Vinayak Orthopaedic & Dental Clinic in Gandhinagar

Gandhinagar
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Hypertension is the most common chronic illness which afflicts the patients I treat. Although this disease afflicts 50% of patients 65 years of age and older, it is by no means restricted to the geriatric population. It is mandatory to take vital signs on all patients before the initiation of any dental treatment, especially treatment which is invasive. If blood pressure is elevated, a decision must be made whether to defer treatment especially for surgical procedures. The literature suggests treatment deferral at various cutoffs for systolic and diastolic blood pressure ranging from 160 to 180 and 100 to 110 respectively. I use the lower end of both ranges, e.g. 160/100 mm hg, as the point at which I will not proceed with oral surgery. Patients that have elevated blood pressure levels should be referred to the medical department for further evaluation and treatment to controlled levels before proceeding with dental treatment. Additionally, it is essential that vital signs are recorded before any surgical procedure for all patients, not just those know to have hypertension since epinephrine, an endogenous catecholamine, is added to local anesthetics to prolong anesthesia and aid in hemostasis. Epinephrine must be used cautiously in hypertensive and cardiac patients as it can raise the blood pressure.

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