Bariatric Dental Care Flashcards

1
Q

what is a bariatric person

A

an individual of any age who has limitations in health and social care due to size, health, mobility and environmental access

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2
Q

what BMI is considered overweight

A

25kg/ m2

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3
Q

what BMI is considered obese

A

30 kg/ m2

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4
Q

what are two limitations of BMI

A

does not assess body fat distribution
does not account for factors such as age, sex, ethnicity and muscle mass

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5
Q

what are 4 contributing factors to obesity

A

genetics
socioeconomic status
environment
individual decisions

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6
Q

what underlying health problems can cause obesity

A

hypothyroidism and Prader-Willi syndrome

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7
Q

why is obesity associated with the equality act when its not disability

A

conditions that are associated with obesity can lead to disability

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8
Q

what is important prior to the appointment to ensure

A

f=venue has appropriate facilities
phone patient prior to visit to query the weight or BMI, mobility

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9
Q

will bariatric ambulances take patients to the dentist

A

no - only to hospitals

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10
Q

what aspects of accessibility should be used to accommodate bariatric patients

A

waiting room with suitable weight bearing hair
adequate door width
toilet facilities accessible
emergency evacuation procedures

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11
Q

should staff ever attempt to break the fall of an obese patient

A

no - NEVER

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12
Q

what is the maximum weight on the standard dental chair

A

22 stone

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13
Q

what are some comorbidities of obesity

A

hypertension and CVA
diabetes
sleep apnoea
gastro-oesophageal reflux disease
osteoarthritis
liver and gall bladder disease
skin conditions

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14
Q

what are some mental illnesses associated with obesity

A

depression
anxiety

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15
Q

what dental disease is obesity associated with

A

periodontitis and caries

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16
Q

what is domiciliary care

A

when you treat the patient in their home, useful when patient is too large and anxious to leave the house

17
Q

why is intravenous sedation contraindicated in bariatric patients

A

the risk of sleep apnoea

18
Q

what dental problems are bariatric surgery associated with

A

periodontal disease
increase in caries
hyposelivation
ulcers
dentine sensitivity
halitosis

19
Q

why is there an increased erosion risk after bariatric surgery

A

side effects of reflux and vomiting

20
Q

what is the alternative GDP involvement for obesity

A

oral jaw wiring (OJW) or Maxilla-Mandibular fusion (MMF)

21
Q

what is the problem with OJW or MMF when it comes to weightloss

A

as soon as the wire is removed the patients regain the weight