Postural Analysis During Dental Surgery
PAD
Posture Analysis During Dental Surgery Using Visual Markers: a Randomized Controlled Clinical Trial (RCT)
PAD
Posture Analysis During Dental Surgery Using Visual Markers: a Randomized Controlled Clinical Trial (RCT)
Sponsor study identifier
interventional
65
1 country
1
Study Start
March 1, 2017
Actual (reported)Primary Completion
May 1, 2018
Actual (reported)Study Completion
May 1, 2018
Actual (reported)Background: Attention and awareness towards MSDs in the dental profession has increased considerably in recent years. From recent literature reviews, it is learned that prevalence of MSDs in dentists is 64-93%. It has been seen that the use of magnification systems not only improves the operator's visual capabilities, but also allows for a more correct posture, and to prevent the onset of back and neck disorders. Purpose and methods: Evaluate dentist posture during extraction of third lower molars depending on whether the operator uses the naked eye, surgical loupes or surgical microscope systems. Data will be evaluated through the index RULA (rapid upper limb assesment) to define whether there is a change in exposure to the risk of MSDs (Muskoloskeletal disease) and using fiducial markers for the movement analysis of the operator during the procedure.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 1, 2018
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 1, 2017
Actual (reported)May 1, 2018
Actual (reported)May 1, 2018
Actual (reported)November 10, 2020
Actual (reported)November 20, 2020
Actual (reported)Posture and fatiguing positions
Specific postural analysis using fiducial markers: a set of markers on the back of a tight T-shirt worn by the dentist during the whole operation will be acquired using a 5 MPixels camera at 2 fps. We will place the markers in order to focus our analysis on the following parameter: the neck position with respect to the trunk, the trunk orientation with respect to the vertical axis, the twist and bending of the neck and back, the overall static position duration of the neck and the back. The rotation angles of every marker will be extracted and stored for every frame of the recorder video.
During the surgical procedure (one frame every second during the intervention)
Rapid Upper Limb Assessment (RULA)
Evaluation tool for ergonomic investigations of workplaces. Values are expressed as RULA scores.
After the operative performance, an average 15 minutes
Surgical technique is the same used for extraction of the lower third molar. Patients will be enrolled (baseline) whenever sign their written informed consent to participate to the study, after having read and understand the informative pamphlet. The intervention will be performed under local anesthesia (mepivacaine 20 mg/ml with adrenaline 1:100000) and by the use of microscope. At the end of the surgical procedure, all patients will receive a 100mg Nimesulide cpr and apply the ice pack on the cheek. At the end of each procedure will give post-operative instructions for all patients and prescribe an antiseptic therapy with chlorhexidine coll. 0.2% 3 times/ day for 10 days from the day following the intervention and anti-inflammatory therapy Nimesulide 100 mg cpr to take up to 2 times / day for up to 4 days. Each patients will be recalled for follow-up visits at 7 days.
The same as above but the intervention will be performed with the use of surgical loupes
Third molar extraction using microscope
Third molar extraction using loupes with co-axial illumination
University of Milan
Milan, 20142, Italy
Giovanni Lodi, PhD, DMD
University of Milan
65 participants (actual enrollment reported by the registry).
First Submitted
November 10, 2020
First Posted
November 20, 2020
Study Start
March 1, 2017
Actual (reported)Comparison of Core Stabilization and Neuromuscular Facilitation Exercises for Lowback Pain Prevention
The same as above but the intervention will be performed at naked eyes
Third molar extraction using naked eyes
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Primary Completion
May 1, 2018
Actual (reported)Study Completion
May 1, 2018
Actual (reported)Last Updated
November 20, 2020
Record last verified: 2020-11
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Source: ClinicalTrials.gov.
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