|
Measured Blood Pressure |
Follow-Up |
Dental Treatment |
|
Systolic |
Diastolic |
|
|
Normal |
<120 |
<80 |
Recheck in 2 years |
Routine dental management |
Pre-Hypertension |
120 - 129 |
<80 |
Recheck in 6 months |
Routine dental management |
Stage 1 (Mild) |
130 - 139 |
80 - 89 |
Re-check blood pressure prior to dental treatment for three consecutive appointments. If all exceed guidelines, medical consult indicated. |
Routine dental management; Stress reduction protocol indicated |
Stage 2 (Moderate) |
140 - 179 |
90 - 119 |
Re-check blood pressure in 5 minutes. If still elevated, consider medical consult prior to therapy. |
Routine dental management; Stress reduction protocol indicated |
Hypertensive Crisis |
180+ |
120+ |
Re-check blood pressure in 5 minutes.If still elevated, refer to MD immediately |
- No dental therapy, routine or emergency, until elevated blood pressure is corrected.
- Emergency dental therapy with drugs (analgesics, antibiotics)
- Refer to hospital if immediate dental therapy indicated
|