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Module 7: Dental Health History (Adult Dental Health History Questionnaire…
Module 7: Dental Health History
Adult Dental Health History Questionnaire
Questionnaire Format
no standard format, usually fill-in the blank type questions, checkmarks, boxes, and circling the correct response
Existing Dental Conditions
questionnaire varies from office to office
gives clinician an opportunity to identify any existing dental conditions that may require additional consideration
Dental Concerns
questions in questionnaire that generally involves identifying specific dental concerns that the patient may have regarding possible treatment options
Reason for Appointment
commonly asked for a new patient appointment
Daily Self-Care
an additional helpful element related to identifying the patients daily self-care routine
Previous Dental Experience
in an attempt to identify whether or not the patient has had any previous negative dental experiences that may require special considerations
Dietary Habits
addresses dietary activities that may potentially have a significant negative impact on dental health
Children's Dental History Questionnaire
Each office questionnaire varies
Typical children's dental history questions
Dental Health History
provides a record of a patients previous dental experiences
Essential in providing safe dental care for the patient