Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine

Решетников, А. П.; Kasatkin, Anton; Ураков, А. Л.; Baimurzin, Dmitrii Y

doi:10.4103/1735-3327.215967

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…It can help patients with dental anxiety and phobia as well as patients with severe gag reflexes. 20 A study 21 , assessed this method on a 51-year-old woman who needed a full upper jaw prosthesis. The patient could not tolerate the treatment procedures due to her hypersensitive gag reflex, and it was predicted that she would not be able to wear the prosthesis even if it was completed.…”

Section: Hypnosismentioning

confidence: 99%

Prescribed Treatment Options for Gag Reflex

YILDIZ,

AŞIK,

ÖZYILMAZ

2024

neudentj

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The gag reflex represents a crucial protective mechanism preventing the entry of foreign objects into the pharynx, larynx, or trachea. Impairment of this reflex can have adverse effects on an individual's oral health and overall well-being. An abnormal gag reflex can be detrimental and potentially impact social integration and comfort in social environments. Avoidance of treatment due to an exaggerated gag reflex in patients may lead to more severe oral and dental health issues. Complications such as intensified aesthetic concerns and halitosis, arising from aggravated oral and dental health problems, can contribute to patients withdrawing from social interactions. Consequently, individuals may find themselves trapped in a vicious cycle. The gag reflex can be triggered by a variety of physical or psychological stimuli. Its causes are multifaceted, encompassing iatrogenic effects, as well as local and systemic disorders, anatomical factors, and psychological factors such as classical and operant conditioning. Symptoms of an excessive gag reflex are not limited to specific age groups and can affect both pediatric and adult patients with varying degrees of severity. Treatment methods range from universally applicable approaches to those requiring specialized training due to the multifactorial nature of the condition. Given the multifactorial nature of the causes of an excessive gag reflex, exploring and implementing diverse therapeutic strategies may be necessary."

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Section: Hypnosismentioning

confidence: 99%

Prescribed Treatment Options for Gag Reflex

YILDIZ,

AŞIK,

ÖZYILMAZ

2024

neudentj

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show abstract

“…There are several limitations to this study, such as the small sample size, only one breed examined (French Bulldog), and unpredictable effects of sedation on laryngopharynx motion due to relaxed smooth muscles in the laryngopharyngeal region. In fact, pharmacological sedation has been used to prevent the development of gag reflexes in dental patients [8]. Additionally, the temporal resolution of dynamic 4D-CT is lower than videofluoroscopy for real-time imaging.…”

mentioning

confidence: 99%

Pharyngeal contraction secondary to its collapse in dogs with brachycephalic airway syndrome

Hara

Teshima

Seki

et al. 2020

The Journal of Veterinary Medical Science

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Brachycephalic airway syndrome (BAS) is a common disease in certain "flat-faced" dog breeds. This syndrome includes stenotic nares, elongated and thickened soft palate, laryngeal collapse, and tracheal hypoplasia. Pharyngeal collapse is also commonly observed, but it is unclear if laryngopharynx motions are merely sequelae or actually contribute to BAS respiratory symptoms. Laryngopharynx motion was imaged using dynamic four-dimensional computed tomography (4D-CT) during spontaneous respiration in four dogs with different BAS types. Dynamic 4D-CT showed laryngopharynx motion in the following order during inspiration: pharyngeal collapse, contraction, and laryngospasm. We concluded that dynamic 4D-CT is a highly-detailed diagnostic approach for detecting laryngopharynx motion. Pharyngeal contraction during inspiration appears to contribute toward the worsening of clinical respiratory signs of BAS.

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Gagging and its management—A review

Parakh

2022

Oral Science International

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Gagging is a physiologic reaction that is protective in nature. Gagging is commonly seen during dental procedures, and patients who have a sensitive gag reflex can be a challenge to manage. Gagging during dental procedures often causes interruption in the dental treatment, or in rare instances, the treatment has to be postponed. Gagging makes it difficult to perform dental treatment, and there are various methods that are advocated in the literature. Managing a patient with an exaggerated gag reflex is a challenge, and effective and right approach to the management can go long way for the patient. This review aims to highlight the various options of preventing or reducing gagging in patients.

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Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine

Cited by 5 publications

References 8 publications

Prescribed Treatment Options for Gag Reflex

Prescribed Treatment Options for Gag Reflex

Pharyngeal contraction secondary to its collapse in dogs with brachycephalic airway syndrome

Gagging and its management—A review

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