Abstract
Ergonomics is the study of the adaptation of the job to men, keeping the maximum comfort, safety, and efficiency. By its nature, the ergonomic principles in dentistry play a fundamental role on protecting the dental team health. All practitioners should learn and apply its principles since the initial education at the university. Changing bad habits is always more difficult than to learn and start working in the proper way. This chapter offers to the readers the principles of ergonomics in dentistry, such as how to ergonomically seat during the dental treatment and properly position the patient in the chair, in order to have the operating field facing the operator and assistant. Other topics such as how to grasp the instruments and rest the fingers in the oral environment, as well to control the environmental condition in order to protect the health, are explained. At the end, many exercises that can be done inside the dental office are shown, helping to prevent the most common work-related musculoskeletal disorders.
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References
Barbosa M, Marques JA, Muse JO. Odontologia em debate: Ergonomia e as doenças ocupacionais. Feira de Santana: Universidade Estadual de Feira de Santana; 2003.
Barros O. Ergonomia. 2nd ed. São Paulo: Pancast; 1999.
Bauman FS. Giving occupants what they want: guidelines for implementing personal environmental control in your building. World Work 99. Los Angeles; 1999.
Belenky M. Human-centered ergonomics: proprioceptive pathway to occupational health and peak performance in dental practice. In: Murphy DC, editor. Ergon Dent care Work. Washington, DC: Am Pub Health Assoc; 1998. p. 275–99.
Brandimiller PA. O corpo no trabalho. Guia de conforto e saúde para quem trabalha em microcomputadores. 2a. J. Bras. Clínica Odontológica Integr. São Paulo: Editora Senac, 1999.
Camacho Perdomo JE. Ministério da Saúde. Colômbia: Universidade de Antioquia; 1984.
Chasteen JE. Four-handed dentistry in clinical practice. 1a ed. St. Louis: Mosby; 1978.
Chasteen JE. Essentials of clinical dental assisting. 4 ed. St. Louis: Mosby; 1989.
Coelho ACC. Análise de ruídos em laboratórios e clínicas de prótese dentária. [Bauru]: FOB – USP; 2003.
Coster EA, Carstens IL, Harris AM. Patterns of stress among dentists. J Dent Assoc South Africa. 1987;42:389–94.
Couto H, Lech O. Gerenciando a LER e os DORT nos tempos atuais. Belo Horizonte: ERGO Editora; 2007.
Delleman NJ, Haslegrave CM, Chaffin DB. Working postures and movements. Tools for evaluation and engineering. 1st ed. London: CRC Press; 2004.
de Bruyne MAA, Van Renterghem B, Baird A, Palmans T, Danneels L, Dolphens M. Influence of different stool types on muscle activity and lumbar posture among dentists during a simulated dental screening task. Appl Ergon. 2016;56:220–6.
Eero Kerosuo L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontol Scand. [Internet]. 2000;58:207–12. https://doi.org/10.1080/000163500750051755.
Europäische Gesellschaft für Zahnärztliche Ergonomie - EGZE. Techinische Berichte: Nr. 10 - 12. Landdruckerei Späthling. Weissenstadt; p. 96.
Fernandes JC, Oliveira JR, Fernandes VM. Avaliação do Ruído em Consultórios Dentários. XI SIMPEP. Bauru; 2004.
Ferreira RC. Cargas de trabalho em odontologia e formas de prevenção – Guia curricular para formação de atendentes de consultório para atuar na rede pública do SUS. Área Curric. I, Cargas Trab. Brasilia; 1998.
Finocchiaro JA, Aassaf DL, Finocchiaro M. Manual de Prevenção das Lombalgias. Lex Editora; 1978.
Genovese W, Lopes A. Doenças Profissionais do CD. 1a ed. São Paulo: Pancast; 1991.
Grandjean E. Manual de ergonomia: adaptando o local ao homem. 2nd ed. Porto Alegre: Bookman; 1998.
Guidi D, Fichman DM, Santos J Jr. A auxiliar odontológica. São Paulo: Editora Pedagógica e Universitária; 1977.
Guiton AC. Tratado de Fisiologia Humana. Rio de Janeiro: Guanabara Koogan; 1983.
