Dental intro Dr.kavitha

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Dental intro Dr.kavitha

  1. 1. DENTAL CASE HISTORY INTRODUCTION
  2. 2. It is defined as a planned professionalconversation that enable the patient tocommunicate his/her symtoms,feelings,and fearsto the clinician so obtain nature of patient illnessand his/her attitude to them.-an evalvation of the patient prior to the dentaltreatment.
  3. 3. 1.To establish the diagnosis.2.To detect any medical problems.3.Evalvation of other systemic problems.4.Disovery of communicable diseases.5.Management of emergencies.6.For treatment planning.
  4. 4. Sequence of case history1.Statistics2.Chief complaint3.HOPA(history of present illness)4.Medical history5.Past dental history6.Family history7.General eamination8.Extra oral examination9.Intra oral examination10.Provisional diagnosis11.Investigation12.Treatment plan
  5. 5. statisticsIt is defined as a systemic approaches to collectand compile in numerial form the informationrelated to vital events ,livebirths,deaths,recognition,social structure andlegislation.Pt reg no,age,sex,school/classaddress,date,name,education,occupation.
  6. 6. 1.Chief complaint2.HOPA-quality,quantity,location,duration,aggrevatedby,relieved by.3.Medical history-cvd,respdiseases,GI,GU,endorine,neurological,haematological,psyhiatric,allergic reactions.4.Past dental history5.Family history-pre natal,natal,post natal6.Personal history-oral habits=mouth breathing,finger andthumb sucking,nail bitingOral hygiene practices,adverse habits.
  7. 7. 7.General eaminationChild-built,height,postureVital signs-temp,blood pressure,pulse,resp rateBody type
  8. 8. 8.Extra oral examination-shape of head-facial form-facial symmetry-lip competency-tmj-lymph node-salivary gland
  9. 9. 9.Intra oral examinationSoft tissue-tonguepalatefloor of the mouthgingivaperiodontium
  10. 10. 2.Hard tissue examination
  11. 11. Provisional diagnosisA general diagnosis based on clinical impressionwithout any lab investigation
  12. 12. Differential diagnosisListing out of two or more diseases having similarsigns and symptoms
  13. 13. Investigation1.Radiograpic2.laboratory
  14. 14. Plaque , Calculus
  15. 15. Gingivitis
  16. 16. Periodontitis
  17. 17. Periodontal Abscess
  18. 18. Dental caries
  19. 19. Treatment plan1.systemic phase-stabilize ,medical condition ifany ,antibiotic prophylaxis2.preventive phase-caries risk assesment,personaloral hygiene,flouride application,pit and fissuresealant,diet counselling3.preparatory phase-behaviour management,oralprophylaxis,caries control,orthodonticconsultation,oral surgical procedure,endodontictherapy
  20. 20. 4.corrective phase-restorative dentistry,permanentfilling,stainless steel replacement,early orthodonticintervention,minor tooth movement,serialextraction,space management5,maintanence phase-3-6month recall,checkup

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