GREEN DENTISTRY: SUSTAINABILITY IN DENTISTRY

Öz

Henüz yeni bir alan olan "yeşil diş hekimliği"ndeki yaklaşım, diş hekimliğinin çevreye verdiği zararın azaltılmasıdır. Diş hekimi muayenehanesi atıklarının çoğunluğu dört uygulamadan kaynaklanmaktadır: Amalgam, geleneksel vakumlu emme sistemleri, enfeksiyon kontrol teknikleri, tek kullanımlık malzemeler ve standart X-ışını ekipmanı. Çok sayıda diş malzemesi doğaya zarar vermekte ve karbon ayak izi bırakmaktadır. Geri dönüştürülebilir veya yeniden kullanılabilir malzemelerin seçilmesi çok önemlidir. Bu çalışma, diş hekimliğinin çevreyi etkilediği konulara dikkat çekmeye çalışmakta ve diş hekimlerinin potansiyel olarak tehlikeli atık miktarını azaltabilecekleri eylemleri özetlemektedir.

Anahtar Kelimeler

• Green dentistry
• eco-friendly dentistry
• sustainable dentistry
• sustainability

Kaynakça

1. [1] Color meaning. Retrieved from http://www.bourncreative.com/ meaning- of –the color-green. Accessed. (October 2013).
2. [2]What is eco – friendly dentistry? Retrieved from http://www.orasurgery.com/ecofriendly/want-is-eco-friendly.php.
3. [3] Farhani A, Suchak M. Eco-friendly Dentistry: The environmentally-responsible dental practice. University of Waterloo, 2007. Available at http://c.ymcdn.com/ sites/www.ecodentistry.org/resource/resmgr/docs/ecofriendly_dentistry_jcda.pdf (accessed January 2017).
4. [4Koos S. Eco-friendly dentistry. Available at http://www. dentistryiq.com/articles/2010/01/eco-friendly-dentistry. html (accessed January 2017).
5. [5] United Nations. Report of the World Commission on Environment and Development – General Assembly Resolution 42/187. 11 December 1987. Available at http://www.un.org/documents/ga/res/42/ares42-187. htm (accessed January 2017).
6. [6] Eco Dentistry Association. About green dentistry. Berkeley: Eco Dentistry Association, 2013 [cited 2013 Nov 11].Available from: http://www.ecodentistry.org? about green dentistry
7. [7] Passi S, Bhalla S. Go green dentistry. J Educ Ethics Dent. 2012;2(1):10–12.
8. [8] Pockrass F, Pockrass I. The four “R’s” of Eco-friendly dentistry. Am Dent Hyg Assoc. 2008;22: 18-21.

