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Oral Health Topics

Hypertension (High Blood Pressure)

Key Points

  • Hypertension (i.e., high blood pressure) is one of the most common chronic cardiovascular conditions in the U.S.
  • Blood pressure measurement is an important screening vital sign at dental visits.
  • Antihypertensive medications may cause oral/dentofacial adverse effects.
  • Although vasoconstrictors in local anesthetics are rarely contraindicated, the potential for cardiovascular stimulation (e.g., increased heart rate, increased blood pressure) following inadvertent intravascular injection may cause dental practitioners to reduce or avoid vasoconstrictor-containing formulations in individuals with cardiovascular compromise.
  • If symptoms of hypertensive crisis/emergency are observed, immediate referral to emergency care may be warranted to prevent adverse sequelae such as stroke or end-organ damage.
  • Introduction
  • Hypertension
  • Treatment
  • Implications of Hypertension in Dental Care
  • Oral Effects of Hypertension Medications
  • References
  • ADA Resources
  • Other Resources

Reviewed by: Clinical Excellence Subcommittee, ADA Council on Scientific Affairs

Last Updated: July 29, 2020

Prepared by:

Department of Scientific Information, Evidence Synthesis & Translation Research, ADA Science & Research Institute, LLC.


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