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Medical and Dental Health History Formation name (first and last): ___ Name of previous dentist/location: ___ Date of last dental examination and date of last cleaning: ___ Why have you come to see
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How to fill out taking a dental history

01
Introduce yourself and explain the purpose of taking the dental history to the patient
02
Record personal information such as name, age, contact details, and medical history
03
Ask about any current dental concerns or problems the patient may be experiencing
04
Inquire about past dental treatments or surgeries the patient has undergone
05
Take note of any medications the patient is currently taking
06
Ask about any allergies or sensitivities the patient may have
07
Document any habits that may impact dental health, such as smoking or teeth grinding
08
Review the patient's oral hygiene routine and frequency of dental visits

Who needs taking a dental history?

01
Dentists
02
Dental hygienists
03
Dental assistants
04
Any healthcare provider involved in oral care
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Taking a dental history involves gathering information about a patient's past and current dental health, including any previous treatments and dental issues.
Dentists and dental hygienists are required to file taking a dental history for their patients.
Taking a dental history is typically filled out by asking the patient questions about their dental health, reviewing any existing dental records, and documenting the information in a patient's file.
The purpose of taking a dental history is to assess a patient's oral health, identify any risks or potential issues, and create an appropriate treatment plan.
Information that must be reported on taking a dental history includes medical history, dental treatments received, current dental issues, allergies, and medications.
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