[Prevention of spinal disorders in dentistry].
Professional activity in dentistry account for excessive request of the spine and peripheral joints.


METHODS
We performed an observational prospective study on ten physicians (six women, four men) aiming to evaluate the time used in vicious positions during a working day and to establish a specific kinetic program directed to relaxation and rebalancing lumbo-abdomino-pelvic muscles. The working time in a typical day either using orthostatic or sitting position was assessed according to a standard protocol.


RESULTS
Left dorsal scoliosis with rotation lasting over 97 minutes of daily working time, sinistro-concave dorsal scoliosis with a typical duration of 42.5 minutes, dextro-concave kyphoscoliosis with a mean time of 37 minutes and dorsal scoliosis with right rotation lasting 31 minutes were reported. Moreover, both left and right rotations were demonstrated during the working time accounting for about 22.5 minutes and 29 minutes respectively, while a lesser time deal with the side of right-left uncombined movement.


CONCLUSIONS
Almost three quarters of working time (71%) takes place in vicious positions, suggesting that, unfortunately, the ergonomic position is seldom maintained in current dentistry practice. A complex rehabilitation program is therefore mandatory in order to prevent muscle imbalance.
Iordache
Cristina
C
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea Medicină Dentară, Disciplina de Ergonomie Stomatologică.
Scutariu
Monica
M
Ancuţa
Codrina
C
D000328:Adult; D003813:Dentistry; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000517:prevention & control; D008159:Lumbar Vertebrae; D008297:Male; D009784:Occupational Diseases / Q000517:prevention & control*; D011187:Posture; D011446:Prospective Studies; D012307:Risk Factors; D012600:Scoliosis / Q000517:prevention & control; D013122:Spinal Diseases / Q000517:prevention & control* / Q000534:rehabilitation; D013904:Thoracic Vertebrae; D000078329:Workforce