{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:40:24Z","timestamp":1766068824302,"version":"3.48.0"},"reference-count":17,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/geriatrics10060172","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:32:03Z","timestamp":1766068323000},"page":"172","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Interdisciplinary Management of White Coat Hypertension in Geriatric Oral Surgery: Case Report"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0202-9436","authenticated-orcid":false,"given":"Alexandra","family":"Allaica Cuenca","sequence":"first","affiliation":[{"name":"Carrera de Odontolog\u00eda, Facultad de Odontolog\u00eda, Universidad de Las Am\u00e9ricas (UDLA), Colon y 6 de Diciembre, Quito 170516, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7299-9529","authenticated-orcid":false,"given":"Ana","family":"Balseca Morales","sequence":"additional","affiliation":[{"name":"Carrera de Odontolog\u00eda, Facultad de Odontolog\u00eda, Universidad de Las Am\u00e9ricas (UDLA), Colon y 6 de Diciembre, Quito 170516, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4061-7960","authenticated-orcid":false,"given":"Jorge","family":"L\u00f3pez Bundschuh","sequence":"additional","affiliation":[{"name":"Carrera de Odontolog\u00eda, Facultad de Odontolog\u00eda, Universidad de Las Am\u00e9ricas (UDLA), Colon y 6 de Diciembre, Quito 170516, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-951X","authenticated-orcid":false,"given":"Luis","family":"Chauca-Baja\u00f1a","sequence":"additional","affiliation":[{"name":"College Dentistry, Universidad de Guayaquil, Guayaquil 090101, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5660-3941","authenticated-orcid":false,"given":"Byron","family":"Velasquez Ron","sequence":"additional","affiliation":[{"name":"Carrera de Odontolog\u00eda, Facultad de Odontolog\u00eda, Universidad de Las Am\u00e9ricas (UDLA), Colon y 6 de Diciembre, Quito 170516, Ecuador"},{"name":"Department Prosthesis Research, Universidad de Las Am\u00e9ricas (UDLA), Av. Col\u00f3n y 6. Diciembre, Quito CP 170516, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1161\/HYPERTENSIONAHA.121.18356","article-title":"Diagnosis and Monitoring of White Coat Hypertension in Pregnancy: An ISSHP Consensus Delphi Procedure","volume":"79","author":"Johnson","year":"2022","journal-title":"Hypertension"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e30443","DOI":"10.2196\/30443","article-title":"Reducing Dental Anxiety in Children Using a Mobile Health App: Usability and User Experience Study","volume":"7","author":"Oprescu","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Somero, A., Suominen, A., Pohjola, V., Ogawa, M., Sipil\u00e4, K., and Kakko, N. (2024). 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