Occupational hazards in orthodontics: A review of risks and associated pathology

American Journal of Orthodontics and Dentofacial Orthopedics

Volumn 132, Issue 3, 2007, Pages 280-292

  Pandis, Nikolaos ^a   Pandis, Brandi D ^a   Pandis, Vasilios ^a   Eliades, Theodore ^b  

^a Aristotle University of Thessaloniki ^*

^b ARISTOTLE UNIVERSITY OF THESSALONIKI   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ALLERGY; BIOENGINEERING; DENTAL EQUIPMENT; DISEASE TRANSMISSION; EYE INJURY; HUMAN; MENTAL STRESS; MUSCULOSKELETAL DISEASE; NOISE; OCCUPATIONAL DISEASE; OCCUPATIONAL EXPOSURE; ORTHODONTICS; REVIEW; RISK FACTOR; WORKPLACE;

DENTAL EQUIPMENT; DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; EYE INJURIES; HUMAN ENGINEERING; HUMANS; LATEX HYPERSENSITIVITY; MUSCULOSKELETAL DISEASES; NOISE; OCCUPATIONAL DISEASES; OCCUPATIONAL EXPOSURE; ORTHODONTICS; RISK FACTORS; STRESS, PSYCHOLOGICAL; WORKPLACE;

EID: 34548419318     PISSN: 08895406     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajodo.2006.10.017     Document Type: Review

References (156)

1. Simpson J.A., and Weiner E.S.C. Oxford English dictionary (1989), Clarendon Press, Oxford
2. Jacobsen N., and Hensten-Pettersen A. Occupational health problems and adverse patient reactions in orthodontics. Eur J Orthod 11 (1989) 254-264
3. Jacobsen N., and Hensten-Pettersen A. Changes in occupational health problems and adverse patient reactions in orthodontics from 1987 to 2000. Eur J Orthod 25 (2003) 591-598
4. Munksgaard E.C., Hansen E.K., Engen T., and Holm U. Self reported occupational dermatological reactions among Danish dentists. Eur J Oral Sci 104 (1996) 396-402
5. Lönnroth E.C., and Shahnavaz H. Adverse health reactions in skin, eyes, and respiratory tract among dental personnel in Sweden. Swed Dent J 22 (1998) 33-45
6. Hamann C.P., Rodgers P.A., and Sullivan K.M. Occupational allergens in dentistry. Curr Opin Allergy Clin Immunol 4 (2004) 403-409
7. Rubel D.M., and Watchorn R.B. Allergic contact dermatitis in dentistry. Australas J Dermatol 41 (2000) 63-69
8. Sinclair N.A., and Thomson W.M. Prevalence of self-reported hand dermatoses in New Zealand dentists. N Z Dent J 100 (2004) 38-41
9. Wallenhammar L.M., Ortengren U., Andreasson H., Barregard L., Bjorkner B., Karlsson S., et al. Contact allergy and hand eczema in Swedish dentists. Contact Dermatitis 43 (2000) 192-199
10. Uveges R.E., Grimwood R.E., Slawsky L.D., and Marks Jr. J.G. Epidemiology of hand dermatitis in dental personnel. Mil Med 160 (1995) 335-338
11. Altuna G., and Freeman E. The reaction of skin to primers used in the "single-step" bonding systems. Am J Orthod Dentofacial Orthop 91 (1987) 105-110
12. Strobl K., Bahns T.L., Willham L., Bishara S.E., and Stwalley W.C. Laser-aided debonding of orthodontic ceramic brackets. Am J Orthod Dentofacial Orthop 101 (1992) 152-158
13. Tocchio R.M., Williams P.T., Mayer F.S., and Standing K.G. Laser debonding of ceramic orthodontic brackets. Am J Orthod Dentofacial Orthop 103 (1993) 155-162
14. Rickabaugh J.L., Marangoni R.D., and McCaffrey K.K. Ceramic bracket debonding with the carbon dioxide laser. Am J Orthod Dentofacial Orthop 110 (1996) 388-393
15. Sarver D.M. Principles of cosmetic dentistry in orthodontics: part 1. Shape and proportionality of anterior teeth. Am J Orthod Dentofacial Orthop 126 (2004) 749-753
16. Sarver D.M., and Yanosky M. Principles of cosmetic dentistry in orthodontics: part 2. Soft-tissue laser technology and cosmetic gingival contouring. Am J Orthod Dentofacial Orthop 127 (2005) 85-90
