Reference/Features

The importance of adequate history taking in dentistry

5 mins read Record keeping
This article will describe the role of the dental nurse in taking personal, medical and dental histories. It will also emphasise the need for confidentiality and good records of this process, as well as the importance of the patient's first impression of the dental practice, or treatment clinic, bei

Many patients, and some members of the dental team, may regard treatment as ‘doing’ rather than discussing. However, some of the most important aspects of dental care relate to talking and listening to patients, as well as working in their mouths. Communicating effectively together, particularly at the first contact or visit, provides vital information needed for safe and effective treatment. While the treating clinician still has the ultimate responsibility for all of the patient's dental treatment, this contact is a role that can be delegated to the dental nurse.

But why is this information so important?

Good information, and good records, are essential for clinical and ethical risk management. Keeping out of trouble is all about providing good treatment for patients but also about communicating well and finally recording what was said and done.

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