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Dr. Brett Duane
Associate Professor in Public Dental Hea, Dental Science


My main interests are now environmental sustainability in healthcare. As well as a 7 paper review on sustainability in dentistry my papers also include broader healthcare - travel, conferences, education etc My papers can be found here

My research team is a collection of specialists, students, and colleagues interested in understanding the life cycle assessment of environmental products; So far we have modelled/published life cycle assessments of ;

Electric toothbrushes Standard toothbrushes Dental procedures Examination kits Gloves; sterile and non sterile Gowns Decontamination products Hand gel

Publications and Further Research Outputs

Peer-Reviewed Publications

Yates C, Duane B, Maternal xylitol and mutans streptococci transmission., Evidence-based dentistry, 16, (2), 2015, p41-2 Journal Article, 2015

Binks C, Duane B, Mother-to-child transmission of Streptococcus mutans., Evidence-based dentistry, 16, (2), 2015, p39-40 Journal Article, 2015

Duane B, Xylitol and caries prevention., Evidence-based dentistry, 16, (2), 2015, p37-8 Journal Article, 2015

Duane B, Further evidence that periodontal bone loss increases with smoking and age., Evidence-based dentistry, 15, (3), 2014, p72-3 Journal Article, 2014

Thillainathan S, Duane B, Non-conventional caries management techniques for children show promise., Evidence-based dentistry, 15, (2), 2014, p43-4 Journal Article, 2014

Duane B, Conservative periodontal surgery for treatment of intrabony defects is associated with improvements in clinical parameters., Evidence-based dentistry, 13, (4), 2012, p115-6 Journal Article, 2012

Duane B, 5,000 ppm F dentifrice for caries prevention in adolescents., Evidence-based dentistry, 13, (2), 2012, p43-4 Journal Article, 2012

Duane B, Home visits or telephone contacts may help prevent early childhood caries., Evidence-based dentistry, 13, (2), 2012, p39-40 Journal Article, 2012

Duane B, Xylitol gum, plaque pH and mutans streptococci., Evidence-based dentistry, 11, (4), 2010, p109-10 Journal Article, 2010

Duane B, Limited evidence of the effect of chlorhexidine varnish (CHX-V) on root caries., Evidence-based dentistry, 12, (2), 2011, p39-40 Journal Article, 2011

Duane BG, No evidence of caries reduction found in a school xylitol and erythritol lozenge programme., Evidence-based dentistry, 12, (4), 2011, p102-3 Journal Article, 2011

Duane BG, Weak evidence of caries reduction using xylitol-based lozenges in two of three selected studies., Evidence-based dentistry, 13, (1), 2012, p7-8 Journal Article, 2012

Allen Y, Duane B, Risk-based caries prevention may be more effective in children., Evidence-based dentistry, 15, (2), 2014, p41-2 Journal Article, 2014

Duane B, Taylor T, Stahl-Timmins W, Hyland J, Mackie P, Pollard A, Carbon mitigation, patient choice and cost reduction--triple bottom line optimisation for health care planning., Public health, 128, (10), 2014, p920-4 Journal Article, 2014

Duane BG, Humphris G, Richards D, Okeefe EJ, Gordon K, Freeman R, Weighing up the weighted case mix tool (WCMT): a psychometric investigation using confirmatory factor analysis., Community dental health, 31, (4), 2014, p200-6 Journal Article, 2014

Duane B, Hyland J, Rowan JS, Archibald B, Taking a bite out of Scotland's dental carbon emissions in the transition to a low carbon future., Public health, 126, (9), 2012, p770-7 Journal Article, 2012

Duane BG, Richards D, Young L, Archibald B, Trends and costs of high concentration fluoride toothpaste prescribing in Scotland., British dental journal, 216, (10), 2014, p589-91 Journal Article, 2014

Macpherson LM, Ball GE, Brewster L, Duane B, Hodges CL, Wright W, Gnich W, Rodgers J, McCall DR, Turner S, Conway DI, Childsmile: the national child oral health improvement programme in Scotland. Part 1: Establishment and development., British dental journal, 209, (2), 2010, p73-8 Journal Article, 2010

Duane, B., Green dentistry: Motivating change, British Dental Journal, 217, (8), 2014 Journal Article, 2014

Duane, B., Indemnity in Australia [6], British Dental Journal, 202, (4), 2007 Journal Article, 2007

FitzGerald, K., McGovern, E., Chaollai, A.N., Duane, B., Baby steps: a systematic approach to the infant oral health visit, Journal of the Irish Dental Association, 62, (3), 2016, p158-160 Journal Article, 2016

