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Gag Reflex

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1. Nitrous Oxide Is Unlikely to Effectively Suppress the Gag Reflex in Severe Gaggers

Nitrous Oxide Is Unlikely to Effectively Suppress the Gag Reflex in Severe Gaggers UTCAT3199, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Nitrous Oxide Is Unlikely to Effectively Suppress the Gag Reflex in Severe Gaggers Clinical Question In patients with a strong gag reflex, does nitrous oxide prevent gagging more effectively than distraction techniques? Clinical Bottom Line Management of a strong gag reflex (...) on their severity of gagging with examination of the molar region. Management of these patients progressed based on response to treatment from M1 (management without anesthetics), M2 (moderate sedation), to M3 (deep sedation or general anesthesia) with a goal of desensitization in the lowest stage possible. Desensitization was successful in 38 patients. A majority of those who achieved desensitization were in M1 (70.8%), but those with higher-severity gag reflexes achieved low rates of desensitization (only 7.1

2017 UTHSCSA Dental School CAT Library

2. Management of gag reflex for patients undergoing dental treatment. (PubMed)

Management of gag reflex for patients undergoing dental treatment. Gag reflex is an involuntary defence mechanism to protect the pharynx and throat from foreign objects. Gagging is a common problem encountered during dental treatment, which makes therapeutic procedures distressing and often difficult or even impossible to perform. Various interventions can be used to control the gag reflex; for example, anti-nausea medicines, sedatives, local and general anaesthetics, herbal remedies (...) . We did not find any evidence on any other interventions for managing the gag reflex during dental treatment. More well-designed and well-reported trials evaluating different interventions are needed.

2015 Cochrane

3. The gag reflex: Trump info shutdowns at US science agencies, especially EPA

The gag reflex: Trump info shutdowns at US science agencies, especially EPA The gag reflex: Trump info shutdowns at US science agencies, especially EPA | PLOS Blogs Network PLOS Blogs Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Diverse perspectives on science and medicine Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary (...) at https://www.nesdis.noaa.gov/content/goes-16-image-gallery THE GAG REFLEX Bad Astronomer Phil Plait is gagging at the suddenly clamped on government science, and he is far from alone. He is talking particularly about Environmental Protection Agency staff and scientists at the Agricultural Research Service. But Official Silence has been imposed at other government agencies too. No press releases. No blog posts. No tweets. Speculation that researchers will not even be permitted to publish

2017 PLOS Blogs Network

4. Effect of Low-level LASER Therapy on P6 Acupoint to Control Gag Reflex in Children: A Clinical Trial. (PubMed)

Effect of Low-level LASER Therapy on P6 Acupoint to Control Gag Reflex in Children: A Clinical Trial. To investigate the effect of low level laser therapy (LLLT) on PC6 acupuncture point in suppressing gag reflex, regulating pulse rates and oxygen saturation, thereby reducing the anxiety levels.A total of 40 patients who demonstrated hyperactive gag reflex in the age group of 4-14 years were included in the study. In Group A (20 patients), maxillary impression was recorded. In the second step (...) , PC6 acupuncture point was stimulated with LLLT followed by recording of second maxillary impression. In group B (20 patients), steps were reversed. Gag reflex, anxiety levels, pulse rate and oxygen saturation levels were assessed.Values of pulse rate and oxygen saturation were regulated to normal, signifying lowered anxiety levels. Gag reflex was also significantly decreased after stimulating PC6 acupuncture point with LLLT.LLLT on PC6 point was found to be effective in lowering anxiety levels

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2017 Journal of acupuncture and meridian studies

5. Dental treatment in patients with severe gag reflex using propofol-remifentanil intravenous sedation (PubMed)

Dental treatment in patients with severe gag reflex using propofol-remifentanil intravenous sedation Patients with severe gag reflex (SGR) have difficulty getting the treatment they require in local clinics, and many tend to postpone the start of their treatment. To address this problem, dentists have used behavioral techniques and/or pharmacological techniques for treatment. Among the pharmacological methods available, propofol IV sedation is preferred over general anesthesia because

