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Orthodontic material packaging that will become garbage.
Source publication
The sustainability of the natural resources of our planet is a topic for worldwide debate. Mankind, during its evolution as a species, has not been greatly concerned about conserving the environment in which we live. Nowadays we are reaping the fruits of this neglect. Climatic changes and storms are good examples of this. We, humans, must re-think...
Contexts in source publication
Context 1
... sold in receptacles with a larger quantity of accessories, with these receptacles being manufactured of a recyclable product Elimination of packaging made of plastic materials, being replaced with biodegradable materials (Fig 1). ...
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Objective:
In addition to being an entertainment channel, YouTube is also one of the most popular visual information sources today. People search YouTube to consult also on orthodontics, as well as on many other topics. The objective of the present study was to analyze the quality and reliability of information of the videos on YouTube about ortho...
Awell finished orthodontic case is a result of precise bracket positioning during initial bonding. Orthodontists strive for accurate positioning of brackets so that we can avoid / minimize finishing arch wire bends. During the Bonding procedure, placing the bracket on tooth surface and then adjusting it to ideal position is time-consuming, also bra...
Aim: To assess the apprehension and viewpoint of Indian orthodontists about the outbreak of pandemic COVID-19. Subjects and Methods: A survey was conducted in April 2020, for which an online questionnaire was prepared in English language using Google Forms to collect the data. The questionnaire consisted of ten multiple-choice questions; one concer...
The objective of this study was to assess the effect of a UV light-based auxiliary illumination on adhesive remnant (AR) removal after orthodontic debonding. Sixty human molars were divided according to the adhesive used for bonding: O-opaque; LF-low fluorescence; and HF-high fluorescence. After debonding, the teeth were subdivided according to the...
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Citations
... These were imported into OnyxCeph software (Image Instruments GmbH) and opened in the Inspect 3D module. All scanned models and the reference model were selected and aligned precisely with the maxillary teeth (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) marked as the specific area of interest. The Inspect 3D module uses model registration performed through the ICP algorithm. ...
... The environmental impact of orthodontic treatment and the increasing recourse to 3D printing is increasingly being considered both on a local 25 and global 26,27 level. These concerns have contributed to a drive to refine and ingrain the use of directly printed aligners and retainers, 28 obviating the need for printing of models. ...
Objectives
To investigate the dimensional stability of various 3D-printed models derived from resin and plant-based, biodegradable plastics (PLA) under specific storage conditions for a period of up to 21 weeks.
Materials and Methods
Four different printing materials, including Draft V2, study model 2, and Ortho model OD01 resins as well as PLA mineral, were evaluated over a 21-week period. Eighty 3D-printed models were divided equally into two groups, with one group stored in darkness and the other exposed to daylight. All models were stored at a constant room temperature (20°C). Measurements were taken at 7-week intervals using the Inspect 3D module in OnyxCeph software (Image Instruments GmbH, Chemnitz, Germany).
Results
Dimensional change was noted for all of the models with shrinkage of up to 0.26 mm over the study period. Most contraction occured from baseline to T1, although significant further contraction also arose from T1 to T2 (P < .001) and T1 to T3 (P < .001). More shrinkage was observed when exposed to daylight overall and for each resin type (P < .01). The least shrinkage was noted with Ortho model OD01 resin (0.16 mm, SD = 0.06), and the highest level of shrinkage was observed for Draft V2 resin (0.23 mm, SD = 0.06; P < .001).
Conclusions
Shrinkage of 3D-printed models is pervasive, arising regardless of the material used (PLA or resin) and being independent of the brand or storage conditions. Consequently, immediate utilization of 3D printing for orthodontic appliance purposes may be preferable, with prolonged storage risking the manufacture of inaccurate orthodontic retainers and appliances.
... Other metals that are regularly used in dentistry, have the potential for re-using and re-cycling; such as orthodontic brackets and wires. Alternative materials with lower carbon footprints to stainless steel (6.15 kgCO2e/kg), should be considered, such as ceramics (1.14 kgCO 2 e/kg) and brass (2.42 kgCO 2 e/kg) [32,36,53,79,148]. ...