Raphael, S., Blinkhorn, A., Hani, T.B., O'Connell, A.C., Duane, B., Casein phosphopeptide-amorphous calcium phosphate products in caries prevention, Evidence-Based Dentistry, 17, (2), 2016, p46-47 Journal Article, 2016

McLaughlin, M., Duane, B., Evidence that full-mouth scaling superior to conventional treatment approaches is unclear, Evidence-Based Dentistry, 17, (1), 2016, p23-24 Journal Article, 2016

Sequeira-Byron, P., Fedorowicz, Z., Carter, B., Nasser, M., Alrowaili, E.F., McReynolds, D., Duane, B., Insufficient evidence on whether to restore root-filled teeth with single crowns or routine fillings, Evidence-Based Dentistry, 17, (2), 2016, p50-51 Journal Article, 2016

O'Brien S, Duane B., Delivery of information to orthodontic patients using social media., Evidence-based dentistry, 18, (2), 2017, p59-60 Journal Article, 2017 DOI

Duane B., Psychological approaches to behaviour for improving plaque control., Evidence-based dentistry, 18, (1), 2017, p3-4 Journal Article, 2017 DOI

Duane B, Lee MB, White S, Stancliffe R, Steinbach I., An estimated carbon footprint of NHS primary dental care within England. How can dentistry be more environmentally sustainable?, British dental journal, 223, (8), 2017, p589-593 Journal Article, 2017 DOI

Madeley, E., Duane, B., Coronally advanced flap combined with connective tissue graft; Treatment of choice for root coverage following recession?, Evidence-Based Dentistry, 18, (1), 2017, p6-7 Journal Article, 2017

Khraishi, H., Duane, B., Evidence for use of intraoral scanners under clinical conditions for obtaining full-arch digital impressions is insufficient, Evidence-Based Dentistry, 18, (1), 2017, p24-25 Journal Article, 2017

Duane, B.G., Freeman, R., Richards, D., Crosbie, S., Patel, P., White, S., Humphris, G., Using the simplified case mix tool (sCMT) to identify cost in special care dental services to support commissioning, Community Dental Health, 34, (1), 2017, p56-59 Journal Article, 2017

Madeley, E., Duane, B., Coronally advanced flap combined with connective tissue graft; Treatment of choice for root coverage following recession?, Evidence-Based Dentistry, 18, (1), 2017, p6-7 Journal Article, 2017

McReynolds, D., Duane, B., Review finds failure rates lower for delayed loaded submerged dental implants, Evidence-Based Dentistry, 16, (4), 2015, p112-113 Journal Article, 2015

Halley, D., Weld-Moore, R., Duane, B., No evidence for stopping long-term aspirin therapy before tooth extraction, Evidence-Based Dentistry, 16, (4), 2015, p118-119 Journal Article, 2015

, Do adjunctive statins improve periodontal treatment outcomes in patients with chronic periodontitis?, Evidence-based dentistry, 2019 Journal Article, 2019

, Environmental sustainability and procurement: purchasing products for the dental setting, British dental journal, 2019 Journal Article, 2019

, Environmental sustainability and travel within the dental practice, British dental journal, 2019 Journal Article, 2019

, Environmental sustainability and waste within the dental practice, British dental journal, 2019 Journal Article, 2019

, Environmentally sustainable dentistry: a brief introduction to sustainable concepts within the dental practice, British dental journal, 2019 Journal Article, 2019

, Environmentally sustainable dentistry: energy use within the dental practice, British dental journal, 2019 Journal Article, 2019

, How important is sustainability to the dental profession in Ireland?, Journal of the Irish Dental Association, 2019 Journal Article, 2019

, Knowledge, attitudes and behaviour regarding the infant oral health visit: are dentists in Ireland aware of the recommendation for a first visit to the dentist by age 1 year?, European Archives of Paediatric Dentistry, 2019 Journal Article, 2019

, Reporting of Child Abuse and Neglect by Salaried Primary Care Dentists, Irish Journal of Applied Social Studies, 2019 Journal Article, 2019

, Sustainability and procurement (what we buy) within the dental practice, Br Dent J, 2019 Journal Article, 2019

, Is there an association between maternal smoking and oral clefts?, Evidence-based dentistry, 2018 Journal Article, 2018

, Limited evidence on best material for retrograde root fillings, Evidence-based dentistry, 2018 Journal Article, 2018

, Non-pharmacological pain relief during orthodontic treatment, Evidence-based dentistry, 2018 Journal Article, 2018

, Oral anticoagulant therapy and tooth extraction, does the evidence support drug holidays?, Evidence-based dentistry, 2018 Journal Article, 2018