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2017 Journal of Dental Anesthesia and Pain Medicine

6. The Use of an Alternative Extraoral Periapical Technique for Patients with Severe Gag Reflex (PubMed)

The Use of an Alternative Extraoral Periapical Technique for Patients with Severe Gag Reflex Gag reflex is a physiologic mechanism that promotes contraction of the muscles of the tongue and pharyngeal walls. Different factors, including intraoral radiographic films and sensors, may trigger this reflex. Patients with severe gag reflex may not be able to tolerate the presence of intraoral radiographic films or sensors during root canal therapy (RCT). This factor may prevent an appropriate (...) intraoral radiograph, which is important in RCT. Different approaches have been used to facilitate dental procedures in patients suffering from severe gag reflex. The use of an extraoral radiographic technique is an alternative method to obtain working length confirmation in patients with severe gag reflex. In this report of 2 cases, the use of an extraoral radiographic technique as an alternative approach during RCT in patients with severe gag reflex associated with phobic behavior and trismus

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2016 Case reports in dentistry

7. The use of low-level laser therapy for controlling the gag reflex in children during intraoral radiography. (PubMed)

The use of low-level laser therapy for controlling the gag reflex in children during intraoral radiography. The current literature suggests that low-level laser stimulation of the PC 6 acupuncture points may prevent gagging. This study aimed to determine if low-level laser therapy (LLLT) can reduce the gag reflex in children undergoing intraoral maxillary radiography. This randomized, controlled, double-blind clinical trial was conducted with 25 children with moderate-to-very severe gag (...) reflexes who required bilateral periapical radiographic examination of the maxillary molar region. Children's anxiety levels were initially evaluated using Corah's Dental Anxiety Scale (DAS) to identify any possible relationship between gagging and anxiety. A control radiograph was taken of one randomly selected side in each patient after simulated laser application so that the patient was blinded to the experimental conditions (control group). Laser stimulation was then performed for the experimental

2016 Lasers in medical science

8. How Can Hypnodontics Manage Severe Gag Reflex for Root Canal Therapy? A Case Report (PubMed)

How Can Hypnodontics Manage Severe Gag Reflex for Root Canal Therapy? A Case Report In endodontics, severe involuntary gagging can have a severe impact on treatment procedure. There are many ways to ease the gag reflex, one of which is hypnosis. A 34-year-old male was referred for root canal treatment of a molar tooth. He had not received any dental treatments for the past nine years due to fear of severe gag reflex. Three hypnotic sessions based upon eye fixation, progressive muscle relaxation (...) and guided imagery techniques were spent for psychosomatic management. The gag reflex was controlled and reduced to a normal level, and the required dental treatments including root canal therapy and restoration were performed successfully. This report shows that hypnosis can control gag reflex for dental treatments.

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2016 Iranian endodontic journal

9. Gag Reflex

Gag Reflex Gag Reflex Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Gag Reflex Gag Reflex Aka: Gag Reflex II. Normal Gag Reflex (...) Response to posterior pharynx tactile stimulation Signal transmitted to reflex center in Results in gag Pharyngeal wall contraction Velar Contraction III. Conditions with abnormal Gag Reflex following (coma) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gag Reflex." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Gagging (C0016927) Definition

2018 FP Notebook

10. Ear Plugs Versus Acupressure for Management of Severe Gag Reflex

Ear Plugs Versus Acupressure for Management of Severe Gag Reflex Ear Plugs Versus Acupressure for Management of Severe Gag Reflex - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Ear Plugs Versus Acupressure (...) for Management of Severe Gag Reflex The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02938364 Recruitment Status : Recruiting First Posted : October 19, 2016 Last Update Posted : April 12, 2018 See Sponsor: Riyadh Colleges

2016 Clinical Trials

11. Sedation-Analgesia with Propofol and Remifentanil: Concentrations Required to Avoid Gag Reflex in Upper Gastrointestinal Endoscopy. (PubMed)

