“It is defined as planned professional conversation that enables the patient to communicate his/her symptoms, fears and feelings so as to obtain an insight into the nature of patient’s illness” 🤒
It includes the following sequence;
🔰Personal information: name, age, sex(M/F), occupation, address with contact no., O.P no. are noted.
It is recorded to create a rapport with the patient. To assess their socio-economic status, age-related risk factors.
🔰Chief complaint: It ascertains the principle reason as to why the patient is seeking medical attention.
Complaint is recorded verbatim in patient’s own words: symptoms,onset,duration, previous treatments, history of illness.
🔰Dental history: Helps in reviewing patient’s risk status and past dental experiences. It’ll add info. about patient’s current dental problems.
🔰Medical history: Helps identify conditions that could alter, complicate, or contraindicate proposed dental procedures. Following may be detected:
🔸️Communicable diseases: herpes simplex,chicken pox, mumps, tuberculosis etc. Should be questioned about contact with hepatitis B, HIV.
🔸️Allergies and drug history: Drug allergies ( local anesthetics like novocaine, analgesics, antibiotics)
Also certain medications 💊 can alter the treatment:
Ex:- Antiepileptic drugs – gingival enlargement
🔸️Systemic health: Cardiac abnormalities:- risk of bacterial endocarditis following dental procedures.
In such cases, prophylactic antibiotic cover is given.
Diseases of respiratory system:- may be on bronchodilators, antihistamines or steroid therapy. May interfere with anesthetic management.
Diseases of endocrine, neurological, hematological, infectious, reproductive, gastric, renal, liver, autoimmune, psychiatric should be noted.
🔸️Aging: In geriatric group, medications and illness can alter oral physiology, maintenance of hygiene and treatment plan.
🔰Social review: Helps to identify patient’s attitudes, expectations and motivation for dental treatment.
🔰Family and personal history:
Gives an overview of patient’s lifestyle.
▪️Habits like chewing tobacco, quicklime, areca nut, pan masala, gutka, chronic alcoholism, chronic smoking etc.
▪️A detailed history of immediate family of the patient, with their age, general health, medical ailments, cause and age at the time of death of any deceased member is recorded. A family history of epilepsy, cardiac disorders, diabetes, bleeding disorders and tuberculosis is of particular importance.
Sometimes, dentist is the first person to recognize any disease in a patient 🌻