9. [9] Tobacco Free RNAO. Brief Intervention: the 4 A’s. 2018 [cited 2018 Aug 25]. Avalaible from: http://tobaccofreernao.ca/en/4-s
10. [10] Harford S, Ramasubbu D, Duane B. How-to Guide for dental practices sustainable dentistry.entre for Sustainable Healthcare, Oxford, 2019.
11. [11] Duane B, Harford S, Ramasubbu D, Stancliffe R, PasdekiClewer E, Lomax R, et al. Environmentally sustainable dentistry: a brief introduction to sustainable concepts within the dental practice. Br Dent J. 2019;226:292-295.
12. [12] Nasser M, Evidence summary: can plastics used in dentistry act as an environmental pollutant? Can we avoid the use of plastics in dental practice? Br Dent J 2012; 212: 89–91.
13. [13] Thompson R C, Moore C J, vom Saal F S, Swan S H. Phil. Trans. Plastics, the environment and human health: current consensus and future trends. Philos Trans R Soc Lond B Biol Sci 2009; 364: 2153–2166.
14. [14] What exactly is green dentistry? Available from: http://www.ecodentistry.org/. Accessed (October 2013). [15] G Chin, J Chong, A Kluczewska, A Lau, S Gorjy, M Tennant. The environmental effects of dental amalgam. Australian Dental Journal. 2008; 45(4): 246-96.
15. [16] Canadian Dental Association. CDA position on dental amalgam. February 2005. Available from URL: http://www.cda-adc.ca/_files/position_statements/amalgam.pdf (accessed December 2006).
16. [17] FDI World Dental Federation. FDI policy statement. WHO consensus statement on dental amalgam. 1997. Available from URL: http://www. fdiworldental.org/federation/assets/statements/ENGLISH/Amalgam/Dental_ Amalgam.pdf (accessed December 2006).
17. [18] Chin G, Chong A, Kluczewska A, Lau A, Gorjy S, Tennant M. The environmental effects of dental amalgam. Aust Dent J 2000; 45(4):246–9. [19] Westman JF, Tuominen T. Amalgam waste management. Issues and answers. N Y State Dent J 2000; 66(8):20–4. [20] Kao RT, Dault S, Pichay T. Understanding the mercury reduction issue: the impact of mercury on the environment and human health. J Calif Dent Assoc 2004; 32(7):574–9. [21] Samek L. Disposing of hazardous waste. An update on waste management studies. Ont Dent. 1994; 71 (7): 19-20. [22] Anderson K. Creating an environmentally friendly dental practice. CDS Rev. 1999; 12-18.14.
18. [23] Chilibeck R. Mercury pollution in dental office waste water. J Can Dent Assoc. 2000; 66(4): 174-75.
19. [24] Barron T. Mercury in our environment. J Calif Dent Assoc 2004; 32(7):556–63.
20. [25] Clarkson TW, Magos L, Myers GJ. The toxicology of mercury — current exposures and clinical manifestations. N Engl J Med 2003; 349(18):1731–7.
21. [26] Factor-Litvak P, Hasselgren G, Jacobs D, Begg M, Kline J, Geier J, and others. Mercury derived from dental amalgams and neuropsychologic function. Environ Health Perspect 2003; 111(5):719–23.
22. [27] Jones DW. Putting dental mercury pollution into perspective. Br Dent J 2004; 197(4):175–7.
23. [28] Jones DW. A Canadian perspective on the dental amalgam issue. Br Dent J 1998; 184(12):581–6.
24. [29] Jones DW. Exposure or absorption and the crucial question of limits for mercury. J Can Dent Assoc 1999; 65(1):42–6.
25. [30] Rogers KD. Status of scrap (recyclable) dental amalgams as environmental health hazards or toxic substances. J Am Dent Assoc 1989; 119(1):159–6620. Letzel H, de Boer FA, van’t Hof MA. An estimation of the size distribution of amalgam particles in dental treatment waste. J Dent Res 1997; 76(3):780–8.
26. [31] Johnson WJ, Pichay TJ. Dentistry, amalgam, and pollution prevention. J Calif Dent Assoc 2001; 29(7):509–17.
27. [32] Trip L. Canada-wide standards: a pollution prevention program for dental amalgam waste. J Can Dent Assoc 2001; 67(5):270–3. Available from URL: http://www.cda-adc.ca/jcda/vol-67/issue-5/270.pdf (accessed December 2006).
