What is the best approach for treating a 60-year-old female missing teeth #17-20 with a history of hypertension?

The best approach for treating a 60-year-old female with missing teeth #17-20 and a history of hypertension is to delay treatment until her hypertension is controlled. This approach is essential for ensuring the safety of the patient during and after dental procedures.

Hypertension can pose significant risks during dental treatments, especially if they are invasive, such as extractions or restorations that may require anesthesia. Uncontrolled hypertension could lead to complications such as increased bleeding, cardiovascular events, or stroke risk during the procedure.

By prioritizing the stabilization of her blood pressure, the dental team can help ensure that treatment occurs under safe conditions, minimizing the risk of adverse effects. Once her hypertension is managed and under control, the dental treatments can proceed with a lower risk profile, ultimately leading to better outcomes for the patient.

Other approaches, such as immediate restoration or performing extractions quickly, would not prioritize the patient’s health status effectively and could jeopardize her safety. Consulting a cardiologist could be beneficial, but the first step must involve managing her hypertension.