Objectives:
(i) To undertake a comprehensive scoping review of the literature that addresses the research question 'What is the current state of environmental sustainability in general dental practice?' (ii) To provide an effective baseline of data that will consider general awareness, barriers and challenges for the implementation of sustainable practice. Data & sources. The scoping review was conducted for all published literature in the English language that addresses this topic up to the 31st April 2021. The method of the PRISMA-ScR (PRISMA extension for Scoping Reviews) was followed. 128 papers included in this scoping review consisted of: Commentary [Letters, editorials, communication and opinion] (n=39); Research (n=60); Literature reviews (n=25); Reports [Policy and legislation] (n=4). Each included record was analysed for emerging themes that were further classified according to their general relevance. The scoping review is considered over two manuscripts, with this first paper focusing on awareness of the problem and barriers or challenges to the implementation of sustainable care.
Conclusions:
Eight diverse but closely interlinked themes that influence the sustainability of oral health provision were identified: Environmental impacts (CO2e, air and water); Reduce, reuse, recycle and rethink; Policy and guidelines; Biomedical waste management; Plastics (SUPs); Procurement; Research & Education; Materials. Barriers to implementation were identified as: Lack of professional and public awareness; carbon emissions arising from patient and staff commute; challenges associated with the recovery and recycling of biomedical waste with a focus on SUPs; lack of knowledge and education into sustainable healthcare provision and; the challenges from the manufacturing, use and disposal of dental materials.
... Consideration is given to a number of complementary strategies such as producing own renewable energy: Solar panels, wind turbines, solar thermal systems and heat pumps [10,21,23,[25][26][27][28][29]. At a domestic level, the following energy practices are recommended: Using energy efficient appliances (LED, fluorescent bulbs, sensor lights, dimmer switches, air conditioning, LED monitors/TVs); making use of natural lighting; incorporate an electrical shutdown policy for when electrical appliances will not be used; maintain and upgrade boilers and air conditioning units to more energy-efficient with thermostats and timers; make better use of windows and blinds to regulate temperature before switching on air conditioning; lower temperature by a few degrees on water heaters and washing machines; and maintain all equipment to ensure that it is running efficiently [8,10,21,[23][24][25][26][27][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. ...
... Consideration is given to a number of complementary strategies such as producing own renewable energy: Solar panels, wind turbines, solar thermal systems and heat pumps [10,21,23,[25][26][27][28][29]. At a domestic level, the following energy practices are recommended: Using energy efficient appliances (LED, fluorescent bulbs, sensor lights, dimmer switches, air conditioning, LED monitors/TVs); making use of natural lighting; incorporate an electrical shutdown policy for when electrical appliances will not be used; maintain and upgrade boilers and air conditioning units to more energy-efficient with thermostats and timers; make better use of windows and blinds to regulate temperature before switching on air conditioning; lower temperature by a few degrees on water heaters and washing machines; and maintain all equipment to ensure that it is running efficiently [8,10,21,[23][24][25][26][27][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. ...
... Mitigating actions are identified to manage the use of water more effectively with reduced waste: The installation of water meters; use of low flow devices; replacement of wet vacuum pumps with dry pumps; turning off the tap when brushing; auditing water consumption; turn off water-consuming equipment when not in use; maintain equipment, taps and avoid leaks; use non-water based products for cleaning where possible; run autoclaves and practice laundry machines when fully loaded; increase staff and patient awareness through the use of motivational stickers/posters against wasting water; use water-saving toilet and collect rainwater for watering and equipment that does not require potable water [23,[26][27][28][29]32,33,36,37,[39][40][41][45][46][47]. ...