28. [33] Stone ME. The effect of amalgam separators on mercury loading to wastewater treatment plants. J Calif Dent Assoc 2004; 32(7):593–600. [34] EPA Fact Sheet: National listing of fish advisories. [Website of the United States Environmental Protection Agency, Office of Water]; August 2004. EPA-823-F-04-016. Available from URL: www.epa.gov/waterscience/fish/advisories/factsheet.pdf(accessed December 2006). [34] Condrin AK. The use of CDA best management practices and amalgam separators to improve the management of dental wastewater. J Calif Dent Assoc 2004; 32(7):583–92.
29. [35] Best management practices for amalgam waste. In A–Z topics. [Website of the American Dental Association]. Available from URL: www.ada.org/prof/resources/topics/amalgam_bmp.asp (accessed December 2006).
30. [36] Canadian Council of Ministers of the Environment. Canada-wide standard on mercury for dental amalgam waste. 2001. p. 1–6. Available from URL: www.ccme.ca/assets/pdf/cws_merc_amalgam_e.pdf (accessed December 2006).
31. [37] Pichay TJ. Dental amalgam: regulating its use and disposal. J Calif Dent Assoc 2004; 32(7):580–2.
32. [38] Best management practices for hazardous dental waste disposal. [Website of the Nova Scotia Dental Association]. Available from URL: www.nsdental.org/hazardous.htm (accessed December 2006).
33. [39] Canadian Dental Association. Dental amalgam waste protocol. 2005. Available from URL: http://www.cda-adc.ca/en/dental_profession/practising/amalgam_waste/index.asp (accessed December 2006).
34. [40] Soucy B. Response (to amalgam safety) [Letter]. J Can Dent Assoc 2000; 66(9):476–7.
35. [41] Canada-wide standards for mercury (mercury emissions, mercury-containing lamps, and mercury for dental amalgam waste): a report on progress. [Website of the Canadian Council of Ministers of the Environment], June 2005. Available from URL: www.ccme.ca/assets/pdf/joint_hg_progress_rpt_e.pdf (accessed December 2006).
36. [42] Mercury and the environment. [Website of Environment Canada]. Available from URL: www.ec.gc.ca/MERCURY/ (accessed December 2006).
37. [43] Halifax Regional Municipality by-law W-101: Respecting discharge into public sewers. [Website of the Halifax Regional Municipality], 2001. Available from URL: www.halifax.ca/legislation/bylaws/hrm/documents/By-LawW101_000.pdf (accessed Nov. 13, 2006)
38. [44] Frey JD. Wastewater management: amalgam and silver — a critical issue. J Indiana Dent Assoc 1994; 73(4):4–5.
39. [45] Vandeven JA, McGinnis SL. Cost-effectiveness of removing amalgam from dental wastewater. J Calif Dent Assoc 2004; 32(7):564–73.
40. [46] Adegbembo AO, Watson PA, Lugowski SJ. The weight of wastes generated by removal of dental amalgam restorations and the concentration of mercury in dental wastewater. J Calif Dent Assoc 2002; 68(9):553–8.
41. [47] Fan PL, Arenholt-Bindslev D, Schmaiz G, Halbach S, Berendsen H. Environmental issues in dentistry — mercury. FDI Commission. Int Dent J 1997; 47(2):105–9.
42. [48] Albert SB. Taking the lead in amalgam waste recycling. N Y State Dent J 2000; 66(8):4–5.
43. [49] Swanson RL, Roethel FJ, Bauer H. Reuse of lead from dental X-rays. N Y State Dent J 1999; 65(3):34–6.
44. [50] Needleman HL., Gatsonis CA. Low-level lead exposure and the IQ of children: a meta-analysis of modern studies. J Am Dent Assoc 1990; 263(5):673–8. [51] Thacker SB, Hoffman DA, Smith J, Steinberg K, Zack M. Effect of lowlevel body burdens of lead on the mental development of children: limitations of meta-analysis in a review of longitudinal data. Arch Environ Health1992; 47(5):336–46.
45. [52] Stark AM. Disposal options for infectious medical waste generated during home-based dental care. Spec Care Dentist 1998; 18(5):207–13.
46. [53] Canadian Council of Ministers of the Environment (CCME). Guidelines for the management of biomedical waste in Canada. February 1992. CCME-RPC-WM-42E.
47. [54] Appendix 3 — Definition of biomedical waste. Environment Canada, National Pollutant Release Inventory (NPRI). Available from URL: www.ec.gc.ca/pdb/npri/2004Guidance/Guide2004/Guide2004_app3_e.cfm (accessed December 2006).
48. [55] Palenik CJ. Managing regulated waste in dental environments. J Contemp Dent Pract. 2003; 4: 76. [56] Balfry G. Green dentistry [Letter]. Br Dent J 2001; 191(7):356.
