Key points of medical history collection:

1. Factors causing pain.

2. The onset of pain, spontaneous pain, stimulate pain.

3. The nature and degree of pain: the time and duration of occurrence, and whether the pain is persistent or intermittent.

4. Whether there is a history of repeated swelling and pain, whether it hurts first and then swells.

5. The location of toothache, whether it can be located, whether it radiates to the head and face, etc.

6. Pain stimulating and relieving factors.

7. History of pain and treatment.

8. Is there a history of loose teeth and food impaction?

9. Are you accompanied by symptoms such as limited opening and swallowing pain?

Diseases related to toothache: dental caries, pulpitis, periapical periodontitis, acute alveolar abscess, dentin hypersensitivity, combined periodontal and pulp diseases, acute gingivitis: acute necrotizing gingivitis, periodontitis: periodontal abscess, pericoronitis of wisdom teeth: dry socket.

2. Loose teeth

Key points of medical history collection:

1. Relaxation time (course of disease), pathogenesis, and the relationship with chewing.

2 loose parts, the number and degree of loose teeth, and whether there is tooth displacement.

3. Whether there is gingival bleeding, bleeding site.

4. Whether there is periodontal abscess and periodontal abscess.

5. Whether there is tumor or jaw swelling in the corresponding part and when it appears.

6. Do you have a history of food impaction and bad breath?

7. Whether during pregnancy, menstrual period or long-term oral hormonal contraceptives.

8. Whether there is a history of trauma and biting hard objects.

9. Is there any history of periodontal surgery or orthodontics?

10. Whether there is a history of systemic diseases such as diabetes.

1 1 Whether there is a family history, and whether parents have lost their teeth prematurely.

Diseases related to tooth loosening and chronic periodontitis: aggressive periodontitis, diabetic periodontal disease, acute periodontal abscess, periapical periodontitis (acute and chronic), occlusal trauma and traumatic periapical periodontitis. Trauma: tooth trauma, jaw trauma. Osteomyelitis of jaw, cyst or tumor compression can cause pathological absorption of root. The spread of malignant tumor to teeth will cause tooth loosening, displacement and root resorption.

Three. have bleeding gums

1. Causes of bleeding: related to brushing teeth, eating, food impaction, sucking, etc. , whether it is automatic bleeding or stimulating bleeding.

2. The location, amount and duration of bleeding, whether to stop.

3. Is the gum swollen, painful and swollen?

4. Whether the gums are loose.

5. Whether there is a history of tooth extraction and trauma.

6. Have you ever been pregnant?

7. Whether to take anticoagulants for a long time.

8. General health status, blood history and liver and spleen dysfunction.

9. Whether there are problems related to smoking, nutrition, burning eyes, etc.

Related diseases: chronic gingivitis, pregnancy gingivitis and pregnancy tumor, periodontitis, acute necrotizing gingivitis, tumor: gingival hemangioma, gingivoma, etc. Systemic diseases: hypertension, leukemia, hemophilia, thrombocytopenic aplastic anemia, chronic renal failure, etc.

4. The gums are swollen.

1. Location, scope and time of gingival hypertrophy.

2. Whether there is gingival bleeding, the amount and duration of bleeding, whether it can be stopped, and whether there is paroxysmal bleeding.

3. Is it accompanied by toothache, bad breath, etc.

4. Whether the gingival papilla is tumor-like hypertrophy, its size and scope.

5. General information: such as adolescence, pregnancy, medication history, medication, hypertension history, leukemia history, kidney transplantation history, epilepsy history, etc.

6. Family history: hereditary gingival fibromatosis, etc.

Related diseases: chronic proliferative gingivitis, drug-induced gingival hyperplasia, acute inflammatory hypertrophy: gingival abscess and periodontal abscess. Gingivitis during pregnancy: Gingivoma during pregnancy. Puberty gingivitis, gingivitis, hereditary gingival fibromatosis, leukemia gingival lesions. Kaposi sarcoma

5. Oral mucosal ulcer.

1. Is ulcer recurrent and self-limiting (the difference between oral ulcer and nevus)

2. Duration, size, scope, depth, quantity and inducement of ulcer (single and multiple)

3. Parts prone to ulcers.

4. History of external genitalia, skin and eyes (hand, foot and mouth disease, Behcet's disease)

5. History of local irritation (history of trauma).

6. History of tuberculosis and drug allergy (oral tuberculosis, drug-reactive stomatitis)

7. Accompanying symptoms: fever, fatigue, lymphadenopathy (oral tumor) (herpes zoster).

Related diseases. Single: 1. Recurrent oral ulcer, mild oral blister, stomatitis. 2. Traumatic ulcer. 3. Oral tuberculous ulcer. 4. Cancerous ulcer. 5. Behcet's disease.

