Musculoskeletal Disorders Complaints in Dentists: A Systematic Literature Review

  • Dwi Windu Kinanti Arti Universitas Diponegoro
  • Yuliani Setyaningsih Universitas Diponegoro
  • Mohammad Zen Rahfiludin Universitas Diponegoro
  • Henry Setyawan Susanto Universitas Diponegoro
Keywords: dental, dentist, musculoskeletal disorders, prevalence, work related dan risk factors

Abstract

The profession of dentistry is a job that is at risk of musculoskeletal disorders. Dentists often work in static and non-ergonomic positions for long periods of time, perform repetitive movements, and interact with patients in limited workspaces. A comprehensive understanding of the prevalence, location of complaints, and the most dominant risk factors is needed to develop effective prevention and intervention strategies to reduce musculoskeletal disorders. Objective to identify musculoskeletal disorders in dentists along with prevalence, pain areas and risk factors. The author used the PRISMA checklist to guide the selection of articles. The databases used were Science Direct and Scopus to search for academic articles published between 2020 and 2025 that met the predetermined content criteria with the keywords Musculoskeletal Disorders, Dentist, Dental, Prevalence, Work Related and Risk Factors. Initial findings based on keywords obtained 494 articles, then screening was carried out until 10 relevant articles to review. The prevalence of MSDs complaints reported in each article was between 58.3% - 93%. The highest pain areas in dentists were in the neck, lower back and shoulders. One of the most dominant risk factors is work posture. Musculoskeletal Disorders (MSDs) are occupational health problems that are often experienced by dentists. Risk factors for MSDs are divided into individual characteristics, jobs, habits, and work environments. Interventions are needed to prevent MSDs in dentists such as ergonomic interventions and education since professional education.

References

Ashmi, A., Issac, J. S., Girija, P., Arjun, D. S., Siddik, A. J., & Shaji, S. M. (2023). Knowledge, Prevalence, and Risk Factor for Lower Back Pain among Dentists in Kollam District, Kerala: A Questionnaire Survey. International Journal of Medical and Oral Research, 8(1), 9–13. https://doi.org/10.4103/ijmo.ijmo_24_22

Bakhsh, H. R., Bakhsh, H. H., Alotaibi, S. M., Abuzaid, M. A., Aloumi, L. A., & Alorf, S. F. (2021). Musculoskeletal disorder symptoms in saudi allied dental professionals: Is there an underestimation of related occupational risk factors? International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph181910167

Bhatia, V., Vaishya, R. O., Jain, A., Grover, V., Arora, S., Das, G., Abdulla, A. M., Sainudeen, S., Mohamed Ali, A. B., & Saluja, P. (2024). Identification of prevalence of musculoskeletal disorders and various risk factors in dentists. Heliyon, 10(1), e23780. https://doi.org/10.1016/j.heliyon.2023.e23780

Bonu, S., Pachava, S., Bommireddy, V., & Ravoori, S. (2019). Physical activity among dentists in neo-capital area of a South Indian State: A cross-sectional study. Journal of Indian Association of Public Health Dentistry, 17(2), 152. https://doi.org/10.4103/jiaphd.jiaphd_138_18

Bouffard, J., Martinez, R., Plamondon, A., Côté, J. N., & Begon, M. (2019). Sex differences in glenohumeral muscle activation and coactivation during a box lifting task. Ergonomics, 62(10), 1327–1338. https://doi.org/10.1080/00140139.2019.1640396

Ćwirzeń, W., & Wagner, L. (2022). Evaluating the Dental Hygienists’ Exposure to the Risk of Musculoskeletal Disorders. European Journal of Dentistry. https://doi.org/10.1055/s-0042-1750772

Edrees, A., Abu Rayyan, I., Splieth, C. H., Alkilzy, M., Barbe, A. G., & Wicht, M. J. (2024). Musculoskeletal disorders and risk indicators for pain chronification among German dentists: A cross-sectional questionnaire-based study. Journal of the American Dental Association, 155(6), 536–545. https://doi.org/10.1016/j.adaj.2024.03.007

Gandolfi, M. G., Zamparini, F., Spinelli, A., Risi, A., & Prati, C. (2021). Musculoskeletal disorders among italian dentists and dental hygienists. International Journal of Environmental Research and Public Health, 18(5), 1–20. https://doi.org/10.3390/ijerph18052705

Gothey, A. I., & Lembariti, B. S. (2022). Work-related Musculoskeletal Disorders and Associated Factors among Dental Professionals in Tanzania. International Journal of Prosthodontics and Restorative Dentistry, 16(1), 26–29. https://doi.org/10.5005/jp-journals-10062-0130

Hosseini, A., Choobineh, A., Razeghi, M., Pakshir, H. R., Ghaem, H., & Vojud, M. (2019). Ergonomic Assessment of Exposure to Musculoskeletal Disorders Risk Factors among Dentists of Shiraz, Iran. Journal of Dentistry (Shiraz, Iran), 20(1), 53–60. https://doi.org/10.30476/DENTJODS.2019.44564

Huppert, F., Betz, W., Maurer-Grubinger, C., Holzgreve, F., Fraeulin, L., Filmann, N., Groneberg, D. A., & Ohlendorf, D. (2021). Influence of design of dentist’s chairs on body posture for dentists with different working experience. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04334-1

Hussein, A., Mando, M., & Radisauskas, R. (2022). Work-Related Musculoskeletal Disorders among Dentists in the United Arab Emirates: A Cross-Sectional Study. Medicina (Lithuania), 58(12), 1–12. https://doi.org/10.3390/medicina58121744

Jacquier-Bret, J., & Gorce, P. (2023). Prevalence of Body Area Work-Related Musculoskeletal Disorders among Healthcare Professionals: A Systematic Review. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010841

Jain, L., Hegde, V., Shetty, R., Tandale, A., Palekar, T. J., Mehta, V., Srinidhi, S. R., & Negi, S. (2024). Prevalence of Musculoskeletal Disorders among Dental Professionals: An Umbrella Review. European Journal of General Dentistry. https://doi.org/10.1055/s-0044-1790242

Johnson, C. R., & Kanji, Z. (2016). The impact of occupation-related musculoskeletal disorders on dental hygienists. Canadian Journal of Dental Hygiene, 50(2), 72–79.

