Eco-friendly dentistry

Last updated

Eco-friendly dentistry (also called environmentally friendly dentistry, green dentistry or sustainable dentistry) aims at reducing the detrimental impact of dental services on the environment while still being able to adhere to the regulations and standards of the dental industries in their respective countries.

Contents

There are no official governing agencies that certify an office as meeting eco-friendly standards. Dental offices in the United States of America can be recognised as eco-friendly offices by becoming members of the Eco Dentistry Association. Within England there are audit programmes available from the National Union of Students such as the Green Impact tool. [1] People who want to be involved and discuss sustainable dentistry in a free and open forum are invited to be members at the Centre for Sustainable Healthcare. [2]

History

The term eco-friendly dentistry has roots originating from the environmental movement and environmentalism, which, in the Western world, is often perceived as having begun in the 1960s and 1970s. The rise of this movement is often credited to Rachel Carson, [3] conservationist and author of the book Silent Spring . Subsequently, legislation in many countries throughout the world began gaining momentum in the 1970s and continues to the present day. [4]

Eco-friendliness also has meaning in another context as a marketing term. It is used by companies to appeal to consumers of goods and services as having a low impact on the environment. [5] Market research has found that an increasing number of consumers purchase goods and services that appeal to the values of environmental philosophy. [6] The dental industry has adopted the concept of eco-friendliness both in a well-meaning, philosophical context and as a marketing term so that patients who subscribe to principles of sustainability can choose to visit these offices.

The term has been criticised as being used for "greenwashing", which is the practice of deceptively promoting a product or service as environmentally friendly. Legislation in countries around the world have Trade Commissions and such to stop companies profiting with baseless claims on their goods and services.[ citation needed ] Individuals and bodies that work in the dental industry have also subsequently adopted the principles of sustainability and environmentalism and also as an advertisement to patients, clients and consumers. The Eco Dentistry Association is an accreditation organisation in the United States which has proposed outcomes towards becoming more sustainable.

In 2008, the Eco Dentistry Association (EDA) was co-founded by Dr. Fred Pockrass and his wife, Ina Pockrass. The EDA provides "education, standards and connection" to patients and dentists who practice green dentistry. The EDA aims to help dentists "come up with safe and reusable alternatives that lower a dentists' operating cost by replacing paper with digital media whenever possible." [7] As of February 2011, the EDA has approximately 600 members. [7] After the inception of the EDA, the dental industry in America saw more dentists and oral surgeons choosing to make their offices environmentally friendly. [8]

In 2011, The Australian Dental Association implemented a policy of sustainability to provide guidelines to assist in the environmental sustainability of dental offices in Australia. [9] In August 2017 the FDA adopted a sustainability in dentistry policy. [10]

Elements of eco-friendly dentistry

There is a growing amount of scientific information regarding the carbon footprint of the dental industry. These include papers by Duane relating to work carried out in Scotland and more recently England. [11] [12] [13]

Recently, Public Health England published a report on the carbon footprint of NHS England dentistry. [14] The report based on 2014 data provides a number of recommendations for the dental team in England to consider. The report demonstrated the considerable contribution of staff and patient travel to the overall carbon footprint.

To be environmentally responsible, offices can incorporate the four R's of environmental responsibility. The four R's are: reduce, reuse, recycle and rethink. [15]

The 4 R's of environmental responsibility The 4 R's of environmental responsibility.png
The 4 R's of environmental responsibility

Reduce

Having a paperless dental office reduces or eliminates the use of paper by going digital. This involves converting patient files, medical histories and other documentation to an electronic system. Going paperless not only makes information sharing easier and accessible but is a great way of keeping personal information secure. This saves money, boosts productivity and saves space as there is no need for any filing cabinets and is a great way of ensuring clinical records are more accurate. [15] Using digital radiography allows to keep all the patients' records in one spot, reduces the amount of radiation exposure and images and clinical photographs can be shared without losing the quality of the image. [15]

Reuse

Clean Water

In many countries around the world there are strict mandatory limits on the use of mercury and the levels found in wastewater.

