Practical Advise Pertaining to Lower Back Pain among Dentists

Short Communication

J Dent App. 2015;2(3): 188-189.

Practical Advise Pertaining to Lower Back Pain among Dentists

Terry J Ellapen1*, Johan H Van Heerden1 and Yvonne Paul2

1University of Kwa Zulu Natal

2Tshwane University of Technology

*Corresponding author: Terry Ellapen,University of Kwa Zulu Natal

Received: December 15, 2014; Accepted: February 04, 2015; Published: February 06 , 2015

Incidence of Lower Back Pain among Dentists

Work related lower back pain (LBP) is a common malady of dentistry [1]. The aetiology of dental LBP has been associated with poor work practise precipitating deviant intrinsic lumbopelvic musculoskeletal alignment [2,3]. Poor dental work practise includes habitual standing in unnatural positions for prolonged periods during dental consultations, which anteriorly tilts the practitioner’s lumbopelvic complex known as short arc pelvic on femur flexion [3,4]. When this occurs, the sagittal plane force couple relationship of the lumbopelvic musculature is abnormally altered [4]. The iliopsoas, rectus femoris and satorius muscles become concentrically shortened which pulls the pelvis forward, while eccentrically lengthening its antagonists (gluteal, hamstrings and rectus abdominis) [4,5]. Prolonged habitual bending at the hip during dental consultations produces iliopsoas contractures [3,6].

Another scenario that precipitates deviant intrinsic lumbopelvic musculoskeletal alignment is the dentist’s somatotype.There are two predominant somatotypes, the android and gynoid. Android fat distribution is mainly around the abdominal region, commonly known as apple-shaped obesity [7]. Gynoid fat distribution occurs predominantly around the hips, buttocks and thighs commonly referred to as pear-shaped obesity [7]. Physical inactivity and unhealthy eating patterns precipitate either somatotype, which produces excessive accumulation of adipose tissue around the individual’s lumbopelvic complex, thereby facilitating anteriorly tilted pelvis [8,9]. Dental research is primarily focused on improved health care service to the patient and highlighting innovative dental technology but limited thought is given to the health and functional status of the dentists. Often young dentists, dental students, physical therapists, biokineticists, physical therapy and biokinetic students enquire about an appropriate solution to the above-mention malady. This short communication provides ergonomic and core stability recommendations.

Practical Advice to Diminish Lower Back Pain

Dentists must adopt better ergonomic practises and regularly perform core stabilization exercises [6,10].The ergonomic practises will include:


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Citation: Ellapen TJ, Heerden JHV and Paul Y. Practical Advise Pertaining to Lower Back Pain among Dentists. J Dent App. 2015;2(3): 188-189. ISSN:2381-9049

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