Occupational Stress among Nigerian Orthodontists and Orthodontic Residents: A Cross-Sectional Study

Background: The job of the orthodontist involves long working hours and interaction with each patient for many years before the conclusion of treatment thus orthodontists may experience peculiar levels of stress. Occupational stress has been proven to have negative consequences and can result in not only burnout but also hypertension and even suicide. The aim of this study was to assess the areas of orthodontic practice that cause stress among orthodontists and orthodontic residents practicing in Nigeria as well as to evaluate various personal and practice characteristics that affect these reports of occupational stress.

Methods: Data was collected over a three-month period using an online self-administered modified version of the Occupational Stress Questionnaire which was sent through the Nigerian Association of Orthodontists WhatsApp group and to the personal emails of all members. Data was collated and analysed using SPSS version 21.

Results: A total of 69 (71% response rate) responses were received. Males and older orthodontists experienced higher levels of stress. Seven items had mean severity scores equal to or greater than 3.75 and were considered the most concerning stressors in orthodontic practice. These included “Lack of patient compliance with treatment instructions is painful” and “Treating a case with an unfavorable prognosis is disturbing”.

Conclusions: The most concerning stressors in orthodontic practice as perceived by Nigerian orthodontists and orthodontic residents are those related to time management and patient motivation.