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

PLoS One. 2023 Jun 23;18(6):e0287351. doi: 10.1371/journal.pone.0287351. eCollection 2023.

Abstract

Background: 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.

Methods: 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.

Results: 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).

Conclusions: 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carpal Tunnel Syndrome* / epidemiology
  • Comorbidity
  • Female
  • Humans
  • Incidence
  • Male
  • Risk
  • Risk Factors
  • Taiwan / epidemiology

Grants and funding

This study was supported by the Grant CMFHR 112072 and Grant Physician-Scientist 11001 from the Chi Mei Medical Center. No additional external funding was received for this study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.