PUBLIC HEALTH DENTISTRY

CASE HISTORY
NAME:_________________ DATE: TYPE: ONLINE TIME: 60 min
a) Enter 3 reasons for each point , explaining the importance of each point.
b) Fill in blanks.

1. NAME:

a.

b.

c.

2. AGE:

a.

b.

c.

conditions at birth:

i.

ii

iii.

conditions in young adults:

i.

ii .

iii.

conditions in old age

i.

ii.

iii.
3.GENDER

When diseases show _______ predilection

Females:

i.

ii.

iii.

Males:

i.

ii.

iii.

Gender also helps in analyzing _______ ________for orthodontic patient as the ______of growth
spurts.

Dosage of drugs: Dosage of drugs in females is ____ than males due to the body weight .

Drugs given during pregnancy could ______ pregnancy outcome.

4.EDUCATION

i.

ii.

iii.

5. ADDRESS

i.

ii.

dental caries is known to occur in _____ socio economic status

iii. endemic diseases such as- a.____________ in Kashmir

b. ______is endemic to India

c. _______ in West Bengal

iv. What is an epidemic?

Give 3 examples :i) ii) iii)

v) What is a pandemic?

Give 3 examples i) ii) iii)

6 OCCUPATION:

i.

ii.

iii.

iv. occupation related hazards- a. cobblers, carpenters and musician-___________________

b. workers and stone cutters- _______ and ___________

7.ANNUAL INCOME

i.

ii.

iii.

8.PLACE OF BIRTH

i.

9. CONTINUOUS RESIDENCE FROM BIRTH

i.

ii.

10. SOURCE OF DRINKING WATER

i.
ii.

11. COMPLETE POSTAL ADDRESS

I.

ii.

iii.

12. LOCATION (URBAN OR RURAL)

i.

ii.

iii.

13. CHIEF COMPLAINT : Name 3 common complaints1) 2) 3)

i. Chief complaint should be in ________________

ii. aids the _______ and ________________

iii. Acts as a_____________ record when _______by the patient

iv. to a certain extent it gives clues for _______

14. Present history will include

i.

ii.

iii.

iv)

15. MEDICAL HISTORY

i.

ii.

iii.

16. DENTAL HISTORY

i.

ii.
iii.

17. FAMILY HISTORY

Consists of information about disorders from ___________________ of patient have suffered.

i)_________ ii)____________iii)_________________

18. PERSONAL HISTORY

i.

ii.

iii. __________ practices – method of brushing ;_____________,______________,____________

tooth brush used _____________________________________

tooth paste used __________________________________________

19. DIET SCORE calculates amount of ----------------- consumed by the patient in last ___hours

i. liquids (no x ___)

ii. solids and sticky (no x ------

iii. Slowly dissolving (no x ____)

iv. 5 or less is _____

v. 10 is _________

vi. 15 or more is________________

20. GENERAL EXAMINATION

i. Built :_________,____________,_________

ii.types of Gait :

iii. Posture:

iv. Nourishment :

v. Local examination:

Extra oral:

1)facial symmetry is lost in:________

2)Gross facial abnormalities seen_______________, __________ or large _____

3)Bilaterally _______ or _________

Skin:
Change of color – seen in ______ or _______
generalized pallor seen in _________________
yellowness of skin seen in _______________

Texture of skin:
dry and inelastic indicates ________
Greasy in _________

Also Check for________________________ etc

Lips:
note the lip_____ and any surface_________ as well ___________________________,

Lymph nodes:
Groups of lymph nodes –1) ___________,2) ___________, 3)__________

4)____________,5)___________,6)__________and 7)_________

When nodes are_______, look for following: Location, number and size

Consistency : ________nodes are hard

Discrete nodes are seen in: _________

Cheesy or matted nodes are seen in: ________________

TMJ:
Check for deviation of_______
Causes of deviation_______________
Check for ___________ and __________

Methods to check TMJ are:__________________________________________

INTRA ORAL EXAMINATION

i. buccal mucosa – ____________, _______________, ________________________

ii. Floor of the mouth

normal – _________,________________.__________________
abnormal – _______, _______________,______________

iii. tongue
inspect -------- and -------- aspects of the tongue
check for ______________,_________,_____
iv. __________swellings

v. gingival examination

1) Color – ________ is healthy, _________pigmentation is seen in some ethnic groups. Violet

marginal line is seen due to_______ pigmentation in systemic diseases.

