{"id":40123,"date":"2025-01-20T09:42:36","date_gmt":"2025-01-19T22:42:36","guid":{"rendered":"https:\/\/www.bitemagazine.com.au\/?p=40123"},"modified":"2025-01-20T09:42:18","modified_gmt":"2025-01-19T22:42:18","slug":"occupational-pain-in-the-dental-profession","status":"publish","type":"post","link":"https:\/\/www.bitemagazine.com.au\/occupational-pain-in-the-dental-profession\/","title":{"rendered":"Occupational pain in the dental profession"},"content":{"rendered":"\n<p class=\"wp-block-yoast-seo-estimated-reading-time yoast-reading-time__wrapper\"><span class=\"yoast-reading-time__icon\"><svg aria-hidden=\"true\" focusable=\"false\" data-icon=\"clock\" width=\"20\" height=\"20\" fill=\"none\" stroke=\"currentColor\" style=\"display:inline-block;vertical-align:-0.1em\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\"><path stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"2\" d=\"M12 8v4l3 3m6-3a9 9 0 11-18 0 9 9 0 0118 0z\"><\/path><\/svg><\/span><span class=\"yoast-reading-time__spacer\" style=\"display:inline-block;width:1em\"><\/span><span class=\"yoast-reading-time__descriptive-text\">Estimated reading time: <\/span><span class=\"yoast-reading-time__reading-time\">5<\/span><span class=\"yoast-reading-time__time-unit\"> minutes<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain.jpg\" alt=\"\" class=\"wp-image-40124 lazyload\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-300x200.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-768x512.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-630x420.jpg 630w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-150x100.jpg 150w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-600x400.jpg 600w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-696x464.jpg 696w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><noscript><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain.jpg\" alt=\"\" class=\"wp-image-40124 lazyload\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-300x200.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-768x512.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-630x420.jpg 630w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-150x100.jpg 150w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-600x400.jpg 600w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2025\/01\/back-pain-696x464.jpg 696w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><figcaption class=\"wp-element-caption\">Photo: ROMANNORU1\/23RF<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-aches-pains-sore-necks-and-bad-backs-are-common-complaints-of-suffering-dentists-what-can-be-done-to-prevent-or-minimise-these-pains-by-kerryn-ramsey\">Aches, pains, sore necks and bad backs are common complaints of suffering dentists. What can be done to prevent or minimise these pains? By Kerryn Ramsey<\/h2>\n\n\n\n<p>Occupational chronic pain is a common experience for many dentists. Holding posture for long periods, bending and stretching in an unnatural manner, sitting incorrectly on a stool or chair, and grasping and using instruments for long periods, can all be contributing factors.&nbsp;<\/p>\n\n\n\n<p>The recent National Workspace Week revealed that work-related musculoskeletal disorder (WMSD) is the most frequent work, health and safety issue impacting Australian workers at a cost of $55.1 billion annually to the Australian economy.<\/p><div class=\"bitem-article-desktop-720x300-in-text\" id=\"bitem-988452941\"><!-- Bite 720x300 [async] -->\r\n<script type=\"text\/javascript\">if (!window.AdButler){(function(){var s = document.createElement(\"script\"); s.async = true; s.type = \"text\/javascript\";s.src = 'https:\/\/servedby.engagemedia.com.au\/app.js';var n = document.getElementsByTagName(\"script\")[0]; n.parentNode.insertBefore(s, n);}());}<\/script>\r\n<script type=\"text\/javascript\">\r\nvar AdButler = AdButler || {}; AdButler.ads = AdButler.ads || [];\r\nvar abkw = window.abkw || '';\r\nvar plc705185 = window.plc705185 || 0;\r\ndocument.write('<'+'div id=\"placement_705185_'+plc705185+'\"><\\\/'+'div>');\r\nAdButler.ads.push({handler: function(opt){ AdButler.register(165450, 705185, [720,300], 'placement_705185_'+opt.place, opt); }, opt: { place: plc705185++, keywords: abkw, domain: 'servedby.engagemedia.com.au', click:'CLICK_MACRO_PLACEHOLDER' }});\r\n<\/script><\/div>\n\n\n\n<p>With such high numbers of dentists affected by WMSD, it\u2019s clear that more education and awareness about the issue is required in the dental profession. Peak bodies such as the ADA need to be involved, and universities should include information in their curriculum.<\/p>\n\n\n\n<p>Dr Penelope Jones is an endodontist and founder of <a href=\"https:\/\/workingposture.com.au\" target=\"_blank\" rel=\"noreferrer noopener\">WorkingPosture<\/a>, a company providing WMSD solutions specifically for dentists. She believes that all dental schools need to make musculoskeletal wellness a part of basic training. Regular CPD courses would also help improve things.<\/p>\n\n\n\n<p>\u201cSurgeries need to be professionally ergonomically assessed, and dentists need to learn how to move their bodies correctly,\u201d she says. \u201cYou can have the Rolls Royce of dental equipment and still harm yourself.\u201d<\/p>\n\n\n\n<p>Unfortunately, it is the very nature of the job that causes many dentists to be affected by WMSD.<\/p>\n\n\n\n<p>\u201cWhile things are slowly improving, we can never make the work inherently risk-free,\u201d says Dr Jean Wu, a dentist and clinical Pilates teacher who\u2019s undertaking research into WMSD at the <a href=\"https:\/\/www.unimelb.edu.au\" target=\"_blank\" rel=\"noreferrer noopener\">University of Melbourne<\/a>. \u201cPrevention is a far better option than cure, and education and awareness should be promoted. Ultimately, all dental professionals have a personal responsibility to find methods that work for them.