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Content available Technical aspects of the dentist’s work safety
EN
In the work of a dentist there are many factors that affect the occupational risk. They cover the area of the human factor, work organization and technical area. The latter often determines the safety and ergonomics of the workplace. The purpose of this article is to identify occupational hazards in the work of a dentist, with particular emphasis on the technical area. The method used in the article is a survey supported by observation with elements of a direct interview. The research tool used in the article is a questionnaire in the form of a checklist.
EN
During daily oral health care, dental surgeons are in contact with numerous potentially infectious germs from patients’ saliva and blood. Appropriate personal protection equipment should be chosen to mitigate these risks, but the garment must also be comfortable and not hamper activities. This paper presents our research work on optimised working clothing for dentists and discusses some important points in the functional design. Following a consumer study on how users wear the garment and what are their expectations, three main functions were investigated: protection, ergonomics and thermal comfort. Aesthetic appearance was also taken into consideration as it is necessary that the wearer should feel appropriately and attractively dressed in the context of health care. Concerning protection, spray tests in real conditions helped us to localise the potential contamination areas on the garment and led us to select a three-layered material that is protective and breathable enough. However, this part of the garments made from these fabrics exhibited low thermal comfort and the wearer felt some discomfort. In terms of ergonomics, instrumented garments were worn and pressure measurements were taken. The results highlight that a special shape and raglan sleeves should be selected for a better dynamic comfort. Concerning thermal comfort, an infrared camera was used to detect warm zones of the garment where heat and moisture transfers should be enhanced. Breathable, stretchable and shape-retaining knitted fabric that is usually used for sportswear was selected. These fabrics were strategically placed as low and high vents to promote a chimney effect, which minimises retention of heat and humidity inside the garment. The usual PES/cotton fabric was selected for the rest of the gown. Based on these results, a new gown has been proposed. Through fitting tests conducted in a hospital on 25 dentists, it was revealed that the new design was highly appreciated, particularly on the ergonomic structure of the sleeves and thermal comfort of breathable zones. However, some points can be further improved, such as durability of the PES/cotton fabric, the neck length or the shape of ‘breathable zones’. The final product will be produced based on necessary improvements.
EN
Musculoskeletal disorders (MSDs) are significant workplace problems affecting occupational health, productivity and the careers of dental professionals. The prevalence of MSDs is on the rise for all types of dental workers. In spite of different patterns of work culture, there are parallel levels of symptoms in dentists across nations. Risk factors for MSDs are multifactorial. Symptoms appear very early in careers, with higher prevalence of MSDs even during educational training. Ergonomics improvements, health promotion and organizational interventions are necessary to reduce the risk. An interdisciplinary approach with progressive efforts should be taken to address MSDs in dental professionals.
EN
Proprioceptive derivation (Pd), a new method of organising a dentist workstation as well as a working procedure, was introduced to Thailand. The aim of this study was to assess the working conditions and the attitude to Pd among experienced users. Questionnaires were distributed among 12 dentists. The results showed that all dentists chose to work in a sitting posture and mostly worked without breaks between patients. They spent less time on dental examination and crown and bridge therapy tasks. Solving problems in patients with physical limitations resulted in a low stress level. Seven dentists (58.3%) always used Pd and liked it. Five dentists (41.7%) sometimes used Pd, with 3 of them liking it. Only 2 dentists, who sometimes used Pd, did not like it because it could not cover all dental tasks and treatment, and it was difficult and complex.
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