Antoniadou Maria, Varzakas Theodoros, Tzoutzas Ioannis
Dental School, National and Kapodistrian University of Athens, Athens, Greece.
Department of Food Science and Technology, University of Peloponnese, Tripoli, Greece.
Circ Econ Sustain. 2021;1(2):563-592. doi: 10.1007/s43615-020-00001-0. Epub 2021 Mar 17.
In this review, life cycle assessment (LCA) principles are coupled with circular economy (CE) in order to address LCA examples in the biomedical sector worldwide. The objectives were (1) to explore the application of LCA in the medical, pharmaceutical, and dental fields; (2) to describe the ways of biomedical waste management; (3) to emphasize on the problem of dental waste in private and public dental sectors; and (4) to propose ways of "green circulation" of the dental waste. A literature search was performed using the Google Scholar, PubMed, and Scopus search engines covering the period from January 2000 until May 2020, corresponding to articles investigating the LCA and circular economy principles and legislation for biomedical and dental waste, their management options, and modern ways of recycling. The results showed that incineration seems to be the best management way option involved despite the mentioned drawbacks in this technology. Different adopted models are well defined for the dental field based on the 3Rs' module (reduce, reuse, recycle). Replacing disposable products with reusable ones seems to be a good way to tackle the problem of waste in medical and dental sectors. Interventions on the selection and better biomedical and dental waste management will ensure eco-medicine and eco-dentistry of the future. These new terms should be the new philosophies that will change the way these fields operate in the future for the benefit of the professionals/patients and the community.
The online version contains supplementary material available at 10.1007/s43615-020-00001-0.
在本综述中,生命周期评估(LCA)原则与循环经济(CE)相结合,以探讨全球生物医学领域的LCA实例。目标包括:(1)探索LCA在医疗、制药和牙科领域的应用;(2)描述生物医学废物管理的方式;(3)强调私立和公立牙科部门的牙科废物问题;(4)提出牙科废物“绿色循环”的方法。使用谷歌学术、PubMed和Scopus搜索引擎进行文献检索,涵盖2000年1月至2020年5月期间,检索与调查LCA和循环经济原则以及生物医学和牙科废物立法、其管理选项和现代回收方式相关的文章。结果表明,尽管该技术存在上述缺点,但焚烧似乎是最佳的管理方式选择。基于3R模块(减少、再利用、回收),为牙科领域明确了不同采用的模型。用可重复使用的产品取代一次性产品似乎是解决医疗和牙科部门废物问题的好方法。对生物医学和牙科废物的选择及更好管理进行干预,将确保未来的生态医学和生态牙科。这些新术语应成为新的理念,在未来改变这些领域的运作方式,造福专业人员/患者和社区。
在线版本包含可在10.1007/s43615-020-00001-0获取的补充材料。