Relevance of Oral and Maxillofacial Surgery dental records for trauma hospital

WILLIAN MARTINS AZEREDO, GIULIANO TEIXEIRA PACHER, ANTONIO EUGÊNIO MAGNABOSCO NETO

Objective: To propose a model of dental record for the area of Oral and Maxillofacial Surgery and Traumatology for use in hospital trauma services. Method: This is an experience report on the preparation of dental records, conducted from June to December 2019, during a Uniprofessional Residence of Oral and Maxillofacial Surgery and Traumatology in a public hospital in southern Brazil. Results: The clinical record was made based on the literature and divided into four sessions, which were organized between personal data, health history, trauma assessment, as well as intraoperative and postoperative information Conclusion: The preparation and correct completion of the dental record in the area of Oral and Maxillofacial Surgery and Traumatology are essential for the diagnosis, planning and correct treatment of each case. In addition, they favor epidemiological records and facilitate communication between multi-professional team of the hospital trauma service.

Keywords: Patient care team. Dental staff, hospital. Trauma centers. Internship and residency.

How to cite: Azeredo WM, Pacher GT, Magnabosco-Neto AE. Relevance of Oral and Maxillofacial Surgery dental records for trauma hospital. J Braz Coll Oral Maxillofac Surg. 2021 Jan-Apr;7(1):32-7.

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