Thank you for your question. I respect the care and concern about your father and you must be very worried for him. I will do my best to give you sound advice.
In my practice, we see patients just like your father with complex medical and systemic health issues , and a good number of these patients require urgent dental treatment.
It is likely that your father's blood pressure rises whenever he sees the dentist because of dental anxiety, worry or fear.
Blood pressure can rise sharply as your father is anticipating a painful procedure.
If he were my patient, i would consider doing the extractions under IV sedation and/or in conjunction with medication to help him relax. While he is comfortably asleep and sedated, we can monitor his heart rate and blood pressure in a very precise manner, and carry out the extractions safely. While he is sedated, his blood pressure should normalize.
I would also need him to be taking his blood pressure medication religiously as prescribed by his medical doctor. And i would also check to see if he is on any blood thinning medication as these may need to be stopped a few days prior to the procedure.
Many patients also want to have dental implants placed immediately after their teeth are extracted , in the same procedure. This might also be a possibility in your fathers case, if he is suitable for implants. This would allow him to have a tooth replacement to restore his bite, without a second surgery.
We have all the tools and technology available now to help to stop unexpected bleeding safely and effectively under such controlled conditions.
I hope my advice helps you and i wish you all the best to find a good, reliable and trustworthy dentist!
Kind regards,
Dr Gerald Tan
