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DENTAL HISTORY TAKING

BY DR. MANISHA MISHRA. DENTAL HISTORY TAKING. THE DENTAL HISTORY. How often do you go to the dentist? How often do you brush your teeth and how long for? What types of dental treatment have you had previously? What are your favorite drinks/foods? Do you grind your teeth or bite your nails?.

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DENTAL HISTORY TAKING

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  1. BY DR. MANISHA MISHRA DENTAL HISTORY TAKING

  2. THE DENTAL HISTORY • How often do you go to the dentist? • How often do you brush your teeth and how long for? • What types of dental treatment have you had previously? • What are your favorite drinks/foods? • Do you grind your teeth or bite your nails?

  3. Medical history • Have you ever had: • Rheumatic fever? • Diabetes? • Epilepsy? • Tuberculosis? • Jaundice? • Hepatitis? • Other infectious disease? • Any problems with bleeding • Allergic to penicillin • Heart trouble or high blood pressure • Any surgery in the past

  4. Oral examination: Develop a systematic approach: • External oral examination for swellings, asymmetry • Internal Oral examination : • Oral hygiene • Soft tissues e.g. Any ulcer • Periodontal condition • Chart the teeth present • Examine each tooth in turn

  5. Percussion is carried out by gently tapping adjacent and suspect teeth with the end of a mirror handle. • A positive response indicates that a tooth is extruded due to exudates in apical or lateral periodontal tissues • Mobility of teeth is ⇑ by ⇓ in the bony support (e.g. Due to Periodontal disease or an Apical abscess) and also by fracture of root or supporting bone

  6. Palpation of the buccal sulcus next to a painful tooth can help to determine if there is an associated apical abscess • Biting on to gauze or rubber can be used to try and elicit pain due to a cracked tooth • Application of cold: This is most practically carried out using ethyl chloride

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