Gestión sostenible de la huella de carbono en la práctica odontológica: revisión sistemática
Palabras clave:
gestión organizacional, desarrollo sostenible, huella de carbono, clínicas odontológicas
Resumen
La creciente preocupación por el impacto ambiental del sector salud ha evidenciado que la práctica clínica odontológica, por su alto consumo de energía, materiales desechables y procesos intensivos en recursos, constituye una fuente relevante de emisiones de gases de efecto invernadero. Este escenario exige replantear los modelos tradicionales de gestión hacia enfoques organizacionales sostenibles capaces de integrar criterios ambientales en la toma de decisiones clínicas y administrativas. El objetivo de esta revisión sistemática fue analizar la evidencia científica disponible sobre la gestión organizacional sostenible de la huella de carbono en la práctica odontológica. Se aplicaron las directrices PRISMA 2020 y se consultaron cinco bases de datos internacionales entre 2013 y 2025, utilizando descriptores Medical Subject Headings (MeSH) y Descriptores en Ciencias de la Salud (DeCS) y términos libres combinados con operadores booleanos. Tras aplicar criterios de elegibilidad, se incluyeron 41 artículos para la síntesis cualitativa. Los hallazgos muestran que la sostenibilidad organizacional depende de cuatro ejes fundamentales: liderazgo y gobernanza, planificación estratégica, optimización de procesos clínicos y adopción de métricas ambientales, los cuales permiten reducir emisiones, mejorar la eficiencia operativa y minimizar residuos. Se concluye que la gestión organizacional sostenible es esencial para avanzar hacia una odontología más responsable, eficiente y alineada con los desafíos contemporáneos del cambio climático.
Citas
Abou El-Magd, M. M., Zaki, M. F., & Abou-Hussein, S. D. (2008). Effect of organic manure and different levels of saline irrigation water on growth, green yield and chemical content of sweet fennel. Australian Journal of Basic and Applied Sciences, 2(1), 90–98. https://api.semanticscholar.org/CorpusID:201610609
Alotaiby, R., & Krenyácz, É. (2023). Energy efficiency in healthcare institutions. Society and Economy, 45(4), 494–511. https://doi.org/10.1556/204.2023.00013
Alruwaili, R. F., Alsadaan, N., Alruwaili, A. N., & Alrumayh, A. G. (2023). Unveiling the symbiosis of environmental sustainability and infection control in health care settings: A systematic review. Sustainability, 15(22), 15728. https://doi.org/10.3390/su152215728
Antoniadou, M., Intzes, A., Kladouchas, C., Christou, I., Chatzigeorgiou, S., Plexida, M., Stefanidakis, V., & Tzoutzas, I. (2023). Factors affecting water quality and sustainability in dental practices in Greece. Sustainability, 15(11), 9115. https://doi.org/10.3390/su15119115
Antoniadou, M., Varzakas, T., & Tzoutzas, I. (2021). Circular economy in conjunction with treatment methodologies in the biomedical and dental waste sectors. Circular Economy and Sustainability, 1, 563–592. https://doi.org/10.1007/s43615-020-00001-0
Avinash, B., Shivalinga, B. M., Jyothikiran, S., & Padmini, M. N. (2013). Going green with eco-friendly dentist. The Journal of Contemporary Dental Practice, 14(4), 766–769. https://doi.org/10.5005/jp-journals-10024-1400
Baras, A. (2022). Acting for planetary health by integrating an eco-responsible approach in practices: A French experiment in dental practice. International Health Trends and Perspectives, 2(3), 27–47. https://doi.org/10.32920/ihtp.v2i3.1713
Batsford, H., Shah, S., & Wilson, G. J. (2022). A changing climate and the dental profession. British Dental Journal, 232, 603–606. https://doi.org/10.1038/s41415-022-4202-1
