By Anonymous - 25/03/2014 02:11 - United States - Pratt
Add a comment - Reply to : #
To be fair, its never happened to me or anyone I know, so I can relate to his shock.
Well dentists are doctors; they go to medical school just like any other doctor. They just happen to specialize. Since blood pressure can have an impact on a person's oral health, it makes sense that a dentist would take a patient's blood pressure.
Perhaps that's true in some places, but in the country where I live and a number of others, dentistry is a distinct profession (with its own doctorate degrees), not a specialty trained in by graduates of medical school. There are some individuals who opt to attend both dental and medical school, however. Unless OP was having a procedure that required sedation, or suffered some kind of complication, I don't believe blood pressure monitoring is routine in dental offices.
here dentists dont finish the same college as the "real doctors" but the title is DOCTOR of dental medicine, and they do have almost all the same classes as they do in med school (such as gynecology, ofralmology, etc) also, if the patient has high blood pressure (or very low) he could have some serious problems while getting the anesthesia. it is every dentists obligation to messure blood pressure, since he could get suid for malpractice if he didnt do so, but the fact is many dentists skip this step. thats why you are all so surprised.
The thing with what you said is that dentists are required to measure blood pressure when procedures are being done that requires anesthesia. out of all of the times i have gone to the dentist, that was only once for me. the majority of people are going for simple cleanings or advice about a problem they have.
No, the majority of people DON'T go to dentists for cleanings or consultations. They go for root canals, fillings, bone grafts, implant placements, orthodontic treatments, veneers, bleaching, crowns, bridges, extractions, whitening, impressions, x-rays... (Hygienists, not dentists, do the cleanings and bleaching kits in almost all dental practices nowadays. And no dentist would live off consultations!) I don't know why #51 (from Croatia...) is getting thumbed down. This is the case for many professional schools in Europe. Poland has medical academies attended by both medical and dental students (also pharmacology students), and the medical and dental share classes for the first ~3 (out of 5) years of study.
whitening, x-rays, fillings, crowns, and extractions are still procedures you go to the dentist for during a consultation, and do not require anesthesia, just a simple numbing agent and can be performed right there on the spot. for numbing agents, you do not require their blood pressure because you are not putting them under (which is what anesthesia is for). and thats like saying a PCP cant survive off of well child/person visits and sick consultations, that they need the heavy duty procedures to actually make a living, which is not true. preventative care is bigger than surgeries in a normal dentist/physician office, which is what requires anesthesia.
actually, you do need anesthesia for some of those procedures (you can choose not to but it hurts like hell). not every anesthesia puts you down, those numbing agents (mostly lidocane) are also anesthetics. the thing is in dentistry local anesthesia is used in most cases, but it is still anesthesia and it is dangerous for patiens with high blood pressure.
#75: No, you're wrong. Any reputable dentist will have ANY and ALL patients on antibiotics (because everyone has oral bacteria) for at least several days before an extraction to minimize the risk of endocarditis. Whitening procedures themselves are done instead by hygienists -- or at home with a kit you get from the dentist! But the bleaching tray requires time to make, and several appointments (first taking impressions, then getting a model from the lab, then building your model on top of that to make the kit, then fitting the tray). Perhaps fillings might be done on the same day as a consultation. But your original point was that most people go to dentists for "consultations" and not procedures that require anesthesia. Guess what... EVERYONE has extractions under local anesthesia (or general anesthesia), and almost everyone has restorations done under anesthesia too. As for crowns? Really? If a tooth needs a crown, it needs a root canal beforehand (which also requires anesthetic). And NO dentist keeps crowns on hand except as models for display. Each crown is SPECIFICALLY, INDIVIDUALLY made for each patient by a lab. That takes time. Patients choose the exact shade they want their crown to be, and not everyone has teeth that are the same size, either. The root canal, preparation, and fitting would take up two to three different appointments. None of them "consultations." And from my personal experiences in five different dental offices (as a volunteer, an employee, and a shadowing student), I can tell you that consultations DO NOT make up the majority of visits. It's not the same thing, at all. Most family doctors or pediatricians do not perform ANY medical procedures in their office. Have pneumonia? Here's a referral to a hospital for your x-ray. Need blood work done? Here's a prescription for that, take it to Quest Diagnostics! Chicken pox? Here's your script. But dentists? They rely almost entirely on dental procedures. An implant fetches $3000 a tooth. A consultation? $100.
