| |
Measured Blood Pressure |
Follow-Up |
Dental Treatment |
| |
Systolic |
Diastolic |
|
|
| Normal |
<120 |
<80 |
Recheck in 2 years |
Routine dental management |
| Pre-Hypertension |
120 - 139 |
80 - 89 |
Recheck in 6 months |
Routine dental management |
| Stage 1 (Mild) |
140 - 159 |
90 - 95 |
Re-check blood pressure prior to dental treatment for three consecutive appointments. If all exceed guidelines, medical consult indicated. |
Routine dental management; Stress reduction protocol indicated |
| Stage 2 (Moderate) |
160 - 179 |
96 - 115 |
Re-check blood pressure in 5 minutes. If still elevated, consider medical consult prior to therapy. |
Routine dental management; Stress reduction protocol indicated |
| Stage 3 (Severe) |
180 - 209 |
110 - 119 |
Re-check blood pressure in 5 minutes.If still elevated, refer to MD immediately |
- No dental therapy, routine or emergency, until elevated blood pressure is corrected.
- Emergency dental therapy with drugs (analgesics, antibiotics)
- Refer to hospital if immediate dental therapy indicated
|
| Stage 4 (Very Severe) |
>209 |
>115 |
