Evidence map›Paper›PMID 40579390›Full record

ArticleCommunity dentistry and oral epidemiology2026

Environmental Impact of a Tooth Extraction: Life Cycle Analysis in a University Hospital Setting.

Paul Künzle, Ariadne Charis Frank, Sebastian Paris

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

3 authors.

Paul KünzleDepartment of Operative, Preventive and Pediatric Dentistry, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0009-0009-4792-1740
Ariadne Charis FrankDepartment of Operative, Preventive and Pediatric Dentistry, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Sebastian ParisDepartment of Operative, Preventive and Pediatric Dentistry, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

Projekt DEAL
6 · The paper itself

Abstract

objectivesThe global impact of health care on the human environmental burden is enormous, but medical care is currently not realising the potential of sustainable practice. Similarly, dentistry and the various forms of dental treatment are not provided in a sustainable manner. This study focussed on quantifying the environmental burden of a standard dental treatment, specifically a tooth extraction, and on identifying the environmental impact of the process.

methodsA life cycle analysis was performed, simulating the entire process of a tooth extraction-including patient and staff travel, materials and washing/sterilisation procedures-using the software OpenLCA 1.11.0 and the database ecoinvent 3.9.1. The facilities, instruments and items used were those of Charité - Universitätsmedizin Berlin. For travel impact estimations, questionnaire data on travel modalities were gathered from patients and clinic staff. To evaluate possible approaches for more environmentally friendly processes, a change of the information/consent meeting from face-to-face to an online meeting was simulated.

resultsThe greatest single contributors to the environmental impact of an extraction procedure were travel, the production of steam (e.g., for sterilisation), electricity, soap, and waste. After normalisation, the process impact was highest on the categories: human toxicity (cancer effects and non-cancer effects), freshwater ecotoxicity, resource use (energy carriers) and ionising radiation (human health). The total environmental impact was 13.8 kg CO

conclusionsModelling the environmental impact of a dental extraction in a university hospital setting provided a detailed account of absolute and relative environmental impact contributions. The reduction of treatment-related travel is the most effective measure to reduce the environmental impact of dental practice.

Indexed as

EnvironmentHospitals, UniversityTooth ExtractionHumansSurveys and QuestionnairesTravelenvironmental footprintgreen dentistrylife cycle analysislife cycle assessmentsustainable dentistryteledentistrytooth extraction

Identifiers

PMID40579390
PMCPMC12808852

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.