1. DENTAL CASE HISTORY
INTRODUCTION

3. It is defined as a planned professional
conversation that enable the patient to
communicate his/her symtoms,feelings,and fears
to the clinician so obtain nature of patient illness
and his/her attitude to them.
-an evalvation of the patient prior to the dental
treatment.

4. 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.

5. Sequence of case history
1.Statistics
2.Chief complaint
3.HOPA(history of present illness)
4.Medical history
5.Past dental history
6.Family history
7.General eamination8.Extra oral examination
9.Intra oral examination
10.Provisional diagnosis
11.Investigation
12.Treatment plan

6. statistics
It is defined as a systemic approaches to collect
and compile in numerial form the information
related to vital events ,live
births,deaths,recognition,social structure and
legislation.
Pt reg no,age,sex,school/class
address,date,name,education,occupation.

7. 1.Chief complaint
2.HOPA-quality,quantity,location,duration,aggrevated
by,relieved by.
3.Medical history-cvd,resp
diseases,GI,GU,endorine,neurological,haematological,psyh
iatric,allergic reactions.
4.Past dental history
5.Family history-pre natal,natal,post natal
6.Personal history-oral habits=mouth breathing,finger and
thumb sucking,nail biting
Oral hygiene practices,adverse habits.

8. 7.General eamination
Child-built,height,posture
Vital signs-temp,blood pressure,pulse,resp rate
Body type

9. 8.Extra oral examination
-shape of head
-facial form
-facial symmetry
-lip competency
-tmj
-lymph node
-salivary gland

10. 9.Intra oral examination
Soft tissue-tongue
palate
floor of the mouth
gingiva
periodontium

11. 2.Hard tissue examination

17. Provisional diagnosis
A general diagnosis based on clinical impression
without any lab investigation

18. Differential diagnosis
Listing out of two or more diseases having similar
signs and symptoms

19. Investigation
1.Radiograpic
2.laboratory

20. Plaque , Calculus

21. Gingivitis

22. Periodontitis

23. Periodontal Abscess

25. Dental caries

29. Treatment plan
1.systemic phase-stabilize ,medical condition if
any ,antibiotic prophylaxis
2.preventive phase-caries risk assesment,personal
oral hygiene,flouride application,pit and fissure
sealant,diet counselling
3.preparatory phase-behaviour management,oral
prophylaxis,caries control,orthodontic
consultation,oral surgical procedure,endodontic
therapy

30. 4.corrective phase-restorative dentistry,permanent
filling,stainless steel replacement,early orthodontic
intervention,minor tooth movement,serial
extraction,space management
5,maintanence phase-3-6month recall,checkup