Bariatric Dentistry Flashcards
The WHO overweight value
> or equal to 25kg/m2
The WHO obesity value
> or equal to 30kg/m2
The WHO underweight value
< 18.5
Why is toothwear more likely in a bariatric patient?
Erosive tooth wear more likely - increased prevalence of GORD in bariatric patients
Why is wound healing more affected in a bariatric patient?
Reduced immune function leading to delayed wound healing
Why is caries more likely in a bariatric patient?
Diet high in processed sugars
What dental implications does a bariatric patient bring? (4)
- New chair
- Intraoral radiography more challenging due to increased soft tissues
- OPT can be difficult or impossible if the machine can’t accommodate size
- IDB maybe not possible - intraligamentary technique/Gow gates
What is extirpation?
Removal of the infected pulp from the tooth
Iv sedation contraindication
Obese at risk of sleep apnoea
Not suitable for conscious sedation due to difficulty placing cannula
May have compromised aways
GA contraindications for bariatric patients
2x more likely to develop serious airway problems during a GA
