Musculoskeletal disorders (MSDs) are global issues in the dental profession. This research evaluated the MSDs risk caused by the sitting working posture of clinical students performing the task of scaling. The evaluation using the virtual environment approach shows risk of MSDs in the students’ upper extremities such as neck, shoulder, and trunk. Further simulation based on the ideal sitting working posture shows that ergonomic scaling could be achieved when the patient sits at a 15° angle. When scaling the 1st and 4th quadrant of the teeth, the 9 o’clock position is used. Hence, the 11 o’clock position is used when scaling the 2nd and 3rd quadrant.