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Nitrous Oxide Is Unlikely to Effectively Suppress the GagReflex 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 GagReflex in Severe Gaggers Clinical Question In patients with a strong gagreflex, does nitrous oxide prevent gagging more effectively than distraction techniques? Clinical Bottom Line Management of a strong gagreflex (...) 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 gagreflexes achieved low rates of desensitization (only 7.1
Management of gagreflex for patients undergoing dental treatment. Gagreflex 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 gagreflex; 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 gagreflex during dental treatment. More well-designed and well-reported trials evaluating different interventions are needed.