Crise hipertensiva na odontologia

Pegoraro, Júllian Dalla Libera; Oliveira, Cristiane Aparecida de

doi:10.5335/rfo.v20i3.4025

Cited by 3 publications

(8 citation statements)

References 6 publications

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“…Southerland et al,(2016) corroborate that hypertensive crises occur in 1% of patients diagnosed with hypertension and that although rare, they occur in an average of 500,000 cases. That is why Pegoraro et al (2015) state that it is not just for one type of professional to know how to recognize the signs and how to act, but for all professionals who may be faced with these clinical situations. Pegoraro et al (2015) just like Lucius & Barreto (2012) say that mainly the dental surgeon must know how to proceed once fear is involved promoting anxiety and leading to stress.…”

Section: Discussionmentioning

confidence: 99%

“…That is why Pegoraro et al (2015) state that it is not just for one type of professional to know how to recognize the signs and how to act, but for all professionals who may be faced with these clinical situations. Pegoraro et al (2015) just like Lucius & Barreto (2012) say that mainly the dental surgeon must know how to proceed once fear is involved promoting anxiety and leading to stress. And if the patient presents any signs and symptoms characteristic of a hypertensive crisis, the care should be immediately stopped.…”

Section: Discussionmentioning

confidence: 99%

“…A hypertensive crisis results from a sudden and intense increase in blood pressure, in which very high blood pressure levels are observed at 29 ( ≥ 180 x 120 mmHg). Accompanied by signs and symptoms such as feeling unwell, dizziness, breath shortness, visual changes, severe headache, coughing, chest pain, and vasospasm (Levasseur et al, 2013;Pegoraro &Oliveira, 2015) Hypertensive crisis may represent an emergency or clinical urgency. In a hypertensive emergency, it is possible to observe signs that indicate damage to target organs, such as stroke, acute pulmonary edema, and myocardial infarction.…”

Section: Hypertensive Crisismentioning

confidence: 99%

“…When the patient presents any signs that characterize a hypertensive urgency, the care must be interrupted, and he must be placed in a comfortable position, monitored and reassured and the patient must be referred for urgent medical assistance, as soon as possible (Pegoraro &Oliveira, 2015).…”

Section: Hypertensive Crisismentioning

confidence: 99%

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Dental Approach to the Hypertensive Patient: Literature Review

Amaral

Neves

Santos

et al. 2022

ESJ

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Hypertensive patients deserve special attention, due to possible complications which may occur during invasive dental care. This manuscript has aimed at reviewing the literature regarding the following: a safe dental approach to hypertensive patients, local anesthetics indication, surgical risks, hypertensive crisis, drug interactions, and oral manifestations of antihypertensive drug use. The present study was developed by research in the following databases: Virtual Health Library (VHL) – Bireme, MEDLINE, PubMed, SciELO, and the Capes database Journals. For a safe approach to the hypertensive patient, some precautions must be taken and respected, as follows: adequate anamnesis is crucial to evaluate other associated systemic alterations (cardiovascular, diabetes, renal failure), measure blood pressure at the beginning, and, in case of longer procedures, monitor blood pressure during the intervention, minimize chair time for the sake of the patient's anxiety. Medication regarding stress reduction control can be used to prevent high blood pressure from emotional conditions as well as choosing the appropriate anesthetic. Solutions with vasoconstrictor lower concentration, respecting the dose, and following the principles of the anesthetic technique must be observed. Non-steroidal anti-inflammatory drug use should be avoided. These precautions will avoid serious iatrogenic events in addition to promoting and guaranteeing patient safety and quality care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Hypertensive Crisismentioning

confidence: 99%

Section: Hypertensive Crisismentioning

confidence: 99%

See 2 more Smart Citations

Dental Approach to the Hypertensive Patient: Literature Review

Amaral

Neves

Santos

et al. 2022

ESJ

View full text Add to dashboard Cite

show abstract

“…A hypertensive crisis results from a sudden and intense increase in blood pressure, in which very high blood pressure levels are observed ( ≥ 180 x 120 mmHg). Accompanied by signs and symptoms such as feeling unwell, dizziness, breath shortness, visual changes, severe headache, coughing, chest pain, and vasospasm (Levasseur et al, 2013;Pegoraro & Oliveira, 2015) The hypertensive crisis may represent an emergency or clinical urgency. In a hypertensive emergency event, signs indicating damage to target organs, such as stroke, acute pulmonary edema, and myocardial infarction can be observed.…”

