SUBLINGUAL CAPTOPRIL AS AN EFFECTIVE METHOD FOR LOWERING BLOOD PRESSURE PRIOR TO DENTAL PROCEDURES
A CASE STUDY ANALYSIS
Abstract
Background: Patients with hypertension are a common issue encountered by dentists. Understanding the therapies used as well as their side effects on oral conditions, and risk evaluation in dental care must be grasped by dentists before providing treatment to hypertensive patients. Captopril is an emergency oral hypertension medication that can be used to reduce blood pressure in hypertensive patients. Sublingual administration of captopril has proven effective in rapidly lowering blood pressure.
Case Study: Case I. A 70-year-old female patient with a blood pressure of 170/80 mmHg wanted to extract tooth 13 because it was causing a gingival lesion in the area of the missing tooth 43. The patient was given 25 mg of sublingual captopril, and after 5 minutes, her blood pressure dropped to 160 mmHg, and after 10 minutes, it dropped to 140/80 mmHg. Case II. A 58-year-old male patient was to have teeth 16, 17, 35 extracted. His blood pressure was 170/80 mmHg, and after administration of 12.5 mg of sublingual captopril for 5 minutes, it dropped to 140/80 mmHg.
Conclusion: Sublingual administration of captopril is effective in lowering blood pressure in hypertensive patients prior to dental procedures. However, patients must always be monitored to avoid adverse effects during or after dental treatment. Controlling stress and pain is very important to keep the patient's blood pressure stable.
References
2. Mirdamadi, A., Abrishmakar, R., & Kargaran, A. (2022). Comparing Outcomes of Clonidine and Captopril in Patients with Hypertensive Urgency: A Randomize Clinical Trial. ARYA Atheroscler..
3. Mayasari, S. (2020). Analisis Penggunaan Obat Captopril dengan Tekanan Darah pada Pasien Hipertensi. Jurnal Kesehatan dr. Soebandi.
4. Untari, P. U., & Daindes, T. (2023). Sublingual Versus Oral Captopril for Blood Pressure Reduction in Hypertensive Urgency: A Systematic. Journal of Hypertension.
5. Poonam, P., Hemant, G., & Bhava, K. (2018). Sublingual Route for Systemic Drug Delivery. Journal of Drug Delivery and Therapeutics, 340-343.
6. Dewi, K. K., Kusparmanto, L., & Setyanti, D. K. (2022). Pengaruh Zat Vasokonstriktor dalam Larutan Anestesi Lokal terhadap Tekanan Darah pada Pasien Pencabutan Gigi. Journal Moestopo.
Copyright (c) 2024 Jurnal Kesehatan Gigi dan Mulut (JKGM)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
