Waste Management for Dental Offices

1
Waste Management for Dental Offices

• 2007 National Oral Health Care Conference
• Wed., December 14, 2007
• SPEAKER Dr. Alfred L. Frost

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2
Introduction to Waste Management Dental
Office Regulatory Compliance Issues
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3

Session Topics

• Biohazardous Waste / Infectious Waste Disposal
• Federally regulated / State Enforced Hazardous
  Waste Recycling
• X-Ray Chemistry (Silver)
• X-Ray Lead Foil
• Mercury
• New Amalgam Laws

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4
How to Comply with the New Waste Management
Standards

• Ease
• Efficiency
• Economy

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5

Bio-Hazardous Waste / Infectious Waste Disposal

• What is the definition of Bio-Hazardous Waste?
• Blood OSHA vs. EPA
• Disinfectants Disposal

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6
Properties of Bio-hazardous Waste Disposal
Containers

• Leak Proof
• Rigid
• Labeling
• Closure

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7

Properties of Sharps Disposal Containers

• Closeable and difficult to open
• Puncture Resistant
• Leak Proof
• Labeled
• Maintained Upright
• Accessible
• Not Overfilled
• Not Stored in Facility

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8
X-RAY FIXER Waste Overview

• Problems associated with Fixer Waste
• National State Regulations
• Recovery Recycling Methods

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9
X-RAY LEAD FOIL Waste Overview

• Problems Associated with X-Ray Lead Foil Waste
• National State Regulations
• Recovery Recycling Methods

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10

Dental Amalgam Waste Overview

• Safety of Use
• How mercury is recovered and recycled?
• Traps Filters
• Amalgam Separators
• Methods of releasing mercury
• Problems faced by waste water treatment plants
• Chemical Conversion
• Bio-Accumulation
• Bio-Cententration

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11
EPA Report Sources of Mercury in the
Environment

• Dental Contribution
• American Dental Association Study
• Department of Navy Study

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Waste Management Simplified
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12
Heat Chlorine Bleach Sterilization

• American Dental Association Study on Line
  Cleansers
• American Dental Association Best Management
  Practices

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13
Mercury Waste Management

• Environmental Concerns
• How is Mercury Entering the Environment
• Health Concerns Mercury Poisoning
• Water Treatment Plants
• What Can Dentists Do?
• Recycling Amalgam
• Install Amalgam Separators

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14
Demographics of the Regulations

• Impacts of the law
• Social Impacts
• Agricultural
• Economic

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15
Federal Laws with State Enforcement

• US EPA
• RCRA
• State Modifications to Federal Laws and State
  Enforcements
• TCLP
• State Examples and bi-phasic Systems

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16
Amalgam Scrap Summary

• Definition
• Storage
• ADAs Best Management Practices
• Record Keeping

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17
AMALGAM SEPARATOR Summary

• Definition
• New JADA Study (efficiency)
• Problems encountered with some amalgam separators
• Record Keeping
• Amalgam Separator Types and Recycling Regulation
• Septic Systems versus sewers
• Prohibitions

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18

New Federal Action on Amalgam Separators and
Recycling

• November 14, 2007
• Congressional subcommittee hearing on domestic
  policy
• Future Legislation

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19

Recycling, Documentation Long Term Paperwork
Trail Issues

• Why is this Amalgam Separator Requirement NOT an
  equipment issue?
• How to find the RIGHT company to negotiate this
  compliance / regulatory maze

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20
Recycling, Documentation Long Term Paperwork
Trail Issues Continued

• What to look for and what to avoid in recyclers?
• Turnkey Solutions
• Fixed NOT Variable Costs
• Hidden Costs
• What is the Cost for Full Compliance?
• Compliance Partner
• Electronic Monitoring of your Compliance History

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