Amalgam Amalgam.jpg
Amalgam

Mercury is traditionally used in dental restorations known as amalgam. In October 2013, Australia's Department of the Environment and Energy signed The Minamata Convention in a call for the reduction of amalgam usage by means of nine measures aiming to eventually phase out the use of amalgam. [16] Mercury can be released into the environment when amalgam is placed, finished and polished or removed from a patient mouth and can be either rinsed into sewage systems or disposed of in landfill. By complying with the Australian Dental Association (ADA) Policy 6.11 [17] and the current edition of the International Organization for Standardization ISO11143 Dentistry – Amalgam Separators, [18] reducing the amount of mercury entering the environment by means of installing amalgam separators and traps to collect and separate amalgam waste before it enters the sewage system. Amalgam that is collected from traps is then collected and recycled for reuse. [9]

With the phasing out of manual processing of radiographs and switching to digital radiography allows for offices not having to purchase developing liquids and these liquids are harmful to the environment and need to be collected to be disposed of correctly. [19] [17] [9]

Water management


• Installing a water meter to monitor water usage.
• Handwashing sinks with motion-activated taps.
• Collect the water bills for the last year to benchmark a water usage audit.
• Place interpretive signs about water conservation in staff rooms, toilets and surgeries.
• Maintain and repair taps or fittings. [20]
• Use a non-water-based approach to cleaning where possible.
• Retro flow controllers in key usage areas. [20]
• Install 4-, 5- or 6-star water efficient appliances where appropriate.

Recycle

Dental practices can recycle paper, cardboard, aluminum and plastics from plastic barriers and other water products contributing to sustainable environmentally friendly practices. Autoclave bags can be separated after opening and the paper and plastic recycled separately.

To become more eco-friendly or environmentally friendly dental practices can purchase biodegradable products therefore allowing more waste associated with the running of the practice to be recycled. Shredding of paper documents and recycling shredded paper will contribute to sustainable practices.


Related Research Articles

<span class="mw-page-title-main">Minamata, Kumamoto</span> City in Kyūshū, Japan

Minamata is a city located in Kumamoto Prefecture, Japan. It is on the west coast of Kyūshū and faces Amakusa islands. Minamata was established as a village in 1889, re-designated as a town in 1912 and grew into a city in 1949. As of March 2017, the city has an estimated population of 25,310 and a population density of 160 persons per km². The total area is 162.88 km².

Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. However, there are still dentists that promote themselves as cosmetic dentists.

<span class="mw-page-title-main">Dental amalgam controversy</span>

This discussion of the dental amalgam controversy outlines the debate over whether dental amalgam should be used. Supporters claim that it is safe, effective and long-lasting while critics argue that claims have been made since the 1840s that amalgam is unsafe because it may cause mercury poisoning and other toxicity.

<span class="mw-page-title-main">British Dental Association</span>

The British Dental Association (BDA) is a registered trade union for dentists in the United Kingdom.

<span class="mw-page-title-main">Dental composite</span> Substance used to fill cavities in teeth

Dental composite resins are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers, a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent.

Green brands are those brands that consumers associate with environmental conservation and sustainable business practices.

<span class="mw-page-title-main">Sustainable city</span> City designed with consideration for social, economic, environmental impact

The sustainable city, eco-city, or green city is a city designed with consideration for social, economic, environmental impact, and resilient habitat for existing populations, without compromising the ability of future generations to experience the same. The UN Sustainable Development Goal 11 defines sustainable cities as those that are dedicated to achieving green sustainability, social sustainability and economic sustainability. They are committed to doing so by enabling opportunities for all through a design focused on inclusivity as well as maintaining a sustainable economic growth. The focus also includes minimizing required inputs of energy, water, and food, and drastically reducing waste, output of heat, air pollution – CO2, methane, and water pollution. Richard Register first coined the term ecocity in his 1987 book Ecocity Berkeley: Building Cities for a Healthy Future, where he offers innovative city planning solutions that would work anywhere. Other leading figures who envisioned sustainable cities are architect Paul F Downton, who later founded the company Ecopolis Pty Ltd, as well as authors Timothy Beatley and Steffen Lehmann, who have written extensively on the subject. The field of industrial ecology is sometimes used in planning these cities.

Green marketing is the marketing of products that are presumed to be environmentally safe. It incorporates a broad range of activities, including product modification, changes to the production process, sustainable packaging, as well as modifying advertising. Yet defining green marketing is not a simple task where several meanings intersect and contradict each other; an example of this will be the existence of varying social, environmental and retail definitions attached to this term. Other similar terms used are environmental marketing and ecological marketing.

The American Society of Dental Surgeons (ASDS) was the first national dental organization formed in the United States of America. The formation of the ASDS was preceded by the formation of the Society of Dental Surgeons of the City and State of New York when fifteen dentists came together in New York City on December 3, 1834. Six years later, at a meeting at the home of Solyman Brown B.A., M.A., M.D., D.D.S. at 17 Park Place in New York City, on August 10, 1840, Chapin A. Harris in a motion that "resolved that a National Society be formed." was instrumental in its creation.

