Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries.
In this paper are highlighted the stresses that appear in the peri-implantation area through the forces induced by the masticatory process. The analysis consists of computer modeling of the dental implant and simulation of the load with a distributed force. It is considered a variable direction loading related to the axial insertion of the dental implant, thus simulating an important masticatory process. This type of load reveals stresses developed in the periimplantary bone area, the risk areas where the stresses can cause the appearance of hard tissue damage near the implant and its failure. Increases in stresses up to 159% in the ruminant type of chewing compared with the cutter type are highlighted. An aggravating factor that can lead to implant failure is bruxism that tangentially stresses the implant leading to the concentration of forces at the abutment-implant junction. Conclusions regarding the decrease of stresses at bone-implant junction with up to 23% by a corresponding increase of the implant diameter by 25% are also issued.
Purpose of the study: The aim of the study is to analyze the way the disinfectants embedded in the plaster affect the setting linear dimensional stability, flexural and compressive strength of dental stone models. Material and Methods: Samples were made of type IV dental stone in which different disinfectants had been incorporated (sodium hypochlorite 1%, chlorhexidine 2%) in two concentrations (50%, 100%), thus obtaining four test groups. Mentioned parameters are measured using a micro comparison device and an universal testing machine, analyzing statistically the results in comparison with the control group, prepared by standard indications. Results: Disinfectants cause a decrease of the setting expansion value (ΔL) compared to the standard group in all type of mixing percentage. Variations of compressive and flexural strength are statistically significant, particularly when adding 100% of hypochlorite 1%. Conclusions: Within the limits of this study, replacing the distilled water with disinfectants, alter the value of setting expansion and cause the model dental stone to be brittle in compression and bending.
Sedentary behavior, both professional, occupational, leisure and recreational, is one of the major risk factors for cardio-metabolic health and premature mortality. But, this type of sedentary behavior can be found in many of the existing professional activities in 2021, among them being the professional activities with a medical profile in the field of dentistry: specific activities in the dentist’s office (and here we discuss about dentists and dental nurses) and activities specific in the dental laboratory (in this case, we are talking about dental technicians).
Aim: The aim of this descriptive cross-sectional epidemiological research in the private dental clinic was to evaluate the preventive measures and oral health condition status that could take place inside the private dental offi ce. The primary objective was to obtain a protocol by calculating and evaluating various indexes for the preventive measures in the private room. Materials and Methods: The study comprised of 499 patients in which 260 females and 239 were males from Romanian population who were checked and evaluated for complete oral health condition and decayed teeth (DT) by the decayed, missing, and fi lled teeth (DMFT) index, for the periodontal disease by community periodontal index treatment needs (CPITN) and gingival index, and for masticatory function by functional teeth unit index and new invented group strategy treatment index (SGTI) index. The data were obtained before and after the preventive treatment in DMFT and was compared and evaluated. Using a preformed Performa for this study all patients' oral health status data were recorded and observed. Results: Obtained data by SGTI index and others we found that poor oral hygiene and bad periodontal condition was observed (P < 0.001) in Romania tribes. Using preventive measures, giving education to patients for oral hygiene maintenance and dental implants we manage to pull back the DMFT index (P < 0.001) for 18% of the studied persons from an average of 14-30 DMFT to 12-20. The other indexes have showed a better health status with percentages between 0% and 87%. Conclusions: The results of our study could lead to a new approach to evaluate and prevent from initial caries, periodontal disease, and DT by restoration and treatment of missing teeth using implants, etc., inside the private dental practice. This is an original Research that presents two new and unprecedented ideas for decreasing DMFT index by using implants and rematerializing procedures, and the use of a newly invented index named SGTI for group strategy treatment. The use of epidemiologic index inside the private dental offi ce is also an original approach to the dental procedures.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.