Year 2016, Volume 26 , Issue 3, Pages 503 - 510 2016-12-01

The gag reflex is a mechanism which prevents unwanted objects from entering the pharynx, larynx or trachea. Due to some reasons, the mechanism of this reflex could be damaged and impede on oral-health related behaviors and oral health of individuals. Besides, dentists face problems during dental diagnostic procedures and dental treatment of these patients according to the severity of the problem. It would be helpful for a dentist to be able to identify problematic gagging of a patient before starting dental diagnostic and treatment procedures. Problematic gag reflex could be assessed with special designed questionnaires before starting a dental procedure of the patient. Behavioral approaches, complementary medicine therapies and pharmacological techniques are methods used for the treatment of patients with problematic gagging. The aim of this article is to describe problematic gagging and give information about the special designed scales, and the techniques which could be applied for the elimination of the problem.

Keywords: Gagging, dentistry, questionnaires, dental treatment 

DİŞ HEKİMLİĞİNDE KUSMA REFLEKSİ: NE YAPABİLİRİZ

ÖZ

 Kusma refleksi istenmeyen cisimlerin farinks, larinks ve trakeadan girişini engelleyen bir mekanizmadır. Birta- kım etkenler bu mekanizmanın normal çalışmasını bozarak bireylerin oral hijyeni alışkanlıklarını ve oral sağlığını etkileyebilmektedir. Bununla birlikte, diş hekimleri de dental diagnostik prosedürlerde ve dental tedavi sırasında durumun şiddetine göre birtakım problemler yaşayabilmektedir. Bu işlemlerin öncesinde diş hekiminin hastada sorun yaratacak bir kusma refleksinin olup olmadığını belirlemesi hekime yardımcı olacaktır. Hekimler hastalarında problem oluşturacak kusma refleksi olup olmadığı tedaviye başlamadan önce özel skalalar yardımı ile değerlendirebilmektedir. Problem yaratacak düzeyde kusma refleksi bulunan hastaların tedavilerinde davranışsal yaklaşımlar, tamamlayıcı medikal terapiler ve farmakolojik teknikler kullanılmaktadır. Bu makalenin amacı dental işlemler sırasında problem oluşturan kusma refleksini tanımlamak, refleksin belirlenmesi için kullanılabilecek skalaları ve problemin eliminasyonu için uygulana- bilecek yöntemler hakkında bilgi vermektedir. 

Anahtar Kelimeler: Kusma, diş hekimliği, anket, dental tedavi

Gagging, dentistry, questionnaires
  • Rosted P, Miles TS. Swallowing. In Miles TS, Nauntofte B, Svensson P (eds) Clinical Oral Physiology. Copenhagen; Quintessence Publishing Co Ltd: 2004. p. 245-254.
  • 2-The glossary of prosthodontic terms. J Prosthet Dent 2005;94:10-92.
  • 3-Murphy WM. A clinical survey of gagging patients. J Prosthet Dent 1979; 42:145-8.
  • 4-Meeker HG, Magalee R. The conservative management of the gag reflex in full denture patients. N Y State Dent J 1986;52:11-4.
  • 5-Bassi GS, Humphris GM, Longman LP. The etiology and management of gagging: a review of the literature. J Prosthet Dent 2004;91:459-67.
  • 6-Kassab NH, Al-Saffar MT. Gagging: A problem in prosthetic dentistry and its medical treatment. Al-Rafidain Dent J 2005;5:168-73.
  • 7-Dickinson CM, Fiske J. A review of gagging problems in dentistry: aetiology and classification. Dent Update 2005;32: 26e32.
  • 8-van Houtem CM, van Wijk AJ, Boomsma DI, Ligthart L, Visscher CM, de Jongh A. Self-reported gagging in dentistry: prevalence, psycho-social correlates and oral health. J Oral Rehabil 2015;42:487-94.
  • 9-Sewerin I. Gagging in dental radiography. Oral Surg 1984;58:725–8.
  • 10-Randall CL, Shulman GP, Crout RJ, McNeil DW. Gagging and its associations with dental care-related fear, fear of pain and beliefs about treatment. J Am Dent Assoc 2014;145:452-8
  • van Linden van den Heuvell GF, Ter Pelkwijk BJ, Stegenga B. Development of the Gagging Problem Assessment: a pilot study. J Oral Rehabil 2008; 35:196-202.
  • 12-Akarslan ZZ, Erten H. Reliability and validity of the Turkish version of the shorter form of the gagging problem assessment questionnaire. J Oral Rehabil 2010;37:21-5.
  • 13-Yildirim-Bicer AZ, Akarslan ZZ. Influence of gag reflex on removable prosthetic restoration tolerance according to the patient section of the short form of the Gagging Problem Assessment Questionnaire. J Adv Prosthodont 2014;6:474-82.
  • 14-Akarslan ZZ, Biçer AZ. Utility of the gagging problem assessment questionnaire in assessing patient sensitivity to dental treatments. J Oral Rehabil 2012;39:948-55.
  • 15-Akarslan ZZ, Yıldırım Biçer AZ. Influence of gag reflex on dental attendance, dental anxiety, self-reported temporomandibular disorders and prosthetic restorations. J Oral Rehabil 2013;40:932-9.
  • 16-Kaufman E, Weinstein P, Sommers EE, Soltero DJ. An experimental study of the control of the gag reflex with nitrous oxide. Anesth Prog 1988;35:155-7.
  • 17-Conny DJ, Tedesco LA.The gagging problem in prosthodontic treatment. Part I: description and causes. J Prosthet Dent 1983;49:601-6
  • 18-Winocur E, Uziel N, Lisha T, Goldsmith C, Eli I. Self-reported bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil 2011;38:3-11.
  • 19-Hearing CM, Bind RH, Tabacco MJ, Hallock RM. A Reliable and Valid Survey to Predict a Patient's Gagging Intensity. J Oral Maxillofac Res 2014;5:e3.
  • 20-van Linden van den Heuvell GF, de Boer B, Ter Pelkwijk BJ, Bildt MM, Stegenga B. Gagging Problem Assessment: a re-evaluation. J Oral Rehabil 2015;42:495-502
  • Thayer ML. The use of acupuncture in dentistry. Dent Update 2007; 34:244-6, 249-50.
  • 32-Fiske J, Dickinson C. The role of acupuncture in controlling the gagging reflex using a review of ten cases. Br Dent J 2001;190:611-3.
  • 33-Elbay M, Tak Ö, Şermet Elbay Ü, Kaya C, Eryılmaz K. The use of low-level laser therapy for controlling the gag reflex in children during intraoral radiography of maxillary teeth. Lasers Med Sci 2016;31:355-61.
  • 34-Chate RA. Acupuncture for controlling gag reflex? Br Dent J 2001;191:537.
  • 35-Whittaker P. Laser acupuncture: past, present, and future. Lasers Med Sci 2004; 19:69-80.
  • 36-Schlager A, Offer T, Baldissera I. Laser stimulation of acupuncture point P6 reduces postoperative vomiting in children undergoing strabismus surgery. Br J Anaesth 1998; 81:529-32.
  • 37-Farrier S, Pretty IA, Lynch CD, Addy LD. Gagging during impression making: techniques for reduction. Dent Update 2011; 38:171-2.
  • 38-Vachiramon A, Wang WC. Acupressure technique to control gag reflex during maxillary impression procedures. J Prosthet Dent 2002; 88:236.
  • 39-Ramazani M, Zarenejad N, Ebrahimi K. The Help of Hypnodontics to a Patient with Scleroderma ‒ Case Report. Iran J Psychiatry Behav Sci 2015; 9:e211.
  • 40-Facco E, Zanette G, Casiglia E. The role of hypnotherapy in dentistry. SAAD Dig 2014; 30:3-6.
Journal Section Articles
Authors

