Dental Public Health · MU Sofia

15. Dental ergonomics – definition and basic concepts.

Defines dental ergonomics as the science of adapting work, instruments and environment to the dentist, then lists its aims and main goals, such as preventing occupational diseases and reducing unnecessary movement. It covers musculoskeletal, visual, hearing, infectious and psychological disorders linked to dentistry, the correct seated posture, and the five classes of hand movements from fingers only up to the trunk. It also outlines instrument arrangement, international ergonomic rules, four-handed dentistry, documentation and office planning.

Inside: 10 sections · 6 flashcards · 3 min

Topic 27 of 38 in the MU Sofia syllabus for Dental Public Health (Dental Medicine, Year 3). The free AceMed note covers it in 10 sections, about 402 words (3 min of reading), with 6 flashcards.

In this note

  1. Definition
  2. Main Goals of Ergonomics
  3. Occupational Diseases Associated with Dentistry Musculoskeletal disorders
  4. Correct Position of the Dentist
  5. Classes of Hand Movements
  6. Instrument Arrangement
  7. International Rules of Ergonomic Dentistry
  8. Four-Handed Dentistry
  9. Importance of Documentation
  10. Planning the Dental Office

Definition

Dental ergonomics = science of optimising working conditions to adapt work, instruments and environment to the dentist, not the other way around

Aims to:

Prevent occupational diseases

Ensure optimal working conditions

Improve efficiency and productivity

Increase comfort for dentist, assistant and patient

Exam phrase: “Fit the job to the worker, not the worker to the job.”

Main Goals of Ergonomics

Reduce unnecessary movements

Reduce fatigue and stress

Prevent occupational diseases

Improve quality of treatment

Improve productivity

Improve safety

Improve visibility of the operating field

Improve patient comfort

Save:

Time

Energy

Movements

Occupational Diseases Associated with Dentistry Musculoskeletal disorders

Back pain

Neck pain

Scoliosis

Herniated intervertebral discs

Visual problems

Artificial lighting

Small operating field

Eye strain

Hearing problems

Turbine noise

Micromotor noise

Suction systems

Prolonged exposure above acceptable sound levels Compressed air exposure

Infectious diseases

Transmission through body fluids

Hepatitis B

Hepatitis C

HIV

Psychological problems

Burnout

Anxiety

Sleep deprivation

Increased blood pressure

Circulatory problems

Varicose veins

Correct Position of the Dentist

Angle between thigh and leg should be slightly greater than 90°

Back should remain straight

Neck should remain neutral

Shoulders relaxed and close to the body

Most movements should originate from the forearm

Use mainly:

Class I movements

Class II movements

Class III movements

Optimal distance from operating field ≈ 30 cm

Do not sit on the entire chair seat

Distal part of the legs should hang freely

Improves blood circulation

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