08:30 Registration and refreshments
09:00 Medical aspects of obesity and anaesthetic considerations - Elke Kothmann, Consultant Anaesthetist
Aims
• Have an understanding of the scale of the problem and how this impacts our practices
• Be aware of the challenges obesity causes the body (anatomical, physiological and pharmacological)
• Consider the adaptations that are required to manage obesity (drugs, safety, equipment)
• Recognise the clinical significance and pitfalls of weight reducing drugs.
Learning objectives
• Discuss the array of medical problems common in obese patients
• Consider the risks for treating obese patients under sedation and general anaesthetic
• Assess obese patients preoperatively and highlight likely problems
• Discuss post op concerns for obese patients
• Consider prescribing issues for obese patients. Should we prescribe higher doses?
Learning content
An overview of how to assess the obese patient for treatment under sedation or general anesthesia and consideration of the medical considerations and risks in treating this patient group.
Development outcome C
10:00 Understanding the role of drugs to treat obesity: the Dental Perspective - Nimantha de Alwis, Consultant in Diabetes and Endocrinology
Aims
• Understanding of Current prevalence of Obesity in the UK and complications of this chronic disease
• Introduce the role of a Specialist weight Management service and what is available regionally
• Introduce the Medical agents currently available for the management of Obesity and the indications and guidelines for their use
• Overview of future medical therapies which are likely to be available in the coming years.
Learning objectives
• Understand why drugs are used in management of obesity
• Understand patient selection and pathways for use of drugs in obesity management
• Understand the mechanism of action of drugs used in obesity management
• Understand any oral and dental implications of their use.
Learning content
• Introduction to the definition and classification of obesity and its complications
• Current Services available in the UK and the challenges it faces including Stigma and the definition as a chronic disease
• Regionally what obesity services are available and the importance of diet and exercise in the management of obesity
• The availability and eligibility of medical treatments and a brief introduction into bariatric surgery in obesity
• The importance of diet and exercise and implications of poor dental Hygiene on obesity.
Development outcome C, D
11:00 Refreshments
11:30 Living with Obesity- psychological perspective - Peter Cox, Assistant Clinical Psychologist
Aims
• Attendees will gain an understanding of the role of psychology assessment and intervention in weight loss surgery, referencing current guidelines and best practice
• Explore factors contributing to obesity and impacting weight management
• Discuss the psychological support needs of those living with excess weight and seeking weight loss surgery
• Having compassionate conversations with patients living with obesity about lifestyle changes drawing on motivational interviewing and making every contact count approaches.
Learning objectives
• Understand weight loss surgery pathway and role of psychology
• Gain insight on the psychological perspectives of obesity management
• Having compassionate conversations with patients about weight management and lifestyle changes.
Learning content
• STSFT weight loss surgery pathway and the role of psychology on this pathway
• Psychological perspectives and considerations for obesity management
• Compassionate conversations with patients to motivate and facilitate lifestyle changes.
Development outcomes B, C
12:15 The Patient’s Perspective - Nicolas Rowley
Aims
• Discuss accessing dental and medical care from the patient’s perspective
Learning objectives
• Discuss the background to obesity and the prejudice and discrimination faced by
• overweight patients
• Appreciate a patient’s perspective and journey prior to sitting in the dental chair
• Consider the patients thoughts and feelings around accessing dental care and barriers to accessing dental care
• Accept patient feedback as a profession for offering care to obese adults.
Learning content
A personal story of managing obesity. The good and the bad experiences interacting with dental and medical professionals. What can we learn to make future experiences better?
Development outcome C, D
12:45 Lunch
13:30 Top Tips for Back Care - Sarah Kime, Consultant in Special Care Dentistry
Aims
• Understand the physical impacts involved in dental treatment for obese patients, from a clinician’s perspective
• Appreciate the role of movement in managing the physical effects to the clinician from treatment of obese patients.
Learning objectives
• Understand the importance of back care when practising bariatric dentistry
• Appreciate practical tips to care for your back
• Understand how to use movement to support your back health.
Learning content
• Raise awareness of additional challenges the dentist may encounter in treating obese patients, and how to overcome / manage these challenges
• Recognize the physical risks to the dentist associated with treating obese patients; and how to avoid / reduce / manage these risks where possible
• Managing the aches and pains for a clinician, that may arise as a result of treating some patients
• Discuss the importance of movement in maintenance and management of physical health and the benefits of movement to support both physical and mental health.
• Practical tips of how to look after our backs and posture in and out of work.
Development outcomes B, C
14:00 Beyond the Chair: Practical approaches to Dentistry for Bariatric Patients - Aarthi Suresh, Specialty Registrar in Special Care Dentistry
Aims
To equip the dental team with the essential knowledge required to safely, effectively, and respectfully manage the unique clinical and logistical challenges associated with providing comprehensive dental care to bariatric patients in Special Care Dentistry.
Learning objectives
• Identify the unique oral health risks for bariatric patients
• Describe key clinical challenges and methods for management
• Evaluate logistical requirements for patient safety
• Outline a service plan for integrating bariatric patient care into Special Care Dentistry.
Learning content
• Physiology: Oral health risks and the dental impact
• Clinical: Positioning, access and adaptations for treatment
• Logistics: Safe patient transfer, facilities and equipment needs
• Planning: Care pathways, team training and service planning.
Development outcome A, B, C, D
15:00 Refreshments and raffle in aid of the BDA Benevolent Fund
15:30 Case Discussions - speaker to be announced
Session details to be confirmed.
16:30 Divisional AGM - members only
17:00 Finish and Social