\u201d<\/p>\n\n\n\n<p>Awareness, training and intervention instituted early in a dentist\u2019s career provides the best outcomes. Dr Anik\u00f3\u00a0Ball, a dentist and founder of <a href=\"https:\/\/optimumdentalposture.com\" target=\"_blank\" rel=\"noreferrer noopener\">Optimum Dental Posture<\/a>, a company dedicated to reducing the risk of occupational chronic pain, would also like to see training at a university level. \u201cLearning how to sit properly is one of the most important skills a dentist can have,\u201d she says. \u201cIt\u2019s about improving the quality of your work and life. It needs to be taken seriously.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-minimise-risk\">Minimise risk<\/h3>\n\n\n\n<p>Fortunately, there are ways for dentists to mitigate and avoid these issues. A good start is to recognise the problem and deal with the cause.<\/p>\n\n\n\n<p>\u201cIgnoring pain can lead to that part of their body going numb,\u201d says Dr Jones. \u201cSufferers lose proprioception, the ability to sense movement, action and location. Hurting yourself without realising it\u2019s happening is very serious.\u201d<\/p>\n\n\n\n<p>The impact of WMSD goes far beyond just the physical. People living with pain frequently find their mental health suffering and may even lose their sense of humour.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Surgeries need to be professionally ergonomically assessed, and dentists need to learn how to move their bodies correctly. You can have the Rolls Royce of dental equipment and still harm yourself. <br><br><strong>Dr Penelope Jones, founder, Working Posture<\/strong><\/p><\/blockquote><\/figure>\n\n\n\n<p>\u201cSurprisingly, younger clinicians are more likely to suffer from WMSD than older practitioners,\u201d says Dr Wu. \u201cThis could be due to general inexperience as they figure out how to do the job. Furthermore, older clinicians suffering from chronic pain often have no choice but to take themselves out of the profession and retire.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-inner-and-outer-ergonomics\">Inner and outer ergonomics<\/h3>\n\n\n\n<p>To avoid WMSD, look at the layout of your dental surgery. Is there enough space around the dental chair? Can the dentist\u2019s knees fit under the headrest? Do loupes allow the clinician to hold their head at the correct angle?<\/p>\n\n\n\n<p>\u201cI call that outer ergonomics,\u201d says Dr Ball. \u201cA well-designed surgery can go a long way in reducing WMSD. Dentists also need to be aware of their inner ergonomics, particularly how to bend over a patient without damaging their spine. All the muscles of the shoulder, arm and hand are movement muscles not designed for prolonged contraction. What\u2019s needed is a re-training in how they do what they do.\u201d<\/p>\n\n\n\n<p>There are varied factors that contribute to musculoskeletal pain for dentists. While there\u2019s no quick fix, incorporating more movement into a workday is beneficial.&nbsp;<\/p>\n\n\n\n<p>\u201cA lot of dentistry is sedentary,\u201d says Dr Wu. \u201cEven if a posture is ergonomically correct, the research has shown that when you hold a static position for any length of time, it causes the small supporting muscles to tire. Movement, whether it&#8217;s stretching between patients, walking at lunchtime or getting involved in Pilates, can help overcome issues.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-moving-correctly\">Moving correctly<\/h3>\n\n\n\n<p>While a visit to a doctor, chiropractor or physiotherapist can offer short-term solutions to localised pain, the long-term answer is to learn how to move properly. Utilising appliances such as saddle chairs, microscopes and loupes can also assist but they must be used in the right way.&nbsp;<\/p>\n\n\n\n<p>\u201cAt WorkingPosture, we use the Feldenkrais method, a way of working with how the nervous system organises muscles for good movement.\u201d says Dr Jones. \u201cThe object is to have the body supported by the skeleton in correct alignment with the muscles and the nervous system. Instead of rigidity when a dentist performs precise work, we need stability and flexibility. We guide our clients in this method during Working Posture workshops.\u201d<\/p>\n\n\n\n<p>Many dentists instinctively turn to loupes or microscopes to deal with sore necks and shoulders. These can help but, once again, they must be used in the correct manner.<\/p>\n\n\n\n<p>\u201cMicroscopes are often set up so the chin is up, leading to spinal compression,\u201d says Dr Ball. \u201cI&#8217;ve worked with endodontists who needed spinal surgery because they were looking into a microscope at the wrong angle.&nbsp;<\/p>\n\n\n\n<p>Non-refractive loupes require dentists to pivot their torso forward and look down. Refractive loupes allow the dentist to sit upright without spinal bending, provided the working distance is correct.\u201d<\/p>\n\n\n\n<p>It is possible to perform dentistry without compromising musculoskeletal wellness. Dentists just need to engage in basic training on how their bodies work. If professional bodies, universities and dental schools promoted and directed dentists towards the appropriate courses, the rate of WMSD in the profession would be dramatically lowered.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><em>If you\u2019re suffering from a work-related musculoskeletal disorder, your first stop should be your GP. Help can then be sought through the two organisations mentioned in this article.<\/em><\/p>\n\n\n\n<p>Optimum Dental Posture: Dr Aniko Ball. <a href=\"http:\/\/optimumdentalposture.com\" target=\"_blank\" rel=\"noreferrer noopener\">optimumdentalposture.com<\/a><\/p>\n\n\n\n<p>Working Posture: Dr Penelope Jones.&nbsp;<a href=\"http:\/\/workingposture.com.au\" target=\"_blank\" rel=\"noreferrer noopener\">workingposture.com.au<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aches, pains, sore necks and bad backs are common complaints of suffering dentists. What can be done to prevent or minimise these pains? By Kerryn Ramsey Occupational chronic pain is a common experience for many dentists. 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What can be done to prevent or minimise these pains? By Kerryn Ramsey Occupational chronic pain is a common experience for many dentists. 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