Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model
Introduction Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare t...
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| Veröffentlicht in: | British dental journal 2020-09, Vol.229 (5), p.303-309 |
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| creator | Lyne, Alexandra Ashley, Paul Saget, Sophie Porto Costa, Marcela Underwood, Benjamin Duane, Brett |
| description | Introduction
Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare the sustainability of different types of toothbrush.
Materials and methods
Four types of toothbrush were studied: a traditional plastic and electric toothbrush, as well as a plastic manual toothbrush with replaceable heads and a bamboo manual toothbrush. Life cycle assessment (LCA) methodology was applied to quantify the environmental impact of these toothbrushes over five years.
Results
The electric toothbrush performed consistently poorly compared to the three manual toothbrush types and had the greatest impact in 15 out of 16 environmental categories. The bamboo and replaceable-head plastic toothbrushes had the lowest impact in all categories. The climate change potential of the electric toothbrush was 11 times greater than the bamboo toothbrush.
Discussion
Switching toothbrushes from the traditional toothbrushes to bamboo or replaceable-head plastic is more environmentally sustainable. These results could be used to inform individual consumer choice, oral health recommendations, procurement of toothbrushes for public health programmes and toothbrush manufacturers. LCA methodology can be used to make healthcare more sustainable. |
| doi_str_mv | 10.1038/s41415-020-1981-0 |
| format | Article |
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Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare the sustainability of different types of toothbrush.
Materials and methods
Four types of toothbrush were studied: a traditional plastic and electric toothbrush, as well as a plastic manual toothbrush with replaceable heads and a bamboo manual toothbrush. Life cycle assessment (LCA) methodology was applied to quantify the environmental impact of these toothbrushes over five years.
Results
The electric toothbrush performed consistently poorly compared to the three manual toothbrush types and had the greatest impact in 15 out of 16 environmental categories. The bamboo and replaceable-head plastic toothbrushes had the lowest impact in all categories. The climate change potential of the electric toothbrush was 11 times greater than the bamboo toothbrush.
Discussion
Switching toothbrushes from the traditional toothbrushes to bamboo or replaceable-head plastic is more environmentally sustainable. These results could be used to inform individual consumer choice, oral health recommendations, procurement of toothbrushes for public health programmes and toothbrush manufacturers. LCA methodology can be used to make healthcare more sustainable.</description><identifier>ISSN: 0007-0610</identifier><identifier>EISSN: 1476-5373</identifier><identifier>DOI: 10.1038/s41415-020-1981-0</identifier><identifier>PMID: 32918023</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Bamboo ; Climate change ; Dental Plaque ; Dental Plaque Index ; Dentistry ; Environmental impact ; Equipment Design ; Evidence-Based Practice ; Humans ; Life cycles ; Medical equipment ; Plastics ; Public health ; Sustainable development ; Toothbrushes ; Toothbrushing</subject><ispartof>British dental journal, 2020-09, Vol.229 (5), p.303-309</ispartof><rights>British Dental Association 2020</rights><rights>British Dental Association 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-504acdb72661c06a30f4bff1d02086316d3879c916ebab254ad8100b397ce1c53</citedby><cites>FETCH-LOGICAL-c443t-504acdb72661c06a30f4bff1d02086316d3879c916ebab254ad8100b397ce1c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41415-020-1981-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41415-020-1981-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32918023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lyne, Alexandra</creatorcontrib><creatorcontrib>Ashley, Paul</creatorcontrib><creatorcontrib>Saget, Sophie</creatorcontrib><creatorcontrib>Porto Costa, Marcela</creatorcontrib><creatorcontrib>Underwood, Benjamin</creatorcontrib><creatorcontrib>Duane, Brett</creatorcontrib><title>Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model</title><title>British dental journal</title><addtitle>Br Dent J</addtitle><addtitle>Br Dent J</addtitle><description>Introduction
Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare the sustainability of different types of toothbrush.
Materials and methods
Four types of toothbrush were studied: a traditional plastic and electric toothbrush, as well as a plastic manual toothbrush with replaceable heads and a bamboo manual toothbrush. Life cycle assessment (LCA) methodology was applied to quantify the environmental impact of these toothbrushes over five years.
Results
The electric toothbrush performed consistently poorly compared to the three manual toothbrush types and had the greatest impact in 15 out of 16 environmental categories. The bamboo and replaceable-head plastic toothbrushes had the lowest impact in all categories. The climate change potential of the electric toothbrush was 11 times greater than the bamboo toothbrush.
