Case report

Posture in difficult dental home care settings, case series

  • Published: 22 September 2025
  • Dentistry is well known as being specifically physically demanding, considering the access, visibility, and difficulty of the operating field. Providing dental services to patients with severe limitations at home is a common request. Dental home care operators have many more duties than regular surgery duties. A dental home operatory setting can be completely different from surgery because operators must determine where to stand and how to position the mobile dental unit (MDU), the instruments, and their assistance all in relation to the patient's head. Position can play a significant role in performing smooth, successful, stress-free dental procedures. The operator's role is to select the most ergonomically sound position for themselves and their assistants depending on their knowledge, the available setting, and the type of dental procedure. The concern of posture is frequently discussed in literature because of its major contribution to the etiology of musculoskeletal disorders (MSDs), but never enough to encourage dentists to adopt healthy, safe working position within home care settings. This case series describes three bedridden patients who received dental services at home for various medical reasons. All were considered difficult positions as the patients were totally immobile. This case series aims to analyze postural strategies and provide practical ergonomic recommendations for dental professionals in complex domiciliary settings.

    Citation: Aliaa A. Khadre, Adil Alshehri. Posture in difficult dental home care settings, case series[J]. Journal of Dentistry and Multidisciplinary Sciences, 2025, 1(1): 47-55. doi: 10.3934/jdms.2025005

    Related Papers:

  • Dentistry is well known as being specifically physically demanding, considering the access, visibility, and difficulty of the operating field. Providing dental services to patients with severe limitations at home is a common request. Dental home care operators have many more duties than regular surgery duties. A dental home operatory setting can be completely different from surgery because operators must determine where to stand and how to position the mobile dental unit (MDU), the instruments, and their assistance all in relation to the patient's head. Position can play a significant role in performing smooth, successful, stress-free dental procedures. The operator's role is to select the most ergonomically sound position for themselves and their assistants depending on their knowledge, the available setting, and the type of dental procedure. The concern of posture is frequently discussed in literature because of its major contribution to the etiology of musculoskeletal disorders (MSDs), but never enough to encourage dentists to adopt healthy, safe working position within home care settings. This case series describes three bedridden patients who received dental services at home for various medical reasons. All were considered difficult positions as the patients were totally immobile. This case series aims to analyze postural strategies and provide practical ergonomic recommendations for dental professionals in complex domiciliary settings.