2) Contour – marginal gingival should be ______ and_______.

_________ edges in chronic gingivitis due to inflammatory changes

3) Consistency – normal gingival is ____ and ______ In _______gingivitis it is__________

and soft. In chronic inflammatory changes it is ______ and _______.

4)Size – Is the sum of bulk of ______ and _________ and ______supply.

5)Position – normal is 1mm______the CEJ. _____ position of the gingival is the level of the
________________on the tooth

6) Bleeding on Probing is the early sign of _____________and appears before color change. It is
an ______ sign.
BOP can be ______ or _______
chronic and recurrent BOP – provoked by _______trauma or in moderate or advanced
periodontitis
Acute BOP – seen in: _______________.______________.________________________

7). Palate: abnormalities seen –

_________________,___________________,________________

HARD TISSUE EXAMINATION

i. type of dentition – _______ (most common), ______________ and__________ are_systems

of numbering the teeth’

ii. wasting disease – 1)__________ caused by-___________,2)_________caused by------------

3)_________caused by___________4)_________ _________caused due to_________

iii. Enamel Hypoplasia _____________ doesn’t form completely. Usually because of_____ and
______. May cause tooth ________

Causes1)________________-2)____________________3)____________________

iv. traumatic injuries of teeth are classified using _________ classification

v. trauma from occlusion – clinical signs are________________________________________

vi. Caries is best detected
using:_______________________________________________________

21. PROVISIONAL DIAGNOSIS can be described as:

22. INVESTIGATIONS

Helps come to a ________________

common methods used are:
_____________________________________________________________

23. FINAL DIAGNOSIS

All records, clinical findings and provisional diagnosis, investigations are clubbed together to
frame the _______diagnosis
based on the final diagnosis , ______________is done
It first deals with the patient’s ______________ and then other problems are considered
includes a ____ and _____tissue diagnosis

24. INDIVIDUAL TREATMENT PLAN Define: treatment

plan___________________________________________________________________________

I) phase 1: _____________________

It includes procedures like________________________________________________________

2) Phase 2: ________________________

It includes procedures undertaken

are_____________________________________________________
Improving __________hygiene and __________awareness

Procedures included are__________________________________________________________

___________________________________________________________________

3) Phase 3: __________ phase

Eliminate all dental problems of the patient. Procedures included are

____________________________________________________________

4). Phase 4:_________ phase

Included are
______________________________________________________________________________
________________________________________________________

5) Phase 5:__________phase

It includes the following :__________________________________________________________

25. COMPREHENSIVE (COMMUNITY) TREATMENT PLAN

i. Phase 1: ______________

it includes procedures to
______________________________________________________________________________
______________________________________________________________________________

ii. Phase 2: ________ phase

includes________________________________________________________________________
______________________________________________________________________________

iii. Phase 3:___________ phase

includes________________________________________________________________________
______________________________________________________________________

iv. Phase 4: __________ phase

includes________________________________________________________________________
______________________________________________________________________________
_____

v. Phase 5: _____________ phase

______________________________________________________________________________
______________________________________________________________________________

vi. Phase __________ phase includes_______,__________,__________,_______________

CASE 1 CASE 2 CASE 3

Select any one case out of the three and describe in details using guidelines given below

Look at the photograph

1. Write a brief case history and treatment plan: individual and community based
treatment plan
2. Select an index related to the case
3. Describe the index,
4. Year and authors
5. Index teeth with substitution rules
6. Instruments used
7. Method for scoring
8. Method for calculating the index score
9. Interpretation
10. Diagnosis
Case I

Case 2
Case 3