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MONITORING BLOOD PRESSURE IN THE DENTAL OFFICE-WHY?

This is a service we do for our patients free of charge. Why do we do this? Because we care about you and your health.
Hypertension or high blood pressure is a consistent reading of 120/80 or higher. Normal blood pressure is approximately 120/80. If you have a reading above 120/80 we will suggest you consult with your physician about your blood pressure. One quarter of the US population has high blood pressure yet show no obvious symptoms. This is why it is called the "silent killer". It is of world-wide epidemic proportions. The ADA recommends that any patient with a reading of 180/110 is the cutoff point for offering urgent treatment without medial consultation.
Blood Pressure
Classification SBP (mm HG) DBP (mm Hg)
Normal <120 and <80 Regular care;
Prehypertension 120-139 or 80-89 Advise pt of BP status; recommend lifestyle modifications
Stage 1 Hypertension 140-159 or 92-99 Regular care; recommend physician consult; stress reduction protocol
Stage 2 Hypertension > 160 or>100 Re-check BP in 5 min.s; non-invasive care only; definitive emergency care only if less than 180/110; refer to physician for immediate followup; stress reduction protocol
Hypertensive Crisis 220+ 120+ Re-check BP in 5 min.s; no dental therapy, routine or emergency, until elevated BP is corrected; manage emergency w/ antibiotics and/or analgesics; hospitalization and immediate BP reduction when signs & dx of organ damage are present; otherwise refer to physician for immediate followup #

Hypertension alone is the most important risk factor for heart failure. Hypertension is the leading cause of strokes, kidney failure and blindness. Having high blood pressure increases stroke risk four to six times!


If you have hypertension:
The best time to come for dental treatment if you have high blood pressure is in the afternoon. Thus afternoon appointment are recommended over mornings for this reason.
Your blood pressure will be taken at each visit. The best arm to use the monitor on is on the left arm.
Stress reduction protocol will be followed which includes: shorter appointments
good night's sleep before the appointment
avoiding caffeine before the appointment
eating a regular meal before the appointment
ample time allowed to get to your appointment
premed as needed
checked to make sure daily hypertensive medications were taken
raising dental chair slowly allowed to sit upright in dental chair for several minutes after procedure to avoid hypotension
Anxiety and stress associated with dental treatment typically causes a rise in blood pressure. Using of a sedative the night before treatment may help.
Also using nitrous oxide 10 minutes before treatment may reduce blood pressure to acceptable levels, allowing initiation of local anesthesia.

The most effective strategy that can aid to control hypertension and it's substantial decline is the ability to detect, evaluate and treat people early with accurate blood pressure measurements. So we offer this service to help you monitor your health because we value you.

Smile Video

 

Study: Brushing your teeth leads to healthier heart

German scientists presented a study yesterday in Vienna, Austria, that confirms a genetic link between gum disease and heart disease.

The association between periodontitis and coronary heart disease has been known for years, but a genetic link between the conditions hadn’t been confirmed.


Dr.Michael Mostofi
Aliso Viejo Dentist
www.HealthySmile360.com
949-831-5511

New Target In Fight Against Osteoporosis, Periodontitis Identified By Dental Researchers

In a paper published May 17 in the online edition of the journal Nature Medicine, Cun-Yu Wang, who holds UCLA's No-Hee Park Endowed Chair in the dental school's division of oral biology and medicine, and colleagues suggest that inhibiting nuclear factor-kB (NF-kB), a master protein that controls genes associated with inflammation and immunity, can prevent disabling bone loss by maintaining bone formation.

The findings could offer new hope to millions who struggle with osteoporosis and periodontitis each year. The National Institutes of Health estimates that in the United States alone, more than 10 million people have osteoporosis, and many more have low bone mass, putting them at risk for the disease, as well as for broken bones. According to the American Academy of Periodontology, mild to moderate periodontitis affects a majority of adults, with between 5 and 20 percent of the population suffering from a more severe stage of the disease.

Study Finds a Possible Link Between Denture Cream and Imbalance

Thirty- four million Americans rely on dentures to replace their missing teeth. But a small number of denture wearers have had difficulty with balance and walking -- a medical mystery that some experts have linked to their denture creams

Esthetic and Biomimetic Restorative Dentistry

Our mission for the new year

What is Biomimetic Dentistry ?
Biomimetic Dentistry saves much more of your natural tooth than traditional dentistry. In fact, in traditional dentistry, many times healthy and sound tooth structure has to be removed to place a restoration--as in the placement of a traditional crown. The restorations placed Biomimetically do not require this additional removal of healthy tooth structure. They do, however, require a strict following of a prescribed protocol which insures that the restoration will be a success. That is why we call this technique "Tooth-Conserving" dentistry.
Biomimetic dentistry is an approach where modern technology and engineering attempt to mimic nature. In the case of teeth, that means taking into account the unique shape and color of each patient’s tooth structure, their face and their skin color — not just giving every mouth a set of “perfect” teeth. The result is light-years away from the Chiclet-capped smile of yesteryear. In "Tooth-Conserving" Dentistry, only the portion of the tooth that needs replaced or reinforced to guard from fracture gets treated. And, the tooth is restored in a way that virtually assures that the tooth will not suffer a catastrophic failure in the future. In other words, once restored in this way, the tooth will not hurt, break or need a root canal in the future.