Author: Zühre ZAFERSOY AKARSLAN

Dates

Publication Date : December 1, 2016

Bibtex @review { ataunidfd290426, journal = {Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, issn = {1300-9044}, eissn = {2667-5161}, address = {}, publisher = {Ataturk University}, year = {2016}, volume = {26}, pages = {503 - 510}, doi = {10.17567/ataunidfd.290426}, title = {GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?}, key = {cite}, author = {ZAFERSOY AKARSLAN, Zühre} }
APA ZAFERSOY AKARSLAN, Z . (2016). GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi , 26 (3) , 503-510 . DOI: 10.17567/ataunidfd.290426
MLA ZAFERSOY AKARSLAN, Z . "GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 26 (2016 ): 503-510 <https://dergipark.org.tr/en/pub/ataunidfd/issue/27576/290426>
Chicago ZAFERSOY AKARSLAN, Z . "GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 26 (2016 ): 503-510
RIS TY - JOUR T1 - GAG REFLEX IN DENTISTRY: WHAT CAN WE DO? AU - Zühre ZAFERSOY AKARSLAN Y1 - 2016 PY - 2016 N1 - doi: 10.17567/ataunidfd.290426 DO - 10.17567/ataunidfd.290426 T2 - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JF - Journal JO - JOR SP - 503 EP - 510 VL - 26 IS - 3 SN - 1300-9044-2667-5161 M3 - doi: 10.17567/ataunidfd.290426 UR - https://doi.org/10.17567/ataunidfd.290426 Y2 - 2016 ER -
EndNote %0 Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi GAG REFLEX IN DENTISTRY: WHAT CAN WE DO? %A Zühre ZAFERSOY AKARSLAN %T GAG REFLEX IN DENTISTRY: WHAT CAN WE DO? %D 2016 %J Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi %P 1300-9044-2667-5161 %V 26 %N 3 %R doi: 10.17567/ataunidfd.290426 %U 10.17567/ataunidfd.290426
ISNAD ZAFERSOY AKARSLAN, Zühre . "GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 26 / 3 (December 2016): 503-510 . https://doi.org/10.17567/ataunidfd.290426
AMA ZAFERSOY AKARSLAN Z . GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?. Ata Diş Hek Fak Derg. 2016; 26(3): 503-510.
Vancouver ZAFERSOY AKARSLAN Z . GAG REFLEX IN DENTISTRY: WHAT CAN WE DO?. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2016; 26(3): 510-503.


DİŞ HEKİMLİĞİNDE GÜNCEL İNTRAORAL TARAYICILAR
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi
Halil BAKIÇ
https://doi.org/10.17567/ataunidfd.713422