<span class="mw-page-title-main">Amalgam (dentistry)</span> Material used in dentistry for direct restorative procedures in the tooth

Dental amalgam is a liquid mercury and metal alloy mixture used in dentistry to fill cavities caused by tooth decay. Low-copper amalgam commonly consists of mercury (50%), silver (~22–32%), tin (~14%), zinc (~8%) and other trace metals.

<span class="mw-page-title-main">Sustainable packaging</span>

Sustainable packaging is the development and use of packaging which results in improved sustainability. This involves increased use of life cycle inventory (LCI) and life cycle assessment (LCA) to help guide the use of packaging which reduces the environmental impact and ecological footprint. It includes a look at the whole of the supply chain: from basic function, to marketing, and then through to end of life (LCA) and rebirth. Additionally, an eco-cost to value ratio can be useful The goals are to improve the long term viability and quality of life for humans and the longevity of natural ecosystems. Sustainable packaging must meet the functional and economic needs of the present without compromising the ability of future generations to meet their own needs. Sustainability is not necessarily an end state but is a continuing process of improvement.

<span class="mw-page-title-main">Amalgam (chemistry)</span> Alloy of mercury with another metal

An amalgam is an alloy of mercury with another metal. It may be a liquid, a soft paste or a solid, depending upon the proportion of mercury. These alloys are formed through metallic bonding, with the electrostatic attractive force of the conduction electrons working to bind all the positively charged metal ions together into a crystal lattice structure. Almost all metals can form amalgams with mercury, the notable exceptions being iron, platinum, tungsten, and tantalum. Silver-mercury amalgams are important in dentistry, and gold-mercury amalgam is used in the extraction of gold from ore. Dentistry has used alloys of mercury with metals such as silver, copper, indium, tin and zinc.

<span class="mw-page-title-main">Hal Huggins</span> American dental campaigner

Hal Alan Huggins was an American alternative dentistry advocate and campaigner against the use of dental amalgam fillings and other dental therapies that he believed to be unsafe. Huggins began to promote his ideas in the 1970s and played a major role in generating controversy over the use of amalgam. Huggins's license to practice dentistry was revoked in 1996 after a panel found him guilty of gross negligence. Since then, he continued to publish on the topic of mercury and human health and believed that dental amalgam and other dental practices were responsible for a range of serious diseases. Many of Huggins' health claims have been criticized as pseudoscientific and quackery.

<span class="mw-page-title-main">Index of environmental articles</span>

The natural environment, commonly referred to simply as the environment, includes all living and non-living things occurring naturally on Earth.

An eco-action is any action or activity within a program that is intended to have a positive impact on the environment. For this reason it is often used as a synonym for environmental action. People adopting eco-actions tend to target activities around the ‘Three Rs’ of the waste hierarchy, Reducing, Reusing and Recycling. They may decide to carry out small-scale eco-friendly actions such as reducing the volume of paper used in offices, or purchasing products only from companies that have environmentally friendly or sustainability policies. Others may adopt eco-actions that affect where they live by cleaning up beaches, removing graffiti, supporting community gardening, and re-planting coastal wetlands because the immediate community has come to be considered part of their ecosystem.

Environmentally sustainable design is the philosophy of designing physical objects, the built environment, and services to comply with the principles of ecological sustainability and also aimed at improving the health and comfortability of occupants in a building. Sustainable design seeks to reduce negative impacts on the environment, the health and well-being of building occupants, thereby improving building performance. The basic objectives of sustainability are to reduce the consumption of non-renewable resources, minimize waste, and create healthy, productive environments.

Holistic dentistry also called biological dentistry, biologic dentistry, alternative dentistry, unconventional dentistry, or biocompatible dentistry is the equivalent of complementary and alternative medicine for dentistry. Although the holistic dental community is diverse in its practices and approaches, common threads include strong opposition to the use of amalgam in dental fillings, nonsurgical approaches to gum disease, and the belief that root canal treatments may endanger systemic health of the patient through the spread of trapped dental bacteria to the body. Many dentists who use these terms also regard water fluoridation unfavorably.

<span class="mw-page-title-main">Green urbanism</span> Practice of creating communities beneficial to humans and the environment

Green urbanism has been defined as the practice of creating communities beneficial to humans and the environment. According to Timothy Beatley, it is an attempt to shape more sustainable places, communities and lifestyles, and consume less of the world's resources. Urban areas are able to lay the groundwork of how environmentally integrated and sustainable city planning can both provide and improve environmental benefits on the local, national, and international levels. Green urbanism is interdisciplinary, combining the collaboration of landscape architects, engineers, urban planners, ecologists, transport planners, physicists, psychologists, sociologists, economists and other specialists in addition to architects and urban designers.

