Repetition: Performing the same motion or series of motions continually or frequently, for an
extended period of time with little variation such as scaling and repetitive hand tool usage.
Awkward postures: while performing job tasks such as working over-head, extended reaching,
twisting, squatting, or kneeling.
Contact stress: Results from occasional, repeated, or continuous contact between sensitive body
tissues and hard or sharp objects like resting the wrist on the edge of a desk, or tool handles
pressing into the palms.
Prolonged static posture: Dentists frequently assume static postures, which require more than 50
percent of the body’s muscles to contract to hold the body motionless
Age-related changes
Joint hypomobility,
Nerve compression,
Spinal disc degeneration/herniation
Musculoskeletal Disorder
Sitting Posture: Poor postural alignment
accelerates wear and tear of vertebrae, discs,
muscles and ligaments; leading to pain syndromes.
• A straight back and respect for the body • Avoid rounding the back into "C" shape.
symmetry. • A greater forward inclination, the tilting to
• Forward inclination of the trunk of a a side and the trunk rotation are
maximum of 20°. contraindicated.
Muscle Imbalances:
During treatment, however, operators should strive
to maintain a neutral, balanced posture. Failing to
do so over time, the muscles responsible for rotating
the body to one side can become stronger and
shorter, while the opposing muscles become weaker
and elongated.
Stretches:
Stretches are a must. They can be easily performed,
by the chair side with gloves on and need minimum
amount of time (10-15 seconds).
1. The un-twister:
Legs in tripod position; bend to
left side.
Rest your left elbow on left knee.
Stretch right arm overhead and
look towards the ceiling.
Hold for 2-4 breath cycles
Repeat
Trunk rotation
Sit tall. Cross right leg over
left leg.
Place left forearm on right
thigh and turn trunk to the
right.
Hold for 2-4 breath cycles.
Repeat
The reversal
Rear delivery systems encourage extensive trunk twisting and can result in low back
pain. Try to retrieve items with the closest hand and then transfer them to the
dominant hand. Position patient so that operator’s elbows are elevated no more
than 30 degrees.
2. Dentist micro breaks