Dental management in the patient with hypertension: challenges and solutions

Abstract

Hypertension is a chronic illness affecting more than a billion people worldwide. The high prevalence of the disease among the American population is concerning and must be considered when treating dental patients. Its lack of symptoms until more serious problems occur makes the disease deadly. Dental practitioners can often be on the frontlines of prevention of hypertension by evaluating preoperative blood pressure readings, performing risk assessments, and knowing when to consider medical consultation of a hypertensive patient in a dental setting. In addition, routine follow-up appointments and patients seen on an emergent basis, who may otherwise not be seen routinely, allow the oral health provider an opportunity to diagnose and refer for any unknown disease. It is imperative to understand the risk factors that may predispose patients to hypertension and to be able to educate them about their condition. Most importantly, the oral health care provider is in a pivotal position to play an active role in the management of patients presenting with a history of hypertension because many antihypertensive agents interact with pharmacologic agents used in the dental practice. The purpose of this review is to provide strategies for managing and preventing complications when treating the patient with hypertension who presents to the dental office.

Knowledge, attitude, and perceived confidence in the management of medical emergencies in the dental office: A survey among the dental students and interns

“…The information is helpful during the patient examination and formulating comprehensive treatment plan with suitable alternatives in the dental treatment plan. [ 6 7 ] However, despite efforts to minimize any untoward incidence, emergency situations may arise on the dental chair. [ 8 ]…”

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“…6 Angiotensin converting enzyme inhibitor drugs, such as Enalapril Sandoz, taken for PKD can produce oral complications, such as dry mouth, loss of taste, gingival hyperplasia, and ulcerations. 7 Although the mother did not have any mental problems, her oral problems indicate that such oral problems may also occur in a child with mental retardation in the future.…”

Could Cardiovascular Parameters Be Affected by Dental Impression?

“…Therefore, there are controversies about the issue (16). It should be considered that some procedures such as extraction and injection may induce more stress because of the vasoconstrictor material in local anesthesia (17).…”