Occupational hazards in dentistry are occupational hazards that are specifically associated within a dental care environment. Members of the dental team including dentists, hygienists, dental nurses and radiographers must ensure local protocols are followed to minimize risk.

Sustainable dentistry is when a dental organization voluntarily embeds corporate social responsibility into its organizational culture through the creation of a sustainability policy that outlines its commitment to and strategy for internally and externally focusing all its activities on realizing a triple bottom line, i.e. economic prosperity, social responsibility, and environmental stewardship. Managing sustainability in dentistry, therefore, is the implementation, monitoring, and adjusting of what this sustainability policy entails within a dental organization. Dental practices can uphold sustainable dentistry by reducing their carbon footprint through various methods such as monitoring product procurement.

References

  1. "How Green Impact works in healthcare @ Sustainability". sustainability.nus.org.uk. Retrieved 2018-08-31.
  2. "Dentistry". Centre for Sustainable Healthcare. 2015-10-01. Retrieved 2018-08-31.
  3. Rome, Adam (1 September 2003). ""Give Earth a Chance": The Environmental Movement and the Sixties". Journal of American History. 90 (2): 525–554. doi:10.2307/3659443. JSTOR   3659443. S2CID   163020937.
  4. Rodgers, William H (2012). "Giving voice to Rachel Carson: putting science into Environmental Law". Journal of Land Use & Environmental Law. 28 (1): 61–69.
  5. Baker, W. E.; Sinkula, J. M. (1 October 2005). "Environmental Marketing Strategy and Firm Performance: Effects on New Product Performance and Market Share". Journal of the Academy of Marketing Science. 33 (4): 461–475. doi:10.1177/0092070305276119. ISSN   0092-0703. S2CID   167746736.
  6. Maly, Kenneth (2004). "The Role of "Philosophy" in "Environmental Studies" or Why "Environmental Studies" Needs "Philosophy"". Environmental Philosophy. 1 (1): 75–78. doi:10.5840/envirophil20041118.
  7. 1 2 "A Green Business with Teeth"
  8. "More Dentists Choosing to Build 'Green' Offices" (PDF). Archived from the original (PDF) on 2010-06-28. Retrieved 2012-12-06.
  9. 1 2 3 "Policy Statement 6.21 – Dentistry and Sustainability". Australian Dental Association.
  10. "Sustainability in Dentistry". FDI World Dental Federation. 2017-10-03. Retrieved 2018-08-31.
  11. Duane, B.; Hyland, J.; Rowan, J.S.; Archibald, B. (September 2012). "Taking a bite out of Scotland's dental carbon emissions in the transition to a low carbon future". Public Health. 126 (9): 770–777. doi:10.1016/j.puhe.2012.05.032. PMID   22902137.
  12. Duane, B. (24 October 2014). "Green Dentistry: Motivating change". British Dental Journal. 217 (8): 388. doi:10.1038/sj.bdj.2014.915. PMID   25342330. S2CID   34744294.
  13. Duane, B.; Lee, M. Berners; White, S.; Stancliffe, R.; Steinbach, I. (2017-10-27). "An estimated carbon footprint of NHS primary dental care within England. How can dentistry be more environmentally sustainable?". BDJ. 223 (8): 589–593. doi:10.1038/sj.bdj.2017.839. ISSN   0007-0610. PMID   29074898. S2CID   25133766.
  14. "Carbon modelling within dentistry: towards a sustainable future". GOV.UK. Retrieved 2018-08-31.
  15. 1 2 3 Rastogi, Varun (2014). "Green Dentistry, A Metamorphosis Towards an Eco-Friendly Dentistry: A Short Communication". Journal of Clinical and Diagnostic Research. 8 (7): ZM01–2. doi:10.7860/JCDR/2014/8084.4556. PMC   4149172 . PMID   25177666.
  16. "Minamata Convention on Mercury and Dental Amalgam" (PDF).
  17. 1 2 "Policy Statement 6.11 – Dental Amalgam Waste Management". Australian Dental Association.
  18. "ISO 11143:2008". International Organization for Standardization.
  19. "Eco-friendly Dentistry: Need of Future. An Overview" (PDF).
  20. 1 2 "Sustainability in Orthodontics: what can we do to save our planet?" (PDF).{{cite journal}}: Cite journal requires |journal= (help)