Hypertension is one of the most common systemic diseases encountered in dental setting due to its high prevalence worldwide. It is a “silent killer” often asymptomatic for many years, is the most powerful risk factors for cardiovascular disease, retinal disease, renal failure, stroke and other health problems, which are conditions that increase complications during and after dental procedures. Dentists play an important role in screening undiagnosed and uncontrolled hypertension resulting in improved monitoring and treatment. Hypertension management in dental practice includes early recognition and correct measurement providing corresponding treatment according to the condition, complications of different drug interaction and risk assessment for dental treatment.