17. Sarver D.M., and Yanosky M. Principles of cosmetic dentistry in orthodontics: part 3. Laser treatments for tooth eruption and soft-tissue problems. Am J Orthod Dentofacial Orthop 127 (2005) 262-264
18. Arai E. Evaluation of dental equipment based on clinical efficiency and eye fatigue. Shikai Tenbo 61 (1983) 331-340
19. Berson D.M., Dunn F.A., and Takao M. Phototransduction by retinal ganglion cells that set the circadian clock. Science 295 (2002) 1070-1073
20. Hattar S., Liao H.W., Takao M., Berson D.M., and Yau K.W. Melanopsin-containing retinal ganglion cells: architecture, projections, and intrinsic photosensitivity. Science 295 (2002) 1065-1070
21. Menaker M. Circadian rhythms. Circadian photoreception. Science 299 (2003) 213-214
22. Wee R., and Van Gelder R.N. Sleep disturbances in young subjects with visual dysfunction. Ophthalmology 111 (2004) 297-303
23. Van Gelder R.N. Blue light and the circadian clock. Br J Ophthalmol 88 (2004) 1353
24. Pautler E.L., Morita M., and Beezley D. Hemoprotein(s) mediate blue light damage in the retinal pigment epithelium. Photochem Photobiol 51 (1990) 599-605
25. Grimm C., Wenzel A., Williams T., Rol P., Hafezi F., and Reme C. Rhodopsin-mediated blue-light damage to the rat retina: effect of photoreversal of bleaching. Invest Ophthalmol Vis Sci 42 (2001) 497-505
26. Wihlmark U., Wrigstad A., Roberg K., Nilsson S., and Brunk U. Lipofuscin accumulation in cultured retinal pigment epithelial cells causes enhanced sensitivity to blue light irradiation. Free Radical Biol Med 22 (1997) 1229-1234
27. Abbott A. Restless nights, listless days. Nature 425 (2003) 896-898
28. Gasyna K.A., Rezaei W.F., Mieler K.A., and Rezai P. Blue light induces apoptosis in human fetal retinal pigment epithelium. Inv Ophth Visl Sci (IOVS) 47 (2006) 180 (abstract 3813)
29. Satrom K.D., Morris M.A., and Crigger L.P. Potential retinal hazards of visible-light photopolymerization units. J Dent Res 66 (1987) 731-736
30. Nomoto R., McCabe J.F., and Hirano S. Comparison of halogen, plasma and LED curing units. Oper Dent 29 (2004) 287-294
31. Kanski J.J. Clinical ophthalmology-a systematic approach (1989), Butterworth, London
32. Shimmura S., Shimazaki J., and Tsubota K. Results of a population-based questionnaire on the symptoms and lifestyles associated with dry eye. Cornea 18 (1999) 408-411
33. Doughty M.J., Fonn D., Richter D., Simpson T., Caffery B., and Gordon K. A patient questionnaire approach to estimating the prevalence of dry eye symptoms in patients presenting to optometric practices across Canada. Optom Vis Sci 74 (1997) 624-631
34. Schaumberg D.A., Sullivan D.A., Buring J.E., and Dana M.R. Prevalence of dry eye syndrome among US women. Am J Ophthalmol 136 (2003) 318-326
35. Sahai A., and Malik P. Dry eye: prevalence and attributable risk factors in a hospital-based population. Indian J Ophthalmol 53 (2005) 87-91
36. Nichols K.K., Begley C.G., Caffery B., and Jones L.A. Symptoms of ocular irritation in patients diagnosed with dry eye. Optom Vis Sci 76 (1999) 838-844
37. Doughty M.J., Blades K.A., and Ibrahim N. Assessment of the number of eye symptoms and the impact of some confounding variables for office staff in non-air-conditioned buildings. Ophthalmic Physiol Opt 22 (2002) 143-155
38. Moss S.E., Klein R., and Klein B.E. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol 118 (2000) 1264-1268
39. Katz J. Handbook of clinical audiology (1985), Williams and Wilkins, Baltimore
40. OSHA. Department of Labor occupational noise exposure. 1983; CFR29, 1910.95. Available at: http://www.OSHA.gov. Accessed 8/16/2006.
