Environmental sustainability and biodiversity within the dental practice

Duane, Brett; Ramasubbu, Darshini; Harford, Sara; Steinbach, Inge; Stancliffe, Rachel; Ballantyne, Gavin

doi:10.1038/s41415-019-0208-8

Cited by 15 publications

(18 citation statements)

References 40 publications

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“…Diş hekimliği kliniklerinde enerji ve su tasarrufu için şu adımları izleyebiliriz: 32,34 1.Enerji yıldız derecelendirmeli ekipmanlar (bilgisayar gibi) kullanılmalıdır. 2.LED ve yüksek verimli floresan ampuller kullanılmalıdır.…”

Section: Yeşil Bir Diş Hekimliği Için Enerji Ve Su Tasarrufuunclassified

Yeşil Diş Hekimliği ve Sürdürülebilirlik: Diş Hekimliğinin Bugünü ve Geleceği

Bulut¹,

Ağaccıoğlu²

2021

neudentj

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Yeşil diş hekimliği, diş hekimliğinde nispeten yeni ortaya çıkan bir kavramdır. Diş hekimliği uygulamalarının çevresel olumsuz etkilerini azaltmayı amaçlayan bir yaklaşım içerir. Diş hekimliği pratiğinde atıkların çoğundan sorumlu dört prosedür vardır. Bunlar: Amalgam, konvansiyonel X-ray sistemleri, tek kullanımlık bariyerler, sterilizasyon malzemeleri gibi enfeksiyon kontrol yöntemleri ve geleneksel vakumlu sakşın sistemleridir. Klinik pratiğinde çevreye verdiğimiz zararı azaltmak açısından ünitlerde amalgam ayırıcı kullanılmalıdır. Konvansiyonel X-ray sistemlerinden kaynaklanan gümüş ve kurşun gibi atıkları azaltmak için ise dijital radyografiye geçiş yapılmalıdır. Ayrıca kliniklerimizde tek kullanımlık malzemelerden kaynaklanan atıklar için otoklavlanabilen malzemelerin kullanımına önem verilmelidir. Gereğinden fazla su kullanımına izin veren geleneksel vakumlu sakşın sistemleri yerine ise kuru vakum sistemleri tercih edilmelidir. Ülkemizde atık oluşum sebeplerinin gözden geçirilerek atık oluşumunun engellenmesi, atığın oluşması durumunda ayrı olarak toplanması ve geri kazanımının sağlanmasını kapsayan Sıfır Atık Projesi Sağlık Bakanlığı olmak üzere kamu kurum ve kuruluşlarında hayata geçmektedir. Diş hekimliğinde kullandığımız birçok ekipman ve materyal karbon ayak izi oluşumuna neden olmakta ve doğal kaynaklara zarar vermektedir. Bu yüzden kullandığımız materyallerin yeniden kullanılabilir veya geri dönüştürülebilir olmasına dikkat edilmelidir. Diş hekimliği pratiğinde yeşil prensipleri hayata geçirmek ve yaygınlaştırmak adına bu konuya lisans ve mezuniyet sonrası eğitimlerde yer verilmelidir. Bu derlemenin amacı diş hekimliği mesleğinde yeşil ve sürdürülebilir prensiplerin neler olduğunu ve yaptığımız klinik uygulamaların çevreye olan zararlı etkilerinin azaltılmasını açıklamaktır.

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Section: Yeşil Bir Diş Hekimliği Için Enerji Ve Su Tasarrufuunclassified

Yeşil Diş Hekimliği ve Sürdürülebilirlik: Diş Hekimliğinin Bugünü ve Geleceği

Bulut¹,

Ağaccıoğlu²

2021

neudentj

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“…There are many ways dental teams can contribute to a sustainable health system, and these were described in a British Dental Journal series last year (Duane, Croasdale, et al 2019; Duane, Harford, Ramasubbu, et al 2019; Duane, Harford, Steinbach, et al 2019; Duane, Ramasubbu, Harford, Steinbach, Stancliffe, Ballantyne 2019; Duane, Ramasubbu, Harford, Steinbach, Stancliffe, Croasdale, et al 2019; Duane, Steinbach, et al 2019). Some potential internal process changes are reviewed below, aligning these with core emissions, community emissions, and supply chain emissions, as well as providing recommendations for further research.…”

Section: Internal Processesmentioning

confidence: 99%

“…Recommendations (Duane, Ramasubbu, Harford, Steinbach, Stancliffe, Croasdale, et al 2019) included challenging the need to buy the product, buying more efficiently, and considering sustainable alternatives, provided these exist (see earlier recommendation about further research into sustainable products).…”

