1.1 本实践提供了一套公认的活动来管理牙科和相关牙科服务实践中的可持续性管理。它是一个管理系统框架，帮助牙医和牙科服务组织提高其组织绩效和有效性。它提供了一个综合框架来管理组织活动的社会、经济和环境方面。虽然本规程旨在供任何规模和专业的牙科专业人员和牙科服务组织采用和使用，但本规程的范围也与牙科服务提供商组织的利益相关者有关。 1.2 本规程旨在与专业牙科协会发布的相关牙科诊所管理原则和指导文件一起使用。 1.3 这一做法的实施应与联合国17项可持续发展目标保持一致 2. （到2030年实现可持续发展目标）和世界牙科联合会（FDI）牙科可持续性 3. 2017年8月政策。 1.4 本标准并非旨在解决与其使用相关的所有安全问题（如有）。本标准的用户有责任在使用前制定适当的安全、健康和环境实践，并确定监管限制的适用性。 1.5 本国际标准是根据世界贸易组织技术性贸易壁垒（TBT）委员会发布的《关于制定国际标准、指南和建议的原则的决定》中确立的国际公认标准化原则制定的。 ====意义和用途====== 4.1 牙科行业的规模和范围对环境和社会产生了重大影响。此外，牙科专业人士和牙科服务组织正在呼吁制定一份基于共识的实用指导文件，以支持以成本效益将可持续发展原则纳入其日常管理，以实现碳中和的目标，例如通过减少二氧化碳排放量来实现 2. 排放。ASTM小组委员会E60.80.7的成立和本实践的发展认识到并满足了这一需求。 4.2 对于大多数牙医来说，原则上什么是可持续牙科实践尚不清楚。这对纳入一个确定、优先考虑和支持相关可持续发展问题的系统和务实的管理框架提出了挑战。 大多数牙科专业人士主要局限于认识环境影响或所谓的“绿色实践”或“绿色牙科” 4.3 鉴于管理承诺是第一步，本实践描述了在日常牙科服务活动中整合可测量可持续性绩效的程序可行性。对“绿色”做法的主张不给予优惠待遇。战略决策需要是一种平衡的方法，考虑到环境、社会和经济问题。该实践为管理可持续性问题提供了全面的指导，并提供了一种系统的方法和管理框架，帮助牙科专业人员和牙科服务组织提高其产品和交付的整体性能和有效性。 4.4 这种做法提供了一种协调一致的方法来管理牙科组织的社会、经济和环境方面；规定最低可持续性考虑和要求；并提供了一个框架，将可持续发展相关问题的管理嵌入日常决策和牙科服务活动中。这些管理考虑因素包括但不限于水、空气质量、能源、废物管理、运输、负责任的采购、供应链管理和绿色建筑。其他考虑因素包括与患者、工作人员和社区相关的社会责任；治理和领导；和会议。 4.5 本规程旨在被任何规模和专业的牙科专业人员和牙科服务组织采用和使用，包括大型医疗服务组织的一部分。 此外，在本实践范围内，提出了与牙科服务组织利益相关者相关的期望，确定了牙科可持续性管理的可能益处和预期结果。该方法旨在为将可持续性管理嵌入日常决策提供一个框架，并且必然具有挑战性、启发性和持续性。有效和持续的利益相关者参与对于加深对真实问题的理解和扩大认同至关重要。 4.6 人们认识到，建立对过程和可持续结果的信心是这种做法的重要组成部分，某些牙科服务组织可能希望使用一些形式的独立验证。 4.7 不应孤立地看待这种做法，因为有许多相关的有用文本、公约、规范和出版物可用；它作为连接各种现有“绿色”牙科实践和服务的指南，并提供了一种嵌入可持续发展思想的系统方法，适合任何规模或专业的牙科服务组织，并且易于实现。

1.1 This practice provides a set of generally recognized activities to govern management of sustainability in dentistry and related dental service practice. It is a management system framework that assists dentists and dental service organizations to enhance their organizational performance and effectiveness. It offers an integrated framework to manage social, economic and environmental aspects of an organization’s activities. While this practice is intended to be adopted and used by dental professionals and dental service organizations of any size and specialization, the scope of this practice is relevant to dental service provider organizations’ stakeholders as well. 1.2 This practice is intended to be used with pertinent dental office management principles and guidance documents published by professional dental associations. 1.3 This practice should be implemented in alignment with the United Nations 17 Sustainable Development Goals 2 (SDGs to be achieved by 2030) and the World Dental Federation (FDI) Sustainability in Dentistry 3 Policy of August 2017. 1.4 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. 1.5 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee. ====== Significance And Use ====== 4.1 The dental industry’s size and scope translate to a significant environmental and social footprint. Moreover, dental professionals and dental service organizations are calling for a consensus-based practical guidance document to support cost-efficient integration of sustainable development principles into their day-to-day management with the goal of achieving carbon neutrality, for example, by reducing CO 2 emissions. Formation of ASTM Subcommittee E60.80.7, and development of this practice recognizes and fulfills this demand. 4.2 To most dentists, it remains unclear what constitutes sustainable dentistry practice in principle. This presents a challenge to incorporating a systematic and pragmatic management framework that identifies, prioritizes, and supports relevant sustainable development issues. Most dental professionals are primarily limited to recognition of environmental impacts or so-called “green practices” or “green dentistry.” 4.3 Given management commitment as the first step, this practice describes procedural feasibility of integrating measurable sustainability performance in daily dental service activities. Preferential treatment is not given to claims of “green” practices. Strategic decision-making needs to be a balanced approach that takes into consideration environmental, social, and economic issues. This practice provides a comprehensive guidance on managing sustainability issues and offers a systematic approach and a management framework that assists dental professionals and dental service organizations to improve overall performance and effectiveness in their products and deliveries. 4.4 This practice offers a concerted approach to managing social, economic, and environmental aspects of dental organizations; stipulates minimum sustainability considerations and requirements; and provides a framework to embed management of issues related to sustainable development into day-to-day decision-making and dental service activities. These management considerations include, but are not limited to, water, air quality, energy, waste management, transportation, responsible procurement, supply chain management, and green buildings. Additional considerations include social responsibility related to patient, staff, and the community; governance and leadership; and meetings. 4.5 This practice is intended to be adopted and used by dental professionals and dental service organizations of any size and specializations including those being a part of large healthcare service organizations. Further, in the scope of this practice, expectations are addressed that are relevant to dental service organizations’ stakeholders with identification of possible benefits and desirable outcomes of managing for sustainability in dentistry. This approach is to provide a framework for embedding sustainability management in everyday decision-making and is necessarily challenging, provoking, and continually evolving. Effective and continuing stakeholder engagement is essential in sharpening understanding of real issues and broadening buy-in. 4.6 It is recognized that building confidence in processes and sustainable outcomes is an important part of this practice and certain dental service organizations may wish to use some forms of independent verification. 4.7 This practice shall not be viewed in isolation as there are many pertinent helpful texts, conventions, codes, and publications available; it acts as a guide to connect various existing “green” dental practices and services and offers a systemic approach to embedding sustainable development thinking that fits and is readily realizable for dental service organizations of any size or specialization.