Back to Part I Dr. Ted's Home Page Site Additions Orthodontic Jaw Wiring
Part II/IV Selection of patients
Overweight / Obesity is defined by the “Body Mass Index” (BMI). A person with a
BMI of 25.00-25.99 is considered overweight. A person with a BMI≥30.00 is
categorized as being obese. Candidates for bariatric surgery have a BMI of
≥40. Those whose BMI is between
35 and 40 would fall into a "halfway" category in which they might still choose
OJW. The
Informed
Consent for OJW
will give you an excellent profile of the patient's suitability to be an OJW
patient. The answers to the questions in red will either make you feel at ease
about selecting the person or rejecting their candidacy as an OJW patient.
It should be analyzed in conjunction with the their medical-dental history form
and their acquaintance form information. Any omission of information should
alert you to the need to complete due diligence more so if the would-be OJW
patient fails to provide the name of their dentist or physician and/or does not
give you permission to contact them your suspicion might be aroused.
CALCULATE YOUR BMI NOW:
http://nhlbisupport.com/bmi/bmicalc.htm
Let me tell you about the typical OJW patient: Seventy-five percent of OJW patients are female between the ages of 25 and 35. They eat compulsively and are unhappy about their inability to control their appetites. They are overweight to an alarming extent, generally 45-90 pounds beyond the healthy range for their height and body type, often meeting the clinical definition of obese; i.e., a body mass index (BMI) above 30 as would occur, for example, in a woman who is 5’5” and weighs more than 180 pounds, or a 6-foot man weighing more than 221 pounds. However, they are searching for a solution to relieve the anxiety and guilt each time they feel compelled to satisfy their need for oral fulfillment.
FACTORS RELATED TO HOW MANY CALORIES A PERSON NEEDS DAILY: [CLICK HERE] [OR HERE]
CALCULATOR TO COMPUTE THE NUMBER OF CALORIES MALES NEED: [Calorie Calculator Males]
CALCULATOR TO COMPUTE THE NUMBER OF CALORIES FEMALES NEED: [Calorie Calculator Females]
The major factors that are input into the computation are: Height, Weight, Age, Level of activity.
Question: Who is not a good
candidate for OJW?
Answer: Your mouth has many functions both obvious (talking) and not so obvious
(sneezing) and is therefore the source of many pleasurable activities. The loss
of any of them may provoke anxiety. Therefore, one should think carefully about
undertaking this method of weight control. A partial list of poor candidates for
OJW would include:
a. Persons who need
to floss their teeth due to gum problems or other compulsive reasons.
b. Persons who speak abundantly for business or other reasons whose speech might
be rendered less than perfectly clear because of being wired closed.
c. Persons whose sex life would be rendered intolerable if intimate oral
functions were impaired… even a little.
d. Persons with
multiple-missing, loose or decayed teeth
e. Those with psychological or emotional disorders who might feel powerless/
panicky with their mouths wired closed.
f. Those whose work functions might be impaired such as an actor, singer,
waiter, teacher etc.
g. Persons with systemic diseases such as diabetics whose diets could not
accommodate a liquid diet.
h. Persons who
cannot breathe through their nose and whose breathing might be compromised by
being held continuously in a closed bite teeth position.
i. Those who are highly allergic are more at risk.
j. Persons who have respiratory ailments such as snoring and/or sleep apnea as
well as those who must use a broncho-dilator spray such as asthmatics.
k. Persons who have a history of Temporo-Mandibular Joint dysfunction (TMJ).
l. Persons who are
taking oral pill/capsule form medications could encounter some difficulties
trying to pass a large capsule into the mouth behind the last teeth. It would be
virtually impossible if the wisdom teeth were fully in place.
m. Persons who compulsively clench/brux/gnash their teeth.
n. Persons who have, or are suspected of having, anorexia or bulimia to begin
with.
o. Persons with frank unresolved periodontal (gum-tooth socket) problems.
p. Persons who
drink alcoholic beverages excessively. In the event of alcoholic intoxication,
vomiting can occur.
(Alcohol suppresses the gag reflex, vomiting can lead to aspiration of vomitus).
q. Persons who 1. will not provide a telephone number 2. do not have an Email
address. 3. below the age of 21 unless accompanied by a parent. 4. are MORE than
110 pounds overweight or LESS than 25 pounds overweight (i.e. moderately obese
and obese, but not "morbidly" obese).