41. Sampaio Fernandes J.C., Carvalho A.P., Gallas M., Vaz P., and Matos P.A. Noise levels in dental schools. Eur J Dent Educ 10 (2006) 32-37
42. ™ sound level database with over 1700 measurement values. University of Washington, Department of Environmental & Occupational Health Sciences, Seattle. Available at http://www.e-a-r.com/pdf/hearingcons/NoiseNav.xls. Accessed 8/20/2006.
43. Sorainen E., and Rytkonen E. High-frequency noise in dentistry. AIHA J 63 (2002) 231-233
44. Bono S. Are there hazardous auditory effects of high-frequency turbines and ultrasonic dental scalers on dental professionals?. (thesis) (2006), Washington University, St Louis
45. Praml G.J., and Sonnabend E. Noise-induced hearing loss caused by dental turbines. Dtsch Zahnarztl Z 35 (1980) 400-406
46. Setcos J.C., and Mahyuddin A. Noise levels encountered in dental clinical and laboratory practice. Int J Prosthodont 11 (1998) 150-157
47. Wilson J.D., Darby M.L., Tolle S.L., and Sever Jr. J.C. Effects of occupational ultrasonic noise exposure on hearing of dental hygienists: a pilot study. J Dent Hyg 76 (2002) 262-269
48. Morarasu C., Burlui V., Borta C., Ignat L., Borta B., and Morarasu G. The evaluation of sound level in dental practice. Rev Med Chir Soc Med Nat 105 (2001) 785-789
49. Szymanska J. Work-related noise hazards in the dental surgery. Ann Agric Environ Med 7 (2000) 67-70
50. Starck J., Toppila E., and Pyykko I. Smoking as a risk factor in sensory neural hearing loss among workers exposed to occupational noise. Acta Otolaryngol 119 (1999) 302-305
51. Hyson Jr. J.M. The air turbine and hearing loss: are dentists at risk?. J Am Dent Assoc 133 (2002) 1639-1642
52. Altinoz H.C., Gokbudak R., Bayraktar A., and Belli S. A pilot study of measurement of the frequency of sounds emitted by high-speed dental air turbines. J Oral Sci 43 (2001) 189-192
53. Barek S., Adam O., and Motsch J.F. Large band spectral analysis and harmful risks of dental turbines. Clin Oral Investig 3 (1999) 49-54
54. Wilson C.E., Vaidyanathan T.K., Cinotti W.R., Cohen S.M., and Wang S.J. Hearing-damage risk and communication interference in dental practice. J Dent Res 69 (1990) 489-493
55. Siegelaub A.B., Friedman G.D., Kedar A., Oakland C., and Selzer C.C. Hearing loss in adults. Relation to age, sex exposure to loud noise, and cigarette smoking. Arch Environ Health 29 (1974) 107-109
56. Siew C., Chang S., Gruninger S.E., Verrusio A.C., and Neidle E.A. Self-reported percutaneous injuries in dentists. J Am Dent Assoc 123 (1992) 37-44
57. Cleveland J.L., Lockwood S.A., Gooch B.F., Mendekson M.H., Chamberland M.E., Valauri D.V., et al. Percutaneous injuries in dentistry: an observational study. J Am Dent Assoc 126 (1995) 745-751
58. Siew C., Gruninger S.E., Chang S., and Neidle E.A. Percutaneous injuries in practicing dentists. J Am Dent Assoc 126 (1995) 1227-1234
59. Bagramian R.A., and McNamara Jr. J.A. A prospective survey of percutaneous injuries in orthodontists. Am J Orthod Dentofacial Orthop 114 (1998) 654-658
60. McNamara Jr. J.A., and Bagramian R.A. A prospective survey of percutaneous injuries in orthodontic assistants. Am J Orthod Dentofacial Orthop 115 (1999) 72-76
61. Sims A.P., Roberts-Harry T.J., and Roberts-Harry D.P. The incidence and prevention of ocular injuries in orthodontic practice. Br J Orthod 20 (1993) 339-343
62. Liss G.M., and Sussman G.L. Latex sensitization: occupational versus general population prevalence rates. Am J Ind Med 35 (1999) 196-200
63. Ownby D.R., Ownby H.E., McCullough J., and Shafer A.W. The prevalence of anti-latex IgE antibodies in 1000 volunteer blood donors. J Allergy Clin Immunol 97 (1996) 1188-1192