, Periodontal disease has an impact on patients' quality of life, Evidence-based dentistry, 2018 Journal Article, 2018

, Sustainable healthcare: The role of dentists, ADA News Bulletin, 2018 Journal Article, 2018

McReynolds D, Duane B. , Systematic review finds that silver diamine fluoride is effective for both root caries prevention and arrest in older adults, Evidence-based dentistry, 2018 Journal Article, 2018

, The prevalence of, Irish Dental Association, 2018 Journal Article, 2018

, First tooth, first visit, zero cavities: a review of the evidence as it applies to Ireland, 2017 Journal Article, 2017

, Improving oral healthcare in Scotland with special reference to sustainability and caries prevention, 2015 Journal Article, 2015

Duane B, Ashley P, Saget S, Richards D, Pasdeki-Clewer E, Lyne A., Incorporating sustainability into assessment of oral health interventions., British dental journal, 229, (5), 2020, p310-314 Journal Article, 2020 DOI

Brett Duane, Jonathan Dixon, Giwa Ambibola, Clara Aldana, James Couglan, Daniel Henao, Timus Daniela, Nélio Veiga, Nicolas Martin, Jáuregui"Hogan Darragh, Darshini Ramasubbu, Francesc Perez, Falk Schwendicke, Maria Correia, Maria Quinteros, Maria Van Harten, Corrado Paganelli, Peter Vos, Rosa Moreno Lopez, James Field, Embedding environmental sustainability within the modern dental curriculum" Exploring current practice and developing a shared understanding, European Journal of Dental Education, 2021 Journal Article, 2021

B. Duane, R. Stancliffe, F.A. Miller, J. Sherman, E. Pasdeki-Clewer, Sustainability in Dentistry: A Multifaceted Approach Needed, Journal of Dental Research, 2020, p002203452091939 Journal Article, 2020

H. Jamal and A. Lyne and P. Ashley and B. Duane, Non-sterile examination gloves and sterile surgical gloves: which are more sustainable?, Journal of Hospital Infection, 118, 2021, p87--95 Journal Article, 2021 DOI

Linnea Borglin and Stephanie Pekarski and Sophie Saget and Brett Duane, The life cycle analysis of a dental examination: Quantifying the environmental burden of an examination in a hypothetical dental practice, Community Dentistry and Oral Epidemiology, 49, (6), 2021, p581--593 Journal Article, 2021 DOI

Brett Duane and Alexandra Lyne and Theresa Faulkner and Jonathan D. Windram and Andrew N. Redington and Sophie Saget and Justin T. Tretter and Colin J. McMahon, Webinars reduce the environmental footprint of pediatric cardiology conferences, Cardiology in the Young, 31, (10), 2021, p1625--1632 Journal Article, 2021 DOI

Brett Duane, Alison Dougall, Guest Editorial: Sustainable Dentistry, Special Care in Dentistry, 39, (4), 2019, p351--353 Journal Article, 2019

Emily Shaw and Sarah Walpole and Michelle McLean and Carmen Alvarez-Nieto and Stefi Barna and Kate Bazin and Georgia Behrens and Hannah Chase and Brett Duane and Omnia El Omrani and Marie Elf and Carlos A. Faerron Guzm{\'{a, AMEE Consensus Statement: Planetary health and education for sustainable healthcare, Medical Teacher, 43, (3), 2021, p272--286 Journal Article, 2021 DOI

Brett Duane and Linnea Borglin and Stephanie Pekarski and Sophie Saget and Henry Fergus Duncan, Environmental sustainability in endodontics. A life cycle assessment (LCA) of a root canal treatment procedure, BMC Oral Health, 20, (1), 2020 Journal Article, 2020 DOI

Brett Duane, The UK National Health Service Is World Leader in Sustainable Healthcare: Recommendations for Canada, HealthcarePapers, 19, (3), 2020, p27--34 Journal Article, 2020 DOI

Alexandra Lyne and Paul Ashley and Sophie Saget and Marcela Porto Costa and Benjamin Underwood and Brett Duane, Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model, British Dental Journal, 229, (5), 2020, p303--309 Journal Article, 2020 DOI

Mac Giolla Phadraig C, Ishak NS, van Harten M, Al Mutairi W, Duane B, Donnelly-Swift E, Nunn J., The Oral Status Survey Tool: construction, validity, reliability and feasibility among people with mild and moderate intellectual disabilities., Journal of intellectual disability research : JIDR, 65, (5), 2021, p437-451 Journal Article, 2021 DOI