Objectives:
To undertake a comprehensive scoping review of the literature to address the research question 'What is the current state of environmental sustainability in general dental practice?' To provide an effective baseline of data that will consider the drivers, opportunities and recommendations for the implementation of sustainable practice. Data & sources. The scoping review was conducted for all published literature in the English language that addresses this topic up to the 31st April 2021. The method of the PRISMA-ScR (PRISMA extension for Scoping Reviews was followed. 128 papers included in this scoping review consisted of: Commentary [Letters, editorials, communication and opinion] (n=39); Research (n=60); Literature reviews (n=25); Reports [Policy and legislation] (n=4). Each included record was analysed for emerging themes that were further classified according to their general relevance. The scoping review is considered over two manuscripts, with this second paper focusing on the opportunities, recommendations and best practice to develop and engage with sustainable practice.
Conclusions:
Drivers, opportunities and recommendations for best practice to achieve environmentally sustainable goals in oral health care: The lack of public and professional awareness is the greatest driver to engage with a positive change of behaviour and attitudes. Awareness through education is key at all levels and this should be the bedrock of future strategies. Reduction in staff and patient commuter travel through a reduction of the incidence of preventable oral diseases, improved patient care logistics and IT. Reducing waste and increase recycling opportunities, especially for SUPs. Engagement with legislation and policy makers. Engagement with key stakeholders across the dental materials/products supply chain for the management of manufacturing, distribution, procurement, clinical use and waste management.
... Enumerable studies are being carried out around the world to identify various reconditioning protocols to reuse some stainless steel equipment like orthodontic brackets and dental implants. While most of these procedures must be carried out by the manufacturer and not by the clinician, implementation of such programs and rewards for the same will encourage reuse and recycling (de Oliveira Correia et al. 2017;Sachdev et al. 2017;Pithon et al. 2017). Hand instruments especially metal instruments can be recycled after they lose their use in the dental office. ...
As climate changes become more evident, humans have become more ecologically conscious. The focus has shifted from merely development, to reducing our footprint on the environment and bringing about sustainable development. The concept of “sustainable development” emphasizes on development along with conservation of natural resources to meet the needs of the future generations. This principle can be successfully incorporated in the healing profession of dentistry. A comprehensive electronic data search was conducted in Google Scholar and PubMed search engines to identify articles instilling the concept of sustainability in dentistry. Only original studies and review articles published in English were considered for the following systematic review. Five hundred and ninety-eight results were obtained from the electronic database search, of which 66 fulfilled the eligibility criteria and were included in the study. Forty-seven of these were review articles and 19 were original studies. A number of organizations offer knowledge, membership, standards and best practices to dentists willing to adopt and practice eco-friendly dentistry. The concept of “Green Dentistry” incorporates the 4 R’s: Reduce, Reuse, Recycle and Rethink. While on one the hand simple substitutions and changes can curb wastage, in some other cases it may take a little extra effort or money to adopt sustainable development in dentistry. Dental professionals throughout the world are collectively working to reduce the environmental impact of dental practice. The efforts of every green dental surgeon and green dental practice are transforming the dental industry by adopting the model of green dentistry.
... However, despite the institutional involvement cited above, such sustainable frameworks are not yet applicable, particularly in the orthodontics area. Moreover, scientific literature is still free from studies in this field, except for the abundance of works that are predominantly narrative (Pithon et al., 2017). ...
Despite the growing demand for orthodontic care, a framework to support sustainable orthodontic decision-making is lacking, even if scientific literature offers several attempts to deal with this issue. As well known, dentistry generates solid health residues that include heavy metals and biomedical waste, that asks for a professional duty and a social responsibility of the orthodontist that should transform, more and more, his daily practice to a sustainable one, by adopting environmental oriented measures and, at the same time, cutting the overall costs of his professional performance while keeping the per- formance standards high. This work aims at filling such a gap in knowledge by proposing a decision tree algorithm that, besides increasing the level of agreement within and between orthodontists, allows for the adoption of a framework of sustainable orthodontic best practices, using a dataset of 290 randomly selected patients generated from 2011 medical records of patients of the orthodontic School at the University of Napoli “Federico II”.
