Tooth extraction is a common medical practice in our daily life. When we talk about tooth extraction, we naturally associate it with pain and bleeding, causing psychological fear, which can lead to increased heart rate and blood pressure fluctuations and increase the burden on the heart. For hypertensive patients, a sudden rise in blood pressure can trigger a cerebrovascular accident, leading to serious consequences. So, how can we ensure the safety of patients with hypertension during tooth extraction? This is something that both the dentist and your patient should know, take a look at the following article~~ Before tooth extraction First of all, mental tension should be avoided. Tension can lead to increased blood pressure and faster heart rate in most people, which can seriously affect the safety of the procedure. With the development of medical technology and the implementation of the concept of comfortable oral treatment in oral treatment, the dentist can greatly reduce the discomfort in oral treatment by using behavioral sedation techniques with painless operation techniques, so patients with hypertension should avoid unnecessary associations from the heart that induce their own fears, and can consider the use of sedatives and insulin drugs such as Valium and Luminal before surgery to eliminate The influence of mental tension, in order to facilitate the smooth conduct of surgery. Secondly, necessary preparations should be made: self-checking blood pressure before surgery. According to the most recent WHO blood pressure definition, 140/90 mmHg is abnormal blood pressure; between the two is critical blood pressure. In case of simple hypertension, in the absence of cardiac, cerebral and renal complications, extraction is generally well tolerated. In recent years, the diagnostic criteria for hypertension have been adjusted due to the increasing understanding of the role of multiple risk factors for cardiovascular disease and the protection of the heart, brain and kidney target organs. Physicians facing a patient determine the most appropriate blood pressure range for that patient based on their specific situation based on the reference criteria and use targeted therapeutic measures. To stabilize the patient’s blood pressure below 160/90 mmHg.
If the blood pressure is higher than l80/100mmHg, it should be controlled before the extraction, and if necessary, ask the cardiologist to adjust the use of antihypertensive drugs. If rest is affected by stress, oral sedative-hypnotic drugs can be taken to ensure sleep quality. For patients who have been taking oral anticoagulants for a long time, it is also not necessary to discontinue them, but they should inform the physician of the current use of the medication so that the physician can deal with the symptoms. It is best to choose the morning of the extraction to allow for postoperative observation, and not to visit the clinic on an empty stomach to avoid hypoglycemia-induced syncope. Finally, if there is still a psychological reaction of extreme fear, sedative medication can also be used in consultation with the physician to assist in eliminating nervousness and ensuring safe treatment. It is best to perform the extraction under supervision during the extraction procedure. The oral surgeon should pay attention to the patient’s conscious symptoms, previous highest blood pressure and recent fluctuation of blood pressure while paying attention to the blood pressure value when extracting teeth from hypertensive patients. The procedure must be painless and blood pressure should continue to be controlled after the procedure to prevent bleeding after tooth extraction. After tooth extraction Take rest in semi-recumbent position after tooth extraction, do not take a hot bath immediately to avoid bleeding from the incision, eat liquid or semi-liquid food only after 2 hours, and do not eat too hard or too hot food. On the day of tooth extraction, no strenuous exercise or heavy physical labor, no drinking, no blowing of musical instruments, no sucking on the incision and no rinsing of the mouth are allowed. After the anesthesia wears off, the extraction wound is slightly painful and generally no medication is needed. If there is fever, severe pain, swelling or heavy bleeding, you should consult a doctor in time.