Ace the Oral Medicine Challenge 2026 – Unlock Your Dental Destiny!

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Patients with hypertension and BPs under 140/90 can have what types of treatment?

Limited elective dental treatment, all emergency dental procedures

Emergency procedures only

No treatment until BP controlled

All dental treatment, but use CV reduction guidelines with LA

Well-controlled hypertension means dental treatment can proceed normally, but with careful cardiovascular risk management during anesthesia. If blood pressure is under 140/90, you can perform all dental procedures, provided you apply local anesthesia with vasoconstrictor in a cautious, risk-reducing way. This involves using the minimum effective dose of vasoconstrictor, choosing appropriate agents, and avoiding excessive sympathetic stimulation. Monitor the patient’s blood pressure, manage anxiety with non-stressful techniques or sedation if needed, and be prepared to adjust or defer if the patient becomes unstable. The other options are too restrictive given that the patient’s BP is controlled; with BP under 140/90, routine and elective care can be delivered safely using cardiovascular risk reduction guidelines with local anesthesia.