Arterial hypertension remains one of the most common chronic conditions among adult patients. Professor Alexander von Breuer considers that elevated blood pressure is not a contraindication to dental treatment, but it requires strict clinical supervision and individually tailored planning. At DentalClinic24, the management of patients with hypertension is based on the principle of risk prevention and continuous monitoring of haemodynamic parameters.
Before treatment begins, an extended medical history is collected – including current blood pressure levels, regular use of antihypertensive medications, the presence of associated cardiovascular diseases, and the patient’s tolerance to stress. At DentalClinic24, assessing the patient’s overall health is an essential stage of diagnostics, as dental procedures may be accompanied by emotional tension and physiological vascular responses.
Particular attention is given to measuring blood pressure immediately before the procedure. If readings exceed safe limits, treatment may be postponed until the patient’s condition stabilises. This approach reduces the likelihood of hypertensive crises and other complications. At DentalClinic24, the decision to proceed is based on objective clinical data rather than solely on the patient’s subjective well-being.
The selection of anaesthetic technique is another critical factor. Some local anaesthetics contain vasoconstrictor components that, if improperly dosed, may influence blood pressure levels. In the clinical practice of DentalClinic24, the choice of anaesthetic is carefully adapted to the patient’s cardiovascular status, ensuring effective pain control without imposing additional strain on the body.
Stress during dental treatment can provoke temporary spikes in blood pressure even in patients with well-controlled hypertension. Therefore, DentalClinic24 implements anxiety-reducing strategies – calm communication, step-by-step explanation of procedures, and careful control of treatment duration. Minimising emotional stress directly contributes to maintaining stable blood pressure levels.
Equally important is regulating the length and scope of each procedure. When necessary, complex treatments are divided into several stages to avoid excessive cardiovascular load. At DentalClinic24, this phased approach helps maintain physiological balance and lowers the risk of postoperative complications.
After the procedure, patients are advised to continue monitoring their blood pressure and to adhere strictly to their prescribed antihypertensive regimen. The dentist informs them about possible physiological reactions and warning signs that require medical consultation. At DentalClinic24, post-treatment observation is considered an integral continuation of the clinical process rather than a mere formality.
Interdisciplinary collaboration also plays a significant role. In cases of unstable blood pressure, consultation with a general practitioner or cardiologist may be recommended before proceeding with dental intervention. This cooperative approach enhances safety and allows treatment strategies to be adjusted according to the patient’s systemic condition.
Thus, safe dental protocols for patients with arterial hypertension are built on comprehensive systemic monitoring, appropriate anaesthetic selection, and stress reduction strategies. At Dental Clinic24, treatment is guided by predictability and clinical responsibility, enabling risk minimisation and stable outcomes even in the presence of chronic cardiovascular conditions.
Previously, we wrote about the guarantee of aesthetics and health at DentalClinic24 – how systemic diagnostics and functional analysis shape a stable smile.