Risk factors for health in medical workers of modern dental practice (literature review)

Cover Page

Cite item

Full Text

Abstract

The analysis of the data of foreign and domestic literature devoted to the main risk factors for health is carried out and presented, the diseases of medical workers of modern dental practice that are more common at present are studied and described. A distinctive feature of the work of practicing dentists is the influence on their body of a complex of unfavourable factors of the production environment of occupational and non-occupational genesis (biological, chemical, physical and factors of the labour process). It is also common for them to be affected by the intensity of the labour process, which is expressed by significant psycho-emotional stress. Dentists are often at high risk of infection and transmission of dangerous pathogens: viruses (herpes, human immunodeficiency virus, hepatitis B and C, including new coronavirus infection (COVID-19)), bacteria (staphylococcus, tuberculosis), fungi. They have a high prevalence of injuries to the visual organ and upper extremities, allergic reactions. Among dental personnel in countries using amalgam during work, changes in neuropsychiatric reactions, memory loss, and fatigue are described; changes in biochemical parameters of blood, urine analysis are revealed. Physiological and ergonomic loads of dental service specialists and uncomfortable postures associated with work lead to the development of diseases of the musculoskeletal system and the appearance of pain, and affect their quality of life. Despite the harmlessness of the noise level in modern dentistry, the sounds produced by devices at work affect the mental health of dentists. Dental professionals with long work experience are predisposed to the highest risk of hearing loss. Today, dentists continue to show carpal tunnel syndrome and rarely vibration disease from exposure to local vibration. Medical workers of modern dental practice are shown to be affected by a complex of unfavourable factors of the low-intensity production environment and develop diseases associated with their occupational activities.

Contribution:
Trubetskov A.D. — the concept and design of the study, collection and processing of material, writing a text;
Makhonko M.N. — writing a text;
Shkrobova N.V. — collection and processing of material;
Shelekhova T.V. — editing;
Chuslyaeva D.A. — collection and processing of material, statistical processing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received:March 9, 2023 / Accepted: May 31, 2023 / Published: June20, 2023

About the authors

Alexey D. Trubetskov

Saratov Hygiene Medical Research Center of the Federal Scientific Center “Medical and Preventive Health Risk Management Technologies”

Author for correspondence.
Email: adtrubetskov@gmail.com
ORCID iD: 0000-0002-8890-0921

MD, PhD, leading researcher, Saratov MNC of Hygiene of the “Federal Scientific Center of Medical and Preventive Technologies of Public Health Risk Management” of Rospotrebnadzor, Saratov, 410022, Russian Federation.

e-mail: adtrubetskov@gmail.com

Russian Federation

Margarita N. Makhonko

Saratov State Medical University named after V.I. Razumovsky

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6321-459X
Russian Federation