Sedation-Analgesia with Propofol and Remifentanil: Concentrations Required to Avoid Gag Reflex in Upper Gastrointestinal Endoscopy. The purpose of this study was to identify optimal target propofol and remifentanil concentrations to avoid a gag reflex in response to insertion of an upper gastrointestinal endoscope.Patients presenting for endoscopy received target-controlled infusions (TCI) of both propofol and remifentanil for sedation-analgesia. Patients were randomized to 4 groups of fixed (...) target effect-site concentrations: remifentanil 1 ng•mL (REMI 1) or 2 ng•mL (REMI 2) and propofol 2 μg•mL (PROP 2) or 3 μg•mL (PROP 3). For each group, the other drug (propofol for the REMI groups and vice versa) was increased or decreased using the "up-down" method based on the presence or absence of a gag response in the previous patient. A modified isotonic regression method was used to estimate the median effective Ce,50 from the up-down method in each group. A concentration-effect (sigmoid Emax

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2015 Anesthesia and Analgesia

13. Addition of sub-anaesthetic dose of ketamine reduces gag reflex during propofol based sedation for upper gastrointestinal endoscopy: A prospective randomised double-blind study. (PubMed)

Addition of sub-anaesthetic dose of ketamine reduces gag reflex during propofol based sedation for upper gastrointestinal endoscopy: A prospective randomised double-blind study. Gag reflex is unwanted during upper gastrointestinal endoscopy (UGIE). Experimental studies have demonstrated that N-methyl-D-aspartate receptor antagonism prevents gag reflex. We conducted a study to determine if sub-anaesthetic doses of ketamine, added to propofol, reduce the incidence of gag reflex.This prospective (...) to calculate the proportion of patients with gag reflex and the corresponding relative risk. Propofol consumed and time to recovery in the two groups was compared using Student's t-test and Cox proportional hazards regression respectively.Significantly, fewer patients in the PK group had gag reflex compared to the P group (3 vs. 23, risk ratio = 0.214, 95% confidence interval [CI], 0.07-0.62; P = 0.005). The incidence of hypotension (6 vs. 16, risk ratio = 0.519, 95% CI = 0.25-1.038; P = 0.06), number

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2014 Indian journal of anaesthesia

14. Managing endodontic patients with severe gag reflex by glossopharyngeal nerve block technique. (PubMed)

Managing endodontic patients with severe gag reflex by glossopharyngeal nerve block technique. Gagging is a protective reflex, but when the gag reflex becomes abnormally active, it poses a difficulty for the dentist because it hinders all aspects of dental procedures including diagnosis, radiography, and any form of active procedure.In this case report, to overcome this difficulty the authors used a glossopharyngeal nerve block technique that is used by anesthetists and otolaryngologists (...) , but its endodontic use has gone previously unreported.Response to gag reflex decreases after successful glossopharyngeal nerve block.The glossopharyngeal nerve block technique is a relatively safe, simple, and easy to master technique as compared with general anesthesia for treating a patient with an exaggerated gag reflex. The glossopharyngeal nerve block technique may be used in dental procedures in patients with an exaggerated gag reflex or when performing procedures in the posterior aspect

2014 Journal of Endodontics

15. An Innovative Approach to Overcome Gagging Through Acupressure for an Edentulous Patient: A Case Report. (PubMed)

An Innovative Approach to Overcome Gagging Through Acupressure for an Edentulous Patient: A Case Report. The gag reflex is a physiological reaction, which safeguards the airway from foreign bodies. In some people, this response is exaggerated to the extent that the acceptance/provision of dental treatment becomes impossible. Management of patients with gagging involves many different approaches. The aim of this report is to illustrate the role of acupressure in controlling gagging, because

2017 Alternative Therapies in Health & Medicine

16. Effectiveness of Intellectual Distraction on Gagging and Anxiety Management in Children: A Prospective Clinical Study (PubMed)