Borglin, L., Pekarski, S., Saget, S., & Duane, B. (2021). The life cycle analysis of a dental examination. Community Dentistry and Oral Epidemiology, 49(6), 581–593. https://doi.org/10.1111/cdoe.12630
Byrne, D., Saget, S., Davidson, A., Haneef, H., Abdeldaim, T., Almudahkah, A., Basquille, N., Bergin, A. M., Prida, J., Lyne, A., & Duane, B. (2022). Comparing the environmental impact of reusable and disposable dental examination kits: A life cycle assessment approach. British Dental Journal. Advance online publication. https://doi.org/10.1038/s41415-022-4912-4
Charlesworth, K. E., Stewart, G. J., & Sainsbury, P. (2018). Addressing the carbon footprint of health organisations: Eight lessons for implementation. Public Health Research & Practice, 28(4), e2841830. https://doi.org/10.17061/phrp2841830
Duane, B. (2018). Sustainability in private surgical practice. British Dental Journal, 225(4), 345–348. https://doi.org/10.1038/sj.bdj.2018.738
Duane, B., & Steinbach, I. (2024). What is the environmental footprint of a dental practice? Part 1 (LCA). British Dental Journal. Advance online publication. https://doi.org/10.1038/s41415-023-6710-z
Duane, B., Borglin, L., Pekarski, S., Saget, S., & Duncan, H. F. (2020a). Environmental sustainability in endodontics: LCA of root canal treatment. BMC Oral Health, 20, 348. https://doi.org/10.1186/s12903-020-01337-7
Duane, B., Lee, M. B., White, S., Stancliffe, R., & Steinbach, I. (2017). An estimated carbon footprint of NHS primary dental care within England. British Dental Journal, 223(8), 589–593. https://doi.org/10.1038/sj.bdj.2017.839
Duane, B., Stancliffe, R., Miller, F. A., Sherman, J., & Pasdeki-Clewer, E. (2020b). Sustainability in dentistry: A multifaceted approach needed. Journal of Dental Research, 99(9), 998–1003. https://doi.org/10.1177/0022034520919391
Duane, B., Stancliffe, R., Miller, F. A., Sherman, J., & Pasdeki-Clewer, E. (2022). HTM 01-05 through an environmentally sustainable lens. British Dental Journal, 233(5), 263–267. https://doi.org/10.1038/s41415-022-4903-5
Grose, J., Richardson, J., Mills, I., Moles, D., & Nasser, M. (2016). Exploring attitudes and knowledge of climate change and sustainability in a dental practice: A feasibility study into resource management. British Dental Journal, 220(4), 187–191. https://doi.org/10.1038/sj.bdj.2016.136
Gunasekaran, A., Irani, Z., & Papadopoulos, T. (2014). Modelling and analysis of sustainable operations management: Certain investigations for research and applications. Journal of the Operational Research Society, 65(6), 806–823. https://doi.org/10.1057/jors.2013.171
Gupta, P., Chawla, V., Jain, V., & Angra, S. (2022). Green operations management for sustainable development: An explicit analysis by using fuzzy best-worst method. Decision Science Letters, 11(3), 357–366. https://doi.org/10.5267/j.dsl.2022.1.003
Hensher, M., & Mc Gain, F. (2020). Healthcare sustainability metrics. Health Affairs, 39(12), 2080–2087. https://doi.org/10.1377/hlthaff.2020.01103
Jangili, H. B., & Vyas, N. (2023). A way forward for a greener future – Sustainability in oral health care. National Journal of Community Medicine, 14(6), 404–406. https://doi.org/10.55489/njcm.140620232887
Keil, M., Frehse, L., Hagemeister, M., Knieß, M., Lange, O., Kronenberg, T., & Rogowski, W. (2024). Carbon footprint of healthcare systems: A systematic review of evidence and methods. BMJ Open, 14(4), e078464. https://doi.org/10.1136/bmjopen-2023-078464