Section: Hypertensive Crisismentioning

confidence: 99%

Dental Approach to the Hypertensive Patient: Literature Review

Amaral

Neves²,

Santos

et al. 2022

ESJ

View full text Add to dashboard Cite

Hypertensive patients deserve special attention, due to possible complications which may occur during invasive dental care. This manuscript aimed at reviewing the literature as follows: a safe dental approach to hypertensive patients, local anesthetics indication, surgical risks, hypertensive crisis, drug interactions, and oral manifestations of antihypertensive drug use. The present study was developed by research in the following databases: Virtual Health Library (VHL) – Bireme, MEDLINE, PubMed, SciELO, and the Capes database Journals. For a safe approach to the hypertensive patient, some precautions must be taken and respected such as adequate anamnesis is essential to evaluate other associated systemic alterations (cardiovascular, diabetes, renal failure), measure blood pressure at the beginning of the procedure, and, in case of longer procedures, monitor blood pressure during the intervention, minimize chair time for the sake of the patient anxiety. Medication regarding stress reduction control can be used to prevent high blood pressure from emotional conditions as well as choosing the appropriate anesthetic. Solutions with vasoconstrictor lower concentration, respecting the dose, and following the principles of the anesthetic technique must be observed. Non-steroidal anti-inflammatory drug use should be avoided. These precautions will avoid serious iatrogenic events in addition to promoting and guaranteeing the patient safe and quality care.

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Acesso de pacientes hipertensos ao cuidado odontológico na Atenção Primária à Saúde de Palmas, TO

Costa,

Siani,

Rocha

et al. 2024

Rev. Uningá

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A Hipertensão Arterial Sistêmica (HAS) é uma patologia de alta prevalência na população brasileira e demanda grandes esforços dos centros de saúde da família, porta de entrada do SUS e executora do cuidado continuado das condições crônicas. Como norteadora da Rede de Atenção à Saúde (RAS), a Atenção Primária à Saúde (APS) deve proporcionar cuidado em saúde por meio de atendimentos abrangentes, acessíveis e voltados à comunidade. O objetivo deste estudo foi analisar o acesso ao atendimento odontológico pelos pacientes com diagnóstico de HAS nos Centros de Saúde da Família do território Krahô de Palmas, no Tocantins, nos últimos quatro anos (2019 a 2022). Trata-se de um estudo transversal, observacional, de caráter quantitativo, cujos dados foram coletados por meio de relatórios do e-SUS e de um questionário estruturado e padronizado, aplicado de forma on-line aos dentistas que atuam na Estratégia de Saúde da Família (ESF) do território de saúde Krahô. Em 2022, a cobertura de atendimento odontológico aos pacientes hipertensos do território Krahô foi de 12,8%. Quanto aos cirurgiões-dentistas que atendem nesse território, são 100% os que realizam atendimento a esses pacientes; sendo 77,8% que se comunica com o médico que acompanha o paciente; tendo 100% que aferem a pressão arterial antes dos atendimentos; com 66,7% que afirmam ter facilidade para realizar esse tipo de tratamento. Apenas 33,3%, entretanto, solicitam exames complementares. Apesar de os profissionais cirurgiões-dentistas se mostrarem aptos a realizar os atendimentos odontológicos dos pacientes hipertensos do território Krahô, a cobertura desse cuidado ainda é muito baixa.

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Crise hipertensiva na odontologia

Cited by 3 publications

References 6 publications

Dental Approach to the Hypertensive Patient: Literature Review

Dental Approach to the Hypertensive Patient: Literature Review

Dental Approach to the Hypertensive Patient: Literature Review

Acesso de pacientes hipertensos ao cuidado odontológico na Atenção Primária à Saúde de Palmas, TO

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