Abstract

CUENCA GARCELL, Katiuska; RODRIGUEZ LINARES, María Lucia; SOTO CORTES, Ana Doris  and  PENTON RODRIGUEZ, Olga. The clinical dental history as a tool in the clinical method and as medical-legal document. Rev Cub Med Mil [online]. 2014, vol.43, n.4, pp.534-540. ISSN 0138-6557.

The medical history plays a fundamental role in the quality of dentistry care, and it is vital in the interrelation among the various levels of care. The problems encountered in its preparation are attributable to the lack of knowledge about its functions, types, benefits or possible damages caused by the incomplete contents of the document. The objective of this article was to assess the significance of the quality of a dental history for accurate diagnosing, for the clinical method in dentistry and as a medical legal instrument. The ¨ideal¨ clinical history is the one that shows in a reliable way all the clinical characteristics of a patient and his/her systematic progress. It is important that the dentist expresses his/her medical thinking in the history during the treatment of a patient in order to raise the quality of the medical history.

Keywords : medical history; clinical method; legal document.

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