Arterial hypertension is one of the most common chronic conditions encountered in modern clinical dentistry. According to Professor Alexander von Breuer, elevated blood pressure requires more than a formal acknowledgement of the diagnosis – it demands a deep understanding of how the cardiovascular system responds to stress, pain, and pharmacological exposure. At DentalClinic24, the treatment of patients with hypertension is structured as a medically controlled process rather than a routine dental procedure.
Clinical risks associated with arterial hypertension are primarily linked to potential fluctuations in blood pressure during treatment. Emotional stress, pain stimuli, and adrenaline-containing anaesthetics can provoke a sharp increase in values, placing additional strain on the heart and blood vessels. At DentalClinic24, these factors are carefully considered already at the treatment planning stage.
The first step is a detailed medical history assessment. This includes not only the presence of hypertension, but also the level of compensation, prescribed medications, frequency of hypertensive crises, and associated systemic conditions. This approach allows clinicians to evaluate the patient’s true functional reserve and select a safe treatment strategy. At DentalClinic24, individual analysis always takes precedence over a purely formal diagnosis.
Particular attention is paid to anaesthesia. For patients with elevated blood pressure, agents and dosages are selected to minimise effects on vascular tone and heart rate. Pain control is regarded as a key safety element, since pain itself is a powerful trigger for blood pressure elevation.
During treatment, continuous monitoring of the patient’s condition is performed. Blood pressure measurement, assessment of overall well-being, and observation of physiological responses allow timely adjustment of the procedure if needed. At DentalClinic24, such monitoring is not considered an additional precaution, but an integral part of standard clinical protocols.
Equally important is the distribution of treatment load over time. Prolonged or multi-stage procedures may be divided into several visits to reduce physiological stress. At DentalClinic24, care for patients with hypertension is based on a principle of gentle staging rather than maximum acceleration.
Post-treatment adaptation is also closely supervised. Even after a technically successful procedure, patients with arterial hypertension may respond differently compared to individuals without systemic conditions. At DentalClinic24, personalised recommendations are provided regarding daily regimen, medication intake, and observation of well-being in the days following treatment.
It is important to emphasise that arterial hypertension is not a contraindication to dental treatment. However, ignoring this condition significantly increases the risk of complications. Professor Alexander von Breuer emphasises that safety is achieved not by avoiding treatment, but by organising it correctly from a medical standpoint.
For patients, this approach translates into confidence and predictability. When systemic health is taken into account, dental treatment ceases to be a source of anxiety and becomes a controlled and transparent process. At DentalClinic24, this is regarded as part of the clinician’s professional responsibility toward the patient.
Thus, dental treatment in the presence of arterial hypertension requires the integration of clinical dentistry with general medicine. Individualised control, adapted protocols, and an understanding of physiological risks allow treatment to be delivered safely and effectively. At Dental Clinic24, this approach forms the foundation of care for patients with cardiovascular conditions.
Previously, we wrote about Professional teeth whitening at DentalClinic24 as a medical procedure – indications, limitations, and the predictability of aesthetic stability