Why ergonomics and self-care are essential in dentistry

“The physical demands, long hours and emotional intensity of dentistry can take a significant toll. Burn-out in the profession is something I have both witnessed and personally experienced,” Middleton said. “Over the years, I’ve realised I cannot provide the best care for my patients without prioritising my health. This has led me to advocate for workplace well-being, assisting others in recognising the importance of ergonomics, mental health and self-care before they reach breaking point.”

She continued: “Like many dental professionals, I’ve encountered musculoskeletal strain, particularly in my neck, shoulders and wrists. As a result, I’ve collaborated with a physiotherapist, integrated regular stretching and strengthening exercises, and made ergonomic adjustments to my clinical space. I’ve also invested in loupes, a saddle chair and more supportive equipment.”

Middleton’s daily habits—both in the clinic and outside it—have also helped: “I try to stretch between patients for a few minutes, focusing on my neck, shoulders and wrists. I also perform deep breathing exercises to realign my posture and relieve tension. Strength training outside of work has been invaluable in building endurance and preventing injuries—and I love reformer Pilates. A monthly massage, staying hydrated and being mindful of my posture throughout the day also make a significant difference.”

Middleton added: “A strong workplace culture that values well-being is crucial. This includes appropriate scheduling to prevent burn-out, encouraging breaks and fostering a supportive team environment. Access to resources such as physiotherapy, mental health support and ongoing training in posture and technique can also make a difference.”

Dental business owners play a central role by investing in ergonomic training and technology—though sometimes there are obstacles. “The biggest challenges are cost and resistance to change,” Middleton said. “Some may see ergonomic investments as optional rather than essential, not realising they improve efficiency, reduce sick leave and can ultimately extend the career of a much-valued team member. There can also be a lack of awareness about the long-term impact of poor ergonomics, so education is key to getting decision makers to prioritise improvements.”

Ergonomic innovation in action: The role of the Wand

One ergonomic investment that stands out for Middleton is the Wand, a computer-assisted anaesthesia delivery system that has revolutionised the administration of local anaesthetic. Often highlighted for its patient benefits, the Wand also supports practitioners by helping to mitigate the risk of repetitive strain injuries and musculoskeletal disorders.

Unlike conventional syringes, which require significant thumb pressure and an awkward grip, the Wand features a penlike handpiece with a lightweight design. This eliminates the strain of conventional syringes and therefore reduces wrist and forearm fatigue. The handpiece can also be shortened for improved access, visibility and control—making it ergonomic and easy to use for clinicians.

Middleton explained: “The Wand has been a game-changer for me. Traditional syringe techniques can strain the hands and wrists, especially over time. The Wand’s design allows for a more relaxed hand position and reduces the force needed to administer local anaesthetic. This helps prevent repetitive strain injuries and makes the process more comfortable for me and my patients.”

Beyond its reducing physical strain, Middleton appreciates how the Wand helps to streamline her delivery of care: “When we operate more comfortably, patients enjoy a smoother, less stressful experience. The Wand, for instance, administers anaesthetic in a controlled and nearly painless manner, alleviating anxiety and discomfort. This facilitates precise treatment and reduces time spent in the chair.” These benefits translate into fewer appointments, greater efficiency and improved productivity—all of which boost the practice’s bottom line.

For those just starting their careers, Middleton offered this advice: “Invest in your health from day one. Prioritise good posture, use ergonomic equipment and don’t ignore discomfort—it’s a warning sign. Make self-care part of your routine, whether through exercise, mindfulness or simply taking regular breaks at work. Most importantly, set boundaries to maintain a healthy work–life balance and seek practices that invest in training and technology to protect your well-being.”

She concluded: “As a profession, we must normalise prevention and take a holistic view. A career in dentistry is a marathon, not a sprint—so take care of yourself to ensure both job fulfilment and long-term career success.”

More information on the Wand can be found at www.dentalsky.com.