Abstract
The purchasing of dental goods and services accounts for 19% of the overall carbon impacts of dentistry.
Responsibility for reducing this impact is shared by health systems, suppliers, industry groups, and patients. To accelerate the pace of change, we need strong collaboration across all of these. Collaborating with suppliers, industry groups and health systems could help accelerate the pace of change.
Dentists and oral healthcare professionals may influence, and ultimately reduce impacts by buying less (buying smarter, being more efficient, improving stock control, review expiry dates) buying better (products with improved reduced impacts, from sustainable suppliers, with smarter, less minimal or least impactful packaging, educating patients on effective use of products, preventative care).
We also talk about the ideal product; one that which ideally should be safe, fit for purpose, from renewable sources and not fossil fuel based, grown, able to be reused repeatedly, supplied in sustainable packaging, biodegradable into harmless elements, easy to clean and reuse, simple, transported with clean vehicles or ‘made’ at the point of care, produced with renewable energy, manufactured in ways that do not involve abuse of labour, and, of course, inexpensive!
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References
Duane B, Berners Lee M, White S, Stancliffe R, Steinbach I. An estimated carbon footprint of NHS primary dental care within England. How can dentistry be more environmentally sustainable? Br Dent J. 2017;223:589–93.
NHS England. Decontamination in primary care dental practices. https://www.england.nhs.uk/publication/decontamination-in-primary-care-dental-practices-htm-01-05/.
Byrne—Awaiting acceptance. contact BDJ for more information. https://www.nature.com/articles/s41415-022-4912-4.
Unger SR, Landis AE. Comparative life cycle assessment of reused versus disposable dental burs. Int J Life Cycle Assess. 2014;19:1623–31.
Boyce JM. A review of wipes used to disinfect hard surfaces in health care facilities. Am J Infect Control. 2021;49(1):104–14. https://doi.org/10.1016/j.ajic.2020.06.183. Epub 2020 Jun 19.
Mulligan S, Kakonyi G, Moharamzadeh K, Thornton S, Martin N. The environmental impact of dental amalgam and resin-based composite materials. Br Dent J. 2018;224:542–8.
Khangura SD, Seal K, Esfandiari S, et al. Composite resin versus amalgam for dental restorations: a health technology assessment. Health Technology Assessment Report No. 147. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2018. https://www.ncbi.nlm.nih.gov/books/NBK531946/.
Health Care Without Harm. Cleaners and disinfectants. 2019. https://noharm-uscanada.org/issues/us-canada/cleaners-and-disinfectants.
Rasines Alcaraz MG, Veitz-Keenan A, Sahrmann P, Schmidlin PR, Davis D, Iheozor-Ejiofor Z. Direct composite resin fillings versus amalgam fillings for permanent or adult posterior teeth. Cochrane Database Syst Rev. 2014;3:CD005620. https://doi.org/10.1002/14651858.CD005620.pub2.
BPF. How is plastic made? A simple step-by-step explanation. https://www.bpf.co.uk/plastipedia/how-is-plastic-made.aspx#:~:text=In%20the%20refining%20process%2C%20crude,a%20large%20amount%20of%20plastic.
Walkerab S, Rothmanab R. Life cycle assessment of bio-based and fossil-based plastic: a review. 2020; Journal of Cleaner Production, 261:121158.
European Council. All products based on fossil fuels could be made from biomass—Dr. Philippe Mengal. https://ec.europa.eu/research-and-innovation/en/horizon-magazine/all-products-based-fossil-fuels-could-be-made-biomass-dr-philippe-mengal.
Cywar RM, Rorrer NA, Hoyt CB, et al. Bio-based polymers with performance-advantaged properties. Nat Rev Mater. 2021;7:83–103. https://doi.org/10.1038/s41578-021-00363-3.
Nicholson SR, Rorrer NA, Carpenter AC and Beckham GT. Manufacturing energy and greenhouse gas emissions associated with plastics consumption. Joule. 2021. https://doi.org/10.1016/j.joule.2020.12.027.
British Plastics Federation. Bio-based plastics: feedstocks, production and the UK market. https://www.bpf.co.uk/plastipedia/polymers/biobased_plastics_feedstocks_production_and_the_uk_market.aspx.
Rameshkumar S, Parameswaran S, O’Connor KE, Babu R. Bio-based and biodegradable polymers—state-of-the-art, challenges and emerging trends. Curr Opin Green Sustain Chem. 2019;21:75–81.
Lambert S, Wagner M. Environmental performance of bio-based and biodegradable plastics: the road ahead. Chem Soc Rev. 2017;46(22):6855–71. https://doi.org/10.1039/c7cs00149e.
MarinaTex. A home compostable alternative to plastic film. https://www.marinatex.co.uk.
Lyne A, Ashley P, Saget S, Porto Costa M, Underwood B, Duane B. Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model. Br Dent J. 2020;229(5):303–9. https://doi.org/10.1038/s41415-020-1981-0.
European Bioplastics. https://www.european-bioplastics.org/bioplastics/.
Beardwood. Colgates bamboo toothbrush. https://beardwood.com/updates/sustainable-packaging-design-colgates-bamboo-toothbrush/.
