Hypertension in Dental Health Care and their Management in Dentistry

Abstract

Hypertensive patients deserve special attention because of the possible complications during dental treatment. This article describes safe approaches for hypertensive patients, indications for local anaesthesia, treatment risks, hypertensive crises, drug interactions, and oral manifestations of antihypertensive drugs. It aims to review the literature regarding safe dental approaches for hypertensive patients, such as indications for local anaesthesia, surgical risks, hypertensive crisis, drug interactions, and oral manifestations of antihypertensive drug use. Several preventive measures must be taken to treat hypertensive patients, including taking an anamnesis. This action is very important to evaluate systemic changes. In addition, measuring blood pressure at the beginning and during the intervention is necessary. Minimizing sitting time in the dental unit must also be done to minimize patient anxiety. Stress control and selecting appropriate anaesthetic agents also need to be done. Solutions with low concentrations of vasoconstrictors, paying attention to dosage, and following the principles of the anaesthetic technique must be observed. The use of nonsteroidal anti-inflammatory drugs should be avoided. These precautions will avoid serious iatrogenic events and improve and ensure patient safety and quality of service.