Dental Approach to the Hypertensive Patient: Literature Review

Authors

  • Cristhiane Olivia Ferreira Do Amaral DDS, Ms, PhD.: Professor in the course of Patients with Special Needs and Pediatric Dentistry, Faculty of Dentistry, University of Oeste Paulista - Unoeste, in the city of Presidente Prudente, State of São Paulo, Brazil
  • Angela Maria Nasimento Neves DDS - University of Western Sao Paulo - Unoeste, in the city of Presidente Prudente, State of São Paulo, Brazil: Dentistry participant in the Special Program for Scientific Initiation (PEIC/SPSI)
  • Thais De Almeida Santos DDS - University of Western Sao Paulo - Unoeste, in the city of Presidente Prudente, State of São Paulo, Brazil: Dentistry participant in the Special Program for Scientific Initiation (PEIC/SPSI)
  • Maria Olivia Ferreira Do Amaral Graduate student, Medical School, University of West São Paulo, Presidente Prudente, Sao Paulo, Brazil
  • Fabiana Gouvela Straioto DDS, Ms, PhD. Department of Prosthodontics and Geriatic Dentistry, Dental School, University of Western Sao Paulo, Presidente Prudente, Sao Paulo, Brazil

Keywords:

Oral Health, Dentistry, Hypertension, Care

Abstract

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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Published

2022-08-11

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Articles