[Infectious foci of dental origin. Presentation of a diagnostic form]

The diagnosis report for investigation of focal infections from dental origin permits a dialogue between the demanding physician and the dental practitioner, in order to take a unique therapeutic decision after evaluating the infections potential which will be more risky than the disease to treat. Every information is mentioned on this document: the missing teeth, the vital and non vital teeth, and the risk of bacteremia for each lesion. Some modalities of treatment are proposed by the dentist that the physician will be able to modulate according to the severity of the disease.