Definition of Case history: The collection of data concerning an individual, their family, and environment, including the medical history, dental history and any other information that may be useful in analyzing and diagnosing the condition or for instructional or research purposes.
This includes all the general information of the Patient which can potentially be helpful in diagnosing any condition which the patient comes to you for. There are many options in Case History which need to be known to not just get a proper diagnosis but also helps in determining a treatment plan and decide the prognosis of the treatment being done.
General Information Includes:
There are many advantages by the name, the advantages are given below:
Psychological Benefit: It gives a great psychological benefit to the doctor as the patient always likes to be called by his name.
Improves Rapport: It improves personal rapport between the patient and the medical practitioner, mainly helpful in children when called by their short name they respond more than called by their full name.
Specific Identification: It helps in specific identification of the patient on religious, race, Ethnic or Geographic distribution.
Many diseases show predilection towards Age, Based on the disease predilection of age patients are divided into:
- Neonatal: At Birth
- 1-3 Yrs: Infancy
- 4-14 Yrs: Child
- 15-20 Yrs: Young Adults
- 21-40 Yrs: Adults
- 40-50 Yrs: Post Adolescent
- Above 50 Yrs: Old Age
- Youngs Law: Child Age / Age+12 X Adult Dose
- Clark’s Law: Child age at next Birthday / 24 X Adult Dose
- Dilling Law: Age X Adult Dose / 20
- Iron Deficiency Anemia
- Pleomorphic Adenoma
- Sjogrens Syndrome
- Adeno Ameloblastome
- Myasthenia Gravis
- Sickle Cell Anemia
- Thyroid Diseases
- Juvenile Periodontitis
- Peripheral Ossifying Fibroma
- Naso Alveolar Cyst
- Caries in Decidious Teeth
- Carcinoma in Situ
- Carcinoma of the buccal mucosa
- Basal Cell Carcinoma
- Verrucous Carcinoma
- Adenoid cystic Squamous cell carcinoma
- Hodgkins Disease
- Multiple Myeloma
- Herpes Simplex
- Ewings Sarcoma
- Ameloblastic fibro Odontoma
- Basal cell Adenoma
- Esthetic Needs whole treating.
- Sexual Abuse or Exploitation
- Dosage of Drugs
- Females require low dosage of drugs than the Males as their Body weight is less when comapred to the males.
- Extraordinary care should be taken while prescribing medicines to patients who are in Mensuration, Pregnancy, Lactation.
- Drugs given during pregnancy could affect the Fetus directly.
- Long term use of Anti Hypertensive Drugs can lead to Impotency in Males.
- Gynecomastia may be caused in males due to some medications like Digitalis, Ketoconazole, Chlorpromazine. . . etc
- Tuberculosis: Tobacco factory workers
- Pulmonary diseases: People working in Acetic acid plants.
- Contact Dermatitis.
- Lead Poisoning.
- Asbestos Poisoning- Mesothelioma
- Radiation sickness.
- Nail Bed infection in Radiographers and Dark Room Assistants.
- Filariasis common in Orissa
- Leprosy common in West Bengal
- Carcinoma of the Palate common in Srikakulam A.P
- Buccal Carcinoma common in Tamilnadu
- Sleeping Sickness in South Africans
- Kangri Cancer in Kashmiris
- Anemia and Malnutrition severe in Rural Areas.
There are not many religion specific dental conditions which have been researched. The Dental problems might relate to an specific food habits of a particular religion but in general Religion does not play a major role in Dental Case History.