Safety Council; 2001.

Ratzon N, Yaros M, Mizlik A, Kanner T. Musculoeskeletal symptoms among dentists in relation to work posture. Work 2000;15(3):153-8.

Rucker LM. Technology meets ergonomics in the dental clinic: new toys for old games? J Am Coll Dent 2000;67(2):26-9.

Garbin AJI, Garbin CAS, Ferreira NF, Saliba MTA. Ergonomics and the dentist: an evaluation of clinical practice by filming analysis. Rev Odonto Ciênc 2008;23(2):130-3.

Garbin AIG, Garbin CAS, Diniz DG. Ergonomic standards and guidelines in dentistry: the way for the adopting a healthy sitting working posture. Rev Odontol Univ Cid São Paulo 2009;21(2):155-

Sarranheira F, Uva AS. Work-related upper limb musculoskeletal disorders risk evaluation: the use of SI and RULA methods. Rev Port Saúde Publica 2006;6:13-36.

Valachi B, Valachi K. Preventing musculoskeletal disorders in clinical dentistry: strategies to address the mechanisms leading to musculoskeletal disorders. J Am Dent Assoc 2003; 134(12):1604-12.

Marshall ED, Duncombe LM, Robinson RQ, Kilbreath SL. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J 1997;42(4):240-6.

Puentes CG, Saavedra J. Microscopia em endodontia. In: Leonardo MR. Endodontia: tratamento de canais radiculares: princípios técnicos e biológicos. São Paulo: Artes Médicas; 2008. p. 1432–71.

Biller FE. The occupational hazards in dental practice. Oral Hyg 1946;36:1194-201.

Hokwerda O, Ruijter R, Shaw S. 2006. Adopting a healthy sitting working posture during patient treatment. 1ªed. Groningen.

Figlioli MD, Porto FA. Working posture in dentistry: assessment of the positions of the dentist and dental auxiliary. Odontol Mod 1987;14(5):25-37.

Singh KA, Moraes ABA, Bovi A. Fear, anxiety and control related to dental treatment. Pesqui Odontol Bras 2000;14(2):131-6.

Castro SL, Figlioli MD. Ergonomics applied to Dentistry. Assessment of posture and positions of right-handed work of CD and assist in dental restorative procedures. J Bras Clin Estet Odontol 1999;3(14):56-62.

Carranza Jr FA, Newman MG, Takei HH. Carranza periodontia clínica. 9th ed. Rio de Janeiro: Guanabara Koogan; 2004.

Nagle MM, Piveta ACG, Ricci WA, Montandon AAB. Dificuldades relatadas por estudantes de odontologia diante de procedimentos relacionados à periodontia. Rev ABENO 2010;10(1):37-41.

Thornton LJ, Barr AE, Stuart-Buttle C, Gaughan JP, Wilson ER, Jackson AD, et al. Perceived musculoskeletal symptoms among dental students in the clinic work environment. Ergonomics 2008;51(4):573-86.

Wegman JE. The ergonomic posture in a preclinical technique exercise. J Dent Educ 1983;47(10):664–5.

Published

23-10-2016

How to Cite

Saliba, T. A., Machado, A. C. B., Garbin, A. J. Ísper, Peruchini, L. F. D., & Garbin, C. A. S. (2016). Ergonomic analysis of clinical dental care. Revista Da ABENO, 16(3), 96–105. https://doi.org/10.30979/rev.abeno.v16i3.284

Issue

Section

Article