Multiple: herpetic stomatitis: stomatitis-type stomatitis, drug-reactive stomatitis, herpes zoster: herpes simplex, herpetic gingivitis: pharyngitis, Behcet's disease, hand, foot and mouth disease.

Six. Sinus and fistula of oral mucosa and skin.

1. The occurrence time, whether there is liquid outflow, and the change of the nature and quantity of the outflow liquid.

2. Whether there is any history and treatment of toothache, pulp disease, repeated swelling and pain, pulp treatment and acute osteomyelitis of jaw before the onset.

3. Whether the teeth are loose, floating and displaced, and whether the lower lip is numb.

4. After diagnosis and treatment, whether to make diagnosis and treatment, whether to use drugs to treat the effect.

5. Sinus and fistula of neck and parotid gland, with or without local mass history, mass change and painless pain.

6. General situation: whether there are systemic symptoms such as fever, chills, fatigue and loss of appetite.

7. Relevant medical history: history of radiotherapy and history of trauma.

Related diseases:

1. Periodontitis of the third molar: buccal skin fistula.

2. Chronic periapical periodontitis. 3. Combined periodontal and pulp diseases. 4. Osteomyelitis: chronic osteomyelitis, radiation osteomyelitis of jaw. 5. Infection of masseter space. 6. Salivary fistula: after parotid trauma or postoperative fistula. 7. Congenital fistula: thyroglossal fistula, congenital preauricular fistula: buccal fissure fistula and congenital lower lip fistula.

7. Pain after repair (fixed, full mouth, removable)

1. Ask the pain site, whether it is toothache or soft tissue pain.

2. When and what kind of treatment was given to the toothache.

3. Whether the denture is stable and suitable.

4. Daily wearing time of denture.

5. Does it hurt?

6. Under what circumstances is the pain or pain aggravated (microcurrent), and whether the pain is radiated to other parts.

7. Is there a history of abutment loosening and food impaction?

Related diseases: 1. Improper denture design, overburdened abutment, too tight clasp, premature contact, unstable denture, too high vertical distance, etc.

2. Traumatic ulcer: the edge of denture base is too long, and there is no buffer for bony processes or nodules. 3. Secondary caries. 4. pulpitis, periapical periodontitis. 5. Dentin allergy. 6. Gingival papillitis, gingivitis and periodontitis. 7. Traumatic radiculitis (occlusal trauma) 8. Root fracture, root cracking. 9. Currently.

Eight. Maxillofacial swelling and pain.

1. The process, onset time, location and possible inducing factors of swelling and pain.

2. The nature of swelling and pain, whether there is radiation pain, and whether the tumor is aggravated or alleviated.

3. The texture is soft or hard, and the skin color changes.

4. Whether there is a history of toothache, repeated swelling and pain, pulp disease, pulp treatment, tooth loosening, etc.

5. Is there any dysfunction, such as limited opening and difficulty swallowing?

6. Tumors and cysts: the time, exact location and growth rate of symptoms, and whether the growth has suddenly accelerated recently, whether there are symptoms such as bad breath and numbness of the lower lip.

7. In general, whether there are systemic symptoms and severity such as fever, chills, fatigue, loss of appetite and lymphadenopathy.

8. Diagnosis, treatment and medication.

9. Relevant medical history, rotation history, infectious disease history, trauma history, operation history and allergy history. If tumors and cysts are considered, family history should be asked.

Related diseases: pericoronitis of wisdom teeth, infection of maxillofacial space, lymphadenitis of maxillofacial neck, acute suppurative and tuberculous. Facial furuncle, carbuncle, osteomyelitis of jaw, maxillofacial bone tuberculosis, salivary gland inflammation, acute suppurative parotitis, sialolithiasis and submandibular adenitis, chronic recurrent parotitis and chronic obstructive parotitis. Periapical periodontitis, apical abscess. Angioneurotic edema. Oral and maxillofacial soft tissue tumors, blood vessels and vascular malformations, sebaceous cyst secondary infection. Jaw cyst, benign or malignant tumor of jaw.

Nine: Gum swelling and pain.

1. Location, scope, degree and time of gingival swelling and pain (acute and chronic).

2. Whether there is bleeding in the gums, automatic bleeding or bleeding after stimulation, and whether there is pain in the gums (different from periodontitis and periapical periodontitis).

3. Whether it is accompanied by tooth loosening and tooth loss (to distinguish periodontitis from periapical periodontitis).

4. Whether there is a history of toothache, whether there is cold and hot pain, spontaneous pain, and then the toothache disappears, and then there is a process of gum swelling and pain.

5. Is it accompanied by facial edema and local swelling?

6. Whether there is limited opening (to distinguish pericoronitis).

7. Is there a history of recurrent attacks?

8. Do you have a history of leukemia?

9. In general, recent fever, loss of appetite, weight loss and fatigue.

Related dental caries: periodontal abscess, periapical abscess, pericoronitis of wisdom teeth, gingival surface leukemia, pulpitis.