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Caring for Patients of Size in the Dental Office

dental office with an empty chair


Obesity rates in New York have reached epidemic levels. The number of overweight or obese adults increased from 42% in 1997 to 64% in 2022. Since obesity is a complex issue with no single solution, dentists will likely continue to play a role in the oral health of obese patients.

Obese patients are at an increased risk of gum disease and tooth decay. According to a study published in the British Dental Journal, body mass index, body fat, serum lipid levels and waist circumference are associated with the development of periodontitis. Therefore, dentists can expect to treat obese patients on a frequent basis.

Let’s look at some concerns when treating obese patients.

Recommendations for Treating Patients of Size in the Dental Office

Dental offices may face challenges in accommodating patients of size due to limitations in equipment and infrastructure. This can potentially lead to injuries if appropriate adjustments are not made. Moreover, implicit bias or lack of sensitivity towards obese patients among dental professionals can significantly impact the quality of care. This can manifest in inadequate treatment, poor communication and ultimately negative patient outcomes. Creating a safe and inclusive environment that prioritizes the needs of obese patients is crucial for optimal care and minimizing the risk of dental professional liability claims.

When treating patients of size, MLMIC recommends the following:

  • Examination rooms and waiting areas should include appropriate and safe furnishings, such as large, sturdy chairs, high sofas, benches or loveseats that can accommodate patients and visitors of size.
  • Diagnostic and interventional equipment that can accommodate morbidly obese patients should be made available and could include floor-mounted toilets and sturdy grab bars in bathrooms.
  • Office staff should be knowledgeable about the weight limits of their office equipment. Color-coded labels can be used to discreetly identify weight limits.
  • Dentists should assess their own potential weight bias. Recognize any preconceived ideas and attitudes regarding weight.

A complete list of our risk management tips for safely caring for patients of size in the dental office can be found here.

MLMIC policyholders can reach out to our risk management department for questions regarding treating patients of size by submitting a question here.

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If you are not already a MLMIC insured, learn more about us here.

Sources:

  1. https://www.health.ny.gov/prevention/obesity/
  2. https://www.colgate.com/en-us/oral-health/threats-to-dental-health/periodontal-disease-and-obesity
  3. https://www.researchgate.net/publication/335084629_Review_of_obesity_and_periodontitis_an_epidemiological_view

This document is for general purposes only and should not be construed as dental or legal advice. This document is not comprehensive and does not cover all possible factual circumstances. Because the facts applicable to your situation may vary, or the laws applicable in your jurisdiction may differ, please contact your attorney or other professional advisors for any questions related to legal, dental or professional obligations, the applicable state or federal laws or other professional questions.