Discussion
Switching toothbrushes from the traditional toothbrushes to bamboo or replaceable-head plastic is more environmentally sustainable. These results could be used to inform individual consumer choice, oral health recommendations, procurement of toothbrushes for public health programmes and toothbrush manufacturers. LCA methodology can be used to make healthcare more sustainable.</description><subject>Bamboo</subject><subject>Climate change</subject><subject>Dental Plaque</subject><subject>Dental Plaque Index</subject><subject>Dentistry</subject><subject>Environmental impact</subject><subject>Equipment Design</subject><subject>Evidence-Based Practice</subject><subject>Humans</subject><subject>Life cycles</subject><subject>Medical equipment</subject><subject>Plastics</subject><subject>Public health</subject><subject>Sustainable development</subject><subject>Toothbrushes</subject><subject>Toothbrushing</subject><issn>0007-0610</issn><issn>1476-5373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkE1v1DAQhi0EotuFH8AFWeLsdiZ2nIQbWvFRqVIvcLZsZ9K4SpxiO0X992S1BU6opznMM-_MPIy9Q7hAkO1lVqiwFlCBwK5FAS_YDlWjRS0b-ZLtAKARoBHO2HnOdwCoFOjX7ExWHbZQyR0bDsvsQgzxltND6Cl6Es5m6vlIdiqjt4n4r1BGTvEhpCXOFIudeF5zsSFaF6ZQHj_yNR8jyki8LEsZXVrzyG3mls9LT9Mb9mqwU6a3T3XPfnz5_P3wTVzffL06fLoWXilZRA3K-t41ldboQVsJg3LDgP32Yqsl6l62Tec71OSsq2pl-xYBnOwaT-hruWcfTrn3afm5Ui7mbllT3FaaahPTaJTwDKVQN1Ju4J7hifJpyTnRYO5TmG16NAjm6N-c_JvtOHP0b2Cbef-UvLqZ-r8Tf4RvQHUC8taKt5T-rf5_6m9-LpAJ</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Lyne, Alexandra</creator><creator>Ashley, Paul</creator><creator>Saget, Sophie</creator><creator>Porto Costa, Marcela</creator><creator>Underwood, Benjamin</creator><creator>Duane, Brett</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20200901</creationdate><title>Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model</title><author>Lyne, Alexandra ; Ashley, Paul ; Saget, Sophie ; Porto Costa, Marcela ; Underwood, Benjamin ; Duane, Brett</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-504acdb72661c06a30f4bff1d02086316d3879c916ebab254ad8100b397ce1c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Bamboo</topic><topic>Climate change</topic><topic>Dental Plaque</topic><topic>Dental Plaque Index</topic><topic>Dentistry</topic><topic>Environmental impact</topic><topic>Equipment Design</topic><topic>Evidence-Based Practice</topic><topic>Humans</topic><topic>Life cycles</topic><topic>Medical equipment</topic><topic>Plastics</topic><topic>Public health</topic><topic>Sustainable development</topic><topic>Toothbrushes</topic><topic>Toothbrushing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lyne, Alexandra</creatorcontrib><creatorcontrib>Ashley, Paul</creatorcontrib><creatorcontrib>Saget, Sophie</creatorcontrib><creatorcontrib>Porto Costa, Marcela</creatorcontrib><creatorcontrib>Underwood, Benjamin</creatorcontrib><creatorcontrib>Duane, Brett</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>British dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lyne, Alexandra</au><au>Ashley, Paul</au><au>Saget, Sophie</au><au>Porto Costa, Marcela</au><au>Underwood, Benjamin</au><au>Duane, Brett</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model</atitle><jtitle>British dental journal</jtitle><stitle>Br Dent J</stitle><addtitle>Br Dent J</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>229</volume><issue>5</issue><spage>303</spage><epage>309</epage><pages>303-309</pages><issn>0007-0610</issn><eissn>1476-5373</eissn><abstract>Introduction
Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare the sustainability of different types of toothbrush.
Materials and methods
Four types of toothbrush were studied: a traditional plastic and electric toothbrush, as well as a plastic manual toothbrush with replaceable heads and a bamboo manual toothbrush. Life cycle assessment (LCA) methodology was applied to quantify the environmental impact of these toothbrushes over five years.
Results
The electric toothbrush performed consistently poorly compared to the three manual toothbrush types and had the greatest impact in 15 out of 16 environmental categories. The bamboo and replaceable-head plastic toothbrushes had the lowest impact in all categories. The climate change potential of the electric toothbrush was 11 times greater than the bamboo toothbrush.
Discussion
Switching toothbrushes from the traditional toothbrushes to bamboo or replaceable-head plastic is more environmentally sustainable. These results could be used to inform individual consumer choice, oral health recommendations, procurement of toothbrushes for public health programmes and toothbrush manufacturers. LCA methodology can be used to make healthcare more sustainable.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32918023</pmid><doi>10.1038/s41415-020-1981-0</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0007-0610 1476-5373 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Bamboo Climate change Dental Plaque Dental Plaque Index Dentistry Environmental impact Equipment Design Evidence-Based Practice Humans Life cycles Medical equipment Plastics Public health Sustainable development Toothbrushes Toothbrushing |
| title | Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model |
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