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The Role of Ergonomic Interventions to Prevent Low Back Pain Among Dentists: A Scoping Review Analdi, Jane; Wita Anggraini; Sulistyowati, Indrani; Ariyani, Annisaa Putri
Dentika: Dental Journal Vol. 27 No. 2 (2024): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v27i2.16432

Abstract

Dentists are typically at high risk of developing low back pain (LBP) due to their working position. Therefore, this study aimed to evaluate the role of ergonomic interventions in preventing LBP. The study procedures were carried out using a scoping review method with Boolean search based on PCC (Population, Concept, and Context) on PubMed, Wiley, and Google Scholar. Article management and selection process was then conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) as a guide. Inclusion criteria were experimental articles from 2011 to 2021, while exclusion criteria included scoping, rapid, and systematic reviews, gray literature, or papers that were not fully accessible. A total of 1775 articles were obtained and only 12 were selected with a total of 557 participants. The selected articles consisted of 2, 1, and 7 in the work environment, organizational, and individual domains, respectively, while 2 articles had more than 1 ergonomic intervention in different domains. The results showed that ergonomic interventions could prevent LBP among dentists. The clinical significance reported across all included articles showed that participants experienced positive changes in posture, decreased pain levels, and improved work quality after receiving the treatment across all domains.
VARIOUS NON-SURGICAL THERAPY IN CARPAL TUNNEL SYNDROME THAT CAN BE AN OPTIONAL THERAPY FOR DENTISTS: SCOPING REVIEW Brigitta, Brigitta; Anggraini, Wita; Sulistyowati, Indrani; Ariyani, Annisaa Putri; Holil, Levana
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 2 (2024): Vol. 11,No 2 (Desember 2024)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i2.1539

Abstract

Introduction: Carpal tunnel syndrome (CTS) is a common condition among dentists due to awkward hand positions, repetitive hand movements, mechanical pressure on the palms, strong grips, and vibration of tools involved in their work. Non-surgical therapy is recommended for mild to moderate levels of CTS, while surgical treatment may be considered for severe cases. Aim: This study aims to determine the effectiveness of various non-surgical therapy for CTS. Method: The literature search used Boolean language in PCC format on PubMed and Google Scholar databases. The literature search was according to PRISMA-ScR flow chart guidelines and 6,641 articles were obtained. 16 articles met the inclusion criteria, consisting of: splinting (n=2), local steroid injection (n=2), median nerve neuromobilisation (n=2), and journals that tested and compared a combination of non-surgical therapies or more than one non-surgical therapy (n=10). Result: This review shows that non-surgical therapies are effective for CTS patients. Conclusion: Various non-surgical treatment for CTS is effective in reducing pain and improving hand functional ability. These therapies can be an optional therapy for dentists with high CTS risk factors.
Musculoskeletal Disorders in Dentists and How to Prevent Them Putri Ariyani, Annisaa; Zahrein Amalia, Aurel; Sulistyowati, Indrani; Anggraini, Wita; Yoshua Andika, Steve
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 1 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i1.23856

Abstract

Musculoskeletal disorders (MSDs) are pathological conditions that affect various structures of the musculoskeletal system, including nerves, tendons, muscles, joints, ligaments, and bones. MSDs are common among dentists, with the highest complaints at the neck, shoulders, back, and hands. Musculoskeletal disorders can be caused by a variety of risk factors, and posture while performing dental care procedures is one of them. The prolonged awkward posture performed by the dentist may increase the risk of MSDs. Neck pain, lower back pain (LBP), and carpal tunnel syndrome (CTS) are the most common types of MSDs suffered by dentists. A study revealed that dentists are experiencing lost productivity due to MSDs, caused by musculoskeletal complaints, poor sleep quality, and high stress levels. Therefore, the understanding and implementation of ergonomic principles in dentistry is important for the prevention of MSDs. The use of dental loupes, stretching, and regular exercise can also help maintain the productivity of dentists.
Optimalisasi Penyuluhan dan Pelatihan Kesehatan Gigi Mulut Pada Remaja: Tinjauan Efektivitas dan Tantangannya Ariyani, Annisaa Putri; Budiman, Budiman; Sulistyowati, Indrani; Anggraini, Wita; Pratomo, Harris Gadih; Rospita, Fitrani; Lubis, Muhammad Novo Perwira; Amalia, Aurel Zahrein; Harissa, Adlina Putri; Suhardjo, Ranna Radhya Saadyandini
Abdimas Galuh Vol 7, No 2 (2025): September 2025
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v7i2.20598