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    [1] A. J. Nowak, P. S. Casamassimo, The dental home: a primary care oral health concept, J. Am. Dent. Assoc., 133 (2002), 93–98. https://doi.org/10.14219/jada.archive.2002.0027 doi: 10.14219/jada.archive.2002.0027
    [2] R. B. Donoff, G. Q. Daley, Oral health care in the 21st century: it is time for the integration of dental and medical education, J. Dent. Educ., 84 (2020), 999–1002. https://doi.org/10.1002/jdd.12191 doi: 10.1002/jdd.12191
    [3] A. Lampe, S. Djalilova, P. Glassman, V. Phillips, Improving oral health using teledentistry and virtual dental homes: concepts and progress, J. Calif. Dent. Assoc., 51 (2023), 2256035. https://doi.org/10.1080/19424396.2023.2256035 doi: 10.1080/19424396.2023.2256035
    [4] A. Khadre, A. Alkady, Management of orthodontic patients in COVID-19 pandemic, a single center initial experience, Egypt. Dent. J., 67 (2021), 941–948. https://doi.org/10.21608/edj.2021.52429.1392 doi: 10.21608/edj.2021.52429.1392
    [5] O. Hokwerda, J. A. J. Wouters, R. de Ruijter, S. Zijlstra-Shaw, Ergonomic Requirements for Dental Equipment, Groningen: Academisch Centrum Mondzorg Groningen, 2006.
    [6] A. Gandavadi, Working Postures in Dental Practitioners and Dental Students: Relationships Between Posture, Seating, and Muscle Activity, Ph. D thesis, University of Birmingham, 2008.
    [7] E. Atkins, E. Goodlad, S. Chan-Braddock, A Practical Approach to Musculoskeletal Medicine-E-Book: Assessment, Diagnosis, Treatment, Elsevier Health Sciences, 2022.
    [8] M. K. Pasupuleti, J. Koneru, K. V. Pv, S. A. Kukutla, Assessment of impact of new work postures adaptations of dentists on musculoskeletal discomfort by RULA and QEC, Int. J. Disabil. Sports Health Sci., 6 (2023), 161–170. https://doi.org/10.33438/ijdshs.1254324 doi: 10.33438/ijdshs.1254324
    [9] B. Valachi, K. Valachi, Preventing musculoskeletal disorders in clinical dentistry: strategies to address the mechanisms leading to musculoskeletal disorders, J. Am. Dent. Assoc., 134 (2003), 1604–1612. https://doi.org/10.14219/jada.archive.2003.0106 doi: 10.14219/jada.archive.2003.0106
    [10] B. Valachi, K. Valachi, Mechanisms leading to musculoskeletal disorders in dentistry, J. Am. Dent. Assoc., 134 (2003), 1344–1350. https://doi.org/10.14219/jada.archive.2003.0048 doi: 10.14219/jada.archive.2003.0048
    [11] L. A. Dobrzański, L. B. Dobrzański, Dentistry 4.0 concept in the design and manufacturing of prosthetic dental restorations, Processes, 8 (2020), 525. https://doi.org/10.3390/pr8050525 doi: 10.3390/pr8050525
    [12] F. Luna-Perejón, J. M. Montes-Sánchez, L. Durán-López, A. Vazquez-Baeza, I. Beasley-Bohórquez, J. L. Sevillano-Ramos, IoT device for setting posture classification using artificial neural networks, Electronics, 10 (2021), 1825. https://doi.org/10.3390/electronics10151825 doi: 10.3390/electronics10151825
    [13] M. D. Cooper, L. Wiechmann, Essentials of Dental Hygiene: Preclinical Skills, Pearson Prentice Hall, 2005.
    [14] E. R. Baciu, D. G. Budală, R. I. Vasluianu, C. I. Lupu, A. Murariu, G. L. Gelețu, et al., A comparative analysis of dental measurements in physical and digital orthodontic case study models, Medicina, 58 (2022), 1230. https://doi.org/10.3390/medicina58091230 doi: 10.3390/medicina58091230
    [15] P. Yimarj, K. Subbalekha, K. Dhanesuan, K. Siriwatana, N. Mattheos, A. Pimkhaokham, Comparison of the accuracy of implant position for two‐implants supported fixed dental prosthesis using static and dynamic computer‐assisted implant surgery: A randomized controlled clinical trial, Clin. Implant Dent. Relat. Res., 22 (2020), 672–678. https://doi.org/10.1111/cid.12949 doi: 10.1111/cid.12949
    [16] P. Ahmad, M. K. Alam, A. Aldajani, A. Alahmari, A. Alanazi, M. Stoddart, et al., Dental robotics: a disruptive technology, Sensors, 21 (2021), 3308. https://doi.org/10.3390/s21103308 doi: 10.3390/s21103308
