Dental management in patients with hypertension: challenges and solutions

被引:37
作者
Southerland, Janet H. [1 ]
Gill, Danielle G. [1 ]
Gangula, Pandu R. [2 ,3 ,4 ]
Halpern, Leslie R. [1 ]
Cardona, Cesar Y. [5 ]
Mouton, Charles P. [6 ]
机构
[1] Meharry Med Coll, Dept Oral & Maxillofacial Surg, 1005 Dr DB Todd Blvd, Nashville, TN 37208 USA
[2] Meharry Med Coll, Dept Oral Biol & Res, Nashville, TN 37208 USA
[3] Meharry Med Coll, Dept Physiol, Nashville, TN 37208 USA
[4] Meharry Med Coll, Ctr Womens Hlth Res, Nashville, TN 37208 USA
[5] Meharry Med Coll, Dept Internal Med, Nashville, TN 37208 USA
[6] Meharry Med Coll, Dept Family & Community Med, Nashville, TN 37208 USA
来源
CLINICAL COSMETIC AND INVESTIGATIONAL DENTISTRY | 2016年 / 8卷
关键词
high blood pressure; dental; guidelines; inflammation; metabolic disease; blood pressure medicines;
D O I
10.2147/CCIDE.S99446
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
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.
引用
收藏
页码:111 / 120
页数:10
相关论文
共 47 条
[21]  
Graham L, 2008, AM FAM PHYSICIAN, V77, P1748
[22]   New national guidelines on hypertension - A summary for dentistry [J].
Herman, WW ;
Konzelman, JL ;
Prisant, LM .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2004, 135 (05) :576-584
[23]  
Hogan Jonathan, 2012, Dent Clin North Am, V56, P731, DOI 10.1016/j.cden.2012.07.003
[24]   Hypertension: Classification, pathophysiology, and management during outpatient sedation and local anesthesia [J].
Holm, SW ;
Cunningham, LL ;
Bensadoun, E ;
Madsen, MJ .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2006, 64 (01) :111-121
[25]  
James PA, 2014, JAMA-J AM MED ASSOC, V311, P1809, DOI 10.1001/jama.2013.284427
[26]   Management of Hypertension in CKD: Beyond the Guidelines [J].
Judd, Eric ;
Calhoun, David A. .
ADVANCES IN CHRONIC KIDNEY DISEASE, 2015, 22 (02) :116-122
[27]  
Kaplan Norman M., 1998, Keio Journal of Medicine, V47, P99
[28]  
Kapoor A, 2013, ILLUSTRATED MED PHAR, V1st edn
[29]  
Kasper DL, 2005, HARRISONS PRINCIPLES
[30]  
Li YR, 2015, CARDIOVASCULAR DIS M