Waste Reduction and Prevention

Waste Audit

Conduct Waste Audit to identify largest sources of waste and target reduction and/or redirection of this waste stream

  • Set a time to collect waste bags produced from either an average day of operations, or over the course of a standard number of patients.
  • Complete a consumption analysis of individual products (gloves, masks, protective barriers, disposable products), measuring items by either weight, volume, or item number. Due to the small size and light weight of many dental products, we recommend conducting your analysis based on either volume or by counting individual items.
  • Identify the largest sources of waste based on this analysis.

    Regulate Hazardous Waste

     

    Reduce overuse of hazards and sharps containers. 

  • To reduce overuse of hazards and sharps containers, assess the appropriate disposal of waste contaminated with body fluid.
  • Make these smallest and furthest away in the room to prevent the unnecessary use of these special waste containers.Sharps, Medical Hazardous Waste (body fluids, blood contamination) , Amalgam (nation vs state by state)
  • General waste from hospitals or other health-care facilities (e.g., dental practices or clinical/research laboratories) is no more infective than residential waste. The majority of soiled items in dental offices are general medical waste and thus can be disposed of with ordinary waste.Examples of regulated waste found in dental-practice settings are solid waste soaked or saturated with blood or saliva (e.g., gauze saturated with blood after surgery), extracted teeth, surgically removed hard and soft tissues, and contaminated sharp items (e.g., needles, scalpel blades, and wires) (13). (page 27 of MMWR Guidelines)(Guidelines for Infection Control in Dental Health-Care Settings – 2003. Centers for Disease Control and Prevention (CDC), Morbidity and Mortality Weekly Report (MMWR). December 19, 2003;52(RR17):1-61. Consolidates previous recommendations and adds new ones for infection control in dental settings.)
  • Evaluate the current method of metal disposal. Ideally, the dental clinic should have segregated recycling bins for metals from any amalgam scraps, extracted teeth containing amalgam fillings, lead radiograph foils, etc. as these are very toxic and can leach into waste. If metals are found in the regular waste stream during the waste audit, a special recycling bin must be implemented.

Utilize products to the full potential, and purchase products that support sustainable choices

  • Follow manufacturer directions for material usage to ensure the accurate mixing of chemicals and limit material waste.
  • Ensure sterilizers and cleaning units are full to reduce the number of cycles per day.  
  • Use products made from recycled materials, such as paper towels or the ECOtip HVE suction tip mentioned above
  • Chose products packaged with recycled materials and packaging that contains more items per product (ie. purchasing gloves in boxes of 200 rather than 100).
  • Maintain proper inventory control to reduce the waste of expired dental materials. Rotate the oldest products to the front line and utilize a clear system of tracking inventory.

 

Recycling

Implement Process for recycling as much as possible. Contact local recycling facility to clarify and maximize what can be recycled

  • Contact the local recycling facility to clarify and maximize what can be recycled.
  • Gather information about the items that were found to create the largest amount of waste in the waste audit (gloves, masks, sterilization pouches, etc.) and communicate with the local recycling facility about what/how these items can be recycled.   

Identify partners/vendors willing to recycle unique waste items (e.g. reusable sharps containers, disposable gloves, broken or damaged dental instruments)

Reusable Products

Utilize reusable materials (i.e. stainless steel suction tips and air/water syringe tips, washable bibs, reusable protective eyewear for staff and patients, etc.)

Technology

Use digital dentistry (digital radiographs, digital charting, CAD/CAM systems to reduce waste and minimize chemical usage

  • Convert all x-ray imaging to digital radiographs
  • Transitioning from paper charts to electronic health records, can save a significant amount of paper.
  • Utilize CAD/CAM systems to streamline the process of taking impressions, making models, and fabricating restorations.

Consider dry vacuum system to minimize water usage

  • Contact with air techniques (Dr. Fluent has email connection)– also ask them about sustainable compressors
  • Wet vs dry vacuum system (regarding suction)
  • Dry uses A LOT less water
  • This would save money on the water bill
  • Look into if air driven or electric handpieces are more sustainable

Infection Control

Implement Process for proper disinfection of patient areas to reduce use of disposable barriers (i.e. paper covers, blue tape, head covers)

  • If the clinic uses paper barriers on surfaces for infection control, reduce use of paper barriers on “housekeeping surfaces,” only protecting clinical contact surfaces.