Sherman, Jodi D., Thiel, Cassandra, MacNeill, Andrea, Eckelman, Matthew J., Dubrow, Robert, Hopf, Harriet, Lagasse, Robert, Bialowitz, Joseph, Costello, Anthony, Forbes, McGain, Stancliffe, Rachel, Anastas, Paul, Anderko, Laura, Baratz, Mark, Barna, Stefi, Bhatnagar, Urvashi, Burnham, Jason, Cai, Yizhen, Cassels-Brown, Andy, Cimprich, Alexander F.P., Cole, Heidi, Coronado-Garcia, Lorea, Duane, Brett, Grisotti, Gabriella, Hartwell, Arthy, Kumar, Varshini, Kurth, Ann, Leapman, Michael, Morris, Daniel S., Overcash, Michael, Parvatker, Abhijeet G., Pencheon, David, Pollard, Adam, Robaire, Bernard, Rockne, Karl, Sadler, Blair L., Schenk, Beth, Sethi, Tushar, Sussman, L. Scott, Thompson, Jeff, Twomey, Janet M., Vermund, Sten H., Vukelich, Daniel, Wasim, Natasha, Wilson, Debbie, Young, Steven B., Zimmerman, Julie, Bilec, Melissa M., The Green Print: Advancement of Environmental Sustainability in Healthcare, Resources, Conservation and Recycling, 161, 2020, p104882 Journal Article, 2020 DOI

Brett Duane, Sustainability in Dentistry (BEING PEER REVIEWED), 1, 2022 Book, 2022

Abed R, Ashley P, Duane B, Crotty J, Lyne A., An environmental impact study of inter-dental cleaning aids., Journal of clinical periodontology, 2022 Journal Article, 2022 DOI

Non-Peer-Reviewed Publications

Duane, Ingeborg, Stancliffe, Carbon Modelling with Dentistry, Public Health England, July, 2018 Report, 2018

Research Expertise


I have significant experience in an innovative growing and hugely important area; Sustainable healthcare Thirteen years ago I started developing an academic interest in Sustainability in healthcare specifically but not limited to dentistry. I was the first to lead a team to carbon footprint a dental service- a year or so after NHS England had mapped their carbon footprint. From there I acquired funding to develop a more systematic carbon footprint of the dental service across England. I led a team of academics on developing seven academic thematic papers on sustainability in dentistry. Within life, and within healthcare we need to understand the key elements of what is the highest contributor to environmental degradation. In order to understand this I learnt how to perform Life Cycle Assessments, publishing eight LCA papers demonstrating where our environmental impact comes from. Recent papers look specifically looking at prevention - highlighting the environmental wins we can make through water fluoridation, and the use of fluoride preventive programmes. With more sustainability papers published in dentistry than any other author I am regarded as one of the global leaders in sustainable dentistry. International presentations I have presented at a number of international presentations as key speakers including: EDSA European Dental Students Association, Amsterdam April 2018. Malmo University, Sept 2019 The Workshop on Environmental Sustainability in Clinical Care, Yale, April 2018 LDC dental conference London 2019 Council of European Dentists August 2018 My area of influence does not just relate to my research. I have led (with my co-author James Field) on Curriculum development in sustainability in dentistry Change within the practice of dentistry I sit on a number of academic and working groups (Australian Dental association, British Dental Association) and have provided consultancy advice to the European Dental Students Association, New Zealand Dental Association, the Canadian Dental Association, the Council of European Dentists etc, the British Dental Industry Association within this area. Change within regulatory groups I have had conversations with the General Dental Council on curriculum review within sustainability in dentistry


  • Title
    • Sustainability in Dentistry


caries; Countercurrent Chromatography; Social Inequality; SUSTAINABILITY



Membership of the Expert Body on Fluorides and Health 2017

Member Dental Council Working group "Managing Medical Emergencies with the dental setting" 2017-2018

Member working group: Scottish Dental Clinical Effetiveness Programme Prevention and Management of Dental Caries in Children 2006-2018

Centre for Sustainable Health Care 2015

National Dental Sustainability Advisory Group 2015

Consultant Australian Dental Association 2021

Malmo University; Worked with the University to promote sustainable healthcare 2019

Universidad de Javeriana: Worked with the University to promote sustainable healthcare 2019

British Dental Industry Association: Discussed with the BDIA how manufacturers could influence their production process 2019

Consultant British Dental Association: Provided advice on how the BDA could support the development of sustainable dentistry 2019

Awards and Honours

NSW Aboriginal Health Award. Projects. Tiddalick Takes on Teeth 2004


British Dental Association 2014 – 2018

British Association for the Study of Community Dentistry BASCD 2017 – 2018

Australian Dental Association Sustainability Advisory Group 01/01/2021 – 01/12/2021

National Dental Sustainability Advisory Group 01/01/2015 – 2021