Management of a Hypertensive Crisis Post-Tooth Extraction: A Case Report
Estefanía Herrera Peña*
Dental Surgeon, Universidad del Desarrollo, Santiago, Chile.
*Corresponding Author: Estefanía Herrera Peña, Dental Surgeon, Universidad del Desarrollo, Santiago, Chile.
https://doi.org/10.58624/SVOADE.2026.07.022
Received: May 09, 2026
Published: June 03, 2026
Citation: Pena EH. Management of a Hypertensive Crisis Post-Tooth Extraction: A Case Report. SVOA Dentistry 2026, 7:3, 167-172. doi: 10.58624/ SVOADE.2026.07.022
Abstract
Introduction: A hypertensive crisis is a clinical situation resulting from an acute elevation in blood pressure (BP) and can represent a life-threatening risk, thus requiring efficient and timely management.
Clinical case: A 45-year-old male patient with uncontrolled hypertension presented to the Bellavista CESFAM with severe pain in the lower third molar, diagnosed with an acute apical abscess. During the tooth extraction, a fracture of the distal root occurred along with a hypertensive crisis, which was managed at the facility. One month later, with his blood pressure controlled, the retained root was extracted.
Discussion: The management of the patient's pain, anxiety, and stress, along with the use of anesthetics without a vasoconstrictor, are key to preventing acute elevations in blood pressure during invasive dental procedures.
Conclusion: This report emphasizes the importance of a comprehensive anamnesis and proper management in hypertensive patients to prevent intraoperative complications, including hypertensive crises.
Keywords: Hypertensive Crisis, Hypertensive Urgency, Acute Apical Abscess, Tooth Extraction, Case Report.
