The use of interactive distraction technique to manage gagging during impression taking in children: a single-blind, randomised controlled trial

Dixit, Uma; Moorthy, Lakshmi N.

doi:10.1007/s40368-020-00582-2

Cited by 7 publications

(6 citation statements)

References 30 publications

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“…In order to overcome these problems dental anxiety and gagging must be assessed. A variety of approaches have been developed for the management of dental anxiety which may include psychotherapeutic, behavior-management approaches, relaxation techniques, hypnotherapy, guided imagery, biofeedback, acupuncture, distraction [8][9][10][11] and for gagging a wide variety of techniques were introduced including distraction, relaxation, psychological, desensitization and behavioral techniques, hypnosis, sedation, acupuncture, acupressure, combined acupuncture and acupressure [12][13][14] , hypnopuncture 15 , intellectual color game (ICG) 16 , and interactive distraction technique 17 . In a study by Stavley et al 18 stress ball was used as a method of distraction.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of intellectual color game, audio-visual and stress ball distraction methods on gagging and anxiety management in children

Linthoingambi

Kaur

Choudhary

et al. 2022

JOCPD

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Objectives:To compare the effectiveness of Intellectual color game, Audio-Visual and Stress Ball distraction methods on gagging and anxiety management in children. Study design: One hundred eight children, between 5 and 12 years of age, with gag reflex score ranging from G1 to G3 requiring upper and lower alginate impressions for diagnostic purpose were included in the study. The baseline gagging score (G0) and baseline anxiety (A0) was recorded for included children. Then upper and lower impressions were attempted with unflavored alginate by employing one of the selected distraction methods (Intellectual Color Game, Audio-Visual, Stress-Ball) by randomization protocol. The anxiety and gag reflex scores were recorded after impression procedure and analyzed statistically. The p value set was p ≤ 0.05. Results: Children in stress ball group showed higher significant change in the pre and post gagging scores when compared to audio visual and intellectual color game groups. While assessing anxiety scores, all the three groups showed significant change between the pre and post anxiety scores. Conclusion: Intellectual Color Game, Audio-Visual and Stress-Ball distraction methods can be recommended as implicit tools for gagging and anxiety management in children.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of intellectual color game, audio-visual and stress ball distraction methods on gagging and anxiety management in children

Linthoingambi

Kaur

Choudhary

et al. 2022

JOCPD

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“…Furthermore, it is also recommended in the literature to ask the patient to raise their legs during entire impression procedure and doing so makes them divert the attention away from impression making 14 . Dixit and Moorthy 23 in their study showed that interactive distraction could reduce the frequency of gagging. Even if, gagging was present, they were able to carry out impression procedure in all participants of the distraction group.…”

Section: Management Of Gag Reflexmentioning

confidence: 97%

“…Moorthy 23 in their study showed that interactive distraction could reduce the frequency of gagging. Even if, gagging was present, they were able to carry out impression procedure in all participants of the distraction group.…”

Section: Distraction Techniquesmentioning

confidence: 99%

“…Interactive distraction during impression technique has been found to be effective in controlling gag in children. 23,24 Furthermore, it is also recommended in the literature to ask the patient to raise their legs during entire impression procedure and doing so makes them divert the attention away from impression making. 14 Dixit and…”

Section: Distraction Techniquesmentioning

confidence: 99%

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Gagging and its management—A review

Parakh

2022

Oral Science International

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Gagging is a physiologic reaction that is protective in nature. Gagging is commonly seen during dental procedures, and patients who have a sensitive gag reflex can be a challenge to manage. Gagging during dental procedures often causes interruption in the dental treatment, or in rare instances, the treatment has to be postponed. Gagging makes it difficult to perform dental treatment, and there are various methods that are advocated in the literature. Managing a patient with an exaggerated gag reflex is a challenge, and effective and right approach to the management can go long way for the patient. This review aims to highlight the various options of preventing or reducing gagging in patients.

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“…However, it is necessary to consider the side effects of drugs and the recovery time after sedation. In pediatric dentistry, the gag reflex of children is minimized by allowing them to watch videos, listen to music, and directing their attention to external elements [ 8 ]. Recently, acupressure at acupuncture points and percutaneous electrical stimulation have been used as relaxation methods in clinical dental practice [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of aromatherapy with peppermint essential oil on the gag reflex: a randomized, placebo-controlled, single-blind, crossover study

Okamoto,

Karibe,

Tanaka

et al. 2024

BMC Complement Med Ther

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Background Sensitive gag reflexes prevent dental patients from receiving appropriate treatment. Aromatherapy helps patients relax during dental procedures. However, the effect of aromatherapy on the gag reflex caused by the stimulation of the oral cavity is unknown. This study aimed to evaluate whether aromatherapy reduces gag reflexes during oral stimulation. Methods In this randomized, placebo-controlled, single-blind, crossover study, the gag reflexes of 24 healthy individuals (12 females and 12 males; mean age: 34.3 ± 9.5 years) were quantified. A standard saliva ejector was slowly guided down the participant’s throat to determine the maximum tolerance of the gag reflex, and the insertion distance was measured to quantify the gag reflex. All individuals participated in an aromatherapy session with peppermint essential oil and a placebo session with distilled water. The gag reflex was quantified before (baseline) and after each session. Another measurement was performed using nitrous oxide/oxygen inhalation as a positive control. Results Gag reflex values significantly increased after aromatherapy with both peppermint essential oil and placebo compared to baseline values (paired t-test, P < 0.001 and P = 0.014, respectively). The gag reflex value also increased significantly during nitrous oxide/oxygen inhalation (paired t-test, P < 0.001). There was no significant difference in the increase rate of gag reflex values between the positive control and aromatherapy interventions, but it was significantly lower after the placebo intervention (repeated measures analysis of variance, P = 0.003; post-hoc test, P = 0.83 and P = 0.02). Conclusion Aromatherapy with peppermint essential oil has the potential for reducing gag reflex during dental procedures. Trial registration The study was registered in the University hospital Medical Information Network Clinical Trials Registry under the code UMIN000050616 (approved 17/03/2023).

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The use of interactive distraction technique to manage gagging during impression taking in children: a single-blind, randomised controlled trial

Cited by 7 publications

References 30 publications

Effectiveness of intellectual color game, audio-visual and stress ball distraction methods on gagging and anxiety management in children

Effectiveness of intellectual color game, audio-visual and stress ball distraction methods on gagging and anxiety management in children

Gagging and its management—A review

Effect of aromatherapy with peppermint essential oil on the gag reflex: a randomized, placebo-controlled, single-blind, crossover study

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