Autonomic nervous activity of patients with gagging problems during dental mirror insertion

Sakamoto, Toyoaki; Fukuda, Ken; Saita, Naoko; Koukita, Yoshihiko; Yamashita, Shuichirou; Koizumi, Jun; Ichinohe, Tatsuya

doi:10.1111/scd.12148

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…On the other hand, many authors agree on the psychological factors involved in gagging. [ 20 21 ] In some cases, children may express their apprehension by an increased tendency to gag. This is considered a conscious self-defense against the invasion of the oral cavity.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of intellectual distraction on gagging and anxiety management in children: A prospective clinical study

Debs

2017

J Int Soc Prevent Communit Dent

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Objectives:The aim of the present prospective study is to determine the effect of an intellectual colored game (ICG) on the severity of gag reflex (GR) and anxiety in children during dental alginate impression.Materials and Methods:Forty-one children, aging between 5 and 11 years, having a GR varying from normal to moderate had upper alginate impressions. The children's anxiety was evaluated with a facial image scale (FIS) before (T0) and after first failed impression (T1), then, after playing an intellectual colored game (ICG) at T2, while taking an upper alginate impression.Results:42.9 % of the children had a gag reflex of stage 2 and 31.0 % a facial scale of 3. Initial GR was not significantly associated with the final success of the impression (P =0.260) whereas final impression success was strongly associated with FIS (P <0.001). There was a statistically significant reduction in median GR score from T0 to T2 (P < 0.001) and FIS dropped significantly at T2 with ICG (P < 0.001).Conclusion:This study highlights the clinical performance of the intellectual distraction approach in GR management

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Section: Discussionmentioning

confidence: 99%

Effectiveness of intellectual distraction on gagging and anxiety management in children: A prospective clinical study

Debs

2017

J Int Soc Prevent Communit Dent

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“…The method of this study was similar to that of Hosseini et al study that appraised the role of the parasympathetic system on cardiovascular stimulus but they evoked the posterior region of the palate by an electric device at two frequencies (10). For achieving the goal of this study, the use of such device was not acceptable although, in both studies, the stimulation of the parasympathetic system made no significant changes (10,18,19).…”

Section: Discussionmentioning

confidence: 91%

Could Cardiovascular Parameters Be Affected by Dental Impression?

et al. 2019

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Background: The frequency of cardiovascular disease increases with age. Dental procedures as stressful triggers may cause unpredictable changes in the function of the cardiovascular system. Impression is an inevitable dental procedure. Objectives: Since upper jaw impression stimulates the sensory terminals of nerves, especially vagus, this study was conducted to evaluate the changes in blood pressure, heart rate, and pulse pressure due to dental impression. Methods: This observational study was performed on individuals who referred to the Prosthetic Department of Yazd Dental School. The sample was composed of 46 individuals, including 26 women and 20 men, who fulfilled the inclusion criteria and signed written consent forms. The severity of gag reflex was measured and just individuals with moderate gag reflex entered the study. Impression was carried out in the upper jaw in the upright position and rest condition. Blood pressure, pulse rate, and pulse pressure were measured and compared before and immediately after impression procedure. Taking into account the significance level of 5%, the test power of 80%, and blood pressure standard deviation of 4, and to achieve a significant difference of at least 2 mmHg in the groups, 46 people were needed in the study. Data were analyzed by SPSS 18 and t test. Results: Systolic and diastolic blood pressure, heart rate, and pulse pressure were measured before and after dental impression. The difference between men and women was significant only for pulse pressure at both stages (P = 0.02). There was also a statistically significant difference in pulse pressure before and after impression only in women (P = 0.049). There was no significant difference in men. Conclusions: Common dental procedures such as impression could not significantly alter blood pressure and pulse rate.

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“…The material used for the impressions was an elastic material based on irreversible hydrocolloids, respectively an alginate (Tropicalgin from Zhermack, Italy) with a fast setting time. We chose to take this dental impression with an alginate for the following reasons: alginate is most commonly used for dental impressions in the making of documentation models, dental impression with alginate runs really fast, due to its viscosity and the thicker layer of material, compared with other elastic materials the alginate can cause more nausea so the gag reflex [4] appears more often. The impression trays used were the basic ones with holes and spaces, as retentions and ergonomic handle.…”

Section: Methodsmentioning

confidence: 99%

Taking dental impressions of dental medicine students: with and without vomiting reflex

Molnar-Varlam

Székely

Sîrbu

et al. 2019

Acta Stomatologica Marisiensis Journal

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Introduction: It is a well-known fact that during a dental impression, some patients suffer from the gag reflexes. Aim of the study: Even if the main tendency is to use medication, our goal is to find a way to combat it.Material and methods: With the help of our 155 volunteering students, from UMFST Târgu Mureș, who agreed on having their dental impression taken, using alginate material, we tried to combat the gag reflex, using the following techniques: the high-leg method, salt crystals, as well as using a special impression tray.Results: When we applied all of these methods, great attention was payed, as we diligently wrote everything down. After all the work was done, we obtained the following results: 130 did not show any vomiting signs, 17 of them presented moderate vomiting reflex and only 8 of them have shown extreme vomiting reflex, leading to the point where the impression could not be performed.Conclusions: On the one hand, for the less informed people, these techniques present a better outcome; on the other hand, however, we wish to highlight one thing: the skills of the doctor are of utmost importance.

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Autonomic nervous activity of patients with gagging problems during dental mirror insertion

Abstract: Patients with a gagging problem in G3, dental mirror insertion increased both parasympathetic and sympathetic nervous activities, despite no change in HR.

Cited by 8 publications

References 14 publications

Effectiveness of intellectual distraction on gagging and anxiety management in children: A prospective clinical study

Effectiveness of intellectual distraction on gagging and anxiety management in children: A prospective clinical study

Could Cardiovascular Parameters Be Affected by Dental Impression?

Taking dental impressions of dental medicine students: with and without vomiting reflex

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