{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:22:48Z","timestamp":1784024568355,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Dental Education"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      To evaluate the prevalence and potential risk factors of work\u2010related musculoskeletal disorders (\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      ) among fifth\u2010year dental students from Romania, T\u00fcrkiye, Serbia, North Macedonia and Montenegro.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A prospective questionnaire\u2010based survey was conducted, including demographics, the Nordic Musculoskeletal Questionnaire and potential factors related to\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      (daily working hours, number of patients treated, preferred working position, chair support type, prolonged sitting, knowledge of ergonomic guidelines, physical activity levels and daily electronic device use).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 297 individuals participated in this study; 107 (36%) Romania, 79 (26.6%) T\u00fcrkiye, 71 (23.9%) Serbia, 20 (6.9%) Montenegro and 20 (6.9%) North Macedonia. The prevalence of\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      in at least one body part over the past 12\u2009months was 82%. The most affected areas were the neck (68%) and lower back (64%). Neck pain showed a moderate correlation with prolonged sitting and a weak correlation with electronic device usage. Significant risk factors identified for reported\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      included prolonged sitting (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      )\u2009=\u20094.56, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ): 2.172\u20139.609,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), clinical practice time (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20093.11, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 1.495\u20136.469,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and female gender (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20093.42: 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 1.705\u20136.851,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Interestingly, regular physical activity significantly reduced the odds of\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20090.316, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 0.128\u20130.780,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). Additionally, mobility exercises decreased the likelihood of\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20090.252, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 0.101\u20130.626,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The high prevalence of musculoskeletal discomfort observed in this study reflects that\n                      <jats:styled-content style=\"fixed-case\">WMSDs<\/jats:styled-content>\n                      present a substantial health burden for dental students. This underlines the urgent need for effective educational strategies to improve dental students' awareness and knowledge of ergonomic practices and preventive measures for reducing these disorders.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eje.13108","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:24:08Z","timestamp":1745594648000},"page":"205-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding the Burden of Work\u2010Related Musculoskeletal Disorders in Dental Students: A Multinational Cohort Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2246-8782","authenticated-orcid":false,"given":"\u00d6zlem","family":"Daltaban","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Akdeniz University  Antalya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00fckerrem","family":"Hatipo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Akdeniz University  Antalya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Tanase","sequence":"additional","affiliation":[{"name":"Department of Pedodontics, Faculty of Dental Medicine Carol Davila University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria","family":"Pistol","sequence":"additional","affiliation":[{"name":"Department of Pedodontics, Faculty of Dental Medicine Carol Davila University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen Ioana","family":"Biri\u015f","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine George Emil Palade University of Medicine, Pharmacy, Science and Technology  Targu Mure\u0219 Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milanko","family":"Djuric","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine,Faculty of Medicine University of Novi Sad  Novi Sad Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Veljovic","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine,Faculty of Medicine University of Novi Sad  Novi Sad Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enis","family":"Redjep","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Faculty of Dental Medicine International Balkan University  Skopje North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Mikic","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Faculty of Medicine University of Montenegro  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2003.0048"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1539\/JOH.17\u20100188\u2010RA"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)32279\u20107"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100044\u20101790242"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601\u20105037.2009.00395.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208628"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2019.01.031"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e19956"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17238740"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR\u2010230303"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4010013"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12621"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010023\u201003469\u2010y"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003\u20106870(87)90010\u2010x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1466\u20107657.2003.00188.x"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.5177\/ntvt.2017.11.17128"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.13338"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010005\u20101229"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12438"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.23749\/MDL.V109I4.6841"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12335"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140130118276"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3233\/THC\u2010174717"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2022.09.007"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR\u2010172588"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.2298\/SARH1604181P"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12369"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052705"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.13026"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978\u20100\u2010444\u201053630\u20103.00009\u20109"},{"issue":"2","key":"e_1_2_12_33_1","first-page":"15","article-title":"Effects of Yoga on Musculoskeletal Pain","volume":"91","author":"Monson A. L.","year":"2017","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/jfmk8010026"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022\u20100337.2011.75.6.tb05103.x"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231\u20100762.159957"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2022.2146208"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8327565"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2022.2078944"}],"container-title":["European Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.13108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eje.13108","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.13108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:00:59Z","timestamp":1772985659000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eje.13108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,25]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/eje.13108"],"URL":"https:\/\/doi.org\/10.1111\/eje.13108","archive":["Portico"],"relation":{},"ISSN":["1396-5883","1600-0579"],"issn-type":[{"value":"1396-5883","type":"print"},{"value":"1600-0579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,25]]},"assertion":[{"value":"2024-11-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}