When in an online debate it is advisable not to start with "No, you're wrong!" Also, where the hell do you come from where people believe dentists should always, always put patients on antibiotics for "at least a week" before sugary? That place is negating the efforts of the rest of the world to slow the evolution of super bacteria, for starters. Second, after a round or two of antibiotics your body becomes immune to them. So if you ever are in dire straights and need antibiotics for, I don't know, a real infection, there will be less kinds that can actually help you. Get a new damn dentist.
I'm currently in my second year of dental school and we have to take blood pressures for every patient. It affects how much numbing medicine/what kind you give them. And to #121 you're wrong. It is not recommended to give antibiotics to every patient before OR after surgery or procedures. Only in a few select cases. Also, a crown doesn't necessarily need a "root canal" aka endodontic therapy. Maybe you should reconsider your screen name and do your research before spouting off information you have no idea about. Ps- these were only a couple of things wrong with your post. You're pretty much incorrect with the entire thing.
Perhaps OP was going to the dentist for a procedure, or she needed sedation dentistry because of a phobia. They'd do blood pressure for that, because anytime sedation is used there's a possibility of your blood pressure bottoming out and your heart stopping or respiratory arrest. Also, anxiety can cause high blood pressure, so if OP was at all anxious (which could require sedation dentistry) it could raise blood pressure. It's called "white coat syndrome," when you get anxious and only have high blood pressure when you're at the doctor. My psychiatrist has started taking blood pressure, and I thought it odd at first.
You need to check your facts. The only time I've ever had to take antibiotics in regards to going to the dentist was when I had an abscessed tooth. The only people who need to take antibiotics before going to the dentist are people who have heart conditions (the ADA removed a bunch of conditions in the past couple of years) and people who have total joint replacements. Also, you can't lump all doctors together, because doctors have lots of sub-subspecialties. I've gone to lots of doctors and had in-office procedures done, provided they had the proper equipment. I've had minor in-office surgeries, and my mom - who is a doctor - has performed minor in-office surgeries.
Well I've never heard of a dentist who takes people's blood pressure either.
why the hell would the dentist need to take your blood pressure?
They need to know whether your going to bleed out while in their chair...They're doing things to your gums, whether a cleaning or something more invasive, and that's going to cause bleeding. If your blood pressure is too high or too low this can cause severe issues with bleeding and can send you to the hospital if they don't treat it.
I'm surprised that the dentist even knew how to take your blood pressure.
It's not like you had a heart attack. Many, many people suffer from high blood pressure. No one takes it seriously until it actually hurts someone they know, so don't take it personally. He doesn't understand the implications of that, but he does understand that he doesn't expect your dentist to take your blood pressure.
Someone explain this to me: why would a dentist take take someone's blood pressure? Also, fyl for having high blood pressure.
Novocaine uses adrenaline (well, epinephrine, same thing, different name) to be more effective. After a few shots of it, it DOES spike heart rate and blood pressure. That's why they use non-epinephrine novocaine and other numbing agents during pregnancy and won't do it during first trimester. In my opinion, it's quick check to make sure a patient's heart pressure isn't already high, which would indicate a different anesthetic should be used. Better to take 5000 patients' blood pressure than have one patient with a stroke! I have had high blood pressure before, and let the dentist know before any procedure for the last few years. As a result, they do take my blood pressure before any numbing. Now that I'm pregnant, even though I got my blood pressure down, they still checked it first before numbing me for a crown! I'd say it's unusual for most dentists, but with the numbing agents in use and their effect on heart rate and blood pressure it's a good idea.
Because dental is part of medical field and high blood pressure is a medical concern. I have never not had a dentist or a hygienist take my blood pressure. They do it for safety reasons like if they have to remove teeth, numb, and put you to sleep for various reasons. If your dentist doesn't take your blood pressure I would be more concerned.