King, J. W., Neville, M., Schultz, S. W., Hersch, G., & Stegink-Jansen, C. W. (2021). Psychosocial influences in the development of cumulative trauma disorders. Journal of Hand Therapy, 34(2), 217–236. https://doi.org/10.1016/j.jht.2021.04.018

Knowles, O. E., Drinkwater, E. J., Urwin, C. S., Lamon, S., & Aisbett, B. (2018). Inadequate sleep and muscle strength: Implications for resistance training. Journal of Science and Medicine in Sport, 21(9), 959–968. https://doi.org/10.1016/j.jsams.2018.01.012

Krishnan, K. S., Raju, G., & Shawkataly, O. (2021). Prevalence of work-related musculoskeletal disorders: Psychological and physical risk factors. International Journal of Environmental Research and Public Health, 18(17). https://doi.org/10.3390/ijerph18179361

Kumar, M., Pai, K. M., & Vineetha, R. (2020). Occupation-related musculoskeletal disorders among dental professionals. Medicine and Pharmacy Reports, 93(4), 405–409. https://doi.org/10.15386/mpr-1581

Lazăr, A. M., Repanovici, A., Baritz, M. I., Scutariu, M. M., Tătaru, A. I., & Pantea, I. (2024). Postural Risks in Dental Practice: An Assessment of Musculoskeletal Health. Sensors, 24(19). https://doi.org/10.3390/s24196240

Pejčić, N., Petrović, V., Marković, D., Miličić, B., Dimitrijević, I. I., Perunović, N., & Čakić, S. (2017). Assessment of risk factors and preventive measures and their relations to work-related musculoskeletal pain among dentists. Work, 57(4), 573–593. https://doi.org/10.3233/WOR-172588

Rabia Sannam Khan, Ahmad, F., & Merchant, M. S. (2017). Prevalence of Work Related Musculoskeletal Disorders and the. International Journal of Contemporary Medical Research, 4(June), 2–6. https://www.researchgate.net/publication/317826921_Prevalence_of_Work_Related_Musculoskeletal_Disorders_MSD_among_Dentists

Rickert, C., Fels, U., Gosheger, G., Kalisch, T., Liem, D., Klingebiel, S., Schneider, K. N., & Schorn, D. (2021). Prevalence of musculoskeletal diseases of the upper extremity among dental professionals in Germany. Risk Management and Healthcare Policy, 14, 3755–3766. https://doi.org/10.2147/RMHP.S316795

Roshene, R., & Loganathan, S. (2017). Ergonomics and musculoskeletal disorder as an occupational hazard in dentistry- a pilot study. Journal of Pharmaceutical Sciences and Research, 9(5), 712–715.

Shah, S. J., Shah, S., Khairnar, M. R., Dhole, R., Wadgave, U., Karagir, A., & Shah, S. (2022). Risk Factors of Musculoskeletal Problems among Dental Professionals in a Dental Institute: A Cross-sectional Survey. World Journal of Dentistry, 13(1), 35–39. https://doi.org/10.5005/jp-journals-10015-1895

Shetty, A., Yelapure, M., Hegde, M., Devadiga, D., Bhat, R., & Reddy, U. (2021). Prevalence of musculoskeletal pain among dentists in Dakshina Kannada, Karnataka: A cross-sectional study. World Journal of Dentistry, 12(4), 339–344. https://doi.org/10.5005/jp-journals-10015-1834

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Tysiąc-Miśta, M., Kruplewicz, M., Grzyb, A., Dziedzic, A., & Tanasiewicz, M. (2024a). The Knowledge and Attitude of Undergraduate Dental Students toward Dental Ergonomic Principles in Occupational Health. Healthcare (Basel, Switzerland), 12(16). https://doi.org/10.3390/healthcare12161566

Tysiąc-Miśta, M., Kruplewicz, M., Grzyb, A., Dziedzic, A., & Tanasiewicz, M. (2024b). The Knowledge and Attitude of Undergraduate Dental Students toward Dental Ergonomic Principles in Occupational Health. Healthcare (Switzerland), 12(16). https://doi.org/10.3390/healthcare12161566

Versloot, A. H. C., Jackson, J. A., van Rijn, R. M., Elbers, R. G., Søgaard, K., Macri, E. M., Koes, B., Burdorf, A., Chiarotto, A., & Gerger, H. (2024). Physical and psychosocial work-related exposures and the occurrence of disorders of the shoulder: A systematic review update. Applied Ergonomics, 118(April). https://doi.org/10.1016/j.apergo.2024.104277

Published
2025-08-01
How to Cite
Arti, D. W. K., Setyaningsih, Y., Rahfiludin, M. Z., & Susanto, H. S. (2025). Musculoskeletal Disorders Complaints in Dentists: A Systematic Literature Review. Indonesian Journal of Global Health Research, 7(4), 357-366. https://doi.org/10.37287/ijghr.v7i4.6268