Künzle, P., Frank, A. C., & Paris, S. (2025). Environmental impact of a tooth extraction: Life cycle analysis in a university hospital setting. Community Dentistry and Oral Epidemiology, 54(1), 30–39. https://doi.org/10.1111/cdoe.70003
Lyne, A., Ashley, P., Saget, S., Porto, M., Underwood, B., & Duane, B. (2020). Combining evidence-based healthcare with environmental sustainability: Using the toothbrush as a model. British Dental Journal, 229, 303–309. https://doi.org/10.1038/s41415-020-1981-0
Mello, J. (2019). Sustainability in health care organizations: Successes, challenges and opportunities. Journal of Strategic Innovation and Sustainability, 14(2), 65–78. https://doi.org/10.33423/jsis.v14i2.1375
Mostepaniuk, A., Akalin, T., & Parish, M. R. (2023). Practices pursuing the sustainability of a healthcare organization: A systematic review. Sustainability, 15(3), 2353. https://doi.org/10.3390/su15032353
Or, Z., & Seppänen, A. (2024). The role of the health sector in tackling climate change. Health Policy, 128(9), 101013. https://doi.org/10.1016/j.healthpol.2024.105053
Prieto, C. S., Bernal-Merchán, B. A., Méndez-Calle, C. G., Tello-López, S., & Bravo Calderón, M. E. (2023). Analysis of the carbon neutral standard and its implementation in a dental clinic in Ecuador: A review of the literature. Research, Society and Development, 12(6), e19312642304. https://doi.org/10.33448/rsd-v12i6.42304
Rajagopalan, S., Pronovost, P., & Al-Kindi, S. (2023). Implementing a sustainability framework in healthcare: A three-lens framework. Healthcare, 11(13), 1867. https://doi.org/10.3390/healthcare11131867
Rizan, C., Lillywhite, R., Reed, M., & Bhutta, M. F. (2022). Minimising carbon and financial costs of steam sterilisation and packaging of reusable surgical instruments. British Journal of Surgery, 109(2), 200–210. https://doi.org/10.1093/bjs/znab406
Romanello, M., Napoli, C., Green, C., Kennard, H., Robinson, M., Walawnder, M., Adams, J., Ameli, N., Ayeb-Karlsson, S., Belesova, K., Berry, H. L., Bouley, T., Bryant, M., Callaghan, M., Caron, S., Chambers, J., Chambers, W., Chatterson, M., Cox, J., ... Costello, A. (2023). The 2023 report of the Lancet Countdown on health and climate change: The imperative for a health-centred response in a world facing irreversible harms. The Lancet, 402(10416), 2346–2394. https://doi.org/10.1016/S0140-6736(23)01859-7
Sawant, S. U., Mosalikanti, R., Jacobi, R., Chinthala, S. P., & Siddarth, B. (2013). Strategy for implementation of green management system. International Journal of Innovative Research in Science, Engineering and Technology, 2(10), 5510–5518. http://ijirset.com/upload/october/55AStrategy.pdf
Sergeant, M., Ly, D., Kandasamy, S., Anand, S., & Souza, R. (2024). Managing greenhouse gas emissions in the terminal year. The Lancet Planetary Health, 8(7), e565–e567. https://doi.org/10.1016/S2542-5196(24)00048-2
Sherman, J. D., Thiel, C., MacNeill, A., Eckelman, M. J., Dubrow, R., Hopf, H., Lagasse, R., Bialowitz, J., Costello, A., Forbes, M., Stancliffe, R., Anastas, P., Anderko, L., Baratz, M., Barna, S., Bhatnagar, U., Burnham, J., Cai, Y., Cassels-Brown, A., ... Bilec, M. M. (2020). The green print: Advancement of environmental sustainability in healthcare. Resources, Conservation, and Recycling, 161, 104882. https://doi.org/10.1016/j.resconrec.2020.104882
Sowa, P. M., Fooken, J., McGowan, K., & Birch, S. (2023). Disposable and reusable instruments in dental health practice: A comparison of cost factors in a public provider organization in Queensland, Australia. Community Dentistry and Oral Epidemiology, 51(5), 794–803. https://doi.org/10.1111/cdoe.12764