64. Turjanmaa K. Incidence of immediate allergy to latex gloves in hospital personnel. Contact Dermatitis 17 (1987) 270-275
65. Tarlo S.M., Sussman G.L., and Holness D.L. Latex sensitivity in dental students and staff: a cross-sectional study. J Allergy Clin Immunol 99 (1997) 396-401
66. Safadi G.S., Safadi T.J., Terezhalmy G.T., Taylor J.S., Battisto J.R., and Melton Jr. A.L. Latex hypersensitivity: its prevalence among dental professionals. J Am Dent Assoc 127 (1996) 83-88
67. Hamann C.P., Turjanmaa K., Rietschel R., Siew C., Owensby D., Gruninger S.E., et al. Natural rubber latex hypersensitivity: incidence and prevalence of type I allergy in the dental profession. J Am Dent Assoc 129 (1998) 43-54
68. Berky Z.T., Luciano W.J., and James W.D. Latex glove allergy. A survey of the US Army Dental Corps. JAMA 268 (1992) 2695-2697
69. Cullinnan P. Latex allergy. CPD Bull Immunol Allergy 3 (2004) 82-84
70. Latex allergy (2006). http://www.OSHA.gov Available at: http://www.OSHA.gov. Accessed August 10
71. Wrangsjo K., Wallenhammar L.M., Ortengren U., Barregard L., Andreasson H., Bjorkner B., et al. Protective gloves in Swedish dentistry: use and side-effects. Br J Dermatol 145 (2001) 32-37
72. Heese A., Hintzenstern J., Peters K.P., Koch H.U., and Hornstein O.P. Allergic and irritant reactions to rubber gloves in medical health services. J Am Acad Dermatol 25 (1991) 831-839
73. Siew C., Hamann C.P., Gruninger S.E., Rodgers P., and Sullivan K.M. Type I latex allergic reactions among dental professionals, 1996-2001. J Dent Res 82 (2003) 1718 (abstract)
74. Charous B.L., Schuenemann P.J., and Swanson M.C. Passive dispersion of latex aeroallergen in a healthcare facility. Ann Allergy Asthma Immunol 85 (2000) 285-290
75. Levy D.A., Allouache S., Chabane M.H., Leynadier F., and Burney P. Powder-free protein poor natural rubber latex gloves and latex sensitisation. JAMA 281 (1999) 988
76. Tomazic V.J., Shampaine E.L., Lamanna A., Withrow T.J., Adkinson Jr. N.F., and Hamilton R.G. Cornstarch powder on latex products is an allergen carrier. J Allergy Clin Immunol 93 (1994) 751-758
77. Beezhold D., and Beck W.C. Surgical glove powders bind latex antigens. Arch Surg 127 (1992) 1354-1357
78. Amin A., Palenik C.J., Cheung S.W., and Burke F.J. Latex exposure and allergy: a survey of general dental practitioners and dental students. Dent J 48 (1998) 77-83
79. Field E.A. The use of powdered gloves in dental practice: a cause for concern?. J Dent 25 (1997) 209-214
80. Pisati G., Baruffini A., Bernabeo F., and Stanizzi R. Bronchial provocation testing in the diagnosis of occupational asthma due to latex surgical gloves. Eur Respir J 7 (1994) 332-336
81. Vandenplas O., Delwiche J.P., Evrard G., Aimont P., van der Brempt X., Jamart J., et al. Prevalence of occupational asthma due to latex among hospital personnel. Am J Respir Crit Care Med 151 (1995) 54-60
82. Rego A., and Roley L. In-use barrier integrity of gloves: latex and nitrile superior to vinyl. Am J Infect Control 27 (1999) 405-410
83. Lonnroth E.C. Toxicity of medical glove materials: a pilot study. Int J Occup Saf Ergon 11 (2005) 131-139
84. Geukens S., and Goossens A. Occupational contact allergy to (meth)acrylates. Contact Dermatitis 44 (2001) 153-159
85. Ortengren U. On composite resin materials. Degradation, erosion and possible adverse effects in dentists. Swed Dent J 141 Suppl (2000) 1-61
86. Lonnroth E.C., and Dahl J.E. Cytotoxicity of liquids and powders of chemically different dental materials evaluated using dimethylthiazol diphenyltetrazolium and neutral red tests. Acta Odontol Scand 6 (2003) 52-56
87. Lonnroth E.C., Dahl J.E., and Shahnavaz H. Evaluating the potential occupational hazard of handling dental polymer products using the HET-CAM technique. Int J Occup Saf Ergon 5 (1999) 43-57
