Bariatric Care Flashcards
What can influence ones risk of obesity?
Underlying health conditions - hypothyroidism
Eating disorders
Physical limitations to activity
Medications contributing to weight gain - steroids
Poor lifestyle choices
What role can i play as a dentist?
Diagnose oral issues associated with overweight patients
Signpost to weight management with GP
Be aware of comorbidities
Raise concerns with patient
Know when to refer and to raise concerns with children etc.
What dental implications can obesity have?
Loss of anatomical landmarks
May have to be treated fully supine
- bad back dentist
Difficult intra-oral radiography
- pt may also not fit in the OPT machine
Long procedures leading to leg oedema / cellulitis
Fatty liver disease
- coagulation issues
Diabetes and perio?
Higher caries risk
Likely Immunosuppressed
- delayed wound healing
Toothwear
- erosive wear
- GORD
- especially in those with gastric band
What are some comorbidities of obesity
Hypertension, angina? - stable or unstable
Diabetes
Sleep apnoea
GORD - NCTSL
Depression and anxiety
Inflammation within excessive body folds
Osteoarthritis
Liver / gallbladder disease
How does obesity affect inhalation sedation?
No real contraindications, must ensure good safe airway
- may be most appropriate form of sedation
How obesity affect IV sedation?
High risk of sleep apnoea - contraindicated in primary care
- difficulty placing cannula too
- compromised airway too
Issues with obesity and GA?
Obese individuals twice more likely to develop serious airway problems in GA
What advice can GDP give to bariatric surgery individual?
Ingestion of healthy diet with reduction in sugar
Perform good oral hygiene
Eat a high fibre diet
Brush tongue to avoid halitosis
Take care with toothwear, do not brush after period of vomiting or reflux, wait 30 minutes - fruit juice through straw too
Topical fluoride varnish
