{"id":2770,"date":"2019-01-02T11:11:10","date_gmt":"2019-01-02T19:11:10","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/novel-partnership-helps-students-deal-with-physical-stress-caused-by-dentistry\/"},"modified":"2023-11-26T08:27:49","modified_gmt":"2023-11-26T16:27:49","slug":"novel-partnership-helps-students-deal-with-physical-stress-caused-by-dentistry","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/novel-partnership-helps-students-deal-with-physical-stress-caused-by-dentistry\/","title":{"rendered":"Novel partnership helps students deal with physical stress caused by dentistry"},"content":{"rendered":"\n \n \n\n\n\n\n\n\n\n
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\n\n \n Press Release<\/span>\n\n\n\n<\/div>\n \n \n
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Novel partnership helps students deal with physical stress caused by dentistry<\/h1>\n\n\n<\/div>\n \n \n
\n \n January 02, 2019<\/span>\n <\/div>\n \n \n
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Minalie Jain had experienced pain before, but when she started to work in the simulation lab at USC, the shooting pain in her arm caught her attention.
\nThe sim lab involves a lot of fine handwork, with students bent over molds of teeth. The intensity of the muscle contractions left Jain in stabbing and throbbing pain.
\nFortunately for her, the Herman Ostrow School of Dentistry of USC and the university\u2019s physical therapy program have teamed up to use physical therapy skills that can help dental students deal with the physical stress caused by dentistry. Jain now does physical therapy to help her in day-to-day work.
\nPhysical stress: Ergonomics and body mechanics offer relief<\/strong>
\nDental students had always had one lecture on ergonomics from a physical therapy professor, but when Kenneth Kim, instructor of clinical physical therapy, took over that lecture, he thought the schools could do more together.
\n\u201cI felt like a lecture once a year wasn\u2019t enough \u2014 especially because we were seeing so many dental students at the clinic,\u201d he said. \u201cSometimes the students were getting pretty emotional because of all the pain.\u201d
\nKim worked with Jin-Ho Phark, associate professor of clinical dentistry, to set up the ergonomics and body mechanics collaboration after the lecture. This is the first year that physical therapy students go to the dental students\u2019 sim lab once a week, for two hours in the morning and two hours in the afternoon. \u201cWe can follow up on body position and patient position, and they have been really receptive,\u201d Kim said.
\nThe biggest issues that dental students face are forces on their hands, necks and arms as they work on models of patients.
\n\u201cThey sometimes forget to adjust the patient to make their own bodies work more easily,\u201d Kim said. \u201cThat means that students can stay hunched over, in that position for hours, which causes neck and back pain. We come in and make a small adjustment, which results in a huge outcome.\u201d
\nMusculoskeletal disorders: a widespread problem<\/strong>
\nDentists are particularly prone to musculoskeletal disorders: 70 percent of dentists suffer from them, compared to 12 percent of surgeons. That\u2019s mainly because dentistry requires lots of repetitive motions, especially by the hand and wrist, as well as sustained postures, said Phark says, who explained that students in the sim lab work on mannequins, learning to use drills inside tooth models. The way they position their necks forward or slouch their backs can often result in lower back and shoulder pain.
\n\u201cWe see that throughout the years students in dental school don\u2019t always take care of their posture while they perform procedures,\u201d he said. That\u2019s hard on a body, especially considering students are working in the same position for eight hours a day.
\nIn addition to the lectures and hands-on help, students can often position themselves better by using their loupes, which allows them to maintain a certain distance from a patient.
\n\u201cWith lenses on the loupes, you can\u2019t really adjust them so there is a working length in which they have to position themselves,\u201d Phark said.
\nSit for some patients and stand for others<\/strong>
\nKenneth Gozali uses his loupes to remind himself to keep a good posture and position with patients. He focuses on sitting straight, having the right chair height and patient height \u2014 all of which make it easier to do his work.
\n\u201cIt was a little strange because I was not all that used to sitting all day, but now I like to switch it up: I\u2019ll sit down for two or three patients and then stand up for the next ones,\u201d he says, adding that in dentistry it\u2019s all about keeping your hands and arms in good working order. \u201cYou can\u2019t do much with a bad back or bad arm.\u201d
\nPhark has used the collaboration as a refresher in his own work: He noticed there were days when he came home in pain.
\n\u201cMy back is hurting, my neck is hurting, I have to maintain a proper posture myself,\u201d he said. \u201cIt\u2019s not just preaching \u2014 we have to practice ourselves.\u201d
\nPhark works on Wednesdays in the USC Dental Faculty Practice for 12 hours. \u201cI basically cannot survive the day if I\u2019m not sitting properly,\u201d he said.
\nTwo-way education<\/strong>
\nThe dental students have been very receptive to the instruction and advice, since many of them experience a variety of issues that we can help them navigate and problem solve, whether it is pain, fatigue or difficulty visualizing target areas within the mouth, said Ashley Wallace, who has also learned things from the dental students
\n\u201cI\u2019ve learned the dentistry-specific language in regards to quadrants and tooth surfaces, and how the position of both the patient and dentist change depending on the target surface, procedure and tools required or whether direct or indirect vision is used.\u201d
\nWallace said it\u2019s been valuable to adapt her training to a specific audience such as the dental students.
\n\u201cMy hope is that if they implement proper body mechanics now, they will have less need for physical therapy down the road.\u201d
\nIt takes three weeks to break a habit<\/strong>
\nKim hopes to continue and expand the collaboration in the coming years. This year, physical therapy students are only working in the dental school for five weeks \u2014 and they are trying to figure out how to do more in the future.
\n\u201cFor the first year, five weeks is pretty good,\u201d Kim said. \u201cIt takes three weeks to break a bad habit, like slouching or stooping. With our presence, we can get them to be more mindful about their posture going forward.\u201d
\nJain will continue to do physical therapy exercises, which she said are helping her pain. An X-ray showed calcified tendonitis in her rotator cuff, a genetic condition that was exacerbated by her dental school work. She\u2019s grateful for the extra perspective and help she gained from the collaboration.
\n\u201cErgonomics is very crucial in dental school because forming a bad habit is really easy since it is very difficult seeing in the mouth,\u201d she said. \u201cIt is important to keep the back straight and the arms in appropriate positioning so it doesn\u2019t cause strain on it, even for people who do not have arm issues.\u201d
\nBY Katharine Gammon<\/p>\n\n\n\n<\/div>\n <\/div>\n\n\n <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":168,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[521],"class_list":["post-2770","post","type-post","status-publish","format-standard","hentry","category-press-release","tag-mesh-strategic-partnerships"],"acf":[],"yoast_head":"\nNovel partnership helps students deal with physical stress caused by dentistry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/keck.usc.edu\/news\/novel-partnership-helps-students-deal-with-physical-stress-caused-by-dentistry\/\" \/>\n<meta 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