Nataliia V. Shkrobova

Saratov State Medical University named after V.I. Razumovsky

Email: noemail@neicon.ru
ORCID iD: 0000-0002-2589-7403
Russian Federation

Tatyana V. Shelekhova

Saratov State Medical University named after V.I. Razumovsky

Email: noemail@neicon.ru
ORCID iD: 0000-0002-4737-7695
Russian Federation

Darya A. Chuslyaeva

Saratov State Medical University named after V.I. Razumovsky

Email: noemail@neicon.ru
ORCID iD: 0009-0008-0232-1111
Russian Federation

References

  1. Rakhimzyanov A.R., Makarova K.Yu., Belova E.Yu. Hygienic assessment of working conditions and health of medical workers of children’s dental polyclinic. Meditsina truda i promyshlennaya ekologiya. 2019; 59(9): 731–2. https://doi.org/10.31089/1026-9428-2019-59-9-731-732 https://www.elibrary.ru/suzvyc (in Russian)
  2. Banaee S., Claiborne D.M., Akpinar-Elci M. Occupational health practices among dental care professionals before and during the COVID-19 pandemic. Work. 2021; 68(4): 993–1000. https://doi.org/10.3233/WOR-205319
  3. Karelin A.O., Ionov P.B., Eremin G.B. Assessment of operational conditions of dentists working in state children’s dental polyclinics. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2020; 99(6): 586–90. https://doi.org/10.33029/0016-9900-2020-99-6-586-590 https://www.elibrary.ru/ljeyul (in Russian)
  4. Moodley R., Naidoo S., Wyk J.V. The prevalence of occupational health-related problems in dentistry: A review of the literature. J. Occup. Health. 2018; 60(2): 111–125. https://doi.org/10.1539/joh.17-0188-RA
  5. Al-Khalifa K.S., AlSheikh R., Al-Swuailem A.S., Alkhalifa M.S., Al-Johani M.H., Al-Moumen S.A., et al. Pandemic preparedness of dentists against coronavirus disease: a Saudi Arabian experience. PLoS One. 2020; 15(8): e0237630. https://doi.org/10.1371/journal.pone.0237630
  6. Farronato M., Boccalari E., Del Rosso E., Lanteri V., Mulder R., Maspero C. A scoping review of respirator literature and a survey among dental professionals. Int. J. Environ. Res. Public Health. 2020; 17(16): 5968. https://doi.org/10.3390/ijerph17165968
  7. Matys J., Grzech-Lesniak K. Dental aerosol as a hazard risk for dental workers. Materials (Basel). 2020; 13(22): 5109. https://doi.org/10.3390/ma13225109
  8. Malsam R., Nienhaus A. Occupational infections among dental health workers in Germany – 14-year time trends. Int. J. Environ. Res. Public Health. 2021; 18(19): 10128. https://doi.org/10.3390/ijerph181910128
  9. Consolo U., Bellini P., Bencivenni D., Iani C., Checchi V. Epidemiological aspects and psychological reactions to COVID-19 of dental practitioners in the Northern Italy districts of Modena and Reggio Emilia. Int. J. Environ. Res. Public Health. 2020; 17(10): 3459. https://doi.org/10.3390/ijerph17103459
  10. Li J., Guo J., Zhao J., Guo Y., Chen C. Influencing factors of mental health status of dentists under COVID-19 epidemic. Front. Psychiatry. 2022; 13: 933514. https://doi.org/10.3389/fpsyt.2022.933514
  11. Anzar W., Qureshi A., Afaq A., Alkahtany M.F., Almadi K.H., Gassem A.A.B., et al. Analysis of occupational stress, burnout, and job satisfaction among dental practitioners. Work. 2022; 72(1): 323–31. https://doi.org/10.3233/WOR-210555
  12. Jeong S.H., Chung J.K., Choi Y.H., Sohn W., Song K.B. Factors related to job satisfaction among South Korean dentists. Community Dent. Oral Epidemiol. 2006; 34(6): 460–6. https://doi.org/10.1111/j.1600-0528.2006.00297.x
  13. Le V.N.T., Dang M.H., Kim J.G., Yang Y.M., Lee D.W. Dentist job satisfaction: A systematic review and meta-analysis. Int. Dent. J. 2021; 71(5): 369–77. https://doi.org/10.1016/j.identj.2020.12.018
  14. Siddiqui M.K., Taqi M., Naqvi S., Raza S.A., Bawany H., Hasan Z. Levels of perceived stress according to professional standings among dental surgeons of Karachi: a descriptive study. BMC Oral Health. 2022; 22(1): 243. https://doi.org/10.1186/s12903-022-02272-5
  15. Karelin A.O., Ionov P.B. Study of dentists burnout working in pediatric dentistry. Profilakticheskaya i klinicheskaya meditsina. 2019; (4): 10–5. https://www.elibrary.ru/anerem (in Russian)