Heimstra N, McFarling L. Psicologia Ambiental. São Paulo: Editora da Universidade de São Paulo; 1978.
Henriques DYP, Medendorp WP, Gielen CCAM, Crawford JD. Geometric computations underlying eye-hand coordination: orientations of the two eyes and the head. Exp Brain Res. [Internet]. 2003;152:70–8. https://doi.org/10.1007/s00221-003-1523-4.
Hokwerda O, Wouters JAJ. Zicht op licht. Adviezen en richtlijnen op het gebied van verlichting, optische hulpmiddelen en beeldschermen in de tandheelkunde. Nieuwegein: Movir; 2004.
Hokwerda O, de Ruijter RAG, Shaw S. Adopting a healthy sitting working posture during patient treatment. Center for Dentistry and Oral Hygiene, University Medical Center Groningen, p. 28. 2009. Available at: https://www.rug.nl/research/ctm/kenniscentrum/ergonomie/pdfergonomie/1adoptingahealthysittingworkingpostureduringpatienttreatment.(jan2009).pdf.
Hokwerda O, Wouters JAJ. Eindrapportage Sonde project. Nieuwegein: Movir; 2002.
Hokwerda O, Wouters JAJ, Ruijter RAG, Zijlstra-Shaw S. Ergonomic requirements for dental equipment. Guidelines and recommendations for designing, constructing and selecting dental equipment. European Society Of Dental Ergonomics (ESDE), editor. 2007. Available at: http://www.esde.org/docs.
Iida I. Ergonomic contributions do design. 6th Int Congr Ergon Usability Human-Technology Interfaces Prod Information, Built Environ Transp. Bauru; 2006.
Iida I. Ergonomia: projeto e produção. São Paulo: Editora Edgard Blücher; 1998.
ISO 11226:2000. Ergonomics -- evaluation of static working postures. ISO: International Standard Organization, editor. 2000. p. 19.
ISO 4073:2009. Information system on the location of dental equipment in the working area of the oral health care provider. 2 Edition. ISO: International Standard Organization, editor. 2009. p. 4.
ISO 6385:2004. Ergonomics principles in the design of work system. Int. Stand. Organ. ISO: International Standard Organization. 2004.
Kimmel K. Zahnärztliche Praxis- und Arbeitsgestaltung. Ergonomie als Grundlage der Leistungs- und Lebensqualität. Köln: Deutscher Zahnärzte Verlag Däv-Hanser; 2001.
Knoplich J. Enfermidades da coluna vertebral. São Paulo: Panamed Editorial; 1986.
Laville A. Ergonomia. São Paulo: EPU; 1977.
Lopes A, Neto RV. A Síndrome do túnel carpal: Um risco profissional para o cirurgião-dentista. Rev da Assoc Paul Cir. 1994;48:1545–52.
Lopes MF. O CD e o DORT – Conhecer para prevenir. 2000.
Mandel ID. Occupational risks in dentistry: comforts and concerns. J Am Dent Assoc [Internet]. 1993;124:40–9. https://doi.org/10.14219/jada.archive.1993.0215.
Marshall ED, Duncombe LM, Robinson RQ, Kilbreath SL. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J [Internet]. 1997;42:240–6. https://doi.org/10.1111/j.1834-7819.1997.tb00128.x.
Medeiros U, Riul LF. Riscos ocupacionais do CD e sua prevenção. Rev Paul Odontol. 1994;6:34–43.
Melis M, Abou-Atme YS, Cottogno L, Pittau R. Upper body musculoskeletal symptoms in Sardinian dental students. J Can Dent Assoc [Internet]. 2004;70:306–10.
Méndez FJ, Gómez-Conesa A. Postural hygiene program to prevent low back pain. Spine [Internet]. 2001;26:1280–6.
Ministério da Saúde. Protocolo de investigação, diagnóstico, tratamento e prevenção de DORT. Secretaria de Políticas de Saúde, editor. Brasília; 2000.
Ministério da Saúde. Lesões por esforços repetitivos (Ler)/distúrbios osteomusculares relacionados ao trabalho (Dort). Departamento de Ações Programáticas Estratégicas ÁT de S do T, editor. Brasília; 2000.
