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DENTAL HISTORY Name Date Email: How often do you floss? How often do you brush? Please check if you have any of the following: O O O O O O OO Bad breath Clicking or popping jaw joint pain Loose teeth
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01
Gather the necessary information such as the patient's personal details, contact information, and medical history.
02
Ask the patient about any previous dental treatments or surgeries they have had.
03
Inquire about any allergies or existing medical conditions that may affect dental treatment.
04
Ask the patient about their dental hygiene routine and any oral health concerns they may have.
05
Record any medications the patient is currently taking.
06
Ask the patient about any tobacco or alcohol use.
07
Document any dental insurance information the patient may have.
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Make sure to update the dental health history regularly as new information becomes available.

Who needs dental health history?

01
Anyone visiting a dental clinic or dentist's office needs to fill out a dental health history form.
02
This includes new patients who have never been to the dental office before.
03
It is also important for existing patients to update their dental health history regularly.
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Dental health history is a comprehensive record that outlines an individual's past dental issues, treatments, and relevant medical conditions that may affect their oral health.
Every patient seeking dental care is required to file a dental health history to provide their dentist with pertinent information regarding their oral health.
To fill out dental health history, patients should provide accurate and complete information about their past dental treatments, any current oral health issues, medications they are taking, allergies, and past medical conditions.
The purpose of dental health history is to help dental professionals understand the patient's oral health background, assess risks, and create personalized treatment plans.
Information that must be reported includes previous dental procedures, existing dental conditions, medical history, medication use, allergies, and lifestyle factors that may impact dental health.
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