Postponement or cancellation of dental extractions in patients with elevated blood pressure beyond procedural guidelines: A systematic review and meta-analysis

This systematic review evaluates the need to postpone dental extractions in patients with elevated Blood Pressure (BP) or if additional factors should be considered.The objective is to estimate deferral or cancellation rates for extractions among hypertensive patients and assess interstudy variability.A systematic review and random-effects meta-analysis of clinical studies reporting extraction outcomes in adults with hypertension.Major databases (PubMed, Cochrane) were searched.The primary outcome was the deferral rate; secondary outcomes included peri-procedural BP changes, cardiovascular events, and bleeding.Four studies (total n = 27,569; 5,191 procedures analyzed) met inclusion criteria.The crude deferral rate was 3.47% (95% CI: 2.98-3.96%),while metaanalytic pooling with continuity correction yielded 0.63% (95% CI: 0.42-0.84%).Heterogeneity was substantial (I² = 98%), driven by one large study reporting all deferrals.Formal postponement of dental extractions in hypertensive patients is rare in published data, though probable underreporting and high heterogeneity suggest individualized, case-based assessment is preferable to rigid BP thresholds.