<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-9339</journal-id>
<journal-title><![CDATA[Odontoestomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Odontoestomatología]]></abbrev-journal-title>
<issn>1688-9339</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Odontología - Universidad de la República]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-93392026000101341</article-id>
<article-id pub-id-type="doi">10.22592/ode2026n47e341</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de los agentes vasoconstrictores asociados a anestésicos locales en pacientes hipertensos]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso de anestésicos locais com agentes vasoconstritores em pacientes hipertensos: revisão da literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of local anesthetics with vasoconstrictor agents in hypertensive patients: a literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[Manuela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pregliasco]]></surname>
<given-names><![CDATA[Yoana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Schuch]]></surname>
<given-names><![CDATA[Lauren]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira Prado]]></surname>
<given-names><![CDATA[Vanesa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Odontología Departamento de Diagnóstico en Patología y Medicina Oral]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>28</volume>
<numero>47</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-93392026000101341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-93392026000101341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-93392026000101341&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La hipertensión arterial es una enfermedad cardiovascular crónica de alta prevalencia a nivel mundial y representa un problema de salud pública en Uruguay. El uso de vasoconstrictores en pacientes hipertensos sigue siendo un tema de debate en odontología debido a la controversia sobre su seguridad.  Objetivos:  Esta revisión evalúa el impacto del uso de anestésicos locales con vasoconstrictores en pacientes hipertensos, analizando posibles efectos adversos y factores que influyen en la seguridad y eficacia del tratamiento odontológico.  Metodología:  Se realizó una revisión de la literatura mediante la consulta de bases de datos, incluyendo PubMed, SciELO, BVS-Odontología (UdelaR) y Google Scholar. La búsqueda abarcó publicaciones desde 2014 hasta octubre de 2024, en inglés, español y portugués. Tras aplicar los criterios de selección, se incluyeron un total de 25 textos bibliográficos para la elaboración de este artículo. Resultados: El agente vasoconstrictor más utilizado es la epinefrina, bajo una dosis máxima recomendada de 0.04 mg para pacientes hipertensos, para minimizar los riesgos asociados y garantizar una administración más segura, enfatizando la importancia de una evaluación cuidadosa del estado cardiovascular del paciente antes de su administración.  Conclusiones:  La evidencia disponible apunta a que estaría justificado el uso de anestésicos locales hasta con una concentración de epinefrina de 0.04mg en pacientes con hipertensión arterial controlada ASA II. Es necesario continuar realizando estudios clínicos y de laboratorio específicos para asegurar y reafirmar la evidencia presentada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A hipertensão arterial é uma doença cardiovascular crônica de alta prevalência global e representa um problema de saúde pública no Uruguai. O uso de vasoconstritores em pacientes hipertensos continua sendo um tema debatido na odontologia devido às controvérsias sobre sua segurança.  Objetivos:  Esta revisão avalia o impacto do uso de anestésicos locais com vasoconstritores em pacientes hipertensos, analisando possíveis efeitos adversos e fatores que influenciam a segurança e a eficácia do tratamento odontológico.  Metodologia:  Foi realizada uma revisão da literatura por meio da consulta a bases de dados como PubMed, SciELO, BVS-Odontologia (UdelaR) e Google Scholar. A busca abrangeu publicações de 2014 até outubro de 2024, em inglês, espanhol e português. Após a aplicação dos critérios de seleção, um total de 25 textos bibliográficos foram incluídos neste artigo.  Resultados:  O vasoconstritor mais utilizado é a epinefrina, com uma dose máxima recomendada de 0.04 mg para pacientes hipertensos, a fim de minimizar os riscos associados e garantir uma administração mais segura. Os achados ressaltam a importância de uma avaliação cardiovascular cuidadosa antes do seu uso.  Conclusões:  As evidências disponíveis sugerem que o uso de anestésicos locais com concentração de epinefrina de até 0,04 mg é justificado em pacientes com hipertensão arterial controlada, classificados como ASA II. É necessário continuar realizando estudos clínicos e laboratoriais específicos para assegurar e reforçar a evidência apresentada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Arterial hypertension is a chronic cardiovascular disease with a high global prevalence and constitutes a public health issue in Uruguay. The use of vasoconstrictors in hypertensive patients continues to be debated in dentistry due to controversies regarding their safety. Objectives: This review evaluates the impact of using local anesthetics with vasoconstrictors in hypertensive patients, analyzing potential adverse effects and factors influencing the safety and effectiveness of dental treatment.  Methodology:  A literature review was conducted by consulting databases such as PubMed, SciELO, BVS-Odontología (UdelaR), and Google Scholar. The search covered publications from 2014 to October 2024 in English, Spanish, and Portuguese. After applying selection criteria, 25 bibliographic sources were included in this article.  Results:  The most commonly used vasoconstrictor is epinephrine, with a maximum recommended dose of 0.04 mg for hypertensive patients to minimize associated risks and ensure safer administration; the importance of a thorough cardiovascular assessment before its use is highlighted.  Conclusions:  The available evidence indicates that the use of local anesthetics containing epinephrine at concentrations up to 0.04 mg is justified in patients with controlled hypertension classified as ASA II. Further clinical and laboratory studies are necessary to reinforce and confirm the evidence presented.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión arterial]]></kwd>
<kwd lng="es"><![CDATA[anestesia local]]></kwd>
<kwd lng="es"><![CDATA[manejo odontológico]]></kwd>
<kwd lng="es"><![CDATA[epinefrin]]></kwd>
<kwd lng="pt"><![CDATA[hipertensão arterial]]></kwd>
<kwd lng="pt"><![CDATA[anestesia local]]></kwd>
<kwd lng="pt"><![CDATA[manejo odontológico]]></kwd>
<kwd lng="pt"><![CDATA[epinefrina.]]></kwd>
<kwd lng="en"><![CDATA[arterial hypertension]]></kwd>
<kwd lng="en"><![CDATA[local anesthesia]]></kwd>
<kwd lng="en"><![CDATA[dental management]]></kwd>
<kwd lng="en"><![CDATA[epinephrine.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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