Nogueira DP. Riscos ocupacionais de dentistas e sua prevenção. Rev Bras Saúde Ocup. 1983;41:16–24.
Oh J, Zhao C, Zobitz ME, Wold LE, An K-N, Amadio PC. Morphological changes of collagen fibrils in the subsynovial connective tissue in carpal tunnel syndrome. J Bone Jt Surg [Internet]. 2006;88:824–31. https://doi.org/10.2106/JBJS.E.00377.
Osamura N, Zhao C, Zobitz ME, An K-N, Amadio PC. Permeability of the subsynovial connective tissue in the human carpal tunnel: a cadaver study. Clin Biomech [Internet]. 2007;22:524–8. https://doi.org/10.1016/j.clinbiomech.2007.01.004.
Paraguay ATT. Perda Auditiva Induzida por ruído em consultório odontológico. Recife: CEFAC – Curso de Especialização em Fonoaudiologia clínica; 1999.
Plessas A, Delgado MB. The role of ergonomic saddle seats and magnification loupes in the prevention of musculoskeletal disorders. A systematic review. Int J Dent Hygiene. 2018;16:430–40. https://doi.org/10.1111/idh.12327.
Poi W, Tagliavini RL. Organização do trabalho em clínica integrada. Rev da Assoc Bras Odontol Nac. 1999;7:209–12.
Rasia D. Quando a Dor é do CD! Custo Humano do Trabalho de Endodontistas e Indicadores de Dort. Área Conc. Psicol. Soc. e do Trab. [Brasília]: Universidade de Brasília; 2004.
Regis Filho G, Michels G, Sell I. Lesões por esforços repetitivos/distúrbios osteomusculares relacionados ao trabalho em cirurgiões-dentistas. Rev Bras Epidemiol. 2006;9:346–59.
Rio LMS. Ergonomia odontológica. Rev do CROMG. 2000;6:28–33.
Rising DW, Bennett BC, Hursh K, Plesh O. Reports of body pain in a dental student population. J Am Dent Assoc [Internet]. 2005;136:81–6. https://doi.org/10.14219/jada.archive.2005.0032.
Roberson TM, Heymann H, Swift EJ, Sturdevant CM. Sturdevant’s art and science of operative dentistry. London: Mosby/Elsevier; 2006.
Rock I. Perception. New York OSABI, editor. 1987.
Rucker LM, Sunell S. Ergonomic risk factors associated with clinical dentistry. J Calif Dent Assoc [Internet]. 2002;30:139–48.
Rundcrantz BL, Johnsson B, Moritz U. Cervical pain and discomfort among dentists. Epidemiological, clinical and therapeutic aspects. Part 1. A survey of pain and discomfort. Swed Dent J [Internet]. 1990;14:71–80.
Santos CMD. Móveis ergonômicos. Rev Proteção. 1999:62–5.
Santos Filho S, Barreto SM. Atividade ocupacional e prevalência de dor osteomuscular em cirurgiões-dentistas de Belo Horizonte, Minas Gerais, Brasil: contribuição ao debate sobre os distúrbios osteomusculares relacionados ao trabalho. Cad Saúde Pública. 2001;17:181–93.
Varkenvisser JK, Kriekaard JJ. Richtlijnen en adviezen ten behoeve van de werkplek van de tandarts op het gebied van verlichting en optometrie. TNO Rapp nr TM-02-C029 Soesterb TNO Tech Menskd. 2002.
Vianna R, Arita ES. Desempenho Lógico. Rev Bras Odontol. 1989;46:27–31.
Vieira SI. Manual de saúde e segurança do trabalho. 1a. Florianópolis: Mestra Editora; 2000.
Wagner M. Safeguarding the physical well-being of dentists. J Am Dent Assoc. 1985;110:16–24. https://doi.org/10.14219/jada.archive.1985.0302.
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Yui, K.C.K., Lencioni, C.S.B., Orenha, E.S., Torres, C.R.G. (2020). Ergonomics Principles Applied to the Dental Clinic. In: Torres, C. (eds) Modern Operative Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-31772-0_2
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