口腔病史采集(国外英文资料).docVIP

口腔病史采集 Medical history: the tooth is loose The patient, male, 58 years old, gum bleeding for years, then the teeth loose, the near half year effect chewing. How do you take a history of the above cases? The history is collected as follows: 1. Loose time (course), cause of disease. Loose amplitude. The accompanying symptoms of loose will be gum bleeding, spillage, bad breath, etc. Is there any time when the pain or the occlusion of the bite or the discomfort occurs? Whether the treatment is treated systematically. The curative effect. No diseases such as diabetes, leukaemia, coronary heart disease, hypertension, tumor, etc (1) bleeding from the gums The patient, the female, 52, the family woman Main complaint: gum bleeding for a year after brushing teeth. Present history: after brushing teeth for a year, gums bleed, and the bite is stained with blood and bad breath. There was no improvement in gum bleeding, such as oral tolazole and visausol C. History: the oral vitamin C can be alleviated by recurrent bleeding from the gums. It denies the history of systemic disease, hemorrhagic disease, infection and drug allergy. Check: the whole mouth of the gum edge and the gingiva nipples are dark red, the gum margin is thick, the gingival nipple is blunt, the spot color disappears, the texture is soft. Gum (+ + +), 3mm (3 mm), BOP (+), no adhesion loss, more gums, no loose teeth. X-ray: no bone absorption in the socket. Diagnosis is chronic gingivitis. The diagnosis is based on the patients gums when he brushes his teeth, and when he bites, he has blood and bad breath. Dark red from all gums and gums; The gingiva is thick, the gingiva nipples are blunt, the spot color disappears. Texture is soft; Gingiva groove 3 mm; BOP (+); An increase in uviate fluid; Toothstone (+ + +), no attachment loss, no loose teeth; X-ray: no bone absorption in the socket. The treatment plan is to clean the gum and remove the local stimulants such as plaque and gum. Rinse with hydrogen peroxide and