Abstract

Masalah gigi berlubang dan karang gigi merupakan masalah gigi mulut yang dapat ditemukan pada usia remaja. Akumulasi plak memicu proses demineralisasi dan menyebabkan terbentuknya gigi berlubang. Kandungan mineral dalam saliva memicu proses mineralisasi plak sehingga membentuk karang gigi. Menyikat gigi merupakan upaya pencegahan primer untuk mengurangi plak. Oleh karena itu, penyuluhan dan pelatihan kesehatan gigi mulut pada remaja berperan penting dalam meningkatkan kesadaran diri dalam memelihara kesehatan gigi mulut. Kegiatan ini bertujuan untuk meninjau efektivitas penyuluhan serta pelatihan kesehatan gigi mulut pada remaja. Kegiatan Pengabdian kepada Masyarakat yang dilaksanakan pada 23 Mei 2025 di SMKS Islam Bahagia, Kalianyar, Tambora, Jakarta Barat, DKJ Jakarta melibatkan 76 peserta usia remaja. Kegiatan meliputi penyuluhan terkait anatomi gigi dan masalah kesehatan gigi mulut, serta pelatihan menyikat gigi dengan baik. Evaluasi dilakukan melalui pretest-posttest untuk mengukur tingkat pengetahuan, serta observasi visual menggunakan disclosing solution untuk mengukur kemampuan diri dalam memelihara kebersihan gigi mulut dari plak. Terdapat peningkatan signifikan skor pengetahuan peserta setelah penyuluhan (median pretest 72,54 menjadi posttest 86,39; p<0,001). Visualisasi disclosing solution menunjukkan penurunan signifikan plak pada peserta dengan susunan gigi normal. Namun, peserta dengan gigi berjejal masih menunjukkan sisa plak yang menandakan keterbatasan efektivitas teknik menyikat gigi pada kondisi anatomi tertentu. Penyuluhan dan pelatihan memberikan dampak positif terhadap peningkatan pengetahuan dan kemampuan menyikat gigi pada remaja. Namun, keberhasilan penyuluhan dan pelatihan kesehatan gigi mulut dipengaruhi oleh kondisi individual rongga mulut. Optimalisasi penyuluhan perlu mempertimbangkan pendekatan tambahan seperti edukasi penggunaan alat bantu kebersihan gigi dan evaluasi berkala menggunakan disclosing solution.
Stres Kerja Berhubungan dengan Keluhan Muskuloskeletal pada Dokter Gigi Syahril, Ririn Setiawati; Ariyani, Annisaa Putri; Indrawati, Ary; Lintuuran, Rivo Mario Warouw; Anggraini, Wita; Sulistyowati, Indrani; Then, Cheryl Vincenza
Journal of Integrated System Vol. 8 No. 1 (2025): Journal of Integrated System Vol. 8 No. 1 (June 2025)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jis.v8i1.9819

Abstract

Stres kerja yang dialami oleh dokter gigi merupakan salah satu akibat ketidakseimbangan antara tuntutan pekerjaan dan kemampuan diri, sehingga memicu menurunnya kondisi mental. Profesi dokter gigi menuntut ketelitian tingkat tinggi dan keterampilan dalam melakukan perawatan gigi. Durasi kerja yang panjang dan postur tubuh yang statis serta canggung, meningkatkan risiko terjadinya keluhan muskuloskeletal dengan keluhan pada struktur tubuh meliputi saraf, tendon, otot, sendi, ligamen, tulang dan sistem sirkulasi darah. Stres kerja berdampak pada keluhan muskuloskeletal melalui efeknya pada psikologis dengan mempengaruhi sistem saraf pusat dan perifer sehingga terjadi ketegangan otot yang meningkatkan risiko keluhan muskuloskeletal. Penelitian ini bertujuan untuk mengetahui tingkat stress, bagian tubuh yang mengalami keluhan muskuloskeletal, dan hubungan antara keduanya pada dokter gigi. Populasi penelitian ini merupakan dokter gigi di salah satu provinsi di Indonesia. Sebanyak 27 dokter gigi telah memenuhi kriteria inklusi. Kuesioner stres kerja digunakan sebagai alat ukur dalam mengidentifikasi tingkat stres yang muncul akibat pekerjaan dan Nordic Body Map untuk keluhan muskuloskeletal pada bagian tubuh. Ditemukan sebanyak 63% responden mengalami tingkat stres kerja dengan kategori tinggi dan keluhan muskuloskeletal banyak dikeluhkan pada bagian lengan bawah bagian kanan, punggung, dan leher bagian bawah. Data dianalisis dengan uji korelasi Spearman dan diperoleh nilai p-value 0,001, terdapat hubungan antara stres kerja dan keluhan muskuloskeletal.
Dentist: Wrist Position, Handgrip Strength, and Body Mass Index Associated with Carpal Tunnel Syndrome in Daily Practice Ariyani, Annisaa Putri; Anggraini, Wita; Roeslan, Boedi Oetomo; Sulistyowati, Indrani
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.15525

Abstract

ABSTRACT Carpal tunnel syndrome (CTS) is one of the most common musculoskeletal disorders affecting dentists and their ability to work. Prolonged work with repetitive flexion and extension of the wrist position and high force may increase the risk of CTS. Exposure to various individual factors (gender, age, work duration, work experience, body mass index), wrist position, and handgrip strength during daily practice may also trigger CTS. To determine whether individual factors, wrist position, and handgrip strength were associated with CTS incidence in dentists. A case-control study in the population of the epidemiological study area. Dentists practicing at the community health center in Tangerang, Banten, agreed to complete the informed consent form. The total population of this present study in the forty-four community health centers in Tangerang was sixty-seven participants. Two participants were excluded due to a history of arthritis and diabetes mellitus. Therefore, only sixty-five participants who met the inclusion criteria were included. The assessment included observation of wrist position, handgrip strength, body mass index, and individual questionnaires (gender, age, work duration, and work experience). The association between these variables and CTS was then analyzed using the chi-squared test. The distribution of CTS among dentists showed that eighteen participants complained of CTS, while forty-seven participants did not. In a case group, the majority of participants complaining of work-related CTS symptoms were female (94.40%). We found that CTS sufferers were over 35 years of age (61.10%), had more than 9 years of work experience (61.10%), and had less than 6 hours of work duration (61.60%). Whereas, 100% of the participants performed wrist position at risk for CTS, 77.80% had weak handgrip strength, and 50% were obese based on body mass index compared to the control group at 80.90%, 4.30%, and 2.10%, respectively. The Chi-square test showed a significant level of wrist position, handgrip strength, and BMI against CTS. CTS is a disease associated with a dentist's wrist position, handgrip strength, and body mass index during dental practice. Keywords: Dentist, Carpal Tunnel Syndrome, Wrist Position, Handgrip Strength, Body Mass Index