    [17] M. Saremi, S. Rostamzadeh, M. N. Esfahani, Hand functionality in dentists: the effect of anthropometric dimensions and specialty, Int. J. Occup. Saf. Ergon., 28 (2022), 1473–1481. https://doi.org/10.1080/10803548.2021.1904626 doi: 10.1080/10803548.2021.1904626
    [18] A. G. Nelson, J. Kokkonen, Stretching Anatomy: Human Kinetics Publishers, 3rd edition, 2020.
    [19] A. Gefen, S. Creehan, J. Black, Critical biomechanical and clinical insights concerning tissue protection when positioning patients in the operating room: a scoping review, Int. Wound J., 17 (2020), 1405–1423. https://doi.org/10.1111/iwj.13408 doi: 10.1111/iwj.13408
    [20] K. C. K. Yui, C. S. B. Lencioni, E. S. Orenha, C. R. G. Torres, Ergonomics principles applied to the dental clinic, in Modern Operative Dentistry: Principles for Clinical Practice, Cham: Springer International Publishing, (2019), 43–76. https://doi.org/10.1007/978-3-030-31772-0_2
    [21] F. Huppert, W. Betz, C. Maurer-Grubinger, F. Holzgreve, L. Fräulin, N. Filmann, et al., Influence of design of dentist's chairs on body posture for dentists with different working experience, BMC Musculoskeletal Disord., 22 (2021), 462. https://doi.org/10.1186/s12891-021-04334-1 doi: 10.1186/s12891-021-04334-1
    [22] J. Anderson, A. E. Williams, C. J. Nester, A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear and flooring, Musculoskeletal Care, 15 (2017), 304–315. https://doi.org/10.1002/msc.1174 doi: 10.1002/msc.1174
    [23] A. Gupta, M. Bhat, T. Mohammed, N. Bansal, G. Gupta, Ergonomics in dentistry, Int. J. Clin. Pediatr. Dent., 7 (2014), 30. https://doi.org/10.5005/jp-journals-10005-1229 doi: 10.5005/jp-journals-10005-1229
    [24] W. H. Nye, B. B. Partido, J. DeWitt, R. C. Kearney, Prevention and reduction of musculoskeletal pain through chair-side stretching among dental hygiene students, Am. Dent. Hyg. Assoc., 95 (2021), 84–91.
    [25] M. A. Adams, T. P. Green, P. Dolan, The strength in anterior bending of lumbar intervertebral discs, Spine, 19 (1994), 2197–2203. https://doi.org/10.1097/00007632-199410000-00014 doi: 10.1097/00007632-199410000-00014
    [26] R. Castanharo, M. Duarte, S. McGill, Corrective setting strategies: an examination of muscle activity and spine loading, J. Electromyogr. Kines., 24 (2014), 114–119. https://doi.org/10.1016/j.jelekin.2013.11.001 doi: 10.1016/j.jelekin.2013.11.001
    [27] S. S. Parker, Ergonomics in the Dental Office, John Wiley & Sons, 2022. https://doi.org/10.1002/9781119365686
    [28] M. Weitbrecht, F. Holzgreve, L. Fraeulin, J. Haenel, W. Betz, C. Erbe, et al., Ergonomic risk assessment of oral and maxillofacial Surgeons–RULA applied to objective kinematic data, Hum. Factors, 65 (2023), 1655–1673. https://doi.org/10.1177/00187208211053073 doi: 10.1177/00187208211053073
    [29] M. Adams, D. McNally, H. Chinn, P. Dolan, The clinical biomechanics award paper 1993 posture and the compressive strength of the lumbar spine, Clin. Biomech., 9 (1994), 5–14. https://doi.org/10.1016/0268-0033(94)90052-3 doi: 10.1016/0268-0033(94)90052-3
    [30] E. Samoladas, C. Barmpagianni, D. V. Papadopoulos, I. D. Gelalis, Lower back and neck pain among dentistry students: a cross-sectional study in dentistry students in Northern Greece, Eur. J. Orthop. Surg. Tr., 28 (2018), 1261–1267. https://doi.org/10.1007/s00590-018-2195-x doi: 10.1007/s00590-018-2195-x
    [31] N. Yamalik, Musculoskeletal disorders (MSDs) and dental practice Part 2. Risk factors for dentistry, magnitude of the problem, prevention, and dental ergonomics, Int. Dent. J., 57 (2007), 45–54. https://doi.org/10.1111/j.1875-595x.2007.tb00117.x doi: 10.1111/j.1875-595x.2007.tb00117.x
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