Prescribed Treatment Options for Gag Reflex

Year 2024, Volume: 6 Issue: 1, 108 - 118, 30.04.2024

Seher Yıldız Burcu Aşık Özgün Yusuf Özyılmaz

https://doi.org/10.51122/neudentj.2024.94

Abstract

The gag reflex is a mechanism that prevents unwanted objects from entering the pharynx, larynx or trachea. For some reasons, the mechanism of this reflex may be impaired and may negatively affect individuals' oral health behaviour and oral health. An abnormal gag reflex is a negative condition that can make it difficult for people to be included in society or to be comfortable in social environments and can lead to oral and dental health/aesthetic problems caused by the person's behaviour of avoiding treatment. Therefore, the person enters into a vicious cycle of avoiding simple treatments due to excessive gag reflex, experiencing more serious dental problems in the future and withdrawing from social environments due to these dental problems. This reflex can be induced by physical or psychological stimuli. It is thought that local and systemic disorders, anatomical factors, psychological factors (classical and operant conditioning) and iatrogenic factors play an important role in the etiology of the gag reflex. Excessive gag reflex can be found in patients of all ages from paediatric to adult patients and its severity varies from person to person. Many methods have been found in its treatment, some of which can be applied by everyone and some of which require training. Considering that the cause is multifactorial, various treatment methods may need to be tried.

Keywords

Gagging, Gagging Management, Pharynx, Review.

Öğürme Refleksinde Öngörülen Tedavi Seçenekleri

Abstract

Öğürme refleksi istenmeyen nesnelerin farinks, larinks veya trakeaya girmesini önleyen bir mekanizmadır. Bazı sebeplerden dolayı bu refleksin mekanizması bozulabilir ve bireylerin ağız sağlığı ile ilgili davranışlarını ve ağız sağlığını olumsuz etkileyebilir. Anormal öğürme refleksi, insanların topluma dahil olmasını ya da sosyal ortamlarda rahat bir biçimde bulunabilmelerini zorlaştırmakla beraber kişinin tedaviden kaçınma davranışı göstermesinden kaynaklanan ağız ve diş sağlığı/estetiği problemlerine yol açabilen olumsuz bir durumdur. Dolayısıyla kişi aşırı öğürme refleksi sebebiyle yapılması gereken basit tedavilerden kaçarak ilerleyen dönemde daha ciddi dental problemleri yaşama ve bu dental problemlerden dolayı sosyal ortamlardan çekilme kısır döngüsüne girer. Bu refleks, fiziksel veya psikolojik uyaranlar tarafından indüklenebilir. Öğürme refleksi etiyolojisinde lokal ve sistemik bozuklukların, anatomik faktörlerin, psikolojik faktörlerin (klasik ve edimsel koşullanma) ve iyatrojenik faktörlerin önemli rol oynadığı düşünülmektedir. Çocuk hastadan yetişkin hastaya kadar her yaştaki hastada aşırı öğürme refleksi bulunabilmekte ve şiddeti kişiden kişiye değişiklik göstermektedir. Tedavisinde birçok yöntem bulunmuş olup bazıları herkesçe uygulanabilen bazıları da eğitim gerektiren uygulamalardır. Sebebinin multifaktöriyel olduğu göz önünde bulundurulup çeşitli tedavi yöntemlerinin denenmesi gerekebilmektedir.

Keywords

Öğürme, farinks, glossofaringeal sinir, refleks, dental işlemler

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