PubMed · 8682982
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M Helfman. 1996. ADA/AGD.. https://doi.org/10.14219/jada.archive.1996.0148
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This paper presents the history of the use of the computer for maintaining patient medical care information. An electronic record generated with a computer, which is non-specific for any healthcare specialty, is referred to as the electronic health record. The electronic health record was previously called the computer-based patient record. "Electronic" replaced the earlier term "computer-based" because "electronic" better describes the medium in which the patient record is managed. The electronic health record and its application to dentistry are discussed. The electronic health record is a "database" of patient information that has been entered by any healthcare provider; the electronic oral health record is an "electronic record" of oral health information that has been entered by an oral healthcare provider. The significant differences between the electronic health record and the electronic oral health record are outlined and highlighted. Included is a template describing a procedure to be used by dental personnel during the decision making process of purchasing an electronic oral health record. A brief description of a practice template is also provided. These completed templates can be shared with dental software vendors to clarify their understanding of and to clearly describe the needs of today's dental practice. The challenge of introducing information technology into educational institutions' curricula is identified. Finally, the potential benefit of using electronic technology for managing oral healthcare information is outlined.
Many patients with artificial joints seek guidance from their dental and orthopaedic surgeons on whether they should take prophylactic antibiotics for routine dental treatment. Advice on this has been conflicting in the past, and other than a joint statement from the American Academy of Orthopaedic Surgeons and the American Dental Association, there has been little official guidance. In view of the lack of consensus, we have reviewed the relevant literature and have concluded that antibiotic prophylaxis should not be routinely given to all patients undergoing dental treatment but should be reserved for those patients deemed at high risk.