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Complete and accurate records provide enough information to allow another provider who has no prior knowledge of the patient to know the patient's dental experience.
Patient Record Identification data \u2014 name, date of birth, phone numbers, and emergency contact information. Dental history. Clinical examination to include an accurate charting. Diagnosis. Treatment plan. Documentation of informed consent. Medical history \u2014 a thorough investigation, to include a minimum of:-
Routine dental visits keep gum disease at bay During a routine checkup, the dentist will make sure that the gums are firm. They will check for swelling, receding gums and deep gum pockets. If the dentist finds any of these worrying symptoms, they will treat the underlying cause.
As you can see, treatment is complicated in many ways by a medical history that is not complete or is in some other way not accurate. Not knowing a medical history can cause unnecessary visits to the specialist and/or unnecessary risks to the patient.
An accurate medical/dental health history is vital since it may provide valuable information for the dentist prior to beginning treatment, especially since certain medications can influence treatment decisions or may impact post-operative care instructions.
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All this information helps to ensure that you, as a clinician, can treat a patient based on their specific needs while reducing the risk of injury. It also helps if a patient needs a referral, dental or otherwise. Updated and thorough health histories also reduce the risk of negligence.
Read on to discover the symptoms dentists are trained to watch for and the variety of diseases they can detect. Heart Disease. If you have loose teeth and gums with lots of inflammation, you most likely have gum disease. ... Kidney Disease and Pancreatic Cancer. ... Diabetes. ... Leukemia. ... Crohn's Disease.
This should include the following: Demographic data. Presenting complaint (the presenting problem, ideally recorded in the patient's own words) History of presenting complaint (a detailed history of the complaint and the symptoms associated with it recorded in a logical and chronological manner) Dental history.
Medical history questionnaire forms are used every time patients attend for routine examinations and should be updated as regularly as possible. We ask our patients to update their medical histories every 6 months.
As you can see, treatment is complicated in many ways by a medical history that is not complete or is in some other way not accurate. Not knowing a medical history can cause unnecessary visits to the specialist and/or unnecessary risks to the patient.

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