Do I need to maintain my blood pressure within normal range to get my tooth extracted?
Patient: I went to the dentist this morning and when they took my blood pressure, it was 188/111. They told me they cannot perform the extraction and I needed to get my blood pressure and A1C in check before they can do any work. I called my Primary Care Physician and they don t have any openings. I m not certain what I should do or if I should wait until my scheduled appointment with my new Primary Care about a month away. Doctor: Hello,  A single spike in blood pressure values could be related to anxiety. Anyway, I recommend you to closely monitor your blood pressure values frequently during the day in the next days.  If your blood pressure values are persistently high, I would recommend consulting with your attending physician for some blood lab tests (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, thyroid hormone levels, etc.) and considering starting antihypertensive therapy.   Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Ilir Sharka, Cardiologist