New national guidelines on hypertension
A summary for dentistry
From a dental treatment perspective, there is no simple answer to the problem posed by people with elevated BP needing urgent dental care, such as an extraction. There are no professionally recognized criteria based on BP values to indicate when it is safe to proceed. In JNC VI, Stage 3 hypertension was defined as SBP higher than 180 mm Hg or DBP higher than 110 mm Hg.11 Elevation of SBP higher than 180 mm Hg or DBP higher than 110 mm Hg is used by many dental clinicians as a cutoff point for offering urgent treatment without medical consultation and referral. Pending clear guidelines from research or professional consensus, this appears to be sound advice.