Knowledge, attitude and practice regarding gag-reflex in children among post-graduate students of paedodontics and preventive dentistry in India- An electronic cross-sectional survey

Abstract

Introduction: The gag reflex is a usual response for patients, considered to shield the airway and eradicate irritants from the posterior oropharynx and the upper gastro-intestinal tract. Gag reflex is a annoying problem in various dental techniques and may result in a compromised management. If the dentist efforts to recognize the circumstances that trigger disruptive gagging, this may optimize patient care and operational success. Aim: To evaluate the knowledge, attitude and practice regarding gag-reflex in children among post-graduate students of paedodontics and preventive dentistry in India. Methodology: A list of registered Post graduate Students with Indian Society of Paedodontics & Preventive Dentistry was obtained from the office of Indian Society of Paedodontics & Preventive Dentistry. A questionnaire was sent to all the participants through e-mail whose information was obtained from the office of Indian Society of Paedodontics & Preventive Dentistry. The questionnaire was sent twice to each student. A response was awaited for a period of 3 months. Results: 127 Post graduate Students thought that Anxiety and fear was a main reason for gag reflex in children. 233 Post graduate Students thought that during gag reflex there is no change in Pulse Rate of the children. 69 Post graduate Students Always changed or modified their impression technique or impression material in children with gag reflex. 173 (58.2%) Post graduate Students agree with rubber-dam application is useful to prevent gag reflex in children. 275 (92.6%) Post graduate Students did not take gagging severity index (GSI)/gag prevention index (GPI) before treating a child with gag-reflex. Conclusion: The study revealed that Post graduate students of paedodontics and preventive dentistry in India have the knowledge regarding patient’s gag, but their attitude and practice toward the management of the children with gag-reflex is less.