Anamnesis

Patient history and treatment planning

Anamnesis is the process of collecting detailed information about the patient's past health condition, current complaints, and treatment history.

Why is Anamnesis Important?

Safe treatment planning is made according to the patient's health condition.

A special treatment plan is prepared for each patient's needs.

Possible risks are identified in advance and precautions are taken.

Treatment success rate increases with detailed anamnesis.

Please fill out the form below completely and accurately. * marked fields are required.

* Full Name:

* Phone:

* Email:

* Do you have any chronic diseases? (Diabetes, heart disease, hypertension, thyroid, etc.)

* Medications you use regularly and their dosages:

* Previous surgeries or hospitalizations:

* Do you have allergies to any medications or substances?

* Do you have any bleeding or clotting disorders?

* Do you have any infectious diseases such as Hepatitis, HIV, Tuberculosis?

* Are you pregnant or breastfeeding?

* Do you smoke or drink alcohol? (Please specify amount.)

* Have you received dental treatment in the last six months?

* Do you currently have any painful, inflamed, or teeth that need extraction?

* Have you had implants, zirconium, or other dental prosthetics before?

* If you have existing implant(s), brand, application site and date:

* Do you have existing gum disease or decay in your mouth?

* Do you have teeth clenching/grinding problems?

* What are your expectations from the treatment?

* Is there any special condition or note you would like to add?

I confirm the accuracy of the following information and accept that I have been informed about the treatment process.

Name Surname / Signature / Date