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Cardiovascular: hypertension, ischemic heart disease — dental considerations

General Medicine and General Surgery (for BDS) · Dental (BDS)

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Study notes

A hypertensive patient's BP reads 190/115 before an extraction. What now? Defer elective treatment and refer for medical control - operating through severely elevated BP risks hypertensive crisis and bleeding. Students learn the numbers rule: elective dentistry waits for controlled BP (roughly below 160/100 per guidelines); urgent care proceeds with minimal stress - because the extraction can wait, the stroke can't.

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