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Canceling dental procedures due to elevated blood pressure: Is it appropriate?
Journal of the American Dental Association (1939)
|February 19, 2020
Summary
Dental offices should avoid canceling procedures solely based on high blood pressure (BP) readings. Current anesthesiology guidelines, focusing on patient functional status, are recommended to prevent unnecessary dental care interruptions.
Area of Science:
- Dentistry
- Cardiology
- Anesthesiology
Background:
- The American Dental Association has encouraged routine blood pressure (BP) measurement in dental offices since 2006.
- Previous recommendations suggested canceling dental procedures for BP above 160/100 mm Hg (elective) or 180/110 mm Hg (urgent).
Purpose of the Study:
- To evaluate the evidence supporting the cancellation of dental procedures based on elevated blood pressure.
- To develop evidence-based recommendations for managing patients with high BP in dental settings.
Main Methods:
- A comprehensive literature search was conducted using Ovid MEDLINE and ebd.ada.org with terms related to dental procedures, elevated blood pressure, and hypertension.
- Recommendations were developed in alignment with current (2017) guidelines.
Main Results:
- No professionally accepted criteria or study evidence currently exists to define a specific blood pressure threshold for prohibiting oral health care.
- A 2015 review found no increased morbidity from hypertension in outpatient settings.
Conclusions:
- There is a lack of prospective studies investigating the necessity of canceling dental procedures due to office-measured elevated blood pressure.
- Current anesthesiology guidelines, considering functional status and patient history, should be utilized to avoid unnecessary cancellations.
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