NDLI: Comparative life cycle assessment of reused versus disposable dental burs

Content Provider	Springer Nature Link
Author	Unger, Scott R. Landis, Amy E.
Copyright Year	2014
Abstract	Health care infection control has led to increased utilization of disposable medical devices, which has subsequently led to adverse environmental effects attributed to health care and its supply chain. In dental practice, the dental bur is a commonly used instrument that can be either reused or used once and then disposed. To evaluate the disparities in environmental impacts of disposable and reusable dental burs, a comparative life cycle assessment (LCA) was performed.The functional unit was defined as one reusable dental bur, where the maximum instances reused was 30 (or in the case of a disposable, the equivalent functional unit would be 30 disposable dental burs). The system boundary included all cradle-to-grave aspects of both single-use and reused burs, including raw material extraction, manufacturing, packaging, distribution, reuse, and disposal. Primary data included the following: operating parameters for ultrasonic cleaning, manual cleaning, and autoclaving of the burs. The secondary data for raw material extraction and production of dental bur and packaging were obtained directly from life cycle inventory databases. Sensitivity analyses were also performed with respect to ultrasonic and autoclave loading.Findings from this research showed that when the ultrasonic and autoclave were loaded optimally, reusable burs had 40 % less of an environmental impact than burs used on a disposable basis. When the autoclave and ultrasonic were loaded to approximately two-third capacity, four environmental impact categories favored reusable burs (i.e., ozone depletion, smog, respiratory effects, exotoxicity), and four impact categories environmentally favored disposables (i.e., acidification, eutrophication, carcinogenics, and non-carcinogenics). When the autoclave and ultrasonic were loaded to approximately one-third capacity, reusable dental burs posed more negative environmental impacts in eight of nine environmental impact categories when compared to disposable burs.Operational efficiency of ultrasonic and autoclave cleaning equipment should be emphasized to enhance the environmental performance of bur reuse. In fact, improper loading of the ultrasonic and autoclave can lead to greater adverse environmental impacts than if the burs were treated as disposables. The environmental and economic impacts associated with bur reuse are expected to be similar with other dental devices that are designated as disposable but are capable of being reused (e.g., scalpels, forceps).
Starting Page	1623
Ending Page	1631
Page Count	9
File Format	PDF
ISSN	09483349
Journal	The International Journal of Life Cycle Assessment
Volume Number	19
Issue Number	9
e-ISSN	16147502
Language	English
Publisher	Springer Berlin Heidelberg
Publisher Date	2014-07-01
Publisher Place	Berlin, Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Dental burs LCA Reusable medical devices Single-use devices (SUDs) Sustainable health care Sustainable material use Environment Environmental Economics Environmental Engineering/Biotechnology Environmental Chemistry
Content Type	Text
Resource Type	Article
Subject	Environmental Science

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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