Caries: Medical History

The dental history (medical history) represents an important component in the medical diagnostic process.

Family history

  • Are there any diseases of the teeth or jaws in your family that are common?

Social history

  • Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • Have you noticed any chalky or brownish changes in the teeth?
  • Do you have a toothache?
  • Do you have pain reactions to hot, cold or sour?

Vegetative anamnesis including nutritional anamnesis.

  • Do you pay attention to good oral hygiene?
  • Do you brush your teeth regularly several times a day?
  • Do you have dentures? If so, do you care for them regularly?
  • When was your last visit to the dentist?
  • Do you eat a balanced diet?
    • Do you avoid heaping consumption of sucrose (table sugar), glucose, maltose, fructose, lactose?
    • Avoid the heaping consumption of acidic drinks (eg, fruit juices)?
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?

Self history incl. medication history.

Medication history (The use of salivation-inhibiting (saliva-inhibiting) medications over long periods of time results in severe destruction of the tooth hard tissues. There are about 400 such drugs known. Drugs from the following groups can have salivation-inhibiting effects).

  • Antiadiposita, anorectics.
  • Antiarrhythmics
  • Anticholinergics
  • Antiepileptic drugs, sedatives
  • Antidepressants
  • Antihistamines
  • Antihypertensives
  • Antiparkinsonian drugs
  • Antipsychotics (neuroleptics)
  • Anxiolytics
  • Ataractics
  • Diuretics
  • Hypnotics
  • Muscle relaxants
  • Sedatives
  • Spasmolytics