Abstract
Aim and Objectives: Hyperactive gag reflex (GR) can be a big obstacle in certain dental procedures especially
in making an upper arch impression. Treating those might be a challenge for both the
dentist and the patient. Many patients withdraw from treatment because of their inability
to cope with the procedure. One of the effective modalities in controlling this phenomenon
is the use of Acupuncture. In this trial, Ear acupuncture was used aiming to control
hyperactive GR during upper alginate impression. Methods: A total of ten patients aged between 20 and 60 years, with a history of GR on taking
dental impressions were selected to be part of this clinical trial. All patients fulfilled
the inclusion criteria had an upper dental alginate impression taken (or an attempt
made at it) before acupuncture and a second upper alginate impression taken immediately
after acupuncture based on traditional Chinese medicine. The gagging severity index
used to assess GR before insertion of the acupuncture needle while gagging prevention
index was used after the acupuncture and impression taking. Results: Seven patients scored I with the reflex obtunded and the impression taking carried
out successfully, one patient scored II with the reflex partially controlled and impression
taking still possible, two patients scored III with the reflex partially controlled
but with frequent gagging and impression taking still possible. No adverse effects
were observed, and patients were fit to leave unescorted. Conclusions: Ear acupuncture was found to be effective in controlling GR in all ten participants
in different levels.
Keywords
Anti-gagging point - ear acupuncture - impression
