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Kundiyev Yu. I.1, Varyvonchyk D. V.1, 2, Kopach E. D.1, Bezverkhnyi P. S.2, Demetska A. V.1, Soloviov A. I.1, Andrusyshyna I. N.1, Moshkovsyi V. E.1, Edzhybia O. N.1


1SI "Institute of Occupational Health of the National Academy of Medical Sciences of Ukraine", Kyiv

2National Medical Academy of Postgraduate Education named after P. L. Shupik, Kyiv

Full article (PDF), UKR

Introduction. So far, Ukraine has not carried out a comprehensive assessment of hygienic conditions of work and health of dental care workers in the use of modern medical technologies, and accordingly, a risk-oriented system for prevention of workrelated pathology in employees of this specialized health service has not been developed.

The purpose of the research is to determine the state of hygienic work conditions of employees of the dental service in the use of modern medical technologies.

Materials and methods. Hygienic studies of work conditions were conducted in 2016-2017 on the basis of the communal enterprise "Stomatology of Svyatoshinsky district in Kyiv" at workplaces of dentists (therapist, surgeon, orthopedist, orthodontist) and in the laboratory of the dental technician. A твhygienic estimation of work conditions was made, taking into account the effect of industrial dust, emission of nanoparticles (1–100 nm) into the air of the working zone, chemical composition of nanodispersed dust, infrasound, noise of local vibration, microclimate, monochromatic optical radiation in the "violet" range (λ = 420–480 nm), the light environment of natural and artificial lighting), aeroionization (by light aeroions), severity and intensity of the work process, and a biological factor.

Results. It has been established that general conditions of work of dentists and dental technicians are "harmful" of 2nd and 3rd degree (2– 3.3 classes of work conditions (CWC). Taking into account the biological factor for dermatologists they are "dangerous" (grade 4). The main productive harmful and dangerous factors are: biological factors – HIV/AIDS, hepatitis B and C, tuberculosis (CWC-4), pathogens of purulent inflammatory diseases (CWC – 3.3); nano-dispersed dust (with high content of silicon, calcium, chromium) (CWC – 3.1–3.3); physical factors: illumination (CWC – 3.1–3.2), noise (CWC – 3.1), microclimate (CWC – 3.1), ionization of air (CWC – 3.1) 3.1); intensity (CWC – 3.1–3.2) and severity of work (CWC – 3.2).

Conclusions. Doctors-dentists and dental technicians are exposed at workplace to harmful and dangerous factors of working conditions, which increase the risk of occurrence of their morbidity with temporary loss of work-related capacity and occupational pathology. The data obtained are the basis for development of measures on primary and secondary prevention of work-related and occupational pathology among dental care workers and for further in-depth medical and social study of their health status.

Ключевые слова: health care, dentistry, doctors-dentists, dentist technicians, hygienic conditions


  1. Burya, L. V. 2006, Hygienic substantiation of ways to increase capacity and efficiency of work of doctorsdentists of the therapeutic profile. Author's thesis, Dissert. Cand. med. sci., 14.02.01. Kyiv, 20 p. (in Ukrainian).
  2. Varyvonchyk, D. V., Shevchenko, V. І., Еdzhybia, О. М. 2015, Medical-statistical features of oncological morbidity of workers in the health care sector of Ukraine, Ukraine. Health of the Nation, no. 2, pp. 32–35 (in Ukrainian).
  3. Varyvonchyk, D. V., Shevchenko, V. І., Еdzhybia, О. М. 2016, System of management of production carcinogenic risks in health care institutions // Collection of papers of co-workers, National Med. Academy of Postgraduate Education, issue 25, pp. 104–110 (in Ukrainian).
  4. Determination of 33 elements by atomic emission spectrometry with inductively coupled plasma in water. 2007, State standard of Ukraine, ISO 11885:1996, Кyiv, Derzhspozhyvstandart Ukraine, 14 p. (in Ukrainian).
  5. Volodiy, М. О. 2012, Peculiarities of working conditions of doctors of basic specialties and prevention of development of work-related and occupational mor bid ity, Author's theses, Dissert., Cand. Med. Sci., 14.02.01, Кyiv, 24 p. (in Ukrainian).
  6. Hygiene and work protection of medical workers: a textbook, 2009, Eds.: V.F. Моskalenko, О. P. Yavorovskyi. Кyiv : Меditsina, 176 p. (in Ukrainian).
  7. Hygienic Classification of Work by indicators of harmfulness and danger of factors of the production environment, severity and intensity of the workprocess, State sanitary norms an regulations, Order of the Ministry of Health of Ukraine of 04.08.2014 no. 248 (in Ukrainian).
  8. Report on patients with tuberculosis for 2016. Centre of Public Health of the Ministry of Health of Ukraine. URL: (application date: 01.10.2017) (in Ukrainian).
  9. Information on the HIV/AIDS epidemic situation as of 01.01.2017. Centre of Public Health of the Ministry of Health of Ukraine. URL: (application date: 01.10.2017) (in Ukrainian).
  10. Environmental protection and nature management. Analytical (laboratory) control and monitoring of the environment. The procedure for sampling of the atmospheric air, atmospheric precipitation and snow cover for the determination of concentrations of pollutants, and meteorological observation: Technical Code (TC) 17.13-14-2014 (02120), Ministry of Nature of the Republic of Belarus, Мinsk, 03.03.2014 no. 2 – Т.15 p. (in Russian).
  11. Explanation to the information on the problem of counteraction to the spread of hepatitis C in Ukraine, Ministry of Health of Ukraine. URL: ua (application date: 01.10.2017).
  12. Movchan, V. A., Salnikova, V. A., Andrusishyna, I. M. et al. 2012, A method for determining nanoparticles in the air of the working zone. Patent for utility model UA72951 U of 10.09.2012 (in Ukrainian).
  13. Broekhuizen van P., Veelen van W., Streekstra W.-H., et al. 2012, "Exposure Limits for Nanoparticles: Report of the International Workshop on Nano Reference Values", The Annals of Occupational Hygiene, v. 56, issue 5, pp. 515–524.
  14. Metal and metalloid particulates in workplace atmospheres (ICP analysis). URL: (application date: 01.10.2017).