4. • Patient’s Personal Data
• Age : 37
• Gender : Male
• Nationality : Egyptian
• Occupation : Worker
• Marital status : Married
• Number of Children : 4
• Patient Attitude : Cooperative
• Patient N . File : 21182
6. Chief Complaint
I have several blocks from dirt covering most of the teeth
And I feel sensitivity in lower posterior teeth “
The Chief complaint History :
The patient start feel of the sharp edges of the “ calculus “ and he feel sensitivity because the caries
7. History of
Chief Complaint
Onset : 4 months ago
Stimulation : cold water # Relieve by: Stop drink
Radiation of pain : 0
Duration : 1 minute
Mode of onset : periodic
Type of pain : sharp pain
8. NADNothing abnormalities detect
Patient and his family stated
that the patient is free from any
medical condition
NO SIGNIFICANT
Medical history
Family history
9. The Past Medical History :
Respiratory system : 0
GIT : 0
Urinary tract : 0
Kidney : 0
Liver : 0
Nervous system : 0
Endocrine system : 0
Cardiopulmonary : 0
Blood disease :0
10. The Social and Family History :
The Social History :
Smoking : Non smoker
Alcoholism : 0
Drug : 0
The Family History :
Hypertension : 0
D.M : 0
Bad habits : 0
11. history
This is the first time i visit the dentist
Last dental visit ?
Dental history
12. Habits and oral hygiene Activities
# Patient very rare brushes his teeth.
# Technique of brushing: Horizontal Scrub.
# Uses a “ soft ” brush.
# Doesn’t change his toothbrush very often.
# Doesn’t floss.
# Doesn’t visit the dentist nor the hygienist periodically