  16. Kazakova L.N., Davydova N.V., Naryzhnaya E.V., Tereshchuk O.S., Oleynikova N.M., Sayutina L.V. The influence of extreme influences on the development of oral diseases. Vestnik sovremennoy klinicheskoy meditsiny. 2021; 14(2): 26–31. https://doi.org/10.20969/VSKM.2021.14(2).26-31 https://www.elibrary.ru/wxxulm (in Russian)
  17. Lerche N., Holtfreter S., Walther B., Semmler T., Al’Sholui F., Dancer S.J., et al. Staphylococcus aureus nasal colonization among dental health care workers in Northern Germany (StaphDent study). Int. J. Med. Microbiol. 2021; 311(6): 151524. https://doi.org/10.1016/j.ijmm.2021.151524
  18. Yoo Y.J., Kwak E.J., Jeong K.M., Baek S.H., Baek Y.S. Knowledge, attitudes and practices regarding methicillin-resistant Staphylococcus aureus (MRSA) infection control and nasal MRSA carriage rate among dental health-care professionals. Int. Dent. J. 2018; 68(5): 359–66. https://doi.org/10.1111/idj.12388
  19. Ahamed A.A., Ganapathy D., Subhashree R., Rakshagan V. Knowledge, attitude, and practice among dentists towards oral herpetic infections. J. Pharm. Res. Int. 2020; 32(16): 159–67. https://doi.org/10.9734/jpri/2020/v32i1630660
  20. Gunardi I., Nurina N.S., Marcia, Amtha R. Dentists experience influences knowledge and attitudes toward HIV patients in West Jakarta, Indonesia, and validation of a new questionnaire. Oral Dis. 2020; 26(Suppl. 1): 127–32. https://doi.org/10.1111/odi.13393
  21. Mangkara B., Xaydalasouk K., Chanthavilay P., Kounnavong S., Sayasone S., Muller C.P., et al. Hepatitis B virus in Lao dentists: a cross-sectional serological study. Ann. Hepatol. 2021; 22: 100282. https://doi.org/10.1016/j.aohep.2020.10.010
  22. Malsam R., Nienhaus A. Occupational Infections among dental health workers in Germany – 14-year time trends. Int. J. Environ. Res. Public Health. 2021; 18(19): 10128. https://doi.org/10.3390/ijerph181910128
  23. Abdylaeva G.M. Socio-epidemiological aspects of tuberculosis prevention among employees of medical organizations. Tuberkulez i bolezni legkikh. 2018; 96(4): 27–31. https://doi.org/10.21292/2075-1230-2018-96-4-27-31 https://www.elibrary.ru/xnzujf (in Russian)
  24. Petrukhin N.N., Loginova N.N., Greben’kov S.V., Andreenko O.N. Prevalence of extrapulmonary tuberculosis among medical workers. Meditsina truda i promyshlennaya ekologiya. 2018; (5): 4–7. https://doi.org/10.31089/1026-9428-2018-5-4-7 https://www.elibrary.ru/osdawr (in Russian)
  25. Alsabaani N.A., Awadalla N.J., Abu Saq I.H., Abualiat Z.M., Alshahrani M.A., Alqahtani A.M., et al. Occupational ocular incidents in dentists: a multicentre study in southwestern Saudi Arabia. Int. Dent. J. 2017; 67(6): 371–7. https://doi.org/10.1111/idj.12324
  26. Pavicin I.S., Lovric Z., Ceshko A.Z., Vodanovic M. Occupational injuries among dentists in Croatia. Acta Stomatol. Croat. 2020; 54(1): 51–9. https://doi.org/10.15644/asc54/1/6
  27. Garus-Pakowska A., Gorajski M., Gaszynska E. Occupational safety and hygiene of dentists from urban and rural areas in terms of sharp injuries: wound structure, causes of injuries and barriers to reporting-cross-sectional study, Poland. Int. J. Environ. Res. Public Health. 2018; 15(8): 1655. https://doi.org/10.3390/ijerph15081655
  28. Al-Zoughool M., Al-Shehri Z. Injury and infection in dental clinics: risk factors and prevention. Toxicol. Ind. Health. 2018; 34(9): 609–19. https://doi.org/10.1177/0748233718769553
  29. Pereira M.C., Mello F.W., Ribeiro D.M., Porporatti A.L., da Costa S.J., Flores-Mir C., et al. Prevalence of reported percutaneous injuries on dentists: a meta-analysis. J. Dent. 2018; 76: 9–18. https://doi.org/10.1016/j.jdent.2018.06.019
  30. Stoeva I. Work-related skin symptoms among bulgarian dentists. Contact Dermatitis. 2020; 82(6): 380–6. https://doi.org/10.1111/cod.13523
  31. Ramsey A., Brodine A.H. Allergy topics for dental practitioners. Gen. Dent. 2019; 67(4): 38–45.
  32. Maksimenko L.V., Yakovenko I.A. Backache risk in dentistry workers. Meditsina truda i promyshlennaya ekologiya. 2017; 57(9): 118. https://www.elibrary.ru/zfqkmv (in Russian)
  33. Al-Zubaidi E.S., Rabee A.M. The risk of occupational exposure to mercury vapor in some public dental clinics of Baghdad city, Iraq. Inhal. Toxicol. 2017; 29(9): 397–403. https://doi.org/10.1080/08958378.2017.1369601
