I read with great interest the April JADA article titled “Canceling Dental Procedures
Due to Elevated Blood Pressure: Is It Appropriate? (Yarows SA, Vornovitsky O, Eber
RM, Bisognano JD, Basile J.
JADA. 151[4]:239-244).
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Dental management of patients with hypertension.
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Effects of the frailty phenotype on post-operative complications in older surgical patients: a systematic review and meta-analysis.
BMC Geriatr. 2019; 19: 141
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Am J Hypertens. 2005; 18: 1174-1177
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DOI: https://doi.org/10.1016/j.adaj.2020.05.011
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© 2020 American Dental Association. All rights reserved.
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- Canceling dental procedures due to elevated blood pressure
The Journal of the American Dental AssociationVol. 151Issue 4
- In Brief
In 1974, the American Dental Association first considered recommending that dental offices measure blood pressure (BP) routinely, and it has been further encouraged since 2006. Investigators in several dental publications have recommended cancellation of dental procedures based solely on BP greater than 180/110 millimeters of mercury for urgent oral health care and greater than 160/100 mm Hg for elective oral health care, in the absence of prior medical consultation.
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- Authors’ response
The Journal of the American Dental AssociationVol. 151Issue 7
- In Brief
We greatly appreciate Dr. Bavitz’s kind words and his interest in hypertension in dentistry for over 20 years. We completely agree that encouraging dentists to obtain accurate blood pressure (BP) measurements will educate patients about the importance of hypertension while contributing to diagnosing new office hypertension in patients that may not have access to BP measurements. We also appreciate his support in using a simple functional capacity assessment concurrently with BP measurement for especially complex dental procedures, rather than simply canceling the procedure due to elevated office BP measurements.
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