Clinical-epidemiological profile and factors associated with work-related muscular disorders in dentists: a systematic review

Authors

DOI:

https://doi.org/10.11606/issn.23170190.v33e240919

Keywords:

Dentists, Cumulative Trauma Disorders, Ergonomics

Abstract

Work-Related Musculoskeletal Disorders (WMSDs) comprise inflammatory and degenerative conditions that arise from the combination of occupational and psychosocial risk factors. A better understanding of WMSDs in dentists enhances the effectiveness of preventive strategies aimed at protecting occupational health and improving work quality throughout professional life. Objective: To assess, through a systematic review, the clinical-epidemiological profile and factors associated with work-related musculoskeletal disorders in dentists. Method: A systematic review conducted in accordance with the methodological guidelines for the preparation of systematic reviews of comparative observational studies on risk factors and prognosis issued by the Brazilian Ministry of Health. The investigation followed the items previously defined in the systematic review protocol, which was submitted to the International Prospective Register of Systematic Reviews. The electronic databases PubMed, Biblioteca Virtual em Saúde, and Scielo were consulted. Results: Ten studies were included, comprising a sample of 3,415 dentists aged between 22 and 74 years. The prevalence of WMSDs ranged from 50.4% to 91.4%. The findings demonstrated associations between WMSDs and sex, age, anthropometric factors, working hours, repetitive movements, inadequate posture, anxiety, depression, and physical activity. The most prevalent diagnoses were low back pain (41.6% to 85%), neck pain (21.3% to 84.6%), and shoulder pain (17.6% to 81.2%). Conclusion: The results describe the clinical epidemiological profile of professionals and highlight the importance of developing preventive strategies and ergonomic interventions, such as guidance regarding work breaks and encouragement of physical activity.

Downloads

Download data is not yet available.

References

Edrees A, Abu Rayyan I, Splieth CH, Alkilzy M, Barbe AG, Wicht MJ. Musculoskeletal disorders and risk indicators for pain chronification among German dentists: A cross-sectional questionnaire-based study. J Am Dent Assoc. 2024;155(6):536-545. Doi: https://doi.org/10.1016/j.adaj.2024.03.007

Lin S, Tsai CC, Liu X, Wu Z, Zeng X. Effectiveness of participatory ergonomic interventions on musculoskeletal disorders and work ability among young dental professionals: A cluster-randomized controlled trail. J Occup Health. 2022;64(1):e12330. Doi: https://doi.org/10.1002/1348-9585.12330

Corrêa TGA. Desordens músculo esqueléticas relacionadas ao trabalho em ultrassonografistas: uma revisão de literatura. Rev Faipe. 2022;12(2):1-8.

Partido BB, Henderson RP, Kennedy M. Improving the Awareness of Musculoskeletal Disorder Risks Among Dental Educators. J Dent Educ. 2020;84(1):5-12. Doi: https://doi.org/10.21815/JDE.019.158

Netto MB, Rossato LH. Prevalência de lombalgia e cervicalgia em dentistas em uma cidade do sul de Santa Catarina. Arq Catarin Med. 2019;48(4):126-39. Doi: https://doi.org/10.63845/5rnv8n87

Mazzucco A, Souza LA, Longen WC, Tuon T. Posturas adotadas durante os procedimentos odontológicos e seus impactos biomecânicos. Inova Saúde. 2017;6(1):225-42. Doi: https://doi.org/10.18616/IS.V6I1.2488

Bassoli APGV, Menezes PL, Barbosa KGN. Prevalência de LER/DORT entre docentes e discentes de odontologia. REASE. 2023;9(6):2416-32. Doi: https://doi.org/10.51891/rease.v9i6.10412

Holzgreve F, Fraeulin L, Maurer-Grubinger C, Betz W, Erbe C, Weis T, et al. Effects of Resistance Training as a Behavioural Preventive Measure on Musculoskeletal Complaints, Maximum Strength and Ergonomic Risk in Dentists and Dental Assistants. Sensors (Basel). 2022;22(20):8069. Doi: https://doi.org/10.3390/s22208069

Gandolfi MG, Zamparini F, Spinelli A, Risi A, Prati C. Musculoskeletal Disorders among Italian Dentists and Dental Hygienists. Int J Environ Res Public Health. 2021;18(5):2705. Doi: https://doi.org/10.3390/ijerph18052705

Brasil. Ministério da Saúde. Diretrizes metodológicas: elaboração de revisão sistemática e metanálise de estudos observacionais comparativos sobre fatores de risco e prognóstico. Brasília: Ministério da Saúde; 2016.

Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377-84. Doi: https://doi.org/10.1136/jech.52.6.377

Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335–42. Doi: https://doi.org/10.5123/S1679-49742015000200017

Diniz IA, Santos KF, Baldoni NR, Braga EJ, Bueno CAA, Barcelos AC, et al. Duração do aleitamento materno exclusivo associado a anemia por deficiência de ferro em crianças: uma revisão sistemática. REAS. 2022;15(2):e9610. Doi: https://doi.org/10.25248/reas.e9610.2022

Šćepanović D, Klavs T, Verdenik I, Oblak Č. The Prevalence of Musculoskeletal Pain of Dental Workers Employed in Slovenia. Workplace Health Saf. 2019;67(9):461-469. Doi: https://doi.org/10.1177/2165079919848137

Meisha DE, Alsharqawi NS, Samarah AA, Al-Ghamdi MY. Prevalence of work-related musculoskeletal disorders and ergonomic practice among dentists in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent. 2019;11:171-179. Doi: https://doi.org/10.2147/CCIDE.S204433

Uppada UK, Susmitha M, Ullah Hussaini SW, Virk I, Yadav TG, Khader MA. Ergonomics among dentists in the states of Telangana and Andhra Pradesh. Natl J Maxillofac Surg. 2020;11(2):253-257. Doi: https://doi.org/10.4103/njms.NJMS_33_20

Uppada UK, Sinha R, Madishetti S, Pampana SG, Kumar S, Chidagam PR. Ergonomics among oral and maxillofacial surgeons in the indian states of telangana and andhra pradesh - an evaluative study. Ann Maxillofac Surg. 2020;10(2):325-329. Doi: https://doi.org/10.4103/ams.ams_39_20

Younis U, Shakoor A, Chaudhary FA, Din SU, Sajjad S, Younis M, et al. Work-related musculoskeletal disorders and their associated risk factors among pakistani dental practitioners: a cross-sectional study. Biomed Res Int. 2022;2022:4099071. Doi: https://doi.org/10.1155/2022/4099071

Aljinović J, Barun B, Benzon B, Marinović I, Aljinović A, Poljičanin A. Neck Disability Index Detects Higher Neck-Related Disability Levels among Physiotherapists and Family Medicine Specialists than among Dentists. Healthcare (Basel). 2023;11(4):581. Doi: https://doi.org/10.3390/healthcare11040581

Thacker H, Yasobant S, Viramgami A, Saha S. Prevalence and determinants of (work-related) musculoskeletal disorders among dentists - A cross sectional evaluative study. Indian J Dent Res. 2023;34(1):24-29. Doi: https://doi.org/10.4103/ijdr.ijdr_376_22

Macrì M, Flores NVG, Stefanelli R, Pegreffi F, Festa F. Interpreting the prevalence of musculoskeletal pain impacting Italian and Peruvian dentists likewise: A cross-sectional study. Front Public Health. 2023;11:1090683. Doi: https://doi.org/10.3389/fpubh.2023.1090683

Mota-Santos C, Azevedo AP, Lima-Souza E. A Mulher em Tripla Jornada: Discussão Sobre a Divisão das Tarefas em Relação ao Companheiro. REGEC. 2021;10(2):103-21. Doi: https://doi.org/10.47456/regec.2317-5087.2021.10.2.34558.103-121

Viegas LRT, Almeida MMC. Perfil epidemiológico dos casos de LER/DORT entre trabalhadores da indústria no Brasil no período de 2007 a 2013. Rev Bras Saúde Ocup. 2016;41. Doi: https://doi.org/10.1590/2317-6369000130615

Regis Filho GI, Michels G, Sell I. Lesões por esforços repetitivos/distúrbios osteomusculares relacionados ao trabalho em cirurgiões-dentistas. Rev Bras Epidemiol. 2006;9(3):346–59. Doi: https://doi.org/10.1590/S1415-790X2006000300009

Published

2026-03-31

Issue

Section

Review Article

How to Cite

1.
Seixas AFAM, Campos CG, Pereira LI, Resende PM de, Daldegan RP. Clinical-epidemiological profile and factors associated with work-related muscular disorders in dentists: a systematic review. Acta Fisiátr. [Internet]. 2026 Mar. 31 [cited 2026 Sep. 19];33:e240919. Available from: https://revistas.usp.br/actafisiatrica/article/view/240919