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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Updated: Jan 16, 2026

Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease

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Published on: May 9, 2022

Sustainable Dental and Periodontal Practice: A Narrative Review on the 4R-Framework-Reduce, Reuse, Rethink,

Federica Di Spirito¹, Francesco Giordano¹, Maria Pia Di Palo¹

¹Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Dentistry Journal

|September 26, 2025

Summary

This review outlines practical strategies for making periodontology more sustainable by reducing waste and resource use. Implementing eco-friendly practices in dental settings is crucial for environmental protection while maintaining patient care.

Keywords:

air pollution digital dentistry environmental impact green dentistry life cycle assessment periodontology sustainable dentistry teledentistry waste management water conservation

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Area of Science:

Environmental Science in Dentistry
Periodontal Medicine
Sustainable Healthcare Practices

Background:

Dental practices, including periodontology, have a significant environmental footprint due to high energy/water use and disposable materials.
Periodontal treatments often involve resource-intensive procedures like disinfection and aerosol-generating instrumentation.

Purpose of the Study:

To synthesize current knowledge on sustainable strategies in periodontology.
To identify feasible, evidence-informed approaches for environmental sustainability in periodontal care.

Main Methods:

A comprehensive narrative review of electronic databases (PubMed/MEDLINE, Web of Science, etc.).

Main Results:

Identified actionable strategies for sustainability in pre-workplace, workplace, and waste management.
Highlighted the importance of eco-conscious procurement, energy/water saving, digital workflows, and pollution control.
Emphasized the role of dental education, life cycle assessments, and digital innovations in promoting sustainability.

Conclusions:

Transitioning to sustainable periodontology requires adopting evidence-based practices.
Leveraging digital innovation is key to reducing environmental impact without compromising care quality.