Stancliffe, R., Bansal, A., Sowman, G., & Mortimer, F. (2022). Towards net zero healthcare. BMJ, 379, e066699. https://doi.org/10.1136/bmj-2021-066699
Suresh, P., Crotty, J., Tesanovic, S., Othman, A., Doyle, S., Kiandee, M., Hayes, E., Umeh, V., Khalilinejad, B., & Duane, B. (2024). A life cycle analysis of the environmental impact of procurement, waste and water in the dental practice. British Dental Journal, 236(7), 545–551. https://doi.org/10.1038/s41415-024-7239-5
Talbot, B., Fletcher, R., Neal, B., Oshima, M., Adshead, F., Moore, K., McGain, F., McAlister, S., Barraclough, K., Knight, J., Neuen, B., & Arnott, C. (2024). Reducing greenhouse gas emissions through disease prevention: A secondary analysis of data from the CREDENCE trial. The Lancet Planetary Health, 8(11), e950–e960. https://doi.org/10.1016/S2542-5196(24)00281-X
Tennison, I., Roschnik, S., Ashby, B., Boyd, R., Hamilton, I., Oreszczyn, T., & Eckelman, M. (2021). Health care’s response to climate change: A carbon footprint assessment of the NHS in England. The Lancet Planetary Health, 5(2), e84–e92. https://doi.org/10.1016/S2542-5196(20)30271-0
Valenzuela Ramos, M. R., Dias Montero, P. M., Scipion Castro, R. D., Chumpitaz Durand, R., & Revilla Villanueva, C. M. (2020). Hacia una odontología sostenible. Revista de Investigación Científica y Tecnológica Llamkasun, 1(1), 20–26. https://doi.org/10.47797/llamkasun.v1i1.4
Vanka, S., Wali, O., & Vanka, A. (2019). Four A’s of eco-friendly dentistry. Brazilian Oral Research, 33, e004. https://doi.org/10.1590/1807-3107bor-2019.vol33.0004
Wadia, R. (2020). Sustainability in dentistry. British Dental Journal, 228, 932. https://doi.org/10.1038/s41415-020-1793-2
Walker, T. W. N., Janssens, I. A., Weedon, J. T., Sigurdsson, B. D., Richter, A., Peñuelas, J., Leblans, N. I. W., Bahn, M., Bartrons, M., De Jonge, C., Fuchslueger, L., Gargallo-Garriga, A., Gunnarsdóttir, G. E., Marañón-Jiménez, S., Oddsdóttir, E. S., Ostonen, I., Poeplau, C., Prommer, J., Radujković, D., … Verbruggen, E. (2019). A systemic overreaction to years versus decades of warming in a subarctic grassland ecosystem. Nature Ecology & Evolution, 4(1), 101–108. https://doi.org/10.1038/s41559-019-1055-3
Wainer, C. (2022). Discussing the environmental impact of dental-associated travel: How do we build from the current COVID-19 crisis towards a more sustainable future within dentistry? British Dental Journal, 232, 437–440. https://doi.org/10.1038/s41415-022-4136-7
Wyma, N., & Niesing, C. (2024). Perspectives on healthcare decarbonization through plant-forward food procurement. Frontiers in Sustainable Food Systems, 8, 1432103. https://doi.org/10.3389/fsufs.2024.1432103
Alotaiby, R., & Krenyácz, É. (2023). Energy efficiency in healthcare institutions. Society and Economy, 45(4), 494–511. https://doi.org/10.1556/204.2023.00013
Alruwaili, R. F., Alsadaan, N., Alruwaili, A. N., & Alrumayh, A. G. (2023). Unveiling the symbiosis of environmental sustainability and infection control in health care settings: A systematic review. Sustainability, 15(22), 15728. https://doi.org/10.3390/su152215728
Antoniadou, M., Intzes, A., Kladouchas, C., Christou, I., Chatzigeorgiou, S., Plexida, M., Stefanidakis, V., & Tzoutzas, I. (2023). Factors affecting water quality and sustainability in dental practices in Greece. Sustainability, 15(11), 9115. https://doi.org/10.3390/su15119115
Antoniadou, M., Varzakas, T., & Tzoutzas, I. (2021). Circular economy in conjunction with treatment methodologies in the biomedical and dental waste sectors. Circular Economy and Sustainability, 1, 563–592. https://doi.org/10.1007/s43615-020-00001-0
