Evidence map›Paper›PMID 30980009›Full record

ArticleBritish dental journal2019

Environmental sustainability and travel within the dental practice.

Brett Duane, Inge Steinbach, Darshini Ramasubbu, Rachel Stancliffe, Kim Croasdale, Sara Harford, Richard Lomax

Abstract read
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In one paragraph

Article in British dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. A green autumn?British dental journal · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Brett DuaneDepartment of Child and Public Dental Health, Dublin Dental University Hospital, Dublin, Ireland. Brett.Duane@dental.tcd.ie.
Inge SteinbachCentre for Sustainable Healthcare, Cranbrook House, Oxford, UK.
Darshini RamasubbuCentre for Sustainable Healthcare, Cranbrook House, Oxford, UK.
Rachel StancliffeCentre for Sustainable Healthcare, Cranbrook House, Oxford, UK.
Kim CroasdaleSustainable Development Unit, Victoria House, Cambridge, UK.
Sara HarfordCentre for Sustainable Healthcare, Cranbrook House, Oxford, UK.
Richard LomaxSustainable Development Unit, Victoria House, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A significant amount of dentistry's carbon emissions originate from travel (64.5%). Dental-associated travel affects air quality, releasing over 443 tonnes of nitrogen oxides (NOx) and 22 tonnes of particulate matter (PM2.5) annually. This reduction in air quality reduces over 325 quality-adjusted life years (QALY) per year. Wider health impacts associated with noise and traffic incidents doubles the impact on health in QALYs. Dental procedures that require shorter appointment times have disproportionately higher emissions due to patient travel. The dental team can reduce appointment times by combining visits for family members or combining operative procedures, or reducing appointment frequency based on patient risk. Community oral health programmes and preventive programmes reduce travel emissions. The number of physical dental appointments can be reduced using information technology such as global positioning systems (GPS), telemedicine and teleconferencing. The mode of travel is important, with the air and carbon emissions generated by active travel negligent compared to a private car. Travel plans can help encourage active travel, as can flexible working hours, cycle to work schemes, cycle racks and shower facilities. Practices should consider purchasing locally sourced or sustainably transported goods and, ideally, use local dental laboratories.

Indexed as

Air PollutionTelemedicineHumansParticulate MatterTravelVehicle EmissionsParticulate MatterVehicle Emissions

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.