Evidence map›Paper›PMID 35161550›Full record

ArticleSensors (Basel, Switzerland)2022

A RULA-Based Comparison of the Ergonomic Risk of Typical Working Procedures for Dentists and Dental Assistants of General Dentistry, Endodontology, Oral and Maxillofacial Surgery, and Orthodontics.

Fabian Holzgreve, Laura Fraeulin, Werner Betz, Christina Erbe, Eileen M Wanke, Dörthe Brüggmann, Albert Nienhaus, David A Groneberg, Christian Maurer-Grubinger, Daniela Ohlendorf

Open access · goldAbstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
13.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Fabian HolzgreveSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.ORCID 0000-0002-1115-131X
Laura FraeulinSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Werner BetzDepartment of Dental Radiology, Institute of Dentistry, Goethe-University, 60590 Frankfurt, Germany.
Christina ErbeMedical Center of the Johannes Gutenberg, Department of Orthodontics, University Mainz, 55131 Mainz, Germany.
Eileen M WankeSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Dörthe BrüggmannSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Albert NienhausPrinciples of Prevention and Rehabilitation Department (GPR), Institute for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 20095 Hamburg, Germany.ORCID 0000-0003-1881-7302
David A GronebergSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Christian Maurer-GrubingerSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Daniela OhlendorfSocial Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, 60590 Frankfurt, Germany.
Goethe University Frankfurt · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn general, the prevalence of work-related musculoskeletal disorders (WMSD) in dentistry is high, and dental assistants (DA) are even more affected than dentists (D). Furthermore, differentiations between the fields of dental specialization (e.g., general dentistry, endodontology, oral and maxillofacial surgery, or orthodontics) are rare. Therefore, this study aims to investigate the ergonomic risk of the aforementioned four fields of dental specialization for D and DA on the one hand, and to compare the ergonomic risk of D and DA within each individual field of dental specialization.

methodsIn total, 60 dentists (33 male/27 female) and 60 dental assistants (11 male/49 female) volunteered in this study. The sample was composed of 15 dentists and 15 dental assistants from each of the dental field, in order to represent the fields of dental specialization. In a laboratory setting, all tasks were recorded using an inertial motion capture system. The kinematic data were applied to an automated version of the Rapid Upper Limb Assessment (RULA).

resultsThe results revealed significantly reduced ergonomic risks in endodontology and orthodontics compared to oral and maxillofacial surgery and general dentistry in DAs, while orthodontics showed a significantly reduced ergonomic risk compared to general dentistry in Ds. Further differences between the fields of dental specialization were found in the right wrist, right lower arm, and left lower arm in DAs and in the neck, right wrist, right lower arm, and left wrist in Ds. The differences between Ds and DAs within a specialist discipline were rather small. DISCUSSION: Independent of whether one works as a D or DA, the percentage of time spent working in higher risk scores is reduced in endodontologists, and especially in orthodontics, compared to general dentists or oral and maxillofacial surgeons. In order to counteract the development of WMSD, early intervention should be made. Consequently, ergonomic training or strength training is recommended.

Indexed as

EndodonticsOccupational DiseasesOrthodonticsSurgery, OralDental AssistantsDentistsErgonomicsFemaleHumansMaleUpper Extremityergonomicsinertial motion captureinertial sensorskinematic analysismusculoskeletal disordersrisk assessment

Identifiers

PMID35161550
PMCPMC8839213
OpenAlexW4206965207

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.