Avinash, B., Shivalinga, B. M., Jyothikiran, S., & Padmini, M. N. (2013). Going green with eco-friendly dentist. The Journal of Contemporary Dental Practice, 14(4), 766–769. https://doi.org/10.5005/jp-journals-10024-1400
Baras, A. (2022). Acting for planetary health by integrating an eco-responsible approach in practices: A French experiment in dental practice. International Health Trends and Perspectives, 2(3), 27–47. https://doi.org/10.32920/ihtp.v2i3.1713
Batsford, H., Shah, S., & Wilson, G. J. (2022). A changing climate and the dental profession. British Dental Journal, 232, 603–606. https://doi.org/10.1038/s41415-022-4202-1
Borglin, L., Pekarski, S., Saget, S., & Duane, B. (2021). The life cycle analysis of a dental examination. Community Dentistry and Oral Epidemiology, 49(6), 581–593. https://doi.org/10.1111/cdoe.12630
Byrne, D., Saget, S., Davidson, A., Haneef, H., Abdeldaim, T., Almudahkah, A., Basquille, N., Bergin, A. M., Prida, J., Lyne, A., & Duane, B. (2022). Comparing the environmental impact of reusable and disposable dental examination kits: A life cycle assessment approach. British Dental Journal. Advance online publication. https://doi.org/10.1038/s41415-022-4912-4
Charlesworth, K. E., Stewart, G. J., & Sainsbury, P. (2018). Addressing the carbon footprint of health organisations: Eight lessons for implementation. Public Health Research & Practice, 28(4), e2841830. https://doi.org/10.17061/phrp2841830
Duane, B. (2018). Sustainability in private surgical practice. British Dental Journal, 225(4), 345–348. https://doi.org/10.1038/sj.bdj.2018.738
Duane, B., & Steinbach, I. (2024). What is the environmental footprint of a dental practice? Part 1 (LCA). British Dental Journal. Advance online publication. https://doi.org/10.1038/s41415-023-6710-z
Duane, B., Borglin, L., Pekarski, S., Saget, S., & Duncan, H. F. (2020a). Environmental sustainability in endodontics: LCA of root canal treatment. BMC Oral Health, 20, 348. https://doi.org/10.1186/s12903-020-01337-7
Duane, B., Lee, M. B., White, S., Stancliffe, R., & Steinbach, I. (2017). An estimated carbon footprint of NHS primary dental care within England. British Dental Journal, 223(8), 589–593. https://doi.org/10.1038/sj.bdj.2017.839
Duane, B., Stancliffe, R., Miller, F. A., Sherman, J., & Pasdeki-Clewer, E. (2020b). Sustainability in dentistry: A multifaceted approach needed. Journal of Dental Research, 99(9), 998–1003. https://doi.org/10.1177/0022034520919391
Duane, B., Stancliffe, R., Miller, F. A., Sherman, J., & Pasdeki-Clewer, E. (2022). HTM 01-05 through an environmentally sustainable lens. British Dental Journal, 233(5), 263–267. https://doi.org/10.1038/s41415-022-4903-5
Grose, J., Richardson, J., Mills, I., Moles, D., & Nasser, M. (2016). Exploring attitudes and knowledge of climate change and sustainability in a dental practice: A feasibility study into resource management. British Dental Journal, 220(4), 187–191. https://doi.org/10.1038/sj.bdj.2016.136
Gunasekaran, A., Irani, Z., & Papadopoulos, T. (2014). Modelling and analysis of sustainable operations management: Certain investigations for research and applications. Journal of the Operational Research Society, 65(6), 806–823. https://doi.org/10.1057/jors.2013.171
Gupta, P., Chawla, V., Jain, V., & Angra, S. (2022). Green operations management for sustainable development: An explicit analysis by using fuzzy best-worst method. Decision Science Letters, 11(3), 357–366. https://doi.org/10.5267/j.dsl.2022.1.003
Hensher, M., & Mc Gain, F. (2020). Healthcare sustainability metrics. Health Affairs, 39(12), 2080–2087. https://doi.org/10.1377/hlthaff.2020.01103
