The Assessment and Importance of Hypertension in the Dental Setting

Hogan, Jonathan J.

doi:10.1016/j.cden.2012.07.003

Cited by 31 publications

(49 citation statements)

References 52 publications

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“…Esse procedimento pode contribuir no reconhecimento da doença e na consequente intervenção precoce, bem como no tratamento correto dos pacientes através de reforço e estímulo para adesão à terapia, seja esta medicamentosa ou não. Além disso, o monitoramento da pressão arterial deve ser realizado necessariamente naqueles pacientes que sabidamente possuem algum comprometimento de saúde 16,17,24,32 .…”

Section: Discussionunclassified

“…Recentemente, tem sido proposto o rastreamento (screening) para a hipertensão arterial durante as visitas odontológicas [14][15][16][17] . Uma grande parcela da população em geral frequenta regularmente um consultório odontológico, seja este público ou privado.…”

Section: Introductionunclassified

“…Uma grande parcela da população em geral frequenta regularmente um consultório odontológico, seja este público ou privado. Dessa forma, durante a prática odontológica, surge uma oportunidade interessante para a aferição da pressão arterial e o Cirurgião-Dentista pode exercer um papel importante no diagnóstico precoce da doença, bem como identificar aqueles pacientes que podem estar sujeitos a riscos decorrentes da hipertensão arterial 16,17 .…”

Section: Introductionunclassified

“…Não existe, até a presente data, nenhuma evidência científica que associe a hipertensão arterial com eventos cardiovasculares durante visitas odontológicas 17 . As maiores implicações da hipertensão arterial, associadas aos procedimentos odontológicos, estão relacionadas à ansiedade do paciente pelo tratamento e às possíveis interações da epinefrina associada aos anestésicos com medicações que o paciente possa utilizar, como, por exemplos, com antidepressivos tricíclicos e betabloqueadores não seletivos, como o propranolol.…”

Section: Introductionunclassified

“…A literatura sugere o limite de até 180/110 mmHg de pressão arterial para a realização segura de procedimentos odontológicos eletivos, bem como enfatiza que o Cirurgião-Dentista deve conhecer as medicações que o paciente utiliza. Essas condutas visam a impedir ou minimizar complicações durante o atendimento, e permitem o adequado planejamento do tratamento odontológico 16,17 .…”

Section: Introductionunclassified

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Pré-hipertensão, hipertensão arterial e fatores associados em pacientes odontológicos: estudo transversal na cidade de Santa Maria-RS, Brasil

Ferrazzo

Meinke

Silva

et al. 2014

Rev. odontol. UNESP

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Pré-hipertensão, hipertensão arterial e fatores associados em pacientes odontológicos: estudo transversal na cidade de Santa Maria-RS, Brasil Descritores: Hipertensão; prevalência; odontólogos. AbstractIntroduction: Hypertension is one of the most important risk factors for cardiovascular diseases and one of the most prevalent chronic diseases in Brazil and in the world population. Objective: Assess the prevalence of hypertension and prehypertension, associated factors and adherence to antihypertensive therapy in a sample of dental patients of a private dentistry school in the state of Rio Grande do Sul, Brazil. Material and method: The participants of this study were 250 patients of both genders, aged over 18 years. Demographic data, history of hypertension and other systemic diseases, information about the use of antihypertensive drugs and smoking were obtained, and anthropometric measurements were performed. Adherence to treatment was evaluated by Morisky-Green test. Three blood pressure measurements were made by a dentist, and the average of the last two measurements was used in this analysis. Result: The mean age of patients was 46.6 (±13.8) years. Thirty percent had prehypertension and 36% had hypertension. Of these hypertensive patients, 28.9% were unaware of their hypertensive condition. Hypertension was statistically associated with increasing age (p<0.001) and diabetes (p=0.009). Among patients on antihypertensive treatment, 58.1% were non-adherent, whilst 41.9% had no controlled blood pressure. Conclusion:In the present study we observed a high prevalence of prehypertension and undiagnosed hypertension, as well as high rate of uncontrolled disease. These results point to the importance of blood pressure measurements during dental visits.

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Section: Discussionunclassified

Section: Introductionunclassified

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Pré-hipertensão, hipertensão arterial e fatores associados em pacientes odontológicos: estudo transversal na cidade de Santa Maria-RS, Brasil

Ferrazzo

Meinke

Silva

et al. 2014

Rev. odontol. UNESP

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Arterial Hypertension

2022

A Practical Approach to Special Care in Dentistry

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Treatment deferral for elevated blood pressure at a dental school clinic

Nath,

Jiang,

Barrow

et al. 2023

Journal of Dental Education

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ObjectivesCurrent guidelines by the American Dental Association (ADA) recommend deferral of elective dental care for elevated blood pressure. However, it is unknown how frequently this impacts dental treatment. The purpose of this study was to evaluate rates of asymptomatic hypertension and treatment deferral at a dental school clinic.MethodsThis was a retrospective study with data extracted from a chart review of all patients presenting for care at a dental school teaching practice. Differences in dental procedures, the time between visits, and the number of antihypertensive medications were calculated between patients with and without a blood pressure reading exceeding current guidelines for elective treatment.ResultsAmong 26,821 individuals, 1265 had a visit with elevated blood pressure. Blood pressure readings at the next visit were significantly lower (systolic blood pressure 137 [95% confidence interval {CI} 135–138] mmHg, diastolic blood pressure 82 [95% CI 81–83 mmHg], p < 0.001), although only 24 patients reported taking a new medication. Only 4.1% of these patients had a procedure deferred; for those that did, the average intervisit time was 88.2 days (95% CI 77.7–98.7 days).ConclusionsThe majority of patients with blood pressure readings exceeding current ADA recommendations for treatment were treated without evidence of harm. Patients were also unlikely to return to the clinic with new medications for blood pressure after a visit with an elevated blood pressure reading. Oral health providers must weigh the risks and benefits of care deferral and can consider an expanded role in hypertension management in dental settings when caring for patients with elevated blood pressure.

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The Assessment and Importance of Hypertension in the Dental Setting

Cited by 31 publications

References 52 publications

Pré-hipertensão, hipertensão arterial e fatores associados em pacientes odontológicos: estudo transversal na cidade de Santa Maria-RS, Brasil

Pré-hipertensão, hipertensão arterial e fatores associados em pacientes odontológicos: estudo transversal na cidade de Santa Maria-RS, Brasil

Arterial Hypertension

Treatment deferral for elevated blood pressure at a dental school clinic

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