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比较可重复使用和一次性牙科检查包的环境影响:生命周期评估方法。

Comparing the environmental impact of reusable and disposable dental examination kits: a life cycle assessment approach.

机构信息

Final Year Dental Science Student, Dublin Dental University Hospital, Trinity College Dublin, Lincoln Place, Dublin, Ireland.

Department of Botany, Trinity College Dublin, Dublin, Ireland.

出版信息

Br Dent J. 2022 Aug;233(4):317-325. doi: 10.1038/s41415-022-4912-4. Epub 2022 Aug 26.

Abstract

Introduction The global climate crisis has increased the emphasis placed on the sustainability and environmental consequences of our actions. The dental examination accounts for a large portion of dentistry's carbon footprint, more specifically, the production, sterilisation, transport, use and disposal of the dental examination kit. An attributional life cycle assessment (LCA) was carried out to compare the impact of a reusable stainless-steel examination kit and that of a disposable plastic examination kit.Materials and methods All inputs, outputs and processes across the life cycle were accounted for using Ecoinvent database v3.7.1 and openLCA software. Impacts were considered across 16 European-recommended environmental impact categories and eight human health impact categories.Results The disposable kit performed worse across all categories of ecological and human health harm. Categories with most notable impact were climate change, metal-mineral and fossil fuel resource depletion and water scarcity. Impacts were primarily attributable to material processing, instrument production and sterilisation procedures.Conclusion Healthcare is responsible for a significant proportion of greenhouse gas emissions. The single-use examination kit poses greater ecological and human health threat than does the reusable examination kit; this aligns closely with related research in the field. The dentist seeking to adopt more environmentally-conscientious practices should consider using a reusable, stainless-steel examination kit.

摘要

简介

全球气候危机加剧了人们对行动可持续性和环境影响的重视。牙科检查在很大程度上造成了牙科的碳足迹,具体而言,是牙科检查包的生产、消毒、运输、使用和处置造成的。本研究采用归因生命周期评估(LCA)来比较可重复使用的不锈钢检查包和一次性塑料检查包的影响。

材料与方法

本研究使用 Ecoinvent 数据库 v3.7.1 和 openLCA 软件,对整个生命周期的所有投入、产出和过程进行了核算。影响评估涵盖了 16 个欧洲推荐的环境影响类别和 8 个人类健康影响类别。

结果

一次性检查包在所有生态和人类健康危害类别中的表现均较差。影响最大的类别是气候变化、金属矿物和化石燃料资源枯竭以及水资源短缺。影响主要归因于材料处理、仪器生产和消毒程序。

结论

医疗保健行业产生了大量温室气体排放。与可重复使用的检查包相比,一次性检查包对生态和人类健康构成了更大的威胁;这与该领域的相关研究结果非常吻合。寻求采用更环保实践的牙医应考虑使用可重复使用的不锈钢检查包。

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