Analysis of informational content of primary examination of the medical record of the dental patient

Abstract

The retrospective analysis of 468 medical records of the patients seeking for dental care was carried out. Information on the dental status of the patients received during the primary examination was studied. It was noted that from 15 points on check-up list the third part of indicators aren’t informative, the third part filled formally that calls in the question pithiness of information. Periodontal condition, availability and use of removable dentures, data on smoking and diet does not evaluate at the primary examination. The use of the existing Check-up list of primary examinations does not allow to get enough information for an objective assessment of oral health of the patient, therefore, it should be modernized.

Keywords

• лист первичного осмотра
• медицинская документация
• медицинская карта стоматологического больного
• стоматологический статус
• стоматологическое здоровье
• check-up list of primary examination
• medical records
• medical records of dental patient
• dental status
• oral health