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94 REVISTA ROMÂNÅ DE STOMATOLOGIE – VOL. LIII, NR. 2, AN 2007<br />

The diagnosis of hypertension must be made<br />

by a physician, usually after several abnormal<br />

readings are documented. However, dental hygiene<br />

students are in a unique position to assess<br />

blood pressure and increase the patient’s<br />

awareness of the potential risks associated with<br />

hypertension including obesity, smoking, and a<br />

sedentary lifestyle.<br />

Most encounters with allied health p<strong>ro</strong>fessionals<br />

occur when patients are ill or undergoing<br />

diagnostic p<strong>ro</strong>cedures, but since a systemic illness<br />

is not the reason for seeking dental hygiene care<br />

many patients consider themselves healthy during<br />

their dental visits. It is common for dental hygienists<br />

to treat <st<strong>ro</strong>ng>medica</st<strong>ro</strong>ng>lly comp<strong>ro</strong>mised patients.<br />

In contrast to other allied healthcare p<strong>ro</strong>fessionals<br />

dental hygienists have regular contact with patients<br />

due to frequent care intervals. For that reason,<br />

REFERENCES<br />

1. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green<br />

LA, Izzo Jr. JL, Jones DW, Materson BJ, Oparil S, Wright Jr.<br />

JT, Rocella EJ, and the National High Blood Pressure Education<br />

P<strong>ro</strong>gram Coordinating Committee. JNC7-Complete Version.<br />

Seventh Report of the Joint National Committee on Prevention,<br />

Detection, Evaluation, and Treatment of High Blood Pressure.<br />

Hypertension 2003;42:1206-52.<br />

2. Hughes CT, Thompson AL, B<strong>ro</strong>wning WD. – Blood pressure<br />

screening practices of a g<strong>ro</strong>up of dental hygienists. J Dent Hygiene<br />

2004;78(4).<br />

3. Wyche CJ. – The dental hygiene care plan. In E.M. Wilkins Clinical<br />

practice of the dental hygienist. Ninth ed. Philadelphia: Lippincott<br />

Williams & Wilkins, 2005:351-61.<br />

4. American Heart Association. Heart disease and st<strong>ro</strong>ke statistics:<br />

2003 update. Dallas.<br />

5. Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. – The<br />

p<strong>ro</strong>gression f<strong>ro</strong>m hypertension to congestive heart failure. [comment]<br />

J Am Med Assoc 1996;275(20):1557-62.<br />

6. Cline NV, Springstead MC. – Monitoring blood pressure. Five<br />

minutes critical to quality patient care. J Dent Hygiene<br />

1992;66(8):363-8.<br />

dental hygienists have an exceptional opportunity<br />

to monitor blood pressure. Communication concerning<br />

high readings and app<strong>ro</strong>priate patient education<br />

may motivate patients to seek the care of<br />

their physicians.<br />

CONCLUSION<br />

Based on the results of this study, the researchers<br />

suggest clinical policy modifications including:<br />

additional documentation for blood pressure<br />

readings in the prehypertension stage, lowering<br />

the systolic readings f<strong>ro</strong>m 160 mmHg to 140<br />

mmHg when adding hypertension alert labels, and<br />

documenting prehypertension/hypertension on the<br />

dental hygiene care plan with the app<strong>ro</strong>priate<br />

intervention such as <st<strong>ro</strong>ng>medica</st<strong>ro</strong>ng>l consultation prior to<br />

dental and dental hygiene treatment.<br />

7. Glick M. – New guidelines for prevention, detection, evaluation and<br />

treatment of high blood pressure. J Am Dent Assoc<br />

1998;129(11):1588-94.<br />

8. Little JW, Falace DA, Miller CS, Rhodus NL. – Dental<br />

management of the <st<strong>ro</strong>ng>medica</st<strong>ro</strong>ng>lly comp<strong>ro</strong>mised patient. 6th Edition, St.<br />

Louis: Mosby, 2002.<br />

9. Herman WW, Konzelman JL, Prisant LM. – New national<br />

guidelines on hypertension. A summary for dentistry. J Am Dent<br />

Assoc 2004;135:576-84.<br />

10. Takashima Y, Yoshida M, Kokase A, Orido Y, Tsugane S,<br />

Ishikawa M, Takeuchi Y, Takagi Y, Tanaka N, Watanabe S,<br />

Akamatsu T. – Relationship of occupation to blood pressure among<br />

middle-aged Japanese men- the significance of the differences in<br />

body mass index and alcohol consumption. J Epidemiol, 1998; 8(4),<br />

216-226.<br />

11. Zachariah MG, Thankappan KR, Alex SC, Sarma PS, Vasan,<br />

RS. – Prevalence correlates, awareness, treatment, and cont<strong>ro</strong>l of<br />

hypertension in a middle-aged urban population in Kerala. Indian<br />

Heart J, 2003; 55(3) 245-251.<br />

12. Kaplan NM. – Hypertension and diabetes. J Hum Hypertens,<br />

2002;16, Suppl. 1, 56-60.<br />

Article published in THE JOURNAL OF CONTEMPORARY DENTAL PRACTICE, vol. 8, nr. 3, March 1, 2007 – at www.thejcdp.com. Reprinted with<br />

permission of Publisher.

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