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Table 6. Dependency between practicing sports and the dentists’ pain intensity self-assessment. N=567 References 1. 2. 3. 4. 5. Note: Sum total of all percentages may exceed 100, as some of the respondents have marked more than one response; the total number is based of the number of respondents. de Carvalho MV, Soriano EP, de França Cald as A Jr, Campello RI, de Miranda HF, Cavalcanti FI. Work- related musculoskeletal disorders among Brazilian dental students. J Dent Educ. 2009;73(5):624-30. Shrestha BP, Singh GK, Niraula SR. Work related complaints among dentists. JNMA J Nepal Med Assoc. 2008;47(170):77-81. Rucker LM, Surell S. Ergonomic risk factors associated with clinical dentistry. J Calif Dent Assoc. 2002;30(2):139-148.. Bassett S. Back problems among dentists. J CanDent Assoc. 1983;49(4):251-256. Szymanska J: Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002; 9(2):169- 173. 6. 7. 8. 9. Al-Kholani AI: Musculoskeletal symptoms among dentists in Yemen.http://www.alkholanidental.com/ research/MUSCULOSKELETAL_SYMPTOMS_AMONG_ DENTISTS_IN_YEMEN.pdf. Int J Occup Saf Ergon. 2011. Dajpratham P, Ploypetch T, Kiattavorncharoen S, Boonsiriseth K. Prevalence and associated factors of musculoskeletal pain among the dental personnel in a dental school. J Med Assoc Thai 2010; 93(6):714-721. Barbosa RE, Assunção AÁ, Araújo TM. [Musculoskeletal disorders in Belo Horizonte, Minas Gerais State, Brazil]. Cad Saude Publica. 2012;28(8): 1569-1580. Augustson TE, Morken T. [Musculoskeletal problems among dental health personnel. A survey of the public dental health services in Hordaland]. Tidsskr Nor Laegeforen. 1996;116(23):2776-2780. Peter Georgiev BOJINOV Table 7. Dependency between the dentists’ practicing sports and the duration of MSD provoked pain. N=562 p>0,05 DMD, PhD, Assistant Professor Department of Dental Public Health Faculty of Dental Medicine Medical University - Sofia Sofia, Bulgaria CV and mild pain (23.62%). Gradually, with the increase of the pain intensity practicing sports is reduced, which means that probably strong pain is a barrier to sporting or namely due to reduced sports practicing the pains intensify. Our data show no statistically significant dependence between practicing sports and the pain duration period (Table 7). What is interesting in our findings is that the most active dentists prove to be those experiencing more recent pain (for weeks - 85,72%). Practicing sports is lower in the groups experiencing the MSD type of pain for months and years (respectively 68.25% and 63.07%). It indicates that despite the lack of statistical significance, it is likely that continued chronic pain is a hindrance to practicing sports by the dentists. 4. Discussion Our study revealed that a small percentage of dentists practiced sports regularly (12.6%). The more active were the younger dentists (length of service group 11–20 years), men being more active than women. Practicing sports dropped with the decrease in health self-assessment. Officially published data are similar to our findings. The study by J. Szymanska 5 conducted in Poland also indicated a low level of practicing sports– fitness 7.76% and jogging – 10.05%. A significantly higher level of practicing sports was observed however among the dental medicine students in Brazil per data reported by M. DeCarvalho 1 , showing that 144 PRACTISING SPORTS AMONG DENTISTS IN BULGARIA 50.2% practiced sports regularly (20.3% body building and 16.7% jogging). Our data also show more active practicing of sports among younger dentists – with 11-20 years of length of service. We think that pain due to MSD serves as a motivation to go sporting, yet with the pain intensity increase practicing sports is reduced, most active being those experiencing recent pain (for weeks – 85.72%). Practicing sports influenced positively the health of dentists, decreasing the pain of the lower back. 9 Physical activities less than twice a week were associated with the higher prevalence of MSD. 8 5. Conclusions 1. A very small fraction of the respondent dentists practice sports regularly (12.63%). 2. The most active is the group of 11-20 years length of service, men being a bit more active than women. 3. Practicing sports drops down with the decrease in health self-assessment. 4. Despite the lack of statistical significance, the results showed that practicing sports decreased with the pain intensity increase, the most active being those with most recent pain (for weeks) – 85.7% and moderate intensity. Acknowledgments The authors declare no conflict of interest related to this study. There are no conflicts of interest and no financial interests to be disclosed. Stoma Edu J. 2017;4(2): 140-145 http://www.stomaeduj.com Dr Peter Georgiev Bojinov was born on June 20, 1976 in Sofia. He graduated from the Faculty of Dental Medicine, Medical University - Sofia, Bulgaria in 2000. In 2002 he became an Assistant at the Department of “Social Medicine and Dental Public Health” in the Sofia Faculty of Dental Medicine. In 2005 he obtained a new specialty, namely “Social Medicine and organization of dental health”, and in 2007, another specialty, namely “General Dentistry”. In 2011 he was promoted Assistant Professor. In 2014 he defended his doctoral thesis on the topic: “Musculoskeletal disorders among dentists, associated with dental practice” and was awarded his PhD degree. PRACTISING SPORTS AMONG DENTISTS IN BULGARIA Questions Work related musculoskeletal disorders among dentists are associated with: qa. qb. qc. qd. Microorganisms in the mouth of patients; Sport activity of dentist; Mercury, monomers of dental plastics and other chemical risk factors of dental practice; Marital status of dentists. Underlain the correct answer: qa. qb. qc. qd. Men are more active than women with sport activities; Older dentists are more active with sport activities than younger; There is no statistical significance between sport activity and length of service; There is statistical dependency between sport activity and daily and weekly workload. In our study the regular sport activity among dentists is: qa. qb. qc. qd. 100%; 12.6%; 77.9%; 50%. The sport activity increases with: qa. Increase of pain intensity; qb. Age; qc. Decrease of pain intensity; qd. Decrease of health self-assessment. Stomatology Edu Journal 145