Section: Internal Processesmentioning

confidence: 99%

“…Practitioners can attempt to become more sustainable through supplier engagement or by preferencing the purchase of sustainable products. Our questionnaire (Duane, Ramasubbu, Harford, Steinbach, Stancliffe, Croasdale, et al 2019) encourages manufacturers and suppliers to consider the product life cycle. Detailed product environmental analysis is required to understand the right environmental choice.…”

Section: Internal Processesmentioning

confidence: 99%

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Sustainability in Dentistry: A Multifaceted Approach Needed

et al. 2020

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This article provides an introduction to environmentally sustainable dentistry and offers perspectives on managing drivers to reduce carbon emissions and make dentistry more environmentally sustainable. A sustainable world must meet the needs of the present without compromising the ability of future generations to meet their own needs. Global commitment to sustainability and demands for a sustainable world are growing. Within dentistry, travel creates the highest carbon emissions and also contributes to human health damage. Internally, there are a number of ways to reduce impact by decreasing travel and energy use, as well as carefully considering the types of items purchased (and how they are disposed of). Larger dental organizations can influence their suppliers and industry by choosing to purchase from sustainable companies with environmentally friendly products. From an external driver perspective policy, guidance and research are essential. Governments need to reevaluate decontamination policy from an environmental perspective. Decontamination documents need revision to consider both planetary and public health. Dental organizations need to support dental teams in this area. Insurance providers and health care purchasers should review policies to influence the sustainability of dental providers. Sustainability education needs to be considered as part of the curriculum of undergraduate and postgraduate students. Guidance could also be developed for the dental industry to produce sustainable products. Research needs to be prioritized. Identifying hot spots or areas of high environmental contributions using other assessments such as life cycle analysis (LCA) would allow dentistry to identify products or practices that have a disproportionate adverse impact on the environment and might be prioritized for change. This should include an analysis of single-use instruments, chemicals, and products. Building research capacity by training students and creating virtual or physical centers for sustainability is essential. Financial support is needed for priority areas of research.

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“…Dental care uses large amounts of paper, plastic and stainless steel products, both disposable and reusable. There is a growing realisation that sustainability is not just about carbon emissions but also about the type of materials we buy, the waste we produce and our impact on biodiversity [14][15][16]., Life cycle assessment (LCA) is a technique used to understand and assess the environmental impact of a product system or process. The life cycle of a product includes stages including; raw material acquisition, the production process, disposal and transportation [17].…”

Section: Introductionmentioning

confidence: 99%

Environmental sustainability in endodontics. A life cycle assessment (LCA) of a root canal treatment procedure

et al. 2020

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Background To analyse via life cycle analysis (LCA) the global resource use and environmental output of the endodontic procedure. Methodology An LCA was conducted to measure the life cycle of a standard/routine two-visit RCT. The LCA was conducted according to the International Organization of Standardization guidelines; ISO 14040:2006. All clinical elements of an endodontic treatment (RCT) were input into OpenLCA software using process and flows from the ecoinvent database. Travel to and from the dental clinic was not included. Environmental outputs included abiotic depletion, acidification, freshwater ecotoxicity/eutrophication, human toxicity, cancer/non cancer effects, ionizing radiation, global warming, marine eutrophication, ozone depletion, photochemical ozone formation and terrestrial eutrophication. Results An RCT procedure contributes 4.9 kg of carbon dioxide equivalent (CO2 eq) emissions. This is the equivalent of a 30 km drive in a small car. The main 5 contributors were dental clothing followed by surface disinfection (isopropanol), disposable bib (paper and plastic), single-use stainless steel instruments and electricity use. Although this LCA has illustrated the effect endodontic treatment has on the environment, there are a number of limitations that may influence the validity of the results. Conclusions The endodontic team need to consider how they can reduce the environmental burden of endodontic care. One immediate area of focus might be to consider alternatives to isopropyl alcohol, and look at paper, single use instrument and electricity use. Longer term, research into environmentally-friendly medicaments should continue to investigate the replacement of current cytotoxic gold standards with possible natural alternatives. Minimally invasive regenerative endodontics techniques designed to stimulate repair or regeneration of damaged pulp tissue may also be one way of improving the environmental impact of an RCT.

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Environmental sustainability and biodiversity within the dental practice

Cited by 15 publications

References 40 publications

Yeşil Diş Hekimliği ve Sürdürülebilirlik: Diş Hekimliğinin Bugünü ve Geleceği

Yeşil Diş Hekimliği ve Sürdürülebilirlik: Diş Hekimliğinin Bugünü ve Geleceği

Sustainability in Dentistry: A Multifaceted Approach Needed

Environmental sustainability in endodontics. A life cycle assessment (LCA) of a root canal treatment procedure

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