Have you ever been treated for a heart condition, or for a prolonged illness such as diabetes, liver disease or kidney disease?
No, I haven't.
Have you ever had rheumatic++ fever? If you have, please give me the details.
It may be necessary to have a consultation with your physician before beginning dental treatment.
Is that necessary, Doctor?
If there's a history of rheumatic fever it may be necessary for me to prescribe an antibiotic before and after dental treatment.
I didn't know that, Doctor.
Bacteria can enter the bloodstream during certain dental procedures and cause serious complications.
Why do you prescribe an antibiotic?
The reason for giving an antibiotic to a patient with a history of rheumatic fever is to prevent a heart infection.
I understand now, Doctor.
Have you ever been treated for a blood disorder such as anemia?
Have you ever had prolonged bleeding from an injury or a tooth extraction?
Not that I can remember.
Have you ever had a complication after dental treatment? Have you ever had a bad reaction from a dental anesthetic (dental injection)?
Do you have any allergies? Are you allergic to penicillin?
No, I am not allergic to penicillin.
Are you under a doctor's care? Are you taking medication? When was the last time that you consulted with a physician? Why did you see him?
No, I am not under a doctor's care. I just visited a physician when I caught a cold about 3 months ago.
Miss Jones, please hand me a mouth mirror and explorer.
May I examine you now, Mrs. Williamson?
Good. Could you open your mouth a little wider, please?
Turn your head toward me a little bit. Thank you. I don't see any carious teeth (cavities col.).
However, we'll take X-rays this morning. I'll ask Miss Jones to clean your teeth.
There's much calculus (tartar) on your teeth and you should have it removed.