Category Archives: Preoperative Health Status Evaluation


PYSICAl EXAMINATION The physical examination of the dental patient focuses on the oral cavity and to a lesser degree on the entire axiomatically region. Recording the results of the physical examination should be an exercise in accurate’ description rather than a listing of suspected medical diagnoses. For example, the clinician may find a chin lesion that is 2 mm in diameter, raised and erythematous, an

Review of Systems

Review of Systems The review of systems is a sequential, comprehensive method of eliciting patient symptoms on an organ system basis. The review of systems may reveal undiagnosed medical conditions unknown to the patient. This review can be extensive when performed by a physician for a patient with         complicated medical problems.’ However, the review of systems conducted by the dentist before 

Medical History

Medical History Most dental practitioners find health history forms (questionnaires)  an efficient means of initially collecting the medical history. When a credible patient completes. a health history form, the dentist can use pertinent answers to direct the interview. Properly trained dental assistants can “red flag” important patient responses on the form (e.g., circling allergies to medication

History of Chief Complaint

History of Chief Complaint The patient should be asked to describe the history of the present complaint or illness, particularly its first appearance, any changes since its first appearance, and its influence on or by other factors. Descriptions of pain should Include onset, intensity, duration, location, and radiation, as well as factors that worsen and mitigate the pain. In addition, an Inquiry should be ma

Chief Complaint

Chief Complaint Every patient should be asked to state the chief complaint. This can be accomplished on a fofm the patient completes, or the patient’s answers should be transcribed (preferably verbatim) into the dental record during the initial interview. This statement helps the clinician establish priorities during history taking and treatment planning. In addition, by having patients formulate a chie

Biographic Data

Biographic Data The most important information to obtain initially from a patient is biographic data. These include the patient’s full name, address, age, gender, occupation, and marital status, as well as the name of the patient’s primary care  physician. The clinician uses this information, along with an impression of the patient’s intelligence and personality, to assess the patient’


MEDICAL HISTORY  An accurate medical history is the most useful information a clinician can have when deciding whether a patient can safely undergo planned dental therapy. The dentist must also be prepared to predict how a medical problem will alter a patient’s response to planned anesthetic agents and dental surgery. If obtaining the history is well done, the physical and laboratory examinations ofa p

Preoperative Health Status Evaluation

Preoperative Health Status Evaluation The extent of the medical history and the physical and laboratory exarninatlons of patients requiring ambulatory dentoalveolar surgery usually differ from that necessary for a pattent requiring hospital admission for surgical procedures. A patient’s primary care physician typically performs comprehensive histories and physical examinations of patients; it is imprac

Preoperative Health Status Evaluation

CHAPTER OUTLINE MEDICAL HISTORY Biographic Data Chief Complaint History of Chief Complaint Medical History Review of Systems PHYSICAL EXAMINATION MANAGEMENT OF PATIENTS WITH COMPROMISING MEDICAL CONDITIONS Cardiovascular Problems Ischemic Heart Disease Angina Pectoris Myocardial Infarction Coronary Artery Bypass Grafting Coronary Angioplasty Cerebrovascular Accident (Stroke) Dysrhythmias Heart Abnormalities Predis