In dental management of CVA, which measure is recommended?

• A. No elective treatment for 6 months
• B. Stress reduction protocol
• C. Monitor vitals
• D. Limit epinephrine

Answer: (A)

The main idea is that after a cerebrovascular accident, the risk of another stroke is higher in the early recovery period, and dental procedures can trigger stress and hemodynamic changes. Deferring elective dental treatment for about six months gives the patient time to stabilize neurologically and for medical clearance to be obtained, reducing the risk of triggering another cerebrovascular event during dental care.

While stress reduction, monitoring vital signs, and careful use of anesthesia are important parts of managing any patient with a history of stroke, postponing elective procedures for six months directly addresses the safety window and aligns with the goal of minimizing perioperative risk.