Sustainability in Dentistry, A gap filling for Saudi Arabia and Middle East: SDGs 3,6,& more

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Dentistry, as articulated by the World Dental Federation (FDI), recognizes the need to integrate sustainable development goals into daily practices. This aligns with the broader goal of transitioning to a green economy to promote healthy lives and well-being for all. When we talk about sustainability in dentistry, we are essentially focusing on providing dental care in a way that is environmentally friendly and socially responsible, all while upholding the highest standards of patient care.

I have developed Initiatives for the Kingdom of Saudi Arabia that has been recognized by Princess and Governmental entities. Please follow my instagram account @drrosannacavalletto and LinkedIn.

In the pursuit of Vision 2030's ambitious environmental and health goals, Sijam is revolutionizing dental practices with the development of two initiatives.

One crucial aspect that requires careful consideration pertains to the essential requirements for dentists to safely remove and dispose off mercury from patients; Similarly, as environmental specialists, is how imperative is to ascertain the necessary measures for effectively capturing mercury to ensure comprehensive protection of wastewater treatment plant through our dental practices.

The initiatives are:
1.- Segregation of non-medical waste
2.- Reducing health and environmental mercury Pollution:

Our Impact:

1.- The healthcare system contributes to about 4-5% of global greenhouse gas emissions. In Saudi Arabia, there are more than 5,229 dental clinics, and a single person generates 1.7-1.8 kg of plastic waste per day. The number of dentists in Saudi Arabia is 19.099,8 kg. Only 15 To 20% of the total healthcare waste is hazardous while the vast majority of waste is general. There is no general waste segregation. We are very proud to the first in the healthcare sector in Saudi Arabia, leading with our sustainability initiatives aimed at creating a future that safeguards both health and the environment.

2.- Reducing health and environmental mercury Pollution:

Health: Dental amalgams contains 50% mercury, mix with aa 33% of silver, among other metals. Once silver filings (mercury fillings, a hazardous waste placed in patients mouth are removed without protection, 80% of Mercury vapor is absorbed from the lungs. Mercury vapors can cross the blood-brain barrier. It is bio-accumulative in the body. It is linked to health issues like neurobehavioral functions, Alzheimer's Disease, Autism, Cardiovascular Disease. Sijam “Smart Clinic” and protocols, protect patients, dentists, and staff from its mercury vapors.

Children with dental amalgam fillings in Riyadh exceeded the acceptable reference limits of mercury in their bodies contributing with a Low IQ levels in children of six years old. Environment:

Environment: The dental sector uses 340 tons of mercury annually, and an estimated 100 tons enter the waste stream each year, polluting the environment. Mercury is the most toxic global pollutant non-radioactive in the planet. Even if there Is a lack of research, In Saudi Arabia, mercury waste levels are 900% above the permissible limits in wastewater. The soil is polluted with Mercury. It will reduce environmental pollution by segregating our general waste, it will enhance well-being of the citizens by removing hazardous waste (mercury fillings) from the mouth.

The procedure for the safe removal mercury silver fillings (dental amalgams) is a cautious process that requires dedicated time. Within some procedures, The Doctor certified in the protocol must do:

1. Preliminary Evaluation: Before performing the removal, we evaluate with CBCT scan, necessary patient exams, and the dental health of the patient.

2. Use of Drainage and a high-Aspiration
used to reduce the release of mercury vapors and particles. We also employ a special drainage system in Sijam to collect the remnants of the material.

3. Tooth Isolation: The use of a special rubber dam type of material recommended to isolate the tooth and prevent the ingestion of amalgam fragments.

4. Removal Technique:The dentist uses specific instruments to fragment and remove the amalgam in large pieces, which reduces the amount of fine particles that may be released.

5. Personal and Patient inhalation Protection Use.

6. Waste Management: Amalgam remnants must be disposed of properly, following local regulations regarding the handling of hazardous materials.

7. Filling: After removing the amalgam, the dentist can proceed to restore the tooth with suitable materials, such as biocompatible and white materials.

While pioneering in the Kingdom with our initiatives and mercury pollution reduction. This innovative approach contributes with SDG 3, and SDG 6.

Key Strategies:

* Advanced Waste Segregation: Implementing precise filtration and collection methods to prevent mercury from entering water systems.

* Sustainable and Enhancing Wellbeing: Promoting mercury-free dental protocols and technologies that minimize environmental and health risks.

* Professional Training: Educating dental professionals about proper mercury safety protocols and handling and disposal techniques.

Impact Highlights:
- Reduces environmental mercury pollution
- Supports Sustainable Development Goals (SDGs)
- Enhances overall public health and environmental well-being
- Positions Saudi Arabia as a leader in sustainable healthcare practices

Our efforts have been recognized with two prestigious awards: One in India, marking us as the first dental clinic in Saudi Arabia to make a significant impact through Corporate Social Responsibility (CSR) Mumbai, India, and the other, an Eco Guardian Award, received at the 2024 National Center for Environmental Compliance Forum. These accolades underscore our commitment to Vision 2030, reflecting our pioneering initiatives as a model for positive environmental and societal impact.

Sijam's groundbreaking initiative targets this hidden environmental challenge by implementing comprehensive mercury management protocols. Not only addresses critical environmental concerns but also sets a new standard for responsible healthcare. By reimagining dental care through an environmental lens, Sijam is not just treating teeth—they're healing the planet, one filling at a time.