Jangili, H. B., & Vyas, N. (2023). A way forward for a greener future – Sustainability in oral health care. National Journal of Community Medicine, 14(6), 404–406. https://doi.org/10.55489/njcm.140620232887
Keil, M., Frehse, L., Hagemeister, M., Knieß, M., Lange, O., Kronenberg, T., & Rogowski, W. (2024). Carbon footprint of healthcare systems: A systematic review of evidence and methods. BMJ Open, 14(4), e078464. https://doi.org/10.1136/bmjopen-2023-078464
Künzle, P., Frank, A. C., & Paris, S. (2025). Environmental impact of a tooth extraction: Life cycle analysis in a university hospital setting. Community Dentistry and Oral Epidemiology, 54(1), 30–39. https://doi.org/10.1111/cdoe.70003
Lyne, A., Ashley, P., Saget, S., Porto, M., Underwood, B., & Duane, B. (2020). Combining evidence-based healthcare with environmental sustainability: Using the toothbrush as a model. British Dental Journal, 229, 303–309. https://doi.org/10.1038/s41415-020-1981-0
Mello, J. (2019). Sustainability in health care organizations: Successes, challenges and opportunities. Journal of Strategic Innovation and Sustainability, 14(2), 65–78. https://doi.org/10.33423/jsis.v14i2.1375
Mostepaniuk, A., Akalin, T., & Parish, M. R. (2023). Practices pursuing the sustainability of a healthcare organization: A systematic review. Sustainability, 15(3), 2353. https://doi.org/10.3390/su15032353
Or, Z., & Seppänen, A. (2024). The role of the health sector in tackling climate change. Health Policy, 128(9), 101013. https://doi.org/10.1016/j.healthpol.2024.105053
Prieto, C. S., Bernal-Merchán, B. A., Méndez-Calle, C. G., Tello-López, S., & Bravo Calderón, M. E. (2023). Analysis of the carbon neutral standard and its implementation in a dental clinic in Ecuador: A review of the literature. Research, Society and Development, 12(6), e19312642304. https://doi.org/10.33448/rsd-v12i6.42304
Rajagopalan, S., Pronovost, P., & Al-Kindi, S. (2023). Implementing a sustainability framework in healthcare: A three-lens framework. Healthcare, 11(13), 1867. https://doi.org/10.3390/healthcare11131867
Rizan, C., Lillywhite, R., Reed, M., & Bhutta, M. F. (2022). Minimising carbon and financial costs of steam sterilisation and packaging of reusable surgical instruments. British Journal of Surgery, 109(2), 200–210. https://doi.org/10.1093/bjs/znab406
Romanello, M., Napoli, C., Green, C., Kennard, H., Robinson, M., Walawnder, M., Adams, J., Ameli, N., Ayeb-Karlsson, S., Belesova, K., Berry, H. L., Bouley, T., Bryant, M., Callaghan, M., Caron, S., Chambers, J., Chambers, W., Chatterson, M., Cox, J., ... Costello, A. (2023). The 2023 report of the Lancet Countdown on health and climate change: The imperative for a health-centred response in a world facing irreversible harms. The Lancet, 402(10416), 2346–2394. https://doi.org/10.1016/S0140-6736(23)01859-7
Sawant, S. U., Mosalikanti, R., Jacobi, R., Chinthala, S. P., & Siddarth, B. (2013). Strategy for implementation of green management system. International Journal of Innovative Research in Science, Engineering and Technology, 2(10), 5510–5518. http://ijirset.com/upload/october/55AStrategy.pdf
Sergeant, M., Ly, D., Kandasamy, S., Anand, S., & Souza, R. (2024). Managing greenhouse gas emissions in the terminal year. The Lancet Planetary Health, 8(7), e565–e567. https://doi.org/10.1016/S2542-5196(24)00048-2
Sherman, J. D., Thiel, C., MacNeill, A., Eckelman, M. J., Dubrow, R., Hopf, H., Lagasse, R., Bialowitz, J., Costello, A., Forbes, M., Stancliffe, R., Anastas, P., Anderko, L., Baratz, M., Barna, S., Bhatnagar, U., Burnham, J., Cai, Y., Cassels-Brown, A., ... Bilec, M. M. (2020). The green print: Advancement of environmental sustainability in healthcare. Resources, Conservation, and Recycling, 161, 104882. https://doi.org/10.1016/j.resconrec.2020.104882
