Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.

<h4>Background</h4>Dentists may be at a higher risk of developing carpal tunnel syndrome (CTS) because of their use of frequent wrist and vibratory instruments at work; however, this issue remains unclear. Therefore, we conducted this study to clarify it.<h4>Methods</h4>Taiwa...

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Main Authors: Wei-Ta Huang, Chia-Ti Wang, Chung-Han Ho, Yi-Chen Chen, Yu-Chieh Ho, Chien-Chin Hsu, Hung-Jung Lin, Jhi-Joung Wang, Lian-Ping Mau, Chien-Cheng Huang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0287351
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author Wei-Ta Huang
Chia-Ti Wang
Chung-Han Ho
Yi-Chen Chen
Yu-Chieh Ho
Chien-Chin Hsu
Hung-Jung Lin
Jhi-Joung Wang
Lian-Ping Mau
Chien-Cheng Huang
author_facet Wei-Ta Huang
Chia-Ti Wang
Chung-Han Ho
Yi-Chen Chen
Yu-Chieh Ho
Chien-Chin Hsu
Hung-Jung Lin
Jhi-Joung Wang
Lian-Ping Mau
Chien-Cheng Huang
author_sort Wei-Ta Huang
collection DOAJ
description <h4>Background</h4>Dentists may be at a higher risk of developing carpal tunnel syndrome (CTS) because of their use of frequent wrist and vibratory instruments at work; however, this issue remains unclear. Therefore, we conducted this study to clarify it.<h4>Methods</h4>Taiwan National Health Insurance Research Database was used for this nationwide population-based study. We identified 11,084 dentists, 74,901 non-dentist healthcare professionals (HCPs), and identical number of age- and sex-matched participants from the general population. Participants who had the diagnosis of CTS before 2007 were excluded. Between 2007 and 2011, the risk of developing CTS among dentists, non-dentist HCPs, and the general population was compared by following their medical histories.<h4>Results</h4>The cumulative incidence rate of CTS among dentists was 0.5% during the 5-year follow-up period. In dentists, the risk was higher in women (women: 0.7%; men: 0.4%) and older individuals (≥60 years: 1.0%; <60 years: 0.4%). After adjusting for age, sex, and underlying comorbidities, dentists had a lower risk of CTS than the general population (adjusted odds ratio [AOR]: 0.65, 95% confidence interval [CI]: 0.45-0.92). Dentists had a higher risk for CTS compared with non-dentist HCPs, although the difference was not statistically significant (AOR: 1.21; 95% CI: 0.90-1.64).<h4>Conclusions</h4>In CTS, dentists had a lower risk than the general population and a trend of higher risk than non-dentist HCPs. The difference between dentists and non-dentist HCPs suggests that we should pay attention to dentists for potential occupational risk of this disease. However, further studies are warranted to better clarify it.
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spelling doaj.art-921db0b679a04163981e0c8d64717d6b2023-07-04T05:32:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01186e028735110.1371/journal.pone.0287351Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.Wei-Ta HuangChia-Ti WangChung-Han HoYi-Chen ChenYu-Chieh HoChien-Chin HsuHung-Jung LinJhi-Joung WangLian-Ping MauChien-Cheng Huang<h4>Background</h4>Dentists may be at a higher risk of developing carpal tunnel syndrome (CTS) because of their use of frequent wrist and vibratory instruments at work; however, this issue remains unclear. Therefore, we conducted this study to clarify it.<h4>Methods</h4>Taiwan National Health Insurance Research Database was used for this nationwide population-based study. We identified 11,084 dentists, 74,901 non-dentist healthcare professionals (HCPs), and identical number of age- and sex-matched participants from the general population. Participants who had the diagnosis of CTS before 2007 were excluded. Between 2007 and 2011, the risk of developing CTS among dentists, non-dentist HCPs, and the general population was compared by following their medical histories.<h4>Results</h4>The cumulative incidence rate of CTS among dentists was 0.5% during the 5-year follow-up period. In dentists, the risk was higher in women (women: 0.7%; men: 0.4%) and older individuals (≥60 years: 1.0%; <60 years: 0.4%). After adjusting for age, sex, and underlying comorbidities, dentists had a lower risk of CTS than the general population (adjusted odds ratio [AOR]: 0.65, 95% confidence interval [CI]: 0.45-0.92). Dentists had a higher risk for CTS compared with non-dentist HCPs, although the difference was not statistically significant (AOR: 1.21; 95% CI: 0.90-1.64).<h4>Conclusions</h4>In CTS, dentists had a lower risk than the general population and a trend of higher risk than non-dentist HCPs. The difference between dentists and non-dentist HCPs suggests that we should pay attention to dentists for potential occupational risk of this disease. However, further studies are warranted to better clarify it.https://doi.org/10.1371/journal.pone.0287351
spellingShingle Wei-Ta Huang
Chia-Ti Wang
Chung-Han Ho
Yi-Chen Chen
Yu-Chieh Ho
Chien-Chin Hsu
Hung-Jung Lin
Jhi-Joung Wang
Lian-Ping Mau
Chien-Cheng Huang
Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
PLoS ONE
title Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
title_full Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
title_fullStr Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
title_full_unstemmed Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
title_short Carpal tunnel syndrome in dentists compared to other populations: A nationwide population-based study in Taiwan.
title_sort carpal tunnel syndrome in dentists compared to other populations a nationwide population based study in taiwan
url https://doi.org/10.1371/journal.pone.0287351
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