Back Problems

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PreDentJennifer

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If you have major back pain as I do... is dentistry the wrong field? I hear from my aunt who is a dentist that my backpain will have a VERY negative effect on my profession (hoped to be Ortho) and that I should go to Med School due to my back (it's pretty painful). Any advice would be very appreciated.

Thanks,
Jen
 
I think the best course of action in your case would be to consult a physician and see if it can be managed.

Most aspects of dentistry, if practiced with proper positioning, should not result in debilitating back pain-- Things such as making sure you got good seating and back support, positioning the patient so that you don't have to bend over and strain your neck to see inside the patient's mouth, learn to use indirect vision (the mirror), and using loupes as a way to keep your distance.

Some schools don't care about positioning and does not teach it, leaving you to your own devices to develop bad or good habits. But some like mine does and drums it into our heads. I don't think there has been anyone from my class complaining about back or neck pain yet.

If your existing back condition can be properly managed, I don't see why dentistry would be the "wrong" field.

Good luck.
 
what therapies have you tried for your back pain? if it is really debiliting, you might want to try medications like "neurontin". Make sure that your doc titrates you up to high doses before you quit that medication. With advancing medical technology/medications, maybe your back pain won't be an issue in the future.
 
To the OP:

Although I would not discourage you from pursuing a profession in Dentistry, but I do have to further caution you about the potential of further damaging your back during your 4 years of dental education and on forth during your private practice years.

I personally have no back problems (that I'm aware of) and here are my experiences after only 1.25 years of dental education under my belt:

1) First-year second semester: in Operative course when we do all those restoration preps for amalgams and composites, since these lab courses are always 4 hours in the afternoons three times a week, I frequently get sore backs and light headaches after these sim lab courses after 5 PM when I get home. At Nova, we have specific lectures on correct posture and ergonomics and YES, the faculty does drills it in our heads. Even after all that WARNING, training, and/or reinforcement, you will always find yourself slipping from that "perfect" sitting position and find yourself slauching over the manniquin someway or somehow. Sometimes EVEN with loupes on!

I guess sitting right just takes some getting used to, but be prepared to have those long afternoons where you find yourself stretching and twisting your back in attempts to untie some of those knots. This is where a nice masseuse can come in!

2) First-year second semester AND Second-year first semester: Periodontology clinic. We have a 4-hour long prophy clinical session scheduled for actual patients. Believe me, after these four hour sessions, my back is also sore and "knotted". Man, am I glad that I am not a Hygienist!

I guess what I'm trying to say is, even for a normal back, back soreness will be expected in dental school. Now, if you already have a "bad" back, I would hate to see you agitate it further! Maybe you won't, but most likely you will.

I look around in the sim lab during any lab practical (exams on manniquins), I can always expect at least 10 classmates will sit the wrong way or leaning over improperly. This is a given, even with all that warning in lectures and from faculty. I'm sure all current dental student can attest to this.

Also, many of our Adjunct Faculties are from private practices on Disability because of their back. I would say, if there were to be one negative aspect that comes with the profession of dentistry, it would be the potential to injure your back.

I wish you the best of luck in your application process to your favorite dental school. My best advice for you, work out and stay fit (build a strong lower back - hyperextension exercise is great for this purpose), stretch out often, and have your SO massage you as much as possible.

Any other thoughts from current dental students?
 
Consider this, especially if you want to head into Ortho. Many orthos will work standing up, with an elevated chair that is alot easier on back pain. Also, many ortho's actually spend more time going from chair to chair to chair, overseeing what their assistants are doing on their patients. I know that in my wife's office (she's an orthodontist) that if all 6 chairs are full, she may actually be workig on 1, while just overseein gand telling the assistants what to do on the other 5. Plus, if anyone was going to have back pain from practicing right now, it would be her, since she's 7+ months pregnant right now.

As a general dentist, I know that if I get a little back pain late in the day's schedule, I'll work on the rest of my patients that day standing up. That way I'm much less likely to "lean in", plus the fact that I'm in a different working position than normal makes me more cogniscent about posture. Then, almost any day, try and get to the gym afterwards and get a work out in. First off, heating up and using the muscles in your body will help them (it also doesn't hurt if you try and strengthen them while you're at it). Secondly, its a great way to "blow off" some of the stress that you may have built up during the day(The stress in private practice is generally something like "I can't believe that my receptionist/office manager/assistant did this or that").

Lastly, if you know that you have back trouble all ready before you're geeting into dentistry, than its alot easier to take the steps now to learn proper psoture, and talk with a physical/ occupational therapist about stretching/strengthening exercises that you can do to make things easier on you for your future career.
 
i am having back pain just from being a dental assistant!
 
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