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Sex and academic stage differences in work-related musculoskeletal disorders pain among dental students. A cross-center cross-sectional study
Journal article   Peer reviewed

Sex and academic stage differences in work-related musculoskeletal disorders pain among dental students. A cross-center cross-sectional study

Linda Sangalli, Ella West-Pelak, Lisa Knecht-Sabres, Fernanda Yanez-Regonesi, Nikkita Madhu, Melisa Alabsy, Divya Kohli and Anna Alessandri-Bonetti
Cranio, Vol.44(1), pp.97-113
01/02/2026
DOI: 10.1080/08869634.2025.2451272
PMID: 39812368

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Abstract

Dental professionals are highly vulnerable to work-related musculoskeletal disorders (WMSD). As females, who are more prone to WMSD, represent a growing proportion of the dental workforce, this study explored sex differences in WMSD-pain prevalence among dental students, and differentiated it between preclinical and clinical students. A multi-center cross-sectional study was conducted among dental students at three U.S. dental schools. An anonymous survey assessed prevalence of WMSD pain over the last 12 months and 7 days using the Nordic Musculoskeletal questionnaire. Sex and academic stage differences were analyzed with independent t-tests and chi-square, adjusted for demographics and occupational habits (working hours, self-reported ergonomics, loupes, sport engagement) with ANCOVA. Among 175 students (26.6±3.6 years, 66.9% females), 93.7% and 57.7% reported WMSD-pain in the past 12 months and 7 days, respectively. Females scored higher than males in pain intensity ( =.025), WMSD-pain prevalence in the past 7 days ( =.006), and number of painful body sites in the past 12 months ( =.006) and 7 days ( <.001). Clinical students had higher WMSD-pain prevalence ( <.001) and number of painful body sites ( <.001) in the past 7 days than preclinical students. Differences remained significant only among females. A high prevalence of WMSD-pain was evident in dental students, with significant sex and academic stage differences.
Musculoskeletal disorders Nordic musculoskeletal questionnaire sex difference predoctoral dental students

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