  34. Shirkhanloo H., Mehrjerdi M.A.F., Hassani H. Identifying occupational and nonoccupational exposure to mercury in dental personnel. Arch. Environ. Occup. Health. 2017; 72(2): 63–9. https://doi.org/10.1080/19338244.2014.964391
  35. Bjorklund G., Hilt B., Dadar M., Lindh U., Aaseth J. Neurotoxic effects of mercury exposure in dental personnel. Basic Clin. Pharmacol. Toxicol. 2019; 124(5): 568–74. https://doi.org/10.1111/bcpt.13199
  36. Lietz J., Ulusoy N., Nienhaus A. Prevention of musculoskeletal diseases and pain among dental professionals through ergonomic interventions: a systematic literature review. Int. J. Environ. Res. Public Health. 2020; 17(10): 3482. https://doi.org/10.3390/ijerph17103482
  37. Lietz J., Kozak A., Nienhaus A. 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. 2018; 13(12): e0208628. https://doi.org/10.1371/journal.pone.0208628
  38. Shekhawat K.S., Chauhan A., Sakthidevi S., Nimbeni B., Golai S., Stephen L. Work-related musculoskeletal pain and its self-reported impact among practicing dentists in Puducherry, India. Indian J. Dent. Res. 2020; 31(3): 354–7. https://doi.org/10.4103/ijdr.IJDR_352_18
  39. Alnaser M.Z., Almaqsied A.M., Alshatti S.A. Risk factors for work-related musculoskeletal disorders of dentists in Kuwait and the impact on health and economic status. Work. 2021; 68(1): 213–21. https://doi.org/10.3233/WOR-203369
  40. Bijelic B., Grozdanovic M., Stojiljkovic E. A methodological framework for research of ergonomic risk factors in dentistry. Facta Univ. Work. Living Environ. Prot. 2021; 18(2): 69–77. https://doi.org/10.22190/FUWLEP2102069B
  41. De Sio S., Traversini V., Rinaldo F., Colasanti V., Buomprisco G., Perri R., et al. Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: an umbrella review. PeerJ. 2018; (6): e4154. https://doi.org/10.7717/peerj.4154
  42. Huang C.C., Kuo P.J., Hsu C.C., Lin H.J., Su S.B., Wang J.J., et al. Risk for cervical herniated intervertebral disc in dentists: a nationwide population-based study. BMC Musculoskelet. Disord. 2019; 20(1): 189. https://doi.org/10.1186/s12891-019-2559-3
  43. Nemaeva A.V., Alpatova V.G. The effect of the use of optical magnification on the manifestations of musculoskeletal fatigue in dentists. Meditsina truda i promyshlennaya ekologiya. 2019; 59(9): 706. https://doi.org/10.31089/1026-9428-2019-59-9-706-707 https://www.elibrary.ru/yctrtz (in Russian)
  44. Arora A., Saiya P. Effect of handedness in professional dentists. J. Dent. Allied Sci. 2018; 7(1): 13–7. https://doi.org/10.4103/jdas.jdas_22_17
  45. Kosarev V.V., Babanov S.A. Occupational Diseases of Medical Workers [Professional’nye zabolevaniya meditsinskikh rabotnikov]. Samara: Ofort; 2014. (in Russian)
  46. Ma K.W., Wong H.M., Mak C.M. Dental environmental noise evaluation and health risk model construction to dental professionals. Int. J. Environ. Res. Public Health. 2017; 14(9): 1084. https://doi.org/10.3390/ijerph14091084
  47. Dierickx M., Verschraegen S., Wierinck E., Willems G., van Wieringen A. Noise disturbance and potential hearing loss due to exposure of dental equipment in Flemish Dentists. Int. J. Environ. Res. Public Health. 2021; 18(11): 5617. https://doi.org/10.3390/ijerph18115617
  48. Chowdhry R., Sethi V. Hand arm vibration syndrome in dentistry: A review. Curr. Med. Res. Pract. 2017; 7(6): 235–9. https://doi.org/10.1016/j.cmrp.2017.11.001
  49. Maghsoudipour M., Hosseini F., Coh P., Garib S. Evaluation of occupational and non-occupational risk factors associated with carpal tunnel syndrome in dentists. Work. 2021; 69(1): 181–6. https://doi.org/10.3233/WOR-213467
  50. Lupkina Z., Kruminya G., Eglite M. Prevalence of early symptoms of carpal tunnel syndrome among dentists. Meditsina truda i promyshlennaya ekologiya. 2018; 58(2): 36–40. https://doi.org/10.31089/1026-9428-2018-2-36-40 https://www.elibrary.ru/ytbqlj (in Russian)

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2024 Trubetskov A.D., Makhonko M.N., Shkrobova N.V., Shelekhova T.V., Chuslyaeva D.A.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 37884 от 02.10.2009.