The
taking and analysis of the medical history is one of the most important
functions in the dental appointment.It
includes questioning the client to gain pertinent historical information,
posing questions relative to determine disease control or risks of treatment
and making informed decisions on precautions to take in case management.This course will identify the most essential
follow-up questions for medical conditions likely to be reported on the health
history.Dental management
considerations for each medical condition will be discussed.
OBJECTIVES:
1.
Identify proper follow-up
questions for a variety of common medical conditions requiring information on
disease control or management considerations.
2.
Apply information gained in
patient assessment to formulate a treatment plan individualized for the client.
3.
Be aware of adverse events
that could occur during treatment and strategies to prevent or manage those
events.
4.
Consider current CDC
recommendations for infection control in the dental office when the client
reports an infectious disease history.
5.
Review emergency management
procedures for the most likely emergency situations.
COURSE
OUTLINE
I.
Components of an adequate
health history
a.
Symptom-oriented vs. disease
oriented questionnaire
i.
Undiagnosed disease
identified by symptom-oriented questions
b.
Follow up questioning
directed to disease control or risk for emergency
situation
c.
Appropriate dental
management and selfcare considerations for the
medically complex client
d.
Prevention of potential
emergency situations
e.
Management of emergency
situations
II.
Antibiotic prophylaxis considerations
a.
Scientific basis for use
b.
Indications for use in
preventing infections
i.
infective endocarditis
ii.
total joint replacemet
infection
iii.
uncontrolled diabetes
mellitus
c.
Agents recommended
d.Dental procedures requiring
consideration for use
