Environmental Sustainability in Dentistry: Challenges, Innovations, and Strategic Directions
Keywords:
Sustainable Dentistry, Dental Education, Green Dental Materials, Environmental Sustainability, Institutional Policy, Eco-Friendly Healthcare, Healthcare InnovationAbstract
The environmental impact of dentistry has drawn increasing concern, prompting global efforts to adopt sustainable practices within dental education and clinical care. This narrative review aims to examine the current state of sustainability in dentistry, identify key challenges, and highlight successful interventions. A comprehensive literature search was conducted across Scopus, PubMed, and Google Scholar, using Boolean search strategies and targeted keywords. Studies were selected based on predefined inclusion criteria, focusing on educational initiatives, material innovations, and institutional policies. Findings reveal that educational integration significantly improves awareness and promotes sustainable behavior among dental students, although implementation remains inconsistent due to curricular limitations. Innovations such as polyether ether ketone (PEEK) and recycled zirconia offer promising alternatives to traditional materials, reducing environmental impact while maintaining clinical effectiveness. Institutional policies, economic considerations, and cultural factors emerged as systemic enablers or barriers to sustainable dentistry. Notably, supportive policies and structured training are associated with higher adoption rates, while financial constraints and lack of awareness impede progress. This review emphasizes the urgent need for strategic interventions, including policy development, financial incentives, and community engagement, to facilitate widespread adoption of eco-friendly dental practices. Future research should explore longitudinal impacts and standardized sustainability metrics. Strengthening educational infrastructure and cross sector collaboration remains essential for advancing sustainable dental care globally.
References
Aboueid, S., Beyene, M., & Nur, T. (2023). Barriers and Enablers to Implementing Environmentally Sustainable Practices in Healthcare: A Scoping Review and Proposed Roadmap. Healthcare Management Forum, 36(6), 405–413. https://doi.org/10.1177/08404704231183601
Alqutaibi, A. Y., Hamadallah, H. H., Aloufi, A. M., Alharbi, A. A., Alaydaa, R. M., & Alghauli, M. A. (2025). Dental Zirconia Residuals Recycling: Processes, Applications, and Future Perspectives: A Scoping Review. BMC Oral Health, 25(1). https://doi.org/10.1186/s12903-025-06093-0
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. BDJ, 233(4), 317–325. https://doi.org/10.1038/s41415-022-4912-4
Chanioti, M., Nikolelis, G., Mitsika, I., & Αντωνιάδου, Μ. (2025). The Role of Dentists in Promoting Environmental Awareness and Climate Consciousness for Sustainability. Circular Economy and Sustainability. https://doi.org/10.1007/s43615-025-00561-z
Danesh, D., Luca, J., Kalady, S. E., Townsend, J. A., Hammersmith, K. J., & Meyer, B. D. (2025). The Impact of Teledentistry on Travel Distance and Carbon Emissions at a Children’s Hospital. The Journal of the American Dental Association, 156(2), 144–150. https://doi.org/10.1016/j.adaj.2024.11.007
Dixon, J., Baird, H. M., Field, J., & Martín, N. (2025). Longitudinal Integration of Environmental Sustainability in the Dental Curriculum: Assessing Changes in Student Awareness, Attitudes and Knowledge. Journal of Dentistry, 156, 105710. https://doi.org/10.1016/j.jdent.2025.105710
Dixon, J., Martín, N., & Field, J. (2024). Current Practice, Barriers and Drivers to Embedding Environmental Sustainability in Undergraduate Dental Schools in the UK and Ireland. BDJ, 237(9), 723–728. https://doi.org/10.1038/s41415-024-8011-6
Duane, B., Ramasubbu, D., Harford, S., Steinbach, I., Stancliffe, R., Croasdale, K., & Pasdeki-Clewer, E. (2019). Environmental Sustainability and Procurement: Purchasing Products for the Dental Setting. BDJ, 226(6), 453–458. https://doi.org/10.1038/s41415-019-0080-6
Duane, B., Stancliffe, R., Miller, F. A., Sherman, J. D., & Pasdeki-Clewer, E. (2020). Sustainability in Dentistry: A Multifaceted Approach Needed. Journal of Dental Research, 99(9), 998–1003. https://doi.org/10.1177/0022034520919391
Durnall, O., Martín, N., Mulligan, S., & Dixon, J. (2024). Environmental Sustainability: The Attitudes and Experiences of UK Students in the Oral Health Care Profession. BDJ. https://doi.org/10.1038/s41415-024-7135-z
