IMPORTANCE OF MEDICAL STORIES OF DENTAL PATIENTS

.
.
THE IMPORTANCE OF MEDICAL STORIES OF DENTAL PATIENTS

A detailed examination should definitely be done to find out if a person who comes to the dentist has any chronic diseases or allergies to medications

This week I will tell you about the medical history, aka anamnesis, that we dentists receive before dental patients start treatment. I will try to enlighten you about this by asking what we think and what we take precautions for
Anamnesis refers to the patient’s medical history. The anamnesis covers all the information received from the patient or his relatives about the current state and history of the disease. The main types of anamnesis are:

1- Medical Anamnesis: This is all the information received by the doctor about the disease that the patient is currently undergoing and the diseases that he has previously undergone. The medical anamnesis can also be called the patient’s medical history.

2- Family Anamnesis: This is all the information received by the doctor in order to investigate the relationship of the current illness or disorder in the person with family members or relatives. A family history can also be called a family history.

3- Dental Anamnesis: This is a type of anamnesis that covers all aspects of oral health, including previous assessments and treatments related to oral health.

4- History of present illness: the patient present in discussions with the onset, duration, characteristics, symptoms contact or relieving factors are obtained. The patient is asked what is the cause of the symptoms and whether a similar condition has occurred in the past.

In addition to these, occupational anamnesis, drug anamnesis, dietary anamnesis, sexual anamnesis, etc. varieties are also found.

.
A THOROUGH EXAMINATION IS REQUIRED

Waiting to get an anamnesis is also one of the most important parts of a patient’s examination. Anamnesis is not only a way to show a wise approach to diagnosis, but also is necessary for the establishment of a successful patient-dentist relationship. In order to establish an accurate clinical diagnosis, a careful anamnesis is required, as well as a thorough examination. The collection of all data from the patient is an essential element in the diagnosis of the disease, the planning and implementation of treatment. In most dental patients, perhaps it may not be necessary to have a complete anamnesis, but in some patients, the patient’s life may be in danger during dental treatment if a medical anamnesis is not taken. When the patient is not allowed to explain his complaints, some of the diseases he has may be overlooked.

A diagnostic interview is an exchange of information that deciphers information about the patient’s health and is conducted between the patient and the dentist. The dentist can understand the nature of the patient’s illness and his attitude to it with the information he will receive from the interview. Every dentist should develop an interview style in order to have an effective interview. Otherwise, if the patient retains control during the interview and wastes time telling about topics that he does not contribute to, he will not be able to achieve the desired goal.

.
DIRECT CONVERSATION WITH THE PATIENT

Some patients do not fully describe their anamnesis. Some of them do not adequately answer the dentist’s questions. If decisions about dental treatment are made based on incomplete or incorrect patient anamnesis, the risk of side effects increases. Therefore, dental care should be postponed until reliable information is obtained.

It is a good practice to inform the patient about what to do and the relevance of the information to be obtained to dental treatment before starting to take a medical anamnesis.

Sometimes it may be necessary for us dentists to contact his doctor so that he can find out the complete medical history of the patient.

During the interview, the patient is regularly asked questions about his health. The patient should be given the opportunity to fully discuss the problems. It is important that the patient’s speech is listened to without interruption. If it is possible that the patient’s speech will not be interrupted, he will often tell about his problems on his own. To make sure that the patient understands what is being said, he is asked to repeat some instructions.

The main method of obtaining an anamnesis is a direct conversation with the patient. In a direct conversation, we dentists ask the patient questions on a regular basis. Other methods have been developed in order to shorten the time required for the interview by 2/6. The printed question list and the printed information checklist are examples of these methods. Although it is a good starting point to have the patient fill out the list of questions related to the anamnesis, it may not be enough. This is especially the case when the terms medical and dental are used. Also, the patient may not be able to fully understand all aspects of a problem. In this way, he may not respond in accordance with the truth. Therefore, after the patient has completed the list of questions, this list should be discussed with the patient. This discussion gives the dentist the opportunity to clarify misinterpretations and incorrect answers.

Positive situations should be recorded in the patient’s records. In addition, some negative situations also need to be recorded. For example, ‘The patient reports that he has no known allergies to medications, has no acute joint rheumatism, heart and lung problems,’ etc.

.
ANSWERS TO WRITTEN QUESTIONS ARE REQUESTED

There are advantages and disadvantages to using a written question list. The advantages of this method include:

1- It takes less time than the dentist.

2- It provides a standard approach to each patient.

3- It allows the patient to remember the medications he uses and the various signs that indicate his illness. It also helps to identify areas that need to be asked in detail during the dialogue.

4- A list of questions that are filled in by the patient in a confidential way can eliminate the state of distress that may arise when answering questions about habits, substance use, sexual preferences, or venereal diseases.

The disadvantages are as follows:

1- The probability of establishing a close relationship between the patient and the dentist is small. Decontamination

2- The questions on the list may be misinterpreted by some patients.

3- In order for the questions to be understandable, they must be long.

4- In order to obtain specific information from some cases, it may be necessary to provide them with a list of other questions.

.
.
.
.

Follow me
President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
Follow me
Latest posts by Medically Reviewed by Professor Doctor Alper Demirbaş (see all)