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GROUP 3
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To make the students understand the importance ofmedical and dental history questionnaires.
To learn the moral and legal importance of the dentalchart.
To learn how to take the vital signs of the patient.
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The Patients RoleA patient will tell his present complaint and the reason
for his visit to the dentist without being asked.
In general, his reason/s may fall among the following: PreventiveThe admonition to visit ones dentist once or
twice a year is popular for a check-up and prophylaxis, apatient, may simply want to be reassured that his oral health
is all right and to arrest any starting pathology.
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Curative - This is frequently the reason for his visit; whenever
the patient observes a deviation from the normal. Theabnormality usually takes the form of pain of deformity or
discomfort.o Restorative dentistry - also considered to be under curative, in
the sense that it strives to correct lost or defective parts of theteeth and gums, and in that manner promotes general health ofthe individual.
Cosmetic - Consultation may be motivated by a desire bothfrom the patient and dentist, for esthetics.
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Undoubtedly, cosmetics play an important part indentistry. In placing a permanent filling on anterior
teeth, for instance, durability is sometimes sacrificedfor beauty when silicate cements are placed.
In doing surgery, incisions and stitches are made withconsiderations as to how the part would look after
healing.
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The Dentists RoleA dentist is responsible for evaluating, in general, the
conditions or symptoms of the case and it is up to him/herto make the diagnosis and prognosis and plan oftreatment.
Factors to be considered before treatment can be started: Patients available time
Individual preferences which should not block the efficiency ofthe treatment
Financial conditions
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Pre-treatment Consideration and the Dentists role:
In cases of exigency, where only one plan of treatment ispossible, and the denial or delay thereof would surely, destroy
the patients health, it is necessary to perform the operationat once without giving much thought to the patients not toorelevant conditions.
Obtain the patients or the voluntary consent no matter howminor or major the planned treatment is. It can be that of the
guardians consent in case of unemancipated minors orinsane person
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Priority Data In taking data from a patient before treatment is done,
when there is time and the case is not an emergency thefollowing should be obtained: Full name of the patientAddress
o this may include house number, street, town, etc., and otherdesignation of region. The address of a patient would enable thedentist to communicate with him to fix or cancel appointments, to
collect fees, or announce matters pertaining to the dentists practiceduring periods when no treatments with him are under way.
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o The address of the patient would also be an un-embarrassingmanner of knowing the possible financial bracket to which thepatient belongs. It is a guide to how he should be charged sincedentistry does not always have a fixed rate of fees. It is not acommercial occupation, it is essentially humanitarian.
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The systemic conditionsThis is necessary if an ailment of the mouth has apparent or
possible complications elsewhere in the body or if an ailmentof another organ is manifest in the mouth.
There are many different oral pathology related systemicdiseases, to warrant a dentists precautions. If a systemiccomplication occurs, the dentist may be liable for the slighterror. The dentist must make the right decisions, so there areno complications, and no harm is done to the patient.
A dentist must be open-minded to be able to do a properdiagnosis, and attain correct results. A dentist can also ask forthe family health history as a source to continue with his/herprocedure
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Body TemperatureTemperature of the body; normally 98.6 F or 37 C in
humans; usually measured to obtain a quick evaluationof a person's health.
The level of heat produced and sustained by the bodyprocesses.
FeverAn abnormally high body temperature, usually
accompanied by shivering, headache, and in severeinstances, delirium.
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A state of nervous excitement or agitation.
Generally agreed to be present if the elevatedtemperature is caused by a raised set point
Use of thermometerFor measuring human body temperature, with the tip of
the thermometer being inserted either intothe mouth under the tongue, under the armpit, or intothe rectum via the anus.
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Types of the Thermometers: Liquid Filled: Mercury/Alcohol (colored)
Electronic
Remote
BasalEardrum
Medically, a maximum thermometer which is liquidfilled thermometer is often used, which indicates the
maximum temperature reached even after it is removedfrom the body. It is most accurate of all.
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To use the thermometer, the bulb is placed in thelocation where the temperature is to be measured andleft long enough to be certain to reach thermalequilibriumtypically three minutes. Normal body
temperature is considered to be 98.6 degrees Fahrenheitand 103 degrees Fahrenheit or more in a child and 104 to105 degrees or more in an adult is considered fever.
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How to take temperature using thermometer:Hold the thermometer by the end opposite the colored (red,
blue, or silver) tip.
Clean the thermometer with soap and warm water or rubbing
alcohol. Rinse with cool water.The line should read less than 96 F (35.6 C). If the line reads
more than 96 F (35.6 C), firmly shake the thermometerdownward several times.
Check the thermometer again to make sure it reads less than
96F (35.6C).With your mouth open, put the end with the red, blue, or
silver-colored tip under your tongue.
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How to take temperature using thermometer:Close your lips gently around the thermometer. Do not bite
the glass thermometer.
Keep the thermometer under your tongue for 3 minutes.
Remove the thermometer without touching the tip.Hold the thermometer at eye level.
Slowly turn the thermometer until you see the red, blue, orsilver-colored line. Each long mark on the thermometer isthe same as 1 degree. Short marks are the same as 0.2 degree.