49. [57] Hiltz M. The Environmental Impact of Dentistry. J Can Dent Assoc. 2007; 73(1):59- 62.
50. [58] Available from: https://www.en.wikipedia.org/wiki/Holisticdentistry. [Last modified on 2016 Oct 09].
51. [59] Eco Friendly Dentistry – ORA Oral Surgery & Implant Studio. Available from: http://www.orasurgery.com/ecofriendly/want-iseco-friendly.php. [Last accessed on 2016 Oct 09].
52. [60] Carbon footprint in Hungary. Official Statistics, 2018 [Hungarian].
53. [61] Páldy A, Bobvos J, Málnási T. The Impact of Climate Change on Human Health and Health Care System in Hungary Magyar Tudomány 2018;179:1336–1348.
54. [62] Martin N, Sheppard M, Gorasia G, Arora P, Cooper M, Mulligan S. Awareness and barriers to sustainability in dentistry: A scoping review. J Dent. 2021;112:103735.
55. [63] Hegedus T, Kreuter P, Kismarczi-Antalffy AA, Demeter T, Banyai D, Vegh A, et al. User Experience and Sustainability of 3D Printing in Dentistry. Int J Environ Res Public Health. 2022;19: 1921.
56. [64] Toma A, Crişan O. Research on developing environmental ethics in pharmacists’ activities. Environ Health. 2021;20: 52.
57. [65] Martin N, Mulligan S. Environmental Sustainability Through Good-Quality Oral Healthcare. Int Dent J. 2022;72: 26-30.
58. [66] Mulligan S, Kakonyi G, Moharamzadeh K, Thornton S F, Martin N. The environmental impact of dental amalgam and resin-based composite materials. Br Dent J 2018; 224: 542–548.
59. [67] Minamata Convention on Mercury. Text and annexes. 2019. Available at https://www.mercuryconvention. org/en/resources/minamata-convention-mercurytext-and-annexes (accessed July 2021).
60. [68] UK Government. Regulation (EU) 2017/852 of the European Parliament and of the Council. 2017. Available at https://www.legislation.gov.uk/ eur/2017/852/article/10 (accessed September 2021).
61. [69] Healthcare without harm. Non-Incineration Medical Waste Treatment Technologies. Available at https://noharm.org/ sites/default/files/lib/downloads/waste/Non-Incineration_Technologies.pdf (accessed January 2017).
62. [70] Holland C. Investigation: Greening up the bottom line. Br Dent J 2014; 217: 10–11.
63. [71] Mazur M, Ndokaj, Jedliński M, et al. How Dentistry is impacting the environment. Senses Sci. 2020; 6(4):922-928.
64. [72] Mazur M, Jedliński M, Ndokaj A, et al. Challenges in diagnosing and managing non-cavitated occlusal caries lesions. A Literature overview and a report of a case. Clin Ter. 2021; 171(1):e80-e86.
65. [73] Askar H, Krois J, Rohrer C, et al. Detecting white spot lesions on dental photography using deep learning: A pilot study. J Dent. 2021; 107:103615.
66. [74] Machowska A, Stålsby Lundborg C. Drivers of Irrational Use of Antibiotics in Europe. Int J Environ Res Public Health. 2018; 16(1):27
67. [75] Guerra F, Mazur M, Ndokaj A, et al. Periodontitis and the microbiome: a systematic review and meta-analysis. Minerva Stomatol. 2018; 67(6):250-25
68. [76] Nardi GM, Grassi R, Ndokaj A, et al. Maternal and Neonatal Oral Microbiome Developmental Patterns and Correlated Factors: A Systematic Review-Does the Apple Fall Close to the Tree? Int J Environ Res Public Health. 2021; 18(11):5569
69. [77] Trybek G, Jedliński M, Jaroń A, et al. Impact of lactoferrin on bone regenerative processes and its possible implementation in oral surgery - a systematic review of novelstudies with metanalysis and metaregression. BMC Oral Health. 2020; 20(1):232
70. [78] Mazur M, Ndokaj A, Jedlinski M, et al. Impact of Green Tea (Camellia Sinensis) on periodontitis and caries. Systematic review and meta-analysis. Jpn Dent Sci Rev. 2021; 57:1-11.
71. [79] Nardi GM, Cesarano F, Papa G, et al. Evaluation of Salivary Matrix Metalloproteinase (MMP-8) in Periodontal Patients Undergoing Non-Surgical Periodontal Therapy and Mouthwash Based on Ozonated Olive Oil: A Randomized Clinical Trial. Int J Environ Res Public Health. 2020; 17(18):6619
72. [80] Nardi GM, Guerra F, Ndokaj A, et al. Phototherapy and Tailored Brushing Method. Personalized Oral Care in Patients with Facial and Dental Trauma. A Report of a Case. Healthcare (Basel). 2021; 9(5):561