This document discusses the management of hypertensive patients for dental treatment. It defines hypertension as blood pressure consistently over 140/90 mmHg and classifies it into stages. It describes the causes of essential (primary) hypertension and secondary hypertension due to underlying conditions. The document outlines modifications needed for dental treatment of hypertensive patients, including controlling blood pressure before elective procedures, using short appointments to minimize stress, and careful use of local anesthetics containing epinephrine. It emphasizes the importance of adequate pain control and anxiety reduction during dental visits for hypertensive patients.