The dentist should be aware of any systemic physical or mental disease. Using a history chart, the dentist can learn if a patient has any of the various medical ailments that could compromise a successful esthetic result. It is important to know, for example, if the patient can tolerate sitting for extended periods during try-ins or difficult staining procedures.

It is obvious that not every patient can undergo cosmetic restorative treatment. The patient’s history can show if there are systemic diseases that can cause problems, particularly in combined therapy cases where orthodontics, periodontics, and full-mouth reconstruction are performed. An esthetic result that will last for any length of time is difficult to achieve if there is continual periodontal breakdown due to pre-existing disease.
The dental history can indicate the patient’s familiarity with dentistry. From this, the dentist can judge how much time should be allowed for the second visit or if subsequent visits will be necessary before the final presentation. Frequently, the patient with little knowledge of dentistry will require several visits before a successful case presentation can be made. The patient’s “dental IQ” indicates his or her opinion of dentists and dentistry. The patient who is extremely critical of previous dentists may soon be critical of the current dentist.

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