Gershberg, N. C., Lee, J., Murphree, J. K., Parchure, A., & Hackley, D. M. (2021). US Students’ Perceptions on Environmental Sustainability in Dental School. Journal of Dental Education, 86(4), 482–488. https://doi.org/10.1002/jdd.12824
Guo, Y., Juang, J., Durham, E., Fayyad, R., & Hackley, D. M. (2024). Assessing the Travel Carbon Footprint of Faculty, Students, and Staff at a U.S. Dental School. Journal of the California Dental Association, 52(1). https://doi.org/10.1080/19424396.2024.2424349
Haque, S., Nurunnabi, M., Akhter, F., & Bianoony, A. A. M. (2024). Attitude Towards Sustainability in Dentistry: The Evidence From Riyadh City, Saudi Arabia. International Dental Journal, 74(4), 884–891. https://doi.org/10.1016/j.identj.2024.01.007
Jamal, H., Marghalani, A. A., Al-Sharif, A., Shinawi, A., Gaffar, B., Al-Edaili, E. A., Al-Baqami, G., & AlQarni, M. (2023). Exploring the Perception of Dental Undergraduate Students and Faculty on Environmental Sustainability in Dentistry: A Cross-Sectional Survey in 26 Dental Schools in Saudi Arabia. Dentistry Journal, 11(4), 103. https://doi.org/10.3390/dj11040103
Joury, E., Lee, J., Parchure, A., Mortimer, F., Park, S. C., Pine, C. M., Ramasubbu, D., & Hillman, L. (2021). Exploring Environmental Sustainability in UK and US Dental Curricula and Related Barriers and Enablers: A Cross-Sectional Survey in Two Dental Schools. BDJ, 230(9), 605–610. https://doi.org/10.1038/s41415-021-2942-y
Martín, N., Sheppard, M., Gorasia, G., Arora, P., Cooper, M., & Mulligan, S. (2021a). Awareness and Barriers to Sustainability in Dentistry: A Scoping Review. Journal of Dentistry, 112, 103735. https://doi.org/10.1016/j.jdent.2021.103735
Martín, N., Sheppard, M., Gorasia, G., Arora, P., Cooper, M., & Mulligan, S. (2021b). Drivers, Opportunities and Best Practice for Sustainability in Dentistry: A Scoping Review. Journal of Dentistry, 112, 103737. https://doi.org/10.1016/j.jdent.2021.103737
Mitsika, I., Chanioti, M., & Αντωνιάδου, Μ. (2024). Dental Solid Waste Analysis: A Scoping Review and Research Model Proposal. Applied Sciences, 14(5), 2026. https://doi.org/10.3390/app14052026
Nassar, M., Shalan, W., Al-Janaby, U., Elnagar, H., Alawadhi, M., Jaser, S., & Joury, E. (2024). Exploring Environmental Sustainability in Dentistry Among Students and Educators in the United Arab Emirates: A Cross-Sectional Survey. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05488-x
Neves, C., Santos, N., & Mendes, S. (2022). Environmental Sustainability Practices in Portuguese Dental Clinics. Revista Portuguesa De Estomatologia Medicina Dentária E Cirurgia Maxilofacial. https://doi.org/10.24873/j.rpemd.2022.10.882
Olawumi, M. A., Omigbodun, F. T., Oladapo, B. I., Olugbade, T. O., & Olawade, D. B. (2024). Innovative PEEK in Dentistry of Enhanced Adhesion and Sustainability Through AI-Driven Surface Treatments. Bioengineering, 11(9), 924. https://doi.org/10.3390/bioengineering11090924
Shinkai, R. S. A., Biazevic, M. G. H., Michel‐Crosato, E., & Campos, T. T. d. (2023). Environmental Sustainability Related to Dental Materials and Procedures in Prosthodontics: A Critical Review. Journal of Prosthetic Dentistry. https://doi.org/10.1016/j.prosdent.2023.05.024
Ţâncu, A. M. C., Imre, M., Iosif, L., Pițuru, S., Pantea, M., Sfeatcu, R., Ilinca, R., Bodnar, D. C., & Didilescu, A. C. (2025). Is Sustainability Part of the Drill? Examining Knowledge and Awareness Among Dental Students in Bucharest, Romania. Dentistry Journal, 13(3), 114. https://doi.org/10.3390/dj13030114
Yeoh, S., Bourdamis, Y., Saker, A., Marano, N., Maundrell, L., Ramamurthy, P., & Sharma, D. (2024). An Investigation Into Contaminated Waste Composition in a University Dental Clinic: Opportunities for Sustainability in Dentistry. Clinical and Experimental Dental Research, 10(6). https://doi.org/10.1002/cre2.70015
Zdravković, D., Jovanović, M., Šamanović, A. M., Papic, M., Papić, M., Milosavljević, M., & Obradović-Djuričić, K. (2024). Concept of Green Dentistry in Serbia. Srpski Arhiv Za Celokupno Lekarstvo, 152(9–10), 442–449. https://doi.org/10.2298/sarh231211072z
Αντωνιάδου, Μ., Chrysochoou, G., Tzanetopoulos, R., & Riza, E. (2023). Green Dental Environmentalism Among Students and Dentists in Greece. Sustainability, 15(12), 9508. https://doi.org/10.3390/su15129508
Αντωνιάδου, Μ., Μangoulia, P., & Myrianthefs, P. (2023). Quality of Life and Wellbeing Parameters of Academic Dental and Nursing Personnel vs. Quality of Services. Healthcare, 11(20), 2792. https://doi.org/10.3390/healthcare11202792