Effect of a Novel Ergonomic Sheath on Dental Device-Related Muscle Work, Fatigue and Comfort—A Pilot Clinical Study

Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a...

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Published in:	Dentistry journal Vol. 12; no. 9; p. 296
Main Authors:	Dang, Steven, Wink, Cherie, Yang, Susan Meishan, Lin, Kairong, Takesh, Thair, Habib, Ali A., Wilder-Smith, Petra
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 01.09.2024 MDPI
Subjects:	Biofilms Clinical trials Comfort Dental caries dental hygienist Dental materials dentist Dentistry Dentists Design Electromyography ergonomic sheath Ergonomics Fatigue Fatigue tests Hands In vivo methods and tests Instrumentation Medical research Metal fatigue micromotor Micromotors Muscles Muscular fatigue Musculoskeletal diseases Pain Piezoelectricity Repetitive stress injury Sheaths Teeth ultrasonic scaler Variance analysis United States > US ergonomic sheath musculoskeletal disorder electromyography ergonomics ultrasonic scaler dental hygienist dentist micromotor
ISSN:	2304-6767, 2304-6767
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Abstract	Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a) piezoelectric scaling by hygienists with and without musculoskeletal disorders (MSDs), and (b) dental cavity preparation by healthy dentists using a dental micromotor. Materials and Methods: Two groups of ten hygienists each tested the piezoelectric scaler. Hygienists in Group 1 had no MSDs, while those in Group 2 had been diagnosed with MSDs. Additionally, ten dentists with no MSDs used a dental micromotor to prepare four standardized cavities. Time-based work in four muscles, comfort and fatigue were recorded in the presence and absence of an add-on soft, insulating handle sheath. Data were analyzed using a repeated measures analysis of variance model with Tukey’s post-hoc test. Results: Comfort, fatigue and muscle work were significantly better for both devices when the sheath was used. While hygienists with MSDs used more muscle work to complete the set scaling task, and the sheath-related reduction in work was somewhat greater, these MSD-related differences did not quite reach significance. Conclusions: The results of this pilot study show that the ergonomic performance of an ultrasonic scaler and a dental micromotor may be improved by the use of an ergonomic handle sheath.
AbstractList	Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a) piezoelectric scaling by hygienists with and without musculoskeletal disorders (MSDs), and (b) dental cavity preparation by healthy dentists using a dental micromotor. Materials and Methods: Two groups of ten hygienists each tested the piezoelectric scaler. Hygienists in Group 1 had no MSDs, while those in Group 2 had been diagnosed with MSDs. Additionally, ten dentists with no MSDs used a dental micromotor to prepare four standardized cavities. Time-based work in four muscles, comfort and fatigue were recorded in the presence and absence of an add-on soft, insulating handle sheath. Data were analyzed using a repeated measures analysis of variance model with Tukey’s post-hoc test. Results: Comfort, fatigue and muscle work were significantly better for both devices when the sheath was used. While hygienists with MSDs used more muscle work to complete the set scaling task, and the sheath-related reduction in work was somewhat greater, these MSD-related differences did not quite reach significance. Conclusions: The results of this pilot study show that the ergonomic performance of an ultrasonic scaler and a dental micromotor may be improved by the use of an ergonomic handle sheath. Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a) piezoelectric scaling by hygienists with and without musculoskeletal disorders (MSDs), and (b) dental cavity preparation by healthy dentists using a dental micromotor. Materials and Methods: Two groups of ten hygienists each tested the piezoelectric scaler. Hygienists in Group 1 had no MSDs, while those in Group 2 had been diagnosed with MSDs. Additionally, ten dentists with no MSDs used a dental micromotor to prepare four standardized cavities. Time-based work in four muscles, comfort and fatigue were recorded in the presence and absence of an add-on soft, insulating handle sheath. Data were analyzed using a repeated measures analysis of variance model with Tukey's post-hoc test. Results: Comfort, fatigue and muscle work were significantly better for both devices when the sheath was used. While hygienists with MSDs used more muscle work to complete the set scaling task, and the sheath-related reduction in work was somewhat greater, these MSD-related differences did not quite reach significance. Conclusions: The results of this pilot study show that the ergonomic performance of an ultrasonic scaler and a dental micromotor may be improved by the use of an ergonomic handle sheath.Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a) piezoelectric scaling by hygienists with and without musculoskeletal disorders (MSDs), and (b) dental cavity preparation by healthy dentists using a dental micromotor. Materials and Methods: Two groups of ten hygienists each tested the piezoelectric scaler. Hygienists in Group 1 had no MSDs, while those in Group 2 had been diagnosed with MSDs. Additionally, ten dentists with no MSDs used a dental micromotor to prepare four standardized cavities. Time-based work in four muscles, comfort and fatigue were recorded in the presence and absence of an add-on soft, insulating handle sheath. Data were analyzed using a repeated measures analysis of variance model with Tukey's post-hoc test. Results: Comfort, fatigue and muscle work were significantly better for both devices when the sheath was used. While hygienists with MSDs used more muscle work to complete the set scaling task, and the sheath-related reduction in work was somewhat greater, these MSD-related differences did not quite reach significance. Conclusions: The results of this pilot study show that the ergonomic performance of an ultrasonic scaler and a dental micromotor may be improved by the use of an ergonomic handle sheath. Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of this in vivo study was to determine the effect of an ergonomic handle sheath on muscle work, comfort and fatigue associated with (a) piezoelectric scaling by hygienists with and without musculoskeletal disorders (MSDs), and (b) dental cavity preparation by healthy dentists using a dental micromotor. Two groups of ten hygienists each tested the piezoelectric scaler. Hygienists in Group 1 had no MSDs, while those in Group 2 had been diagnosed with MSDs. Additionally, ten dentists with no MSDs used a dental micromotor to prepare four standardized cavities. Time-based work in four muscles, comfort and fatigue were recorded in the presence and absence of an add-on soft, insulating handle sheath. Data were analyzed using a repeated measures analysis of variance model with Tukey's post-hoc test. Comfort, fatigue and muscle work were significantly better for both devices when the sheath was used. While hygienists with MSDs used more muscle work to complete the set scaling task, and the sheath-related reduction in work was somewhat greater, these MSD-related differences did not quite reach significance. The results of this pilot study show that the ergonomic performance of an ultrasonic scaler and a dental micromotor may be improved by the use of an ergonomic handle sheath.
Audience	Academic
Author	Yang, Susan Meishan Takesh, Thair Habib, Ali A. Wilder-Smith, Petra Dang, Steven Lin, Kairong Wink, Cherie
AuthorAffiliation	1 Beckman Laser Institute, Department of Surgery, University of California Irvine School of Medicine, Irvine, CA 92612, USA; stevenld@uci.edu (S.D.); cwink@hs.uci.edu (C.W.); susanmy@uci.edu (S.M.Y.); kaironl@uci.edu (K.L.); ttakesh@uci.edu (T.T.) 2 Department of Neurology, University of California Irvine School of Medicine, Orange, CA 92868, USA; aahabib@hs.uci.edu
AuthorAffiliation_xml	– name: 1 Beckman Laser Institute, Department of Surgery, University of California Irvine School of Medicine, Irvine, CA 92612, USA; stevenld@uci.edu (S.D.); cwink@hs.uci.edu (C.W.); susanmy@uci.edu (S.M.Y.); kaironl@uci.edu (K.L.); ttakesh@uci.edu (T.T.) – name: 2 Department of Neurology, University of California Irvine School of Medicine, Orange, CA 92868, USA; aahabib@hs.uci.edu
Author_xml	– sequence: 1 givenname: Steven surname: Dang fullname: Dang, Steven – sequence: 2 givenname: Cherie surname: Wink fullname: Wink, Cherie – sequence: 3 givenname: Susan Meishan surname: Yang fullname: Yang, Susan Meishan – sequence: 4 givenname: Kairong orcidid: 0000-0002-7011-4981 surname: Lin fullname: Lin, Kairong – sequence: 5 givenname: Thair orcidid: 0000-0003-1117-6039 surname: Takesh fullname: Takesh, Thair – sequence: 6 givenname: Ali A. orcidid: 0000-0003-3432-9747 surname: Habib fullname: Habib, Ali A. – sequence: 7 givenname: Petra orcidid: 0000-0002-7580-2409 surname: Wilder-Smith fullname: Wilder-Smith, Petra
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Keywords	ergonomic sheath musculoskeletal disorder electromyography ergonomics ultrasonic scaler dental hygienist dentist micromotor
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Snippet	Background: Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries.... Dental instrumentation with hand-held devices is associated with discomfort, fatigue and musculoskeletal diseases or repetitive stress injuries. The goal of...
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SubjectTerms	Biofilms Clinical trials Comfort Dental caries dental hygienist Dental materials dentist Dentistry Dentists Design Electromyography ergonomic sheath Ergonomics Fatigue Fatigue tests Hands In vivo methods and tests Instrumentation Medical research Metal fatigue micromotor Micromotors Muscles Muscular fatigue Musculoskeletal diseases Pain Piezoelectricity Repetitive stress injury Sheaths Teeth ultrasonic scaler Variance analysis
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Title	Effect of a Novel Ergonomic Sheath on Dental Device-Related Muscle Work, Fatigue and Comfort—A Pilot Clinical Study
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