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Associate Specialist in Restorative Dentistry, Department of Restorative Dentistry, The Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4AZ, UK
As the overweight and obese population increases, one must be mindful of the implications on the delivery of dental care to this group. Appropriate facilities must be available, which may warrant structural and equipment adaptations to clinical and non-clinical areas. The complexity of dental treatment planning and delivery may be compounded by medical comorbidities, and careful consideration must be given to the suitability and safety of conscious sedation and general anaesthesia in order to facilitate treatment. This article aims to discuss how safe provision and equitable access to dental care can be achieved for the bariatric population.
CPD/Clinical Relevance: This article aims to discuss the challenges posed by the increase in the overweight and obese population and considerations to be taken for provision of safe and equitable bariatric dental care.
Article
The observed increase in the overweight and obese population is a global problem. The World Health Organization describe that obesity has tripled since 1975 (with 39% of adults classified as overweight or obese in 2016). To be overweight or obese is defined as an abnormal or excessive fat accumulation that may impair health.1 All overweight patients should have access to dental care and, while the majority can be treated safely in general dental practice, this may not always be possible.2 Each stage of a patient's journey, from accessing to receiving dental care, can be influenced by obesity and/or its complications. NHS services and Commissoners have an obligation (National Health Service Act, 2006) to deliver equal access (Equality Act, 2010) to and standards of care to all patients meaning each patient requires careful assessment and management.3 Equitable access and safe provision of care must be ensured through appropriately designed healthcare services and referral pathways, and risk assessments. This article explores each phase of a patients' dental management and examines the impact that obesity may have on patient's care, from their initial visit through to treatment delivery and long-term maintenance.
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