88. Lonnroth E.C., and Eystein Ruyter I. Resistance of medical gloves to permeation by methyl methacrylate (MMA), ethylene glycol dimethacrylate (EGDMA), and 1,4-butanediol dimethacrylate (1,4-BDMA). Int J Occup Saf Ergon 9 (2003) 289-299
89. Yoshii E. Cytotoxic effects of acrylates and methacrylates: relationships of monomer structures and cytotoxicity. J Biomed Mater Res 37 (1997) 517-524
90. Lonnroth E.C., and Ruyter I.E. Permeability of medical gloves to mono- and dimethacrylate monomers in dental restorative materials. Int J Occup Saf Ergon 8 (2002) 497-509
91. Lonnroth E.C., Wellendorf H., and Ruyter E. Permeability of different types of medical protective gloves to acrylic monomers. Eur J Oral Sci 111 (2003) 440-446
92. Roberta T., Federico M., Federica B., Antonietta C.M., Sergio B., and Ugo C. Study of the potential cytotoxicity of dental impression materials. Toxicol In Vitro 17 (2003) 657-662
93. Ravis S.M., Shaffer M.P., Shaffer C., Shaffer C.L., Dehkhaghani S., and Belsito D.V. Glutaraldehyde-induced and formaldhyde-induced allergic contact dermatitis among dental hygienists and dental assistants. J Am Dent Assoc 134 (2003) 1072-1078
94. Hamann C., Werner R.A., Franzblau A., Rodgers P.A., Siew C., and Gruninger S. Prevalence of carpal tunnel syndrome and median mononeuropathy among dentists. J Am Dent Assoc 132 (2001) 163-170
95. Shaffer M.P., and Belsito D.V. Allergic contact dermatitis from glutaraldehyde in health-care workers. Contact Dermatitis 43 (2000) 150-156
96. AGFA. Material safety data sheets. Available at: www.agfa.com. Accessed 8/20/2006.
97. Bolyard E.A., Tablan O.C., Williams W.W., Pearson M.L., Shapiro C.N., Deitchman S.D., and Hospital Infection Control Practices Advisory Committee. Guideline for infection control in health care personnel, 1998. Am J Infect Control 26 (1998) 289-354
98. Barbeau J., Tanguay R., Faucher E., Avegard C., Trudel L., and Cote L. Multiparametric analysis of waterline contamination in dental units. Appl Environ Microbiol 62 (1996) 3954-3959
99. Atlas R.M., Williams J.F., and Huntington M.K. Legionella contamination of dental-unit waters. Appl Environ Microbiol 61 (1995) 1208-1213
100. Kelstrup J., Funder-Nielsen T., and Theilade J. Microbial aggregate contamination of water lines in dental equipment and its control. Acta Pathol Microbiol Scand 85 (1977) 177-183 [B]
101. Challacombe S.J., and Fernandes L.L. Detecting Legionella pneumophila in water systems: a comparison of various dental units. J Am Dent Assoc 126 (1995) 603-608
102. Santiago J.I. Microbial contamination of dental unit waterlines: short and long term effects of flushing. Gen Dent 42 (1994) 528-535
103. Crawford J.J., and Broderius C. Control of cross-infection risks in the dental operatory: prevention of water retraction by bur cooling spray systems. J Am Dent Assoc 116 (1988) 685-687
104. Mills S.E., Kuehne J.C., and Bradley Jr. D.V. Bacteriological analysis of high-speed handpiece turbines. J Am Dent Assoc 124 (1993) 59-62
105. Lewis D.L., Arens M., Appleton S.S., Nakashima K., Ryu J., Boe R.K., et al. Cross-contamination potential with dental equipment. Lancet 340 (1992) 1252-1254
106. Lewis D.L., and Boe R.K. Cross-infection risks associated with current procedures for using high-speed dental handpieces. J Clin Microbiol 30 (1992) 401-406
107. Checchi L., Montebugnoli L., and Samaritani S. Contamination of the turbine air chamber: a risk of cross infection. J Clin Periodontol 25 (1998) 607-611
108. Epstein J.B., Rea G., Sibau L., Sherlock C.H., and Le N.D. Assessing viral retention and elimination in rotary dental instruments. J Am Dent Assoc 126 (1995) 87-92
