Evaluation of changes in arterial blood pressure during treatment in hypertensive and non-hypertensive patients

AIM: To evaluate the changes in arterial blood pressure during periodontal procedures under local anesthesia in hypertensive and non-hypertensive patients and to compare effects related to gender, age, and different types of blood pressure medications on systolic and diastolic blood pressure. MATERIALS AND METHODS: Fifty-nine patients enrolled and consented to participate in this study. Twenty-eight were diagnosed with hypertension and thirty one were non- hypertensive. Their blood (BP) was measured once during the consultation visit. During the scaling and root planning (SRP) visit BP was measured at three time points: before local anesthesia (LA) injection, immediately after LA and at the end of the procedure. During the surgical visit BP was determined at the same three time points as the SRP visit. RESULTS: There were no statistically significant differences in systolic and diastolic blood pressure between hypertensive and normotensive patients, males versus females, age groups and different types of blood pressure medications during SRP and surgical visits under local anesthesia. CONCLUSION: Although age, gender, blood pressure medications and hypertensive status have no significant influence on the arterial blood pressure in both hypertensive and normotensive patients during SRP and periodontal surgical visits, it is important to measure pre-operative BP to avoid or minimize the chances of life-threatening complications during dental treatment