Main amelioration of gagging indoctrination by communication - a MAGIC technique.
Journal
British dental journal
ISSN: 1476-5373
Titre abrégé: Br Dent J
Pays: England
ID NLM: 7513219
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
14
09
2023
accepted:
15
01
2024
revised:
05
01
2024
medline:
27
4
2024
pubmed:
27
4
2024
entrez:
26
4
2024
Statut:
ppublish
Résumé
Gagging during dental work is a common concern for both dentists and patients and can prevent patients from seeking or completing essential and routine dental work, often leading to further problems in the future. This paper aims to describe and review the literature on an accessible alternative to other management options to treat a patient with an exaggerated gag reflex. The author compares the effectiveness of current available treatments from published, peer-reviewed sources. The effectiveness of the MAGIC (main amelioration of gagging indoctrination by communication) technique has not yet been clinically reviewed but the experiential success by the author is near 100%. Patients were explained the technique and talked through it during treatment, leading to almost all patients who have not been able to undergo any dental treatment coping with and completing treatment. As this technique has not been assessed under clinical research conditions, we only have experiential evidence of many patients continuing and completing dental treatment following use of the MAGIC technique. This has been used with patients who both have and have not self-reported that they have a hypersensitive gag reflex. This paper reviews a novel technique for the amelioration of a hypersensitive gag reflex that can easily be incorporated in the general dental practice to the benefit of both patient and dental professional.
Identifiants
pubmed: 38671112
doi: 10.1038/s41415-024-7285-z
pii: 10.1038/s41415-024-7285-z
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
611-614Informations de copyright
© 2024. The Author(s), under exclusive licence to the British Dental Association.
Références
Goyal G. Gag reflex: causes and management. Int J Dent Med Res 2014; 4: 163-166.
Pisulkar S K, Agrawal R, Godbole S R, Jadhav V. Addressing the gag reflex: a literature review. Int J Rec Surg Med Sci 2018; 4: 2-4.
Karibe H, Okamoto A, Kato Y, Shimazu K, Goddard G. Reliability, validity, and sex differences in a quantitative gag reflex measurement method. J Oral Rehabil 2018; 45: 798-804.
Morélot-Panzini C. Fooling the brain to alleviate dyspnoea. Eur Respir J 2017; 50: 1701383.
Zafersoy Akarslan Z. Gag reflex in dentistry: what can we do? Ata Diş Hek Fak Derg 2016; 26: 503-510.
Randall C L, Shulman G P, Crout R J, McNeil D W. Gagging and its associations with dental care-related fear, fear of pain and beliefs about treatment. J Am Dent Assoc 2014; 145: 452-458.
Sewerin I. Gagging in dental radiography. Oral Surg Oral Med Oral Pathol 1984; 58: 725-728.
Eachempati P, Kumbargere Nagraj S, Kiran Kumar Krishanappa S, George R P, Soe H H K, Karanth L. Management of gag reflex for patients undergoing dental treatment. Cochrane Database Syst Rev 2019; DOI: 10.1002/14651858.CD011116.pub3.
Stefos S, Zoidis P, Nimmo A. Managing gag reflex during removable partial denture treatment: a review and a clinical report. J Prosthodont 2018; 28: 618-622.
Dickinson C M, Fiske J. A review of gagging problems in dentistry: I. Aetiology and classification. Dent Update 2005; 32: 26-32.
Sivakumar S, Prabhu A. Physiology, Gag Reflex. In StatPearls. Florida: StatPearls Publishing, 2023.
E Silva M H, Coelho M S, Santos M F, de Lima C O, Campos C N. The use of an alternative extraoral periapical technique for patients with severe gag reflex. Case Rep Dent 2016; DOI: 10.1155/2016/3206845.
Hoehn-Saric R, McLeod D R. Anxiety and arousal: physiological changes and their perception. J Affect Disord 2000; 61: 217-224.
Kasatkin A, Reshetnikov A, Urakov A, Baimurzin D. Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine. Dent Res J (Isfahan) 2017; 14: 356-358.
Shin S, Kim S. Dental treatment in patients with severe gag reflex using propofol-remifentanil intravenous sedation. J Dent Anesth Pain Med 2017; 17: 65-69.
Yamamoto T, Fujii-Abe K, Fukayama H, Kawahara H. The effect of adding midazolam to propofol intravenous sedation to suppress gag reflex during dental treatment. Anesth Prog 2018; 65: 76-81.
Corcuera-Flores J R, Silvestre-Rangil J, Cutando-Soriano A, López-Jiménez J. Current methods of sedation in dental patients - a systematic review of the literature. Med Oral Patol Oral Cir Bucal 2016; 21: 579-586.
Sari E, Sari T. The role of acupuncture in the treatment of orthodontic patients with a gagging reflex: a pilot study. Br Dent J 2010; 208: 19.
Rosted P, Bundgaard M, Fiske J, Pedersen A M. The use of acupuncture in controlling the gag reflex in patients requiring an upper alginate impression: an audit. Br Dent J 2006; 201: 721-725.
Veldt E A. A study to determine possible success variables in the treatment of gag reflex patients. Ned Tijdschr Tandheelkd 2018; 125: 101-107.
Sudharson N A, Mathew S, Kurian N, Varghese K G. Gag control. Br Dent J 2023; 234: 636.
Colvenkar S, Kalmath B, Cherukuri V P, Vanapalli J, Tirukovalur S V. A simple technique to manage gag reflex. Cureus 2023; 15: 35403.
Chaffee R B, Zabara J, Tansy M F. Suppression of the gag reflex by exaggerated respiratory movements. J Dent Res 1970; 49: 572-575.
Bassi G S, Humphris G M, Longman L P. The aetiology and management of gagging: a review of the literature. J Prosthet Dent 2004; 91: 459-467.
Levin R A, Smith G A. Choking prevention among young children. Pediatr Ann 2010; 39: 721-724.
Fowler W S. Breaking point of breath-holding. J Appl Physiol 1954; 6: 539-545.
Main J. MAGIC Gagging try in tray. 2023. Available at https://youtube.com/shorts/8FeJmb4nUG0?feature=share (accessed March 2024).
Main J. MAGIC no gagging taking impressions. 2023. Available at https://youtu.be/cvAm-cr1__E (accessed March 2024).