109. Barbeau J., ten Bokum L., Gauthier C., and Prevost A.P. Cross-contamination potential of saliva ejectors used in dentistry. J Hosp Infect 40 (1998) 303-311
110. Mann G.L., Campbell T.L., and Crawford J.J. Backflow in low-volume suction lines: the impact of pressure changes. J Am Dent Assoc 127 (1996) 611-615
111. Watson C.M., and Whitehouse R.L. Possibility of cross-contamination between dental patients by means of the saliva ejector. J Am Dent Assoc 124 (1993) 77-80
112. Sofou A., Larsen T., Fiehn N.E., and Owall B. Contamination level of alginate impressions arriving at a dental laboratory. Clin Oral Invest 6 (2002) 161-165
113. McNeill M.R., Coulter W.A., and Hussey D.L. Disinfection of irreversible hydrocolloid impressions: a comparative study. Int J Prosthodont 5 (1992) 563-567
114. Gerhardt D.E., and Sydiskis R.J. Impression materials and virus. J Am Dent Assoc 122 (1991) 51-54
115. Leung R.L., and Schonfeld S.E. Gypsum casts as a potential source of microbial cross-contamination. J Prosthet Dent 49 (1983) 210-211
116. Huizing K.L., Palenik C.J., Setcos J.C., Sheldrake M.A., and Miller C.H. Method of evaluating the antimicrobial abilities of disinfectant-containing gypsum products. QDT Yearbook 17 (1994) 172-176
117. Toroglu M.S., Bayramoglu O., Yarkin F., and Tuli A. Possibility of blood and hepatitis contamination through aerosols generated during debonding procedures. Angle Orthod 73 (2003) 571-578
118. Toroglu M.S., Haytac M.C., and Koksal F. Evaluation of aerosol contamination during debonding procedures. Angle Orthod 71 (2001) 299-306
119. Centers for Disease Control and Prevention. Guidelines for infection control in dental health-care settings-2003. MMWR 52 No. RR-17 (2003) 1-61 Accessed August 10, 2006
120. Logothetis D.D., and Martinez-Welles J.M. Reducing bacterial aerosol contamination with a chlorhexidine gluconate pre-rinse. J Am Dent Assoc 126 (1995) 1634-1639
121. Ireland A.J., Moreno T., and Price R. Airborne particles produced during enamel cleanup after removal of orthodontic appliances. Am J Orthod Dentofacial Orthop 124 (2003) 683-686
122. Miller D.J., and Shugars D.A. The health of the dental professional. J Am Dent Assoc 114 (1987) 515-518
123. Lehto T.U., Helenius H.Y., and Alaranta H.T. Musculoskeletal symptoms of dentists assessed by a multidisciplinary approach. Community Dent Oral Epidemiol 19 (1991) 38-44
124. Rucker L.M., and Sunell S. Ergonomic risk factors associated with clinical dentistry. J Calif Dent Assoc 30 (2002) 139-148
125. Kerosuo E., Kerosuo H., and Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontol Scand 58 (2000) 207-212
126. Brown P.N. What's ailing us?. Prevalence and type of long-term disabilities among an insured cohort of orthodontists. Am J Orthod Dentofacial Orthop 125 (2004) 3-7
127. Lalumandier J.A., McPhee S.D., Parrott C.B., and Vendemia M. Musculoskeletal pain: prevalence, prevention, and differences among dental office personnel. Gen Dent 49 (2001) 160-166
128. Rundcrantz B.L. Pain and discomfort in the musculo-skeletal system in dentists. Swed Dent J 76 Suppl (1991) 101-102
129. Oleske D.M., Neelakantan J., Andersson G.B., Hinrichs B.G., Lavender S.A., Morrissey M.J., et al. Factors affecting recovery from work-related, low back disorders in autoworkers. Arch Phys Med Rehabil 85 (2004) 1362-1364
130. Rundcrantz B.L., Johnsson B., and Moritz U. Occupational cervico-brachial disorders among dentists. Analysis of ergonomics and locomotor functions. Swed Dent J 15 (1991) 105-115
131. Krishnan S.G., and Hawkins R.J. Rotator cuff and impingement lesions in adult and adolescent athletes. In: DeLee J.C., and Drez D. (Eds). DeLee and Drez's orthopaedic sports medicine: principles and practice (2003), Saunders, Philadelphia 1065-1095