Effectiveness of Intellectual Distraction on Gagging and Anxiety Management in Children: A Prospective Clinical Study The aim of the present prospective study is to determine the effect of an intellectual colored game (ICG) on the severity of gag reflex (GR) and anxiety in children during dental alginate impression.Forty-one children, aging between 5 and 11 years, having a GR varying from normal to moderate had upper alginate impressions. The children's anxiety was evaluated with a facial image (...) scale (FIS) before (T0) and after first failed impression (T1), then, after playing an intellectual colored game (ICG) at T2, while taking an upper alginate impression.42.9 % of the children had a gag reflex of stage 2 and 31.0 % a facial scale of 3. Initial GR was not significantly associated with the final success of the impression (P =0.260) whereas final impression success was strongly associated with FIS (P <0.001). There was a statistically significant reduction in median GR score from T0

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2017 Journal of International Society of Preventive & Community Dentistry

17. Reducing gagging during dental treatment – insufficient evidence for any intervention

reflex during dental treatment. More well-designed and well-reported trials evaluating different interventions are needed. Comments Despite a wide-ranging search for studies, as is typical with Cochrane reviews, only a single small study of acupuncture was identified, which was not sufficient to demonstrate clear results. The review does highlight the wide range of interventions that have been suggested for patients for gagging problems but no high quality evidence is available at present to assess (...) was October 6, 2015 Reducing gagging during dental treatment Insufficient evidence for interventions to reduce gagging during dental treatment Managing gag reflex during dental treatment-little evidence Reducing gagging during dental treatment – insufficient evidence for interventions Don’t miss – Reducing gagging during dental treatment We can help you: 1 Keep up to date with the latest research 2 Connect with experts and colleagues 3 Contribute to your professional development Free email newsletter

2015 The Dental Elf

18. Gag Reflex

Gag Reflex Gag Reflex Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Gag Reflex Gag Reflex Aka: Gag Reflex II. Normal Gag Reflex (...) Response to posterior pharynx tactile stimulation Signal transmitted to reflex center in Results in gag Pharyngeal wall contraction Velar Contraction III. Conditions with abnormal Gag Reflex following (coma) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gag Reflex." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Gagging (C0016927) Definition

2015 FP Notebook

19. Effect of propofol combined with opioids on cough reflex suppression in gastroscopy: study protocol for a double-blind randomized controlled trial. (PubMed)

. This trial will evaluate the effects of propofol combined with small doses of dezocine, oxycodone, sufentanil or fentanyl for gastroscopy. We hypothesise that better performance may be obtained with a combination of propofol and oxycodone. We will observe the incidence and degree of reflex coughing and gagging under sedation when using propofol combined with one of the above drugs or propofol alone.This will be a prospective, randomised, double-blind, controlled trial. ASA I-II level patients aged 18-65 (...) endpoint is the incidence and degree of reflex coughing and gagging. The secondary endpoints include the occurrence of discomfort or side effects, the use of jaw thrust, assisted ventilation or additional propofol, recovery time, duration of procedure and Steward score.This study has been approved by the Institutional Ethics Committee for Clinical Research of Zhongda Hospital, Affiliated to Southeast University (No. 2015ZDSYLL033.0). The results of the trial will be published in an international peer

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2017 BMJ open

20. Variations in the Gag, Cough, and Swallow Reflexes and Tone of the Vocal Cords as Determined by Direct Laryngoscopy in Newborn Infants (PubMed)

Variations in the Gag, Cough, and Swallow Reflexes and Tone of the Vocal Cords as Determined by Direct Laryngoscopy in Newborn Infants 14913997 2004 02 15 2018 12 01 0044-0086 24 4 1952 Feb The Yale journal of biology and medicine Yale J Biol Med Variations in the gag, cough and swallow reflexes and tone of the vocal cords as determined by direct laryngoscopy in newborn infants. 284-91 MILLER H C HC PROUD G O GO BEHRLE F C FC eng Journal Article United States Yale J Biol Med 0417414 0044-0086

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1952 The Yale journal of biology and medicine

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