Dental Record is a document related to medical, dental history, clinical examination findings, diagnosis, prognosis and performed treatment steps. It allows clear strategy of treatment regardless the different operators. Patients receiving treatment should be informed about the potential benefits of dental implants, long-term survival statistics, risks, and potential complications. In addition, they should be informed about the importance of maintenance and long-term follow-up, that fall under the responsibility of the patient. Simple measures, such as performing a proper pretreatment assessment, maintaining good medical records, and obtaining proper informed consent can help reduce the incidence of complaints and claims in implant treatment cases, as well as in other types of dental treatment. The dental record is important because it may be used in a court of law to establish the diagnostic information that was obtained and the treatment that was rendered to the patient. The patient records should be reviewed and updated regularly. Frequent audit checking for patient records is essential for ultimate patient care.
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