132. Apley G. Apley's system of orthopaedics and fractures (1993), Butterworth-Heinemann, London
133. Fish D.R., and Morris-Allen D.M. Muscoloskeletal disorders in dentists. N Y State Dent J 64 (1998) 44-48
134. Ariyan S. The hand book (1989), McGraw-Hill, New York
135. Rundcrantz B.L., Johnsson B., Moritz U., and Roxendal G. Cervico-brachial disorders in dentists. A comparison between two kinds of physiotherapeutic interventions. Scand J Rehab Med 23 (1991) 11-17
136. Frost H., Lamb S.E., Doll H.A., Carver P.T., and Stewart-Brown S. Randomised controlled trial of physiotherapy compared with advice for low back pain. BMJ 329 (2004) 708
137. Murphy D.C. Ergonomics and the dental care worker. American Public Health Association (1998), United Book Press, Washington, DC
138. Mathias S., Koerber A., Fadavi S., and Punwani I. Specialty and sex as predictors of depression in dentists. J Am Dent Assoc 136 (2005) 1388-1395
139. Myers H.L., and Myers L.B. 'It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J 197 (2004) 89-93 24
140. Moller A.T., and Spangenberg J.J. Stress and coping amongst South African dentists in private practice. J Dent Assoc S Afr 51 (1996) 347-357
141. O'Shea R.M., Corah N.L., and Ayer W.A. Sources of dentists' stress. J Am Dent Assoc 109 (1984) 48-51
142. Brand A.A., and Chalmers B.E. Age differences in the stress patterns of dentists. J Dent Assoc S Afr 45 (1990) 461-465
143. Cutright D.E., Carpenter W.A., Tsaknis P.G., and Lyon T.C. Survey of blood pressures of 856 dentists. J Am Dent Assoc 94 (1977) 918-919
144. Russek H.I. Emotional stress and coronary heart disease in American physicians, dentists and lawyers. Am J Med Sci 243 (1962) 716-725
145. Simpson R., Beck J., Jakobsen J., and Simpson J. Suicide statistics of dentists in Iowa, 1968 to 1980. J Am Dent Assoc 107 (1983) 441-443
146. Alexander R.E. Stress-related suicide by dentists and other health care workers. Fact or folklore?. J Am Dent Assoc 132 (2001) 786-794
147. Murtomaa H., Haavio-Mannila E., and Kandolin I. Burnout and its causes in Finnish dentists. Community Dent Oral Epidemiol 18 (1990) 208-212
148. Rankin J.A., and Harris M.B. Comparison of stress and coping in male and female dentists. J Dent Pract Adm 7 (1990) 166-172
149. Winwood P.C., Winefield A.H., and Lushington K. The role of occupational stress in the maladaptive use of alcohol by dentists: a study of South Australian general dental practitioners. Aust Dent J 48 (2003) 102-109
150. Hem E., Haldorsen T., Aasland O.G., Tyssen R., Vaglum P., and Ekeberg O. Suicide rates according to education with a particular focus on physicians in Norway 1960-2000. Psychol Med 35 (2005) 873-880
151. Stefansson C.G., and Wicks S. Health care occupations and suicide in Sweden 1961-1985. Soc Psychiatry Psychiatr Epidemiol 26 (1991) 259-264
152. CDSPI (Canadian Dental Service Plans Inc) Report. High stress related claims hurt everyone. J Can Dent Assoc 60 (1994) 387-388
153. Rundcrantz B.L., Johnsson B., Moritz U., and Roxendal G. Occupational cervico-brachial disorders among dentists. Psychosocial work environment, personal harmony and life satisfaction. Scand J Soc Med 19 (1991) 174-180
154. Bourassa M., and Baylard J.F. Stress situations in dental practice. J Can Dent Assoc 60 (1994) 65-67 70-1
155. Freeman R., Main J.R., and Burke F.J. Occupational stress and dentistry: theory and practice. Part I. Recognition. Br Dent J 178 (1995) 214-217
156. Humphris G., Lilley J., Kaney S., and Broomfield D. Burnout and stress-related factors among junior staff of three dental hospital specialties. Br Dent J 183 (1997) 15-21