Sowa, P. M., Fooken, J., McGowan, K., & Birch, S. (2023). Disposable and reusable instruments in dental health practice: A comparison of cost factors in a public provider organization in Queensland, Australia. Community Dentistry and Oral Epidemiology, 51(5), 794–803. https://doi.org/10.1111/cdoe.12764
Stancliffe, R., Bansal, A., Sowman, G., & Mortimer, F. (2022). Towards net zero healthcare. BMJ, 379, e066699. https://doi.org/10.1136/bmj-2021-066699
Suresh, P., Crotty, J., Tesanovic, S., Othman, A., Doyle, S., Kiandee, M., Hayes, E., Umeh, V., Khalilinejad, B., & Duane, B. (2024). A life cycle analysis of the environmental impact of procurement, waste and water in the dental practice. British Dental Journal, 236(7), 545–551. https://doi.org/10.1038/s41415-024-7239-5
Talbot, B., Fletcher, R., Neal, B., Oshima, M., Adshead, F., Moore, K., McGain, F., McAlister, S., Barraclough, K., Knight, J., Neuen, B., & Arnott, C. (2024). Reducing greenhouse gas emissions through disease prevention: A secondary analysis of data from the CREDENCE trial. The Lancet Planetary Health, 8(11), e950–e960. https://doi.org/10.1016/S2542-5196(24)00281-X
Tennison, I., Roschnik, S., Ashby, B., Boyd, R., Hamilton, I., Oreszczyn, T., & Eckelman, M. (2021). Health care’s response to climate change: A carbon footprint assessment of the NHS in England. The Lancet Planetary Health, 5(2), e84–e92. https://doi.org/10.1016/S2542-5196(20)30271-0
Valenzuela Ramos, M. R., Dias Montero, P. M., Scipion Castro, R. D., Chumpitaz Durand, R., & Revilla Villanueva, C. M. (2020). Hacia una odontología sostenible. Revista de Investigación Científica y Tecnológica Llamkasun, 1(1), 20–26. https://doi.org/10.47797/llamkasun.v1i1.4
Vanka, S., Wali, O., & Vanka, A. (2019). Four A’s of eco-friendly dentistry. Brazilian Oral Research, 33, e004. https://doi.org/10.1590/1807-3107bor-2019.vol33.0004
Wadia, R. (2020). Sustainability in dentistry. British Dental Journal, 228, 932. https://doi.org/10.1038/s41415-020-1793-2
Walker, T. W. N., Janssens, I. A., Weedon, J. T., Sigurdsson, B. D., Richter, A., Peñuelas, J., Leblans, N. I. W., Bahn, M., Bartrons, M., De Jonge, C., Fuchslueger, L., Gargallo-Garriga, A., Gunnarsdóttir, G. E., Marañón-Jiménez, S., Oddsdóttir, E. S., Ostonen, I., Poeplau, C., Prommer, J., Radujković, D., … Verbruggen, E. (2019). A systemic overreaction to years versus decades of warming in a subarctic grassland ecosystem. Nature Ecology & Evolution, 4(1), 101–108. https://doi.org/10.1038/s41559-019-1055-3
Wainer, C. (2022). Discussing the environmental impact of dental-associated travel: How do we build from the current COVID-19 crisis towards a more sustainable future within dentistry? British Dental Journal, 232, 437–440. https://doi.org/10.1038/s41415-022-4136-7
Wyma, N., & Niesing, C. (2024). Perspectives on healthcare decarbonization through plant-forward food procurement. Frontiers in Sustainable Food Systems, 8, 1432103. https://doi.org/10.3389/fsufs.2024.1432103
Publicado
2026-06-15
Cómo citar
Reyes-Reinoso, J. R., Morocho-Macas, A. A., Urgilés Urgilés, C. D., & Rojas Valdivieso, M. C. (2026). Gestión sostenible de la huella de carbono en la práctica odontológica: revisión sistemática. Revista Venezolana De Gerencia, 31(15), e31e1539. Recuperado a partir de http://www.produccioncientifica.luz.edu.ve/index.php/rvg/article/view/45724
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