The first stage of clinical examination

In the first stage clinical examination for each child site map start of follow-up (form number 30), which is marked in terms of the overall status: in the younger group of children's preschool institutions in the first phase of the plant cards to children born to mothers who suffered during pregnancy extragenital diseases ( rheumatism, kidney disease, hypertension, tuberculosis, diabetes, etc.), born prematurely, suffered during the neonatal hemolytic disease, purulent-septic diseases treated with antibiotics for children breastfed in life, often bolevshih acute respiratory infections, diarrheal disorders, had chronic eating disorder, lung disease, etc.
Prenatal period, the neonatal period and the chest are important for the formation of hard tissues of milk teeth. If these periods proceeded with these abnormalities in the child's development, the "increased risk" a vicious (different types of hypoplasia) tissues of milk teeth or tissues with low resistance to decay.
In the follow-up card of children 4-6 years old, with information (label) on the frequency ORVZ, chronic upper respiratory tract, reduced vision, disturbance of posture, the presence of flat feet and other factors affecting the formation and structure of the bite of hard tissues of permanent teeth. Make a note of the health group.
School-age children in the follow-up card should be noted, in addition to group health, presence of chronic diseases of the internal organs and systems, and the degree of activity of chronic disease.
Important are the data on developmental disorders of the endocrine system and the formation of sexual characteristics.
In addition to maps of follow-up for a child in need of dental health and treatment of periodontal disease, is put remedial map (Form number 267). It show the stages of the dentist, the results of dental health, the effectiveness of treatment of periodontal disease and hygiene education for oral care, etc. The rehabilitation period two documents (form № 30 and № 267 form) are stored together in the future, depending on storage of documentation they can be together and apart. In any case, these documents serve different functions. The dispensary map inform the doctor about a subsequent inspection, the results of the previous stage clinical examination (sanitized, readjustment is not over, sent to the surgeon, orthodontist, etc.) and follow-up tasks. Improved sanitation map – A medical document from which you can get comprehensive information about the diagnosis, the nature and methods of treatment of each tooth of each type of pathology, etc. These cards do not replace each other, in the period of active management of the child, they act as the matched information.
If a child has asthma form of caries, is pulpless teeth, localized or generalized periodontitis, by remedial map must be attached envelope with radiographs, and in the description of each card included radiographs. Radiographs should record the final stage of the treatment of pulpitis and periodontitis.
In subsequent years, it is advisable that the initial documentation of the child taken to the dispensary registration was included panoramic radiograph jaws. This is important especially for children with periodontal disease and sub-and decompensated form of tooth decay.

Marking checklists preschool and school-age
Children born to mothers with extragenital diseases
Children with a history of hemolytic disease
Children with a history of purulent-septic diseases and treated with antibiotics
Children often (more than 4 times per year) ill with acute respiratory
Disease Children with chronic disease ENT
Children with visual impairment
Children with violation of posture or severe flatfoot Children with chronic diseases, specify the activity (offset, sub-and decompensated state, that is related to the III, IV or V group health) Groups of Child Health
The principles of grouping on the health of children and adolescents in mass trials. The criterion for the group of children as individual assessment and health should be the clinical condition of the body, as measured by the presence or absence of long flowing chronic disease, the severity of clinical symptoms and functional disorders of the body.
In line with the above, the following group to assess the health inspected.
Group I – healthy.
II       group – Healthy, with some morphological and functional abnormalities. These are the persons who do not have any chronic disease, but there are various functional abnormalities, harbingers of disease or condition after an illness or injury, abnormalities in physical development without endocrine disorders, decreased immune resistance (frequent acute disease), vision weak degrees, etc.
III group – patients with long-term (chronic) diseases in stored in the basic functionality of the body (the compensated state). Also included are persons who have some physical defects, deformities, significant effects of trauma, not broken, however, the fitness for work and other conditions of life.
IV       group – Patients with long-term (chronic) diseases or persons with physical disabilities, developmental disabilities, traumas with reduced functionality of an organism (subcompensated state).
V        group – Patients with severe permanent regime. Disabilities I-II group (decompensated state).

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