Duane B, Ashley P, Saget S, Richards D, Pasdeki-Clewer E, Lyne A. Incorporating sustainability into assessment of oral health interventions. Br Dent J. 2020;229(5):310–4. https://doi.org/10.1038/s41415-020-1993-9.
European Parliament News. Plastic waste and recycling in the EU: facts and figures. https://www.europarl.europa.eu/news/en/headlines/society/20181212STO21610/plastic-waste-and-recycling-in-the-eu-facts-and-figures.
Chemical and Engineering news. Plastic has a problem; is chemical recycling the solution? https://cen.acs.org/environment/recycling/Plastic-problem-chemical-recycling-solution/97/i39.
Armenise S, Syieluing W, Ramírez-Velásquez J, Launay F, Wuebben D, et al. Plastic waste recycling via pyrolysis: a bibliometric survey and literature review. J Anal Appl Pyrolysis. 2021;158:105265. https://doi.org/10.1016/j.jaap.2021.105265.
Terracycle. How we recycle. https://www.terracycle.com/en-GB/about-terracycle/how_we_solve.
Public Health England. Carbon modelling within dentistry. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/724777/Carbon_modelling_within_dentistry.pdf. Accessed 30 June 2021.
The Guardian. What’s the carbon footprint of…a banana? https://www.theguardian.com/environment/green-living-blog/2010/jul/01/carbon-footprint-banana. Accessed Apr 2018.
CO2 emissions from freight transport: an analysis of UK data. http://www.greenlogistics.org/SiteResources/d82cc048-4b92-4c2a-a014-af1eea7d76d0_CO2%20Emissions%20from%20Freight%20Transport%20-%20An%20Analysis%20of%20UK%20Data.pdf. Accessed Apr 2018.
Duane B, Harford S, Ramasubbu D, Stancliffe R, Pasdeki-Clewer E, Lomax R, Steinbach I. Environmentally sustainable dentistry: a brief introduction to sustainable concepts within the dental practice. Br Dent J. 2019;226(4):292–5. https://doi.org/10.1038/s41415-019-0010-7.
Duane B, Ramasubbu D, Harford S, Steinbach I, Swan J, Croasdale K, Stancliffe R. Environmental sustainability and waste within the dental practice. Br Dent J. 2019;226(8):611–8. https://doi.org/10.1038/s41415-019-0194-x.
Duane B, Harford S, Steinbach I, Stancliffe R, Swan J, Lomax R, Pasdeki-Clewer E, Ramasubbu D. Environmentally sustainable dentistry: energy use within the dental practice. Br Dent J. 2019;226(5):367–73. https://doi.org/10.1038/s41415-019-0044-x.
Duane B, Ramasubbu D, Harford S, Steinbach I, Stancliffe R, Ballantyne G. Environmental sustainability and biodiversity within the dental practice. Br Dent J. 2019;226(9):701–5. https://doi.org/10.1038/s41415-019-0208-8.
Duane B, Croasdale K, Ramasubbu D, Harford S, Steinbach I, Stancliffe R, Vadher D. Environmental sustainability: measuring and embedding sustainable practice into the dental practice. Br Dent J. 2019;226(11):891–6. https://doi.org/10.1038/s41415-019-0355-y.
Duane B, Ramasubbu D, Harford S, Steinbach I, Stancliffe R, Croasdale K, Pasdeki-Clewer E. Environmental sustainability and procurement: purchasing products for the dental setting. Br Dent J. 2019;226(6):453–8. https://doi.org/10.1038/s41415-019-0080-6.
Duane B, Steinbach I, Ramasubbu D, Stancliffe R, Croasdale K, Harford S, Lomax R. Environmental sustainability and travel within the dental practice. Br Dent J. 2019;226(7):525–30. https://doi.org/10.1038/s41415-019-0115-z.
Environmental protection agency. Carbon Pollution from Transportation. https://www.epa.gov/transportation-air-pollution-and-climate-change/carbon-pollution-transportation.
IEA. Renewables. 2019. https://www.iea.org/reports/renewables-2019.
Bhutta MF. Fair and ethical trade in health procurement. Lancet. 2008;372(9654):1935–7. https://doi.org/10.1016/S0140-6736(08)61826-7.
British Medical Association. Ethical procurement for health: workbook 2.0,1 a guide and workbook for protecting labour rights in medical supply chains. https://www.bma.org.uk/media/2409/ethical_procurement_for_health_workbook_20_final_web.pdf.
Chancery Lane Project. The net zero standard for suppliers. https://chancerylaneproject.org/climate-clauses/the-net-zero-standard-for-suppliers/.
Nike. Response to greenpeace report. https://news.nike.com/news/nike-inc%E2%80%99s-response-to-greenpeace-report.
Green impact for health toolkit. https://www.greenerpractice.co.uk/gifh-audit.
Greenbiz. Kaiser applies new green scorecard. https://www.greenbiz.com/article/kaiser-applies-new-green-scorecard-1b-medical-supply-chain.
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Pasdeki-Clewer, E., Wilmott, S., Duane, B. (2022). Buying Sustainably and Ethically for the Dental Practice (Procurement). In: Duane, B. (eds) Sustainable Dentistry. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-031-07999-3_9
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DOI: https://doi.org/10.1007/978-3-031-07999-3_9
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