Interdisciplinary Management of White Coat Hypertension in Geriatric Oral Surgery: Case Report.

INTRODUCTION

White coat hypertension in geriatric patients can complicate dental procedures in the presence of intense anxiety.

OBJECTIVE

To evaluate the effectiveness of a combined approach of psychological intervention and sedation for the control of the syndrome during multiple extractions.

CASE PRESENTATION: A 76-year-old woman with a diagnosis of white coat hypertension (WCH) and a history of dental anxiety. In two previous attempts, the surgery was suspended due to blood pressure elevation. The Dental Perception Reprogramming Protocol (DPRP) was applied along with conscious sedation (midazolam, fentanyl, dexmedetomidine) which allowed agitation, so deep sedation with propofol was used.

RESULT: The patient had stable blood pressure (119/82 mmHg) and successfully completed the intervention without complications.

CONCLUSIONS

The integration of psycho-behavioral and pharmacological techniques allowed effective hemodynamic control, and a key interdisciplinary approach is suggested for the management of the syndrome in older adults.