Clinical records + Dental history Flashcards
Outline of clinical records
consists of past + present appt + day books, as well as records of each pt attending the practice + contain info specific to delivery of oral health care to that pt
clinical records include
the medical history, dental history, present oral health status (including chartings), trt received on each date + then the required estimate, consent + account paperwork
Outline of dental history
diagnosis of present conditions + determination of trt plan may depend on details of earlier dental disorders + their trt.
Knowledge of previous difficulties
e.g. excessive bleeding, poor response to anaesthetics, difficult extractions, allergy to dental material, latex gloves or rubber gam, or any complication help dentist to avoid their reoccurrence