School of Clinical Dentistry, The University of Sheffield, S10 2TA, UK.
School of Clinical Dentistry, The University of Sheffield, S10 2TA, UK.
J Dent. 2021 Sep;112:103735. doi: 10.1016/j.jdent.2021.103735. Epub 2021 Jun 25.
(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.
Eight diverse but closely interlinked themes that influence the sustainability of oral health provision were identified: Environmental impacts (COe, 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.
(i) 对解决研究问题“一般牙科实践中的环境可持续性现状如何？”的文献进行全面范围综述。(ii) 提供有效数据基线，以考虑一般意识、可持续实践实施的障碍和挑战。
该范围综述针对截至 2021 年 4 月 31 日以英文发表的解决此主题的所有文献进行。遵循 PRISMA-ScR（扩展用于范围综述的 PRISMA）方法。包含在此次范围综述中的 128 篇论文包括：评论[信件、社论、交流和意见]（n=39）；研究（n=60）；文献综述（n=25）；报告[政策和法规]（n=4）。对每个纳入的记录进行分析，以确定出现的主题，并根据其普遍相关性进一步分类。此次范围综述分为两部分，本文重点关注对可持续护理实施的障碍或挑战的问题意识和障碍。
确定了影响口腔健康提供可持续性的八个不同但紧密相关的主题：环境影响（COe、空气和水）；减少、再利用、再循环和重新思考；政策和准则；生物医学废物管理；塑料（SUPs）；采购；研究与教育；材料。实施障碍包括：专业和公众意识不足；患者和员工通勤产生的碳排放；与生物医学废物（重点是 SUPs）的回收和再循环相关的挑战；可持续医疗保健提供方面的知识和教育缺乏；以及牙科材料的制造、使用和处置所带来的挑战。