The best practices framework, provided as if-then rules which can be easily inspected by orthodontists, represents a sustainable model in that it minimizes the time and resources employed for dentistry decision-making, dramatically reduce the environmental impact in terms of waste and use of electric equipment and tools, and increases patient satisfaction by delivering quick and appropriate treatment, thus meeting the economic, environmental and social pillars of sustainability in health care.
Eco-friendly dentistry often known as green dentistry, is a wellness-based dental practice that uses cutting-edge technology, conserves energy, money, and minimizes waste and pollution. In the course of their work, dentists employ a wide range of materials and tools, some of which could pose environmental risks. It is the duty of dentists to take several safety measures to guarantee that patients, employees, and the surroundings are safeguarded. Green dentistry increases the environmental awareness among dental professionals. This review article identifies the common wastes produced by dentistry and recommendations for reducing the environmental effect that can ensure patients as well as worker safety and prevent the risk of future liability which help in protecting our air, water and land.
Objective:
To highlight the potential environmental impact of different aspects of orthodontic care in the United Kingdom, outline the major barriers and challenges to reducing this impact, and summarise the possible action that could help the orthodontic community to tackle the climate change crisis.
Impact:
Travel, procurement and supply, material use, waste management, energy use and water consumption within dentistry have a considerable effect on the environment. There are, however, marked knowledge gaps pertaining to the impact of orthodontic treatment.
Challenges:
The lack of awareness of the NHS contribution to the carbon footprint and net-zero goals among healthcare workers, the NHS backlogs and budget cuts, and cross-infection control requirements particularly following the COVID-19 pandemic are some of the many challenges to making healthcare delivery more sustainable.
Opportunities:
By considering the triple bottom line (social, environmental and economic), incorporating the four Rs (Reduce, Reuse, Recycle, Rethink), taking practical action, including steps to educate ourselves and the wider team, and to promote research on environmental sustainability, we can get one step closer to reaching the NHS net-zero goals.
Conclusion:
Climate change is a global health threat with multiple contributors associated with orthodontic treatment delivery, which can be tackled on an individual, organisational and system level.
INTRODUÇÃO: A administração do excesso de resíduos produzidos, principalmente em ambientes clínicos,é vista atualmente como um problema de saúde pública. Este panorama se deve à necessidade de controleda contaminação, refletido no uso contínuo de descartáveis como meio de garantir os princípios dabiossegurança. Entretanto, é possível lançar mão de itens reutilizáveis que se adéquam às normas debiossegurança, com o auxílio dos métodos corretos de higienização e de esterilização. Os camposodontológicos de tecido são uma alternativa sustentável em substituição à utilização dos camposdescartáveis. OBJETIVO: Este estudo propõe um protocolo para utilização dos campos reutilizáveis comoforramento das mesas de trabalho e auxiliares, apresentando sugestões para o transporte, manipulação elavagem. MATERIAL E MÉTODOS: Foi realizada uma busca na literatura acerca de informações sobre usode campos de tecido, biossegurança na clínica odontológica e regulamentações para desinfecção demateriais e de superfícies no Brasil. RESULTADO: Por meio de programas de edição de imagem, umresumo ilustrativo com infográfico simplificado do protocolo contando com oito passos de execução foidesenvolvido. CONCLUSÃO: Conclui-se que, embora campos de tecido sujos estejam potencialmentecontaminados, o risco de transmissão de doenças para os profissionais e para os pacientes que mantémcontato direto com este tecido torna-se desprezível, quando adequadamente manuseados, higienizados eesterilizados. Pretende-se, com este trabalho, oferecer uma alternativa de uso segura para estes camposreutilizáveis, além de fomentar a discussão sobre a produção excessiva de lixo no ambiente clínico.PALAVRAS-CHAVE: Contenção de Riscos Biológicos; Indicadores de Desenvolvimento Sustentável; Meio Ambiente; Esterilização; Controle de Infecções.
