My dental hygenist and dentist had to decline my regular six-month cleaning because my blood pressure exceeded their guidelines.  He said he could premedicate with amoxicillin if I was unable to get the BP down.  What exactly is the danger of having HBP during a deep cleaning.  Is it the possibility of the plaque bacteria getting to the heart and causing damage?
HiT hanks for writing in. I would like to tell you that hypertensive patients are more prone for bleeding. In procedures where bleeding occurs like extraction or scaling we give some medications prior to treatment for better compliance.It's difficult to control bleeding in hypertensive patients, so we give antibiotic prophylactically.It's nothing like plaque may progress to heart & cause any damage. Just follow his guidelines & go for proper treatment. Regards Chat Doctor.