History taking: attention to systemic conditions and their implications with emphasis on caries risk


  • Fernanda Weber de Morais Gallarreta
  • Cecilia Pedroso Turssi
  • Regina Guenka Palma-Dibb
  • Mônica Campos Serra


Medical history taking, health, risk factors, dental caries


Several systemic diseases and medications used to treat these conditions may influence oral health status. Thus, within a philosophy of health promotion based on a holistic and interdisciplinary approach, the purpose of this paper is to review the main systemic disorders and medicines with clinical impact on dental practice. Within this context, this review aims to emphasize the importance of medical history taking for detection of these conditions, especially because they may lead to high caries risk. Specific topics described and discussed were manifestations of cerebral palsy, Parkinson disease, Alzheimer disease, Sjögren syndrome, rheumatoid arthritis, diabetes mellitus, Down syndrome, eating disorders, head and neck radiotherapy/chemotherapy, acquired immunodeficiency syndrome, and depressive disorders. Understanding the importance of medical history taking and information recorded in this process allows dental practitioners to articulate actions in a multidisciplinary team. In addition, dental practitioner will have elements to formulate diagnosis and therapeutic strategies for dental treatment plan, since some systemic conditions and medicines may